Advancing Effevtive Communication for the LGBT Community

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Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care for the Lesbian, Gay, Bisexual, and Transgender (LGBT) Community intended to be used in conjunction with other efforts to advance effective communication, cultural competence, and patient- and familycentered care for all patients. As hospitals and health care organizations become more welcoming, inclusive, and responsive to the needs of all their diverse patients and families, they will develop into more patient-, family-, and community-centered organizations, able to provide higher-quality health services to all. As in the original Roadmap for Hospitals, each chapter in this guide contains both recommended issues to address (illustrated with check boxes) and practice examples (illustrated with round bullets), as shown:

q Recommended Issues to Address These are broad, overarching principles that hospitals should address to meet the unique needs of their LGBT patients and families. • How-to information: These contain strategies, methods, and practice examples that are designed to help hospitals care for LGBT patients. The appendixes contain educational information regarding applicable Joint Commission standards; current laws, regulations, and executive materials; and a resource guide. This field guide also includes a Glossary.

References 1. Cortes D.C., et al.: Patient–Provider Communication: Understanding the role of patient activation for Latinos in mental health treatment. Health Educ Behav 36:138–154, Feb. 2009. 2. Institute of Medicine, Committee on Quality of Health Care in America: Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Press, 2011. 3. Stewart M., et al.: The impact of patient-centered care on outcomes. J Fam Pract 2000 49:796–804, Sep. 2000. 4. Romero A.P., et al.: Census Snapshot: United States. The Williams Institute, UCLA School of Law, Dec. 2007. http://www.law.ucla.edu/williamsinstitute/publications/USCensusSnapshot.pdf (accessed Sep. 1, 2011). 5. Gates G.: How Many People Are Lesbian, Gay, Bisexual, and Transgender? The Williams Institute, UCLA School of Law, Apr. 2011. http://www3.law.ucla.edu/williamsinstitute/pdf/ How-many-people-are-LGBT-Final.pdf (accessed Aug. 1, 2011). 6. Institute of Medicine: The Health of Lesbian, Gay, Bisexual, and Transgender People: Building a Foundation for Better Understanding. Washington, DC: National Academies Press, 2011. 7. Gay and Lesbian Medical Association: Healthy People 2010: Companion Document for Lesbian, Gay, Bisexual, and Transgender (LGBT) Health. Apr. 2011. http://glma.org/_data/n_0001/resources/live/ HealthyCompanionDoc3.pdf (accessed Sep. 1, 2011). 8. Dean L., et al.: Lesbian, gay, bisexual, and transgender health: Findings and concerns. J Gay Lesbian Med Assoc 4:101–151, Sep. 2000. 9. Krehely J.: How to Close the LGBT Health Disparities Gap. Center for American Progress, Dec. 21, 2009. http://www.americanprogress.org/issues/2009/12/lgbt_health_disparities.html (accessed Sep. 1, 2011). 10. National Coalition for LGBT Health: All of the Above: LGBT People of Color. http://lgbthealth.webolutionary.com/sites/default/files/LGBT%20POC.pdf (accessed Sep. 28, 2011). 11. Lambda Legal: When Healthcare Isn’t Caring: Lambda Legal’s Survey on Discrimination Against LGBT People and People Living with HIV, 2010. http://www.lambdalegal.org/publications/ when-health-care-isnt-caring/ (accessed Sep. 1, 2011). 12. The Joint Commission: Comprehensive Accreditation Manual for Hospitals: The Official Handbook. Oak Brook, IL: Joint Commission Resources, 2011. 13. The Joint Commission: Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals. Oak Brook, IL: Joint Commission Resources, 2010. 6


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