If your healthcare organization would like to participate in the Healthcare Equality Index, please check your eligibility below and, if eligible, complete this form.
Before you complete this form, we suggest you search the HEI to make sure your facility isn't already a participant.
The HEI is currently closed, but you will receive information about the upcoming survey cycle when we open the HEI 2017 survey in Summer 2016.
In the meantime, you're invited to review our HEI Resource Guide.
The HEI is primarily intended for inpatient facilities that provide general medical and surgical care. However, specialty hospitals and certain outpatient healthcare facilities may request to participate in the HEI. Typically a facility or organization must have at least 100 employees to be eligible to participate.
Clinic organizations with multiple locations such as FQHCs (and FQHC look alikes), Planned Parenthood Affiliates and other similarly structured organizations are eligible to participate - however, they have special guidelines and criteria. Those organizations should register below for the primary organization only, not for individual clinic sites.
Physician practices, medical groups, and solo health practitioners are not eligible to participate in the HEI but are encouraged to participate in the GLMA Provider Directory. Long-term care providers of all types and in-home care providers are also not eligible to participate in the HEI.
Before you complete this form, we suggest you browse the HEI to make sure your facility isn't already a participant.