Fluent for Healthcare
Your bilingual staff are already here
Most hospitals already employ nurses, assistants, and physicians who speak Spanish with patients every day, uncertified and undocumented. Fluent finds them, certifies them to QBS standards, and writes that credential into your EHR so certified staff are visible at the point of care.
$7.8B
Spent each year on interpreter services
25M+
People with limited English proficiency in the US
Sec. 1557
Federal mandate for language access
Advised by leaders from
The problem
The capability is there. The system to recognize it isn't.
Bilingual clinicians step up to talk with Spanish-speaking patients every day. Hospitals just have no way to see who they are, verify and strengthen their skill, or document it, so a real asset stays invisible and language-access compliance stays out of reach.
The workflow
From an invisible workforce to verified, audit-ready coverage
Fluent connects to what you already use, surfaces the capability you already have, and documents it where care decisions get made.
The certification
A credential built on how clinicians actually communicate
The certification is three high-stakes clinical encounters, scored across six communication domains grounded in the public-domain SOLOM proficiency framework and extended with a domain for clinical and cultural register.
Triage and history
The intake of every encounter. The clinician asks clear questions and understands the answers, where a missed detail cascades into the wrong diagnosis.
Informed consent
The highest legal-stakes conversation in medicine. The clinician explains complex information and confirms the patient genuinely understands it.
Discharge and adherence
Where care continuity is won or lost. The clinician gives clear instructions and confirms the patient can act on them at home.
Why it's different
Built on conversational AI, not pre-recorded video
Existing QBS programs are fixed, pre-recorded courses. A clinician can finish one and still be unable to take a patient history in Spanish. Fluent runs on a bidirectional AI patient and an adaptive training engine, so the credential reflects real ability, not seat time.
Conventional QBS programs
- Pre-recorded prompts: the clinician speaks to a wall
- One fixed test for every clinical role
- Fixed training that ignores each clinician's gaps
- Weeks of turnaround for a result
Fluent
- An AI patient that responds, interrupts, and shows confusion
- Role-specific scenarios: ER triage, goals-of-care, discharge
- Adaptive training that targets each clinician's gaps and fast-tracks those already fluent
- On-demand, with results in minutes
For clinicians
Why clinicians opt in
A certification only changes care if clinicians actually take part. Fluent gives them real reasons to: credit that counts toward licensure, a credential that travels with them, and a path that respects their time.
CME / CE credit
Certification earns continuing education credit toward license renewal, so the time a clinician invests counts twice.
A portable credential
The certification belongs to the clinician, not just the employer. It travels with them across roles and health systems.
No wasted time
Already fluent? The adaptive path fast-tracks straight to certification instead of a fixed 40-hour course.
Care for patients directly
Speak with Spanish-speaking patients yourself, with the confidence that your clinical Spanish has been verified.
Why it matters
Certified staff change outcomes, not just compliance
Documenting proficiency is the entry point. The payoff is better care in the conversations that decide outcomes: comprehension, consent, and discharge that actually land.
17.8% → 13.4%
When hospitals close the language gap, 30-day readmissions for patients with limited English proficiency drop.
1 in 5
self-identified bilingual staff lack the proficiency a medical conversation requires once it is actually tested. Skill has to be measured, not assumed.
25M+
people in the US have limited English proficiency. Certified staff means their highest-stakes conversations happen directly, not through a third party.
Early access
We are building the first pilot cohort now
We are selecting a first cohort of health systems for a 90-day pilot. Priority goes to institutions with high LEP patient volume and a bilingual workforce that is largely uncertified. Early partners shape the role-specific training scenarios, the assessment rubric, and how certified status surfaces in their EHR.
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Tell us about your institution. We will follow up within two business days.