Healthcare in Every Community, Every Community in Healthcare

Our Story

The Cross Cultural Health Care Program (CCHCP) was established in 1992 with a grant from the W.K. Kellogg Foundation. This was in response to an increasingly urgent need to decipher and negotiate the diverse health care needs of native born minority communities and the growing refugee and immigrant populations of the US.

Primarily a training and consulting organization, CCHCP is dedicated to enhancing the skills of health and human service professionals in providing culturally competent and linguistically appropriate care.

From its inception, CCHCP has approached the issue of cultural competency from a unique perspective which acknowledges its complex, systemic nature. Consequently, the work of CCHCP has substantively differed from that of most organizations in the field which focus only on specific pieces of the puzzle of cultural competency.

In 1996, with a second-time grant awarded by Kellogg, CCHCP began a campaign of disseminating its training programs and publications on a national level. The scope and reach of our programs continue to shift and grow with the needs of communities and health and human service systems. The strength of our work lies in our commitment to remain grounded within the communities we serve, and our consistent efforts to evaluate the efficacy of our work. We strive to anticipate and respond to developments in the field of health and human services and to emerging challenges that impact our communities.

Today, as we celebrate close to 30 years of innovation and progress, we continue to expand our services and our concept of ‘health.’ The Cross Cultural Health Care Program is proud to be working with an increasingly diverse array of health and human service providers and organizations committed to the health of the communities they serve.


Major Projects

CCHCP has completed a vast array of projects with a variety of partners and clients over the years. Below is a partial list of this work.

1994 – 1995

Medical Interpreters: A Working Conference

In collaboration with the Society of Medical Interpreters, CCHCP convened a 2-day conference for medical interpreters, program planners, trainers, and health care providers to discuss interpreting services in health care settings and facilitate initial discussions about national standards of practice for medical interpreters.

Voices of the Communities: A Survey of Health Care Experiences of 22 Medically Underserved Communities in the Seattle Area

This comprehensive qualitative research study was the foundation for many of our programs. Click here to order a copy of the “Survey Highlights” from our online store.


Constructing the Middle Ground: Cultural Competence in Medicaid Managed Care

A research study funded by the Center for Health Care Strategies, Inc. under the Robert Wood Johnson Foundation Medicaid Managed Care Program. Click here to order a copy of this publication from our online store.

Bridging the Gap: Special edition for speakers of Navajo

This edition of our medical interpreter training program was developed with the Navajo nation, and specifically intended for their use.

2001 – 2007

Tobacco Disparities Advisory Council (TDAC), Washington State Department of Health

CCHCP served as the convener and facilitator of the Cross Cultural Work Group on Tobacco for the Washington State Department of Health’s Tobacco Disparities Advisory Council. This group was charged with developing the “Washington State Strategic Plan on Eliminating Tobacco-related Disparities”.


Health and Nutrition Program

Working with underserved communities in Seattle-King County with high rates of diabetes and other significant health risks related to nutrition. CCHCP trained community health advocates and outreach workers who are members of the communities to address diabetes, cardiovascular disease, hypertension, and obesity.


Reflections on the CLAS Standards: Best Practices, Innovations and Horizons

This study was completed under contract with the Office of Minority Health, United States Department of Health and Human Services. Email for a free copy of the report.

2004 – 2013

Delaware Division of Public Health, Dover, Delaware

Through a long-standing grant from OMH, CCHCP conducted Bridging the Gap training to prepare and engage interpreters in the state’s emergency response efforts.


Chicago Children’s Memorial Hospital, Chicago, Illinois

A comprehensive organizational cultural competence assessment.


Language Services Resource Guide for Health Care Providers

Prepared for The National Health Law Program and The National Council on Interpreting in Health Care, this is a resource guide for healthcare providers with information on how to effectively provide language services. Click here to download a copy of the guide.


MD Anderson Cancer Center, Houston, Texas

Review and analysis of data from past organization assessments and staff surveys.

Patient Navigation: Existing Programs, Current Practices and Guidelines for Success

A report prepared for the Washington State Department of Social and Health Services, Health and Recovery Services Association to review and assess existing patient navigation programs in Washington State and elsewhere.

Washington State Department of Health: Barriers to Health and Effective Utilization of Existing Resources

A report on select findings from research conducted for the Cultural Navigator Program. The purpose was to identify barriers to health and effective utilization of existing resources for patients of health systems targeting populations with limited access to care.


77 Health and Human Service organizations, St. Lucie, Martin, and West Palm Beach counties, Florida

Organizational cultural competence assessment and training.


St. Vincent Health System, Indianapolis, Indiana

Organizational cultural competence assessment, including analysis of 12 hospital work plans and one overall system plan with the lens of culturally and linguistically appropriate care.


Natividad Medical Center and Foundation, Salinas, California

A special Bridging the Gap training with students representing 5 different indigenous language groups.

SEIU Healthcare NW Training Partnership

Cultural competency training and content expert for home care aides training modules.


British Columbia Renal Agency, Kidney Foundation of Canada and the Amgen Partnership Program, British Columbia, Canada

Review and language-specific focus groups to assess cultural competency in patient education materials.


Oregon Health Authority, Office of Equity and Inclusion

Bridging the Gap was one of seven medical interpreter training programs approved for Oregon’s enhanced health care interpreter certification requirements.


International Community Health Services (ICHS), Seattle, Washington

Community health needs assessment through focus groups with six racial/ethnic communities and key informant interviews with community leaders in the King County area.

Swedish Medical Center, Seattle, Washington

Connecting to Care conducted the pilot patient guide training program with the 14-member interpreting staff at Swedish Medical Center.

Texas Health Resources, Arlington, Texas

Closing the Gap served as a content expert for this large health system’s online training program, designing and customizing a one hour module.


Skagit Valley Foundation, Burlington, Washington

The foundation funded Bridging the Gap training for a local language agency. Nearly half of the participants spoke and intend to interpret Mixteco, an indigenous language from Mexico. The language is currently in high demand in the area.


New Medical Glossaries

After conducting a national survey to determine need, CCHCP Publications has released four new bilingual medical glossaries. The languages added to our catalog are Farsi, Marshallese, Tagalog, and an updated Lao glossary. Visit our online store to purchase a glossary today.