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Healthcare Equality Index

Celebrating its 10th year, the Healthcare Equality Index (HEI) is the national LGBTQ benchmarking tool that evaluates healthcare facilities' policies and practices related to the equity and inclusion of their LGBTQ patients, visitors and employees. The HEI 2017 evaluates a total of 1619 healthcare facilities nationwide.


HEI Training On-Going Training

Healthcare facilities that have previously met the HEI Executive Briefing Training Requirement must meet the On-Going Training Requirement in order to meet the fourth requirement of the Non-Discrimination and Staff Training criterion: Training in LGBTQ Patient-Centered Care. To meet this training requirement, a facility must complete a minimum of 25 hours of LGBTQ patient-centered training approved for HEI credit.  

  • Ideally, at least 25 different staff members will participate in a training of an hour or longer.  However, we use the 25 hour figure rather than 25 people to allow for some flexibility since the length of trainings may vary and to account for the fact that some people will want to take more than one training.
  • We encourage staff members that are new to the topic to take one of the following general introductory trainings on LGBTQ patient centered care:

HRC Foundation Trainings on The CAL:

  • An Introduction to Your LGBTQ Patients

  • Expanding LGBTQ Cultural Competency

  • LGBTQ Patient-Centered Care: An Executive Briefing

The National LGBT Health Education Center:

  • Meeting the Health Care Needs of Lesbian, Gay, Bisexual, and Transgender People: The End to LGBT Invisibility

  • Creating an Inclusive Environment for LGBT Patients and Staff at your Health Center

  • Calidad de cuidado para lesbianas, gays, bisexuales, transgéneros y transexuales: Eliminando la invisibilidad y las disparidades en salud

Veterans Health Administration:

  • Do Ask, Do Tell:  A Practical, Patient-Centered Approach to Working with Lesbian, Gay and Bisexual Veterans

Facility-led introductory trainings on LGBTQ patient centered care that have been pre-approved for HEI credit can also be used to meet this requirement.  Trainings that are not pre-approved will not count towards this requirement.  Learn more about the Requirements and Guidelines for HEI Approval of External Trainings in LGBTQ Patient Centered Care.