In this online database of healthcare facilities, there are six different types of facilities listed.
HEI 2022 Participants
These are the 906 healthcare facilities that actively participated in the Healthcare Equality Index survey. All survey participants receive a score between 5 to 100 as determined by which HEI criteria they meet and how many LGBTQ+ policies and practices they have in place. Their scorecards will show their overall score as well as how they scored in each criteria section of the survey. See below for our HEI 2022 survey methodology.
Healthcare facilities receiving this designation earned a top score of 100 points on the HEI 2022 survey. As an “LGBTQ+ Healthcare Equality Leader,” these facilities have received the highest score in each of the HEI criteria and demonstrate that they offer transgender-inclusive healthcare benefits to their employees.
Healthcare facilities receiving this designation earned a score between 80 to 95 points and were required to receive full credit in Criteria 1 and at least partial credit in Criteria 2, 3, and 4. As an “LGBTQ+ Healthcare Equality Top Performer,” these facilities are going beyond the basics when it comes to adopting policies and practices in LGBTQ+ care.
Healthcare facilities receiving this new designation have received full credit in Criteria 1. This designation, intended for new HEI participants, requires LGBTQ+ inclusive Patient, Visitation and Employment policies along with meeting the required staff training in LGBTQ+ patient centered care.
Healthcare facilities that actively worked with the HRC Foundation to complete and submit a survey for the HEI 2022 and did meet the criteria or score requirements to earn one of the designations described above.
Non-scored Hospitals
Over 1,300 other hospitals are listed in the database because they were either researched or previously participated in the HEI survey. These hospitals do not receive a score and their scorecard will only include information about whether or not they have the foundational policies found in Criteria Section 1 in place. These facilities will show a gray box with an “N/A” instead of the yellow box with an active score--be sure to click into their listing to review their Foundational policies.
Healthcare facilities that previously participated in the HEI survey, but did not submit a survey for the HEI 2022. These facilities will only show whether they have an LGBTQ+ inclusive Patient Non-Discrimination Policy, an Equal Visitation Policy and an LGBTQ+ inclusive Employment Non-Discrimination Policy.
Healthcare facilities that we proactively researched for LGBTQ+ inclusion in foundational policies (i.e. an LGBTQ+ inclusive Patient Non-Discrimination Policy, an Equal Visitation Policy and an LGBTQ+ inclusive Employment Non-Discrimination Policy). See below for our research methodology.
*Participants Receiving the Responsible Citizenship Penalty
The Responsible Citizenship Criteria focuses on known activities that undermine LGBTQ equality or patient care. Healthcare organizations can have 5 points deducted from their score if they have certain policies in place that may lead to discriminatory treatment that is in conflict with their non-discrimination policy. Facilities may have 25 points deducted if they have a large-scale official or public anti-LGBTQ blemish on their recent records. For a full description of this criteria and the difference between the 5 and 25 point deductions, see the Responsible Citizenship Criteria webpage.
Organizations that have received one of these penalties will be denoted in a few different ways:
If an organization has a point deduction for this criteria, please click on the “Important Transgender Services Information” link in the scorecard header for more information. If an organization received a 25-point deduction that link will take you to our webpage explaining the rationale for the deduction. If an organization has a 5-point deduction the link will take you to the organization’s webpage where they provide important information about the transgender services they provide.
The HEI 2022 Report assessed 906 healthcare facilities that actively participated in the Healthcare Equality Index survey. Throughout the open survey period, HRC Foundation Health & Aging Program staff provided additional assistance and advice to help facility representatives complete the survey. Once submitted, HRC Foundation staff reviewed and verified documentation for appropriate language and consistency with required criteria. If any criteria were not met, the HRC Foundation provided healthcare facilities the opportunity to update the deficiencies and submit the required additional information necessary to meet the criteria.
Hospitals researched were selected based on a variety of criteria related to size, location and the population served by the hospital.
We exhaustively searched these facilities’ public websites for inclusive policies, using search terms such as “non-discrimination,” “visitation,” “EEO,” “bill of rights,” “sexual orientation” and “gender identity.” HRC Foundation staff searched these facilities’ websites much like an internet-savvy potential patient, visitor or applicant would to learn whether a hospital had: an LGBTQ+ inclusive patient non-discrimination policy, an equal visitation policy, an LGBTQ+ inclusive employment non-discrimination policy.
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