Introduction to C.L.A.S. Standards

This activity includes physician ethics credit.

Release Date:
Expiration Date: 09/13/2024
Format: Enduring Internet Activity

Target Audience

This activity is intended for physicians, physician assistants, physical therapists, nurse practitioners, nurses, pharmacists, social workers, psychologists, and public health professionals.

Statement of Need

Healthy People 2020 and the Joint Commission mandate that patients and people, in general, receive healthcare information in a manner that they can understand. The CLAS Standards, adopted by Texas, provide insight into the disparities resulting from language and cultural barriers. The CLAS Standards also provide solutions for mitigating these disparities through health literacy practices and cultural humility. This training lays out the standards and best practices to improve healthcare communication and understanding, and outcomes.

Learning Goal and Outcome

Learning Goal: Participants will increase their knowledge and skills in providing culturally competent care for patients and clients.

Learning Outcome:  Participants will apply best practices to overcome barriers and biases to improve health equity and minimize health disparities for their patients and clients.

Educational Objectives

Upon completion of this activity, learners should be able to:

1. Describe the historical context of CLAS.
2. Recognize cultural differences experienced. 
3. Differentiate between equality and equity.
4. Explain the value of implementing CLAS Standards.
5. Integrate CLAS Standards into your professional practice.


Teresa Wagner, DrPH, MS, CPH,
Interim Director, SaferCare of Texas

Dr. Wagner is the Director of SaferCare Texas, a department within UNTHSC comprised of interprofessional patient safety experts with the mission of challenging traditional thinking to eliminate preventable harm. In that role, she established a multi-stakeholder health literacy collaborative with the DFW Hospital Council Foundation and testified on health literacy legislation in Texas. Her testimony helped with getting health literacy into the State Health Plan. She has delivered multiple programs, speaking engagements, and training on health literacy issues. She recently received the 2018 Health Literacy Hero Award at the Texas Health Literacy Conference for her efforts to elevate health literacy and develop a culture of health literacy throughout Texas.

Jessica Rangel, MS, RN, FNAP
Executive Vice President of Health Systems

Jessica Maack Rangel, MS, RN, FNAP, member of the American Society of Professionals in Patient Safety, is an accomplished clinician, Patient Safety Expert, and system Patient Safety Officer with over 35 years of experience in national and international healthcare environments. She serves as Executive Vice President of Health Systems. Rangel came to HSC in 2017 as Senior Vice President of Clinical Innovation and was responsible for the operational and fiscal outcomes of the HSC health clinics, SaferCare Texas, correctional medicine, simulation, interprofessional education and practice. She also has responsibilities with the student medical clinics at UNT Dallas and the Tarrant County College District.


In accordance with the appropriate accrediting bodies, all planners, teachers, and authors with control over activity content are required to disclose to the provider any relevant financial relationships (those held by the person, currently or within the last 24 months) with ineligible interests. Accredited providers are required to provide this information to learners before the start of an activity.

The University of North Texas Health Science Center at Fort Worth CE & Assessment office planning team has nothing to disclose.

Dr. Teresa Wagner, MS, CPH, and Jessica Rangel, MS, RN, FNAP  have nothing to disclose as faculty for this module.

Accreditation and Designation Statements

Logo of Joint Accreditation
In support of improving patient care, The University of North Texas Health Science Center at Fort Worth is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

The University of North Texas Health Science Center at Fort Worth determined that this CME activity provides 1 hour towards the Texas State Board of Medical Examiner's standard, annual ethics/professional responsibility requirement.


This knowledge-based activity has been assigned UAN  JA0004637-0000-22-011-H99-P and will award 1 contact hour of continuing pharmacy education credit in states that recognize ACPE Providers.

Statements of participation will indicate hours and CEUs based on participation and will be issued online at the conclusion of the activity. Successful completion includes completing the activity, its accompanying evaluation, and/or posttest (score 70% or higher) and requesting credit online at the conclusion of the activity. Credit will be uploaded to CPE Monitor, and participants may print a statement of credit or transcript from their NABP eprofile.


The University of North Texas Health Science Center is accredited by the American Osteopathic Association to award continuing medical education to physicians.

The University of North Texas Health Science Center at Fort Worth designates this program for a maximum of [number] AOA Category 1-B credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity.

The University of North Texas Health Science Center designates this live activity for a maximum of 1 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Certified Public Health Professionals

This activity is approved for 1 credit(s) accepted by the National Board of Public Health Examiners' Certified Public Health (CPH) recertification program.

Physical Therapists

This activity is offered by the Texas Board of Physical Therapy Examiners Accredited Provider #2409035TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE.
For successful completion, a participant must attend the program, complete the evaluation, and request credit online at the conclusion of the activity.

This course provides 1 CCUs for PTs and PTAs licensed in Texas.


Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibility for the content of the programs.

Licensed Professional Counselors

University of North Texas Health Science Center certifies that this meets the requirements for continuing education under Texas Administrative Code. This activity provides 1 CEU credit.


This activity provides up to 1 contact hour(s).

Social Workers

As a Jointly Accredited Organization, [Provider name] is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1 continuing education credit.

UNTHSC Participants

The University of North Texas Health Science Center at Fort Worth certifies this activity for 1 hour of participation.

ADA Statement

If you require special assistance to participate in this activity, please call (817)735-2539 or email:
An Equal Opportunity University.


All information contained within this activity is intended for educational purposes only. Physicians and other health care professionals are encouraged to consult other sources and confirm the information contained in this site. No single reference or service can take the place of medical training, education, and experience. This website does not define a standard of care, nor is it intended to dictate an exclusive course of management. This information should not substitute for a visit or consultation with a health care provider.

Technical Requirements

This activity is best experienced using Chrome's most current browser (or one back). You must have a sound card and speakers for all activities featuring audio. You must have JavaScript and session cookies enabled on your computer to view graphic images and references that appear in separate "pop-up" windows. Adobe Acrobat Reader may be required for certain activities.


Select the Continue button below to begin. You may return later if you are unable to complete the activity at this time.