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In 2006, the Robert Wood Johnson Foundation launched Speaking Together: National Language Services Network, an initiative designed to improve the quality and availability of language services in US hospitals. Speaking Together works with hospitals that were selected through a competitive application process with multiple levels of review. The selection process targeted hospitals with substantial numbers of limited English-proficient (LEP) patients and well-established language programs that could complete a complex project with rigorous data collection requirements. The result is a group of 10 hospitals (Table 1) whose language services are more robust than the average hospital and that bring enthusiasm to the process of performance improvement in language services, dedication to working collaboratively through interdisciplinary project teams, and strong commitment from senior leadership to support their efforts.    Table 1  Speaking Together Hospitals    In this Commentary, I offer personal insights from my role as Director of the National Program Office for Speaking Together. First, I discuss the process of developing and some of the challenges of implementing performance measures for hospital language services. Then, I offer some lessons learned from my own “field experience” with the Speaking Together project thus far about what I consider key elements for creating and implementing effective language services programs.

Measuring and Improving the Quality of Hospital Language Services: Insights from the Speaking Together Collaborative