Over 20 years ago, Steiner (1998) noted the potential for BSL (British Sign Language) interpreting on television to advance deaf people’s language and education rights if effective interpretations could be produced. Signed language translations for deaf audiences have an important role to play in redressing systemic disadvantage, because they provide deaf signers with access to mainstream majority language information as a human right ( Leneham 2007 Stone 2009 see also De Meulder 2015). Keywords: deaf enregisterment nascency sign language translation 1 Introduction We conclude with suggestions for improving translations and some broader implications for understanding and researching signed languages. This affects possibilities for enregisterment and therefore translations. Instead, signed communication practices are often shaped by what we refer to as the nascency principle: the perpetual redevelopment of new forms of expression for understanding the specific discourse and spatiotemporal context, by and for the signers who are physically present. One main challenge is the inherent hybridity of signed communication practices, resulting from variable language learning circumstances and other factors. We also revisit findings from focus group research with deaf audiences and translation practitioners to identify key elements of existing translations that were problematic for many deaf viewers, and to illuminate what makes an act of translation from English into Auslan effective for signers who need these translations the most. We draw on the translanguaging and enregisterment literature to describe the communication practices and individual repertoires of deaf Auslan signers, and to problematise the creation of translations from English into Auslan. PCMHs emphasize the use of health information technology and after-hours access to improve overall access to care when and where patients need it.This article explores what deaf signing diversity means for the creation of effective online signed language translations in Australia and for language theory more generally. PCMH Recognition is associated with lower overall health care costs.
The PCMH model has been shown to help better manage patients’ chronic conditions.Īs more emphasis is placed on value-based care, many state and Federal programs are embracing the patient-centered model of care. 1Ī Hartford Foundation study found that the PCMH model resulted in a better experience for patients, with 83% of patients saying being treated in a PCMH improved health. The PCMH model is associated with better staff satisfaction. One analysis found implementation of NCQA PCMH Recognition to increase staff work satisfaction while reported staff burnout decreased by more than 20%.
As a result, many payers provide incentives for NCQA-Recognized practices. Many payers acknowledge PCMH Recognition as a hallmark of high-quality care. The PCMH model emphasizes team-based care, communication and coordination, which has been shown to lead to better care.
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Credentials Verification Organization (CVO).Patient-Centered Specialty Practice (PCSP).