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Cultural Competence Health Practitioner Assessment (CCHPA)

Copyright Information

The materials and content contained on the National Center for Cultural Competence’s Web site are copyrighted and are protected by Georgetown University's copyright policies.

Permission is granted to use the material for non-commercial purposes if:

  • the material is not to be altered and
  • proper credit is given to the authors and to the National Center for Cultural Competence.

Permission is required if the material is to be:

  • modified in any way
  • used in broad distribution.

To request permission and for more information, contact

Please note: this online self-assessment is currently being redesigned and is not available to take at this time. Please check back in late 2014 for a new tool.


The Cultural Competence Health Practitioner Assessment (CCHPA) was developed at the request of the Bureau of Primary Health Care (BPHC), Health Resources and Services Administration (HRSA), U.S. Department of Health and Human Service (DHHS). The CCHPA is intended to support the BPHC, and its funded programs, to enhance the delivery of high quality services to culturally and linguistically diverse individuals and underserved communities. It is also intended to promote cultural and linguistic competence as essential approaches for practitioners in the elimination of health disparities among racial and ethnic groups.

Permission to Use the CCHPA

The CCHPA is designed as an on-line self-assessment and educational tool. It is not available as a printed instrument and has not been validated as a measure to be used for research studies and evaluation activities. If you wish to use the CCHPA as part of a training or educational activity, please contact the National Center for Cultural Competence for permission. Many educators have gained permission to link students to the on-line educational tool as part of their learning experience.

Healthcare ProviderConceptual Framework of the CCHPA

The CCHPA is based on three assumptions: (1) cultural competence is a developmental process at both the individual and organizational levels; (2) with appropriate support, individuals can enhance their cultural awareness, knowledge and skills over time; and (3) cultural strengths exist within organizations or networks of professionals but often go unnoticed and untapped (Mason, 1996). The process of cultural competence assessment can benefit practitioners by heightening awareness, influencing attitudes toward practice, and motivating the development of knowledge and skills.

The process also benefits organizations by informing planning, policy-making, resource allocation and training/professional development activities. The CCHPA captures a wide range of data in its six subscales including: Values & Belief Systems, Cultural Aspects of Epidemiology, Clinical Decision-Making, Life Cycle Events, Cross-Cultural Communication and Empowerment/Health Management. Assessment of practitioners is only one aspect of examining cultural and linguistic competence within an organization, and should not be used in isolation. Cultural and linguistic competence must therefore be assessed and infused at every level of an organization including policy-making, administrative, practice/service delivery, consumer, and community levels (modified from Cross, et al. 1989).

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