Fluent for Healthcare
Your bilingual staff are already here
Most hospitals already employ nurses, assistants, and physicians who speak Spanish with patients every day. Most are uncertified and undocumented. Fluent finds them, trains and certifies them to Qualified Bilingual Staff (QBS) standards, and writes that credential into your system of record, ready for a Joint Commission or OCR audit.
$7.8B
Spent each year on interpreter services
25M+
People with limited English proficiency in the US
§1557
Federal mandate for language access
The problem
Three gaps hospitals can't close with interpreters alone
Section 1557 mandates language access for any health system receiving federal funding. Hospitals spend $7.8 billion a year scaling interpreter supply in response. The market reaches $16 billion by 2034. The problem is not supply. It is that hospitals have no system to manage the language capability already in their workforce.
No visibility
Most hospitals have no system of record for who on staff speaks Spanish, at what level, or in what clinical contexts. The asset is invisible.
No efficient path to certification
Existing QBS programs are 40-hour pre-recorded video curricula. They produce a CME checkbox. A clinician can complete them and still be unable to take a patient history in Spanish.
No routing
Even when staff are bilingual, there is no mechanism to document their proficiency or prove compliance. No structured field exists in the EHR, and no certification follows them into the system that matches patients to providers.
The workflow
From mandate to measurable ROI in four steps
Fluent becomes part of your system. It connects to what you already use, surfaces what you already have, and routes what you already need.
01
Discover
Surface the bilingual workforce you already have. Pull the staff who have self-identified a second language, and prompt the rest to declare one, mapped by role and unit.
02
Certify
AI-personalized training brings staff to QBS standards in weeks, not months. Designed to qualify for CME credit through an ACCME-accredited partner.
03
Deploy
Epic integration routes incoming LEP patients to the nearest QBS-certified staff member automatically. No cart, no three-way call, no wasted time.
04
Measure
Track VRI minutes eliminated, shift-level coverage gaps, and compliance documentation ready for Joint Commission or OCR audit in real time.
Why it works
Training built around each clinician
Existing programs teach medical Spanish as content. Fluent trains clinicians inside the specific encounters they will actually have, starting from what each person already knows.
Because Fluent connects to your HR system during onboarding, the training environment is pre-loaded with each clinician's role, unit, and patient population dialect before they begin. Proficiency is learned through the training and assessment itself, not assumed up front.
Axis I
Scenario-specific
An ED nurse trains in triage, pain assessment, and consent under pressure. An OB nurse trains in prenatal visits, birth plans, and postpartum depression screening. A hospitalist trains in goals-of-care conversations with families. Not generic vocabulary lists.
Axis II
Performance-adaptive
The system adjusts to where each clinician breaks down. A heritage speaker with strong conversational fluency but gaps in formal medical register gets a different path than an L2 learner who needs foundation work first. No two clinicians train the same way.
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 where interpreter spend and LEP patient volume are both high. Early partners shape the training scenarios, the Epic integration design, and the QBS assessment rubric.
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Tell us about your institution. We will follow up within two business days.