HEI 2018 Table of Contents
Letter from the HRC Foundation President____________________________________________________________ 5 Why the HEI?________________________________________________________________________________________ 6 Executive Summary__________________________________________________________________________________ 8 HEI 2018 LGBTQ Healthcare Equality Leaders_________________________________________________________ 10 State Profiles_______________________________________________________________________________________25 Pennsylvania_________________________________________________________________________________________26
HEALTHCARE EQUALITY 2OI8 INDEX Rising to the New Standard of Promoting Equitable and Inclusive Care for Lesbian, Gay, Bisexual, Transgender & Queer Patients and Their Families
Temple University Hospital: Rising to Meet the Needs of the LGBTQ Population________________________________27 Ohio________________________________________________________________________________________________28 MetroHealth: Taking PRIDE in their LGBTQ Clinical Care___________________________________________________29 Findings____________________________________________________________________________________________ 31 Non-Discrimination and Staff Training________________________________________________________________32 Patient Non-Discrimination_____________________________________________________________________________32 Equal Visitation_______________________________________________________________________________________33 Employment Non-Discrimination_________________________________________________________________________34 Staff Training in LGBTQ Patient-Centered Care____________________________________________________________35 Patient Services and Support________________________________________________________________________36 LGBTQ Patient Services and Support____________________________________________________________________36 Transgender Patient Services and Support________________________________________________________________38 Patient Self-Identification_______________________________________________________________________________40 Patient Self-Identification: The Importance of Collecting Sexual Orientation and Gender Identity Data_____________42 Epic Leads Vendors by Rising to Meet the Needs for SOGI Data Collection___________________________________44 Medical Decision-Making_______________________________________________________________________________45 Employee Benefits and Policies______________________________________________________________________46 The Case for Retaining Domestic Partner Benefits_________________________________________________________47 The Importance of Providing Transgender-Inclusive Health Coverage_________________________________________50 HEI Criteria Requirement for Transgender-Inclusive Health Insurance Coverage________________________________ 51
Copyright Š 2018 Human Rights Campaign Foundation.
Patient and Community Engagement_________________________________________________________________52
The HRC Foundation grants permission for the reproduction and redistribution of this publication only when it is reproduced in its entirety and distribution is free of charge. HUMAN RIGHTS CAMPAIGN, HEALTHCARE EQUALITY INDEX, the famous HRC logo, and the HEI LGBTQ Healthcare Equality Leader logo are trademarks of the Human Rights Campaign. All rights reserved.
Appendix A: HEI 2018 Scoring Criteria________________________________________________________________54 Appendix B: HEI 2018 Criteria and Score Breakdown by Facility________________________________________58 Acknowledgments__________________________________________________________________________________85
ISBN-10 digit: 1-934765-47-3 ISBN-13 digit: 978-1-934765-47-0
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Healthcare Equality Index 2018