Slide 1:
ADA Audio Conference Series
September 17, 2013
This session is scheduled to begin at 2:00pm Eastern Time
Real-Time Captioning and the PowerPoint Presentation are available through the Webinar Platform. Audio Connection is available through the webinar platform/telephone/Mobile App.

Slide 2:
Listening to the Session
*	The audio for today’s webinar is being broadcast through your computer or via telephone for those that registered for that option.  If using your computer, please make sure your speakers are turned on or your headphones are plugged in.
–	You can control the audio broadcast via the Audio & Video panel.  You can adjust the sound by “sliding” the sound bar left or right.
–	If you are having sound quality problems check your audio controls by going through the Audio Wizard which is accessed by selecting the microphone icon on the Audio & Video panel 

Slide 3:
Listening to the Webinar, continued
MOBILE Users (iPhone, iPad, or Android device (including Kindle Fire HD)) 
	Individuals may listen** to the session using the Blackboard Collaborate Mobile App (Available Free from the Apple Store, Google Play or Amazon )
  
Slide 4:
Captioning
*	Real-time captioning is provided during this session via the webinar platform.
*	The caption screen can be accessed by choosing the CC icon in the Audio & Video panel.

*	Once selected you will have the option to resize the captioning window, change the font size and save the transcript.

Slide 5:
Submitting Questions
*	You may type and submit questions in the Chat Area Text Box or press Control-M and enter text in the Chat Area. You will not be able to see the question after you submit it but it will be viewable by the presenters.
*	If you are connected via a mobile device you may submit questions in the chat area within the App
*	If you are listening by phone you will be instructed by the Operator on how to ask a question.
*	Questions may also be emailed to webinars@ada-audio.org 

Please note: This webinar is being recorded and can be accessed on the ADA Audio Conference Series website at www.ada-audio.org within 24 hours after the conclusion of the session.   The edited written transcript will be posted at this same site within 7 business days following the conclusion of the session.

Slide 6:
Customize Your View
*	Resize the Whiteboard where the Presentation slides are shown to make it smaller or larger by choosing from the drop down menu located above and to the left of the whiteboard. The default is “fit page”.

Slide 7:
Customize Your View continued
*	Resize/Reposition the Chat, Participant and Audio & Video panels by “detaching” and using your mouse to reposition or “stretch/shrink”. Each panel may be detached using the icon in the upper right corner of each panel.

Slide 8:
Technical Assistance
*	If you experience any technical difficulties during today’s session:
•	In webinar platform:  Send a private chat message to the host by double clicking “Great Lakes ADA” in the participant list. A tab titled “Great Lakes ADA” will appear in the chat panel.  Type your comment in the text box and “enter” (Keyboard - F6, Arrow up or down to locate “Great Lakes ADA” and select to send a message ); or 
•	By Email webinars@ada-audio.org; or 
•	Call 877-232-1990 (V/TTY) 

Slide 9:
Building Blocks for 
Accessible Health Care
September 2013

Slide 10:
Our Presenters:
Marian Vessels, Director, Mid-Atlantic ADA Center
Mary Duranti. Director, Disabilities Resource Center at UPMC
Karin Morris. Accessibility Manager, City of Bend, Oregon, (former ADA Accessibility Coordinator at UPMC)

Slide 11:
Purpose of Building Blocks for Accessible Health Care
Recognize that health care is not as accessible as most people think
Share our building blocks so that other health care providers working to become more accessible can use them as a foundation or starting point
Share and recognize resources currently out there and those that have been most helpful
Hope to develop a networking system for health care providers to share best practices

Slide 12:
UPMC:  About us
•	$10 billion-plus integrated global health enterprise with domestic and international ventures
•	Headquartered in Pittsburgh, Pennsylvania
•	Ranked No. 1 in Pittsburgh and Pennsylvania, and No. 10 in the nation
•	Affiliated with University of Pittsburgh
•	More than 4,000,000 patient visits per year
•	System of advance cancer treatment and research centers
•	More than 3,200 physicians and 55,000 staff in total
More than 20 academic, community, and specialty hospitals and 400 outpatient sites including rehabilitation, retirement, and long-term care facilities
Image of a map showing location of UPMC facilities

Slide 13:
UPMC Disabilities Resource Center: 
Accessible Health Care for People with Disabilities Is Our Priority
Inclusion begins with a core belief that everyone deserves dignity and respect
Graphic showing intersection of the DRC with Access to Health Care:   Facilities, IT, Policy; Community Interaction; Education and Training; Serving as an internal/external resource

Slide 14:
What Types of Issues Are Common in Health Care?
Effective Communication
Patient Transfer
Parking
Service Animals
Call Bells
Physical Access and Equipment
Staff Training and Awareness

Slide 15:
Our Approach
Educational Program
Analysis and Modification of Facility
Community Engagement
Policy Review and Development
ADA Compliance
Internal/External Resource

Slide 16:
Education and Training
Disability Awareness Training
Effective Communication for Individuals who are Deaf, Deaf-Blind, or Hard of Hearing
Service Animal Panel Video
ADA Maintenance Training
Breast Screening for Individuals with IDD
Assistive Listening Toolkit Videos
Game Show Icebreaker 
Case Studies/Scenarios

Slide 17:
Disability Fact or Fiction
Graphic showing Game Show format similar to “Who wants to be a millionaire”
Option for 50:50; Ask the Audience or Telephone lifeline
Question:  Which of the following uses “person first” language?
A.	Friend who uses a wheelchair
B.	The blind
C.	Wheelchair bound
D.	Handicapped
Next question

Slide 18:
Our Challenges in Education and Training
How to Make the Message Stick

Traditional One- to Two-Hour Annual Trainings
Not the only answer; staff don’t remember when they need it
Multi-Avenue Approach
-On-site Training			
-uLearn (e Training)		
-FAQs				
-Email Messages
- DRC Infonet Site
- Disability Awareness Books	
- Clinical Screen Savers
- Case Studies/Scenarios

Slide 19:
If You Can Only Remember Three Things….
Ask: What is the best way to communicate, transfer, and assist.
Comprehend and Communicate: Listen to what the patient tells you, they know their bodies best. Communicate need for accommodation to others.
Take action: If you are not sure what to do, ask for guidance. There are many resources to help you find what you need. Make sure the person gets the accommodation they need.

Slide 20:
Sample Clinical Screensaver
Service Animal Guidelines
A service animal is a dog or potentially miniature horse trained to do work or perform tasks for the benefit of an individual with a disability.
A pet therapy animal is not the same as a service animal
Service animals must be permitted wherever the general public is permitted
You can only ask the owner:
Is the animal required because of a disability?
What tasks is the animal trained to perform?
For more information, visit Infonet.UPMC.com/DRC
UPMC Life Changing Medicine Logo

Slide 21:
Community Engagement
Serves as a point of contact for patients, families, and advocacy organizations
Links with the community/advocacy groups have been essential to the DRC’s goals.  
Guided by DRC Advisory Committee — Identifies priorities and provides guidance on curriculum
Serves on boards and advisory committees

Slide 22:
Develop Community Partnerships
Local Disability Advocacy Agencies
Local Service Providers
Centers for Independent Living
Local and State Government Agencies
Regional ADA Centers www.ADATA.org	
Academic Centers

Slide 23:
External Resource
UPMC.com/DRC	
Point of contact for patients, families, and advocacy organizations
Let Us Help You (LUHU)
Custom, preplanned access to accommodations
Anticipatory disposition planning

Slide 24:
Examples of Collaborations with our Partners
Breast Screening for Individuals with Intellectual & Developmental Disabilities
Emergency Room Accessibility Workgroup
Women with Disabilities Webcast Series in Partnership with Magee Womens Hospital  http://services.choruscall.com/links/magee2013/magee130225.html
Community Disability Resource Fair
Video Clip on Healthbridges Website http://healthbridges.info/?p=1011	
Slide 25:
Helpful Resources
Patient Provider Communication Forum http://www.patientprovidercommunication.org/	
Research Best Practices: 
Alta Bates Summit Medical Center, Breast Health Access for Women with Disabilities (BHAWD)
Concord Hospital & New Hampshire Association for the Blind, “How Can I Help You” video, http://www.youtube.com/watch?v=xlP7mCr3LmQ	
World Institute on Disability (WID), http://www.wid.org/
Archived Webinars on Access Board Website
ADA Briefs

Slide 26:
Build Partnerships Internally	
Patient Relations			
Patient Safety and Quality
Nursing				
Schools of Nursing
Corporate Communications	
Educators
Corporate Risk			
Center for Inclusion 
Facilities/Maintenance		
Supply Chain
Center for Assistive Technology	
Speech Language Pathology
Physician Services Division	
Aging Institute
Specialty Services			
Rehabilitation Institute

Slide 27:
Gather “How to Access Accommodations”
Image of data gathering form titled “Business Unit Resources for Accessibility Aides and Service for Disabilities”

Slide 28:
Resources for Access Health Care
Assistive Listening Toolkits 
Image of a kit with TTY, Door knocker and Visual Fire alarm
Video Remote Interpreting
Image of a remote interpreting cart with Screen, camera, speakers, etc.

Slide 29:
Resources for Accessible Health Care
Blind/Low Vision Toolkits
Image of a blind/low vision tool kit with magnifying sheets, hand held magnifier, writing guide for full sheet of paper and signature, black magic markers
Health Care Communication boards (Greenhouse Publications)
Image of a communication board with common medical terms and procedures

Slide 30:
Resources for Accessible Health Care
Effective Communication iPads
Documents in Alternative Format
ADA Consulting Service
FAQs
Accessibility Checklists

Slide 31:
Facility Review
Facility Review Committee
Focus:
-Acute Inpatient Rooms
-Public Restrooms
-Outpatient Facilities
-Entrances and Accessible Routes
-Parking
-Medical Equipment
Construction Plan Reviews by ADA Consultant
-New construction and larger renovation projects

Slide 32:
Facility Review (con’t)
-ADA Maintenance and Housekeeping Training
Accessibility Checklists
-Public Restrooms
-Inpatient Rooms
-Waiting Areas
-Building Blocks
-Parking
Evaluation Toolkits
Image of evaluation toolkit containing smartlevel, door pressure gauge, tape measure

Slide 33:
Assistance Signage and DRC Guide
Image of Sign that reads:
If you need assistance please let us help you with space to insert contact information
Image of Disability Resource Center Guide
Slide 34:
Regulations
Americans with Disabilities Act (ADA) 1990 as amended 2010
ADA Amendment Act (ADAAA) 2009
Section 504 of Rehabilitation Act 1973
International Building Code: State and Local Building Codes
Joint Commission:  hospitals should have policies in place regarding the provision of language services and should not rely on patient’ friends, family, or other “ad hoc” interpreters.

Slide 35:
Building Blocks for Accessible Health Care
Dignity and Respect Patience Communication
Thank you!
Disabilities Resource Center
disabliityresource@upmc.edu
412-605-1483
www.upmc.com/DRC

Slide 36:
Questions?
Telephone:  Follow the instructions given by the Operator
Webinar Platform:  You may type and submit questions in the Chat Area Text box or press Control-M and enter text in the Chat Area

Slide 37:
Thank you for participating in today’s ADA- Audio Conference Session
The next scheduled session is:  “Successful Disability Inclusion Strategies” presented by representatives from USBLN October 15, 2013
Registration is not yet available for this session.  We are in the process of changing over for the 2013-2014 series.  You will receive an email notification when registration is available.