The comments and questions above all come from providers caring for families with limited English proficiency (LEP). The United States is becoming increasingly multilingual, with >200 languages spoken. As a result, providing linguistically competent care has become a priority in health care. The 2019 United States census survey revealed that 22% (67.3 million people) of the United States population speak a language other than English at home,1,2  more than double the 11% in 1980. Of those who speak a language other than English at home, 38% (25.4 million people) have LEP, meaning they speak English “less than very well.” The proportion of patients with LEP is projected to grow in the next decade. In November 2021, the Joint Commission published a sentinel event alert requiring health care organizations to address health care disparities by improving quality and safety. This alert clarified the need for...

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