More About the HEI
The annual Healthcare Equality Index (HEI) is used by inpatient and outpatient healthcare organizations nationwide to strengthen the care they give LGBT patients and reach out to this long overlooked group.
What is the HEI?
Why should our organization participate?
What’s involved in participating? Is there a fee?
What kinds of organizations can participate?
What’s the deadline?
How can we access free HEI training?
What does it mean to be an HEI Leader?
Do organizations participate every year?
Can we see the HEI?
The HEI is an online survey open for participation annually from February through June. Created in 2007, the HEI has been skillfully designed to meet the needs of all healthcare organizations seeking to provide optimal care to LGBT patients and to meet CMS and Joint Commission requirements related to this increasingly visible group.
In the first section of the HEI, participating organizations are asked to document whether they meet the “Core Four” foundational criteria for LGBT patient-centered care, which incorporate CMS and Joint Commission requirements. In this section, organizations are also given the opportunity to enroll staff members at all levels for free, expert training in LGBT care.
Responses to the Core Four questions are listed by organization in the HEI annual report and determine whether organizations are designated as "Leaders in LGBT Healthcare Equality." Leaders are featured in the HEI annual report and website, and receive a coveted logo and outreach tools that they can use to publicize their commitment to equity and inclusion.
The second section of the HEI, the Additional Best Practices Checklist, is designed to familiarize organizations with a wide range of recommended practices in LGBT patient-centered care, so that they can identify and remedy gaps. Responses to these questions are not shown by organization in the HEI report (they are aggregated) and they don’t affect Leader status. Instead, responses in this section are returned to participating organizations in a unique, customized analysis that can be used for benchmarking, needs assessment, and strategic planning.
LGBT patients face very significant challenges in healthcare: 56% of lesbian, gay, and bisexual people report experiences of serious discrimination in healthcare, while 70% of transgender people report serious discrimination. In response, CMS and The Joint Commission have issued requirements for LGBT equity and inclusion, and expert recommendations have now emerged for LGBT patient-centered care.
The HEI enables healthcare organizations to assess their own policies and practices vis-à-vis these requirements and recommendations, and equips them with the training and resources they need to remedy gaps. It also enables organizations to receive public recognition for their commitment to equity and inclusion.
Hundreds of healthcare organizations nationwide have participated in the HEI to:
- Increase patient safety and satisfaction
- Comply with CMS and Joint Commission requirements
- Minimize risk and maximize quality
- Enhance their reputation for equity and inclusion
And HEI participants enjoy these unique benefits:
- Access to free, expert online training for staff at all levels
- Customized analysis of potential gaps, with resources for addressing them
- Public recognition for their commitment to equity and inclusion
- Tools for outreach to LGBT community members
Participation in the HEI requires a login. If your organization does not already have a login, you can register to receive one, which will enable you to view the HEI with no obligation. The HEI, including the extensive training offered to participating organizations, is offered free of charge, as an educational program of the HRC Foundation.
The HEI is designed to be highly accessible and easy to use. The first section, the Core Four Leader Criteria, asks participants to show that they meet foundational criteria incorporating CMS and Joint Commission requirements, and also offers the opportunity for free expert training. The second section, the Additional Best Practices Checklist, allows organizations to see a broad range of policies and practices for LGBT patient-centered care, to assess their own policies and practices and to identify any gaps. The Checklist generates a custom analysis your organization can use for benchmarking, needs assessment and strategic planning.
Help text and other resources are plentiful within the HEI, and HEI staff are always available to assist. The HEI can be completed by any number of people within an organization--the HEI login can be shared—but each organization is asked to designate an “official submitter” to review and submit the HEI.
HEI staff review HEI submissions on a rolling basis, contacting participating organizations with any questions before providing all participants with a custom analysis of their responses. This analysis highlights their responses to the Core Four criteria, which determine HEI Leader status, and includes a wealth of information for strategic planning vis-à-vis LGBT care.
In Fall 2014, HRC will release the HEI 2014 report online and in print. The report will list organizations’ responses to the Core Four criteria by name, and will show responses to the Additional Best Practices Checklist in aggregate. HEI Leaders will be featured in the report, and will receive resources for publicizing their achievement. To see the HEI 2013 report, click here.
The HEI is open to all healthcare organizations in the U.S. with 100 or more employees, whether inpatient or outpatient, network or individual facility. Inpatient facilities are particularly encouraged to participate, and constitute the majority of participants.
The deadline for the HEI 2014 was June 30, 2014. The HEI 2015 will open in early 2015.
All organizations participating in the HEI may register staff for acclaimed, expert online training—in fact, training is required to be awarded HEI Leader status. Complete details are available within the HEI.
Before the release of the HEI report, HEI staff notify all HEI participants that have earned Leader status by meeting the Core Four Leader Criteria. Leaders are publicly announced on the day of the report’s release. (The 2012 HEI release event was at Howard University Hospital, with U.S. Health & Human Services Secretary Kathleen Sebelius, and the HEI 2013 release was held at the headquarters of the Veterans Affairs Administration in Washington, D.C.)
Several weeks before the HEI report is released, Leaders receive a coveted HEI Leader logo for their use, as well as extensive resources for publicizing their achievement and conducting outreach to LGBT community members. In the HEI 2013, 74% of participants were awarded Leader status.
Yes. The HEI is revised annually to incorporate new issues and resources related to LGBT patient-centered care, and Leader status is determined each year by an organization’s responses to the HEI in that year. But organizations do not need to resubmit their responses and documentation every year, unless they would like to report changes.
The HEI 2013 report describes the HEI's questions and methodology. The full online survey can be viewed by any organization that registers for an HEI login, with no obligation to participate. To view the HEI if you are not affiliated with a healthcare organization, contact HEI staff.