Learning Resources — Organizational Change

Focus on Forms and Policy: Creating an Inclusive Environment for LGBT Patients

Lesbian, gay, bisexual, and transgender (LGBT) people come from all walks of life and experience many of the same health problems as non-LGBT people. This means that every organizational policy and procedure may impact the experience of LGBT people. To create an LGBT-affirming and inclusive environment, it is important to examine policies and procedures. This publication reviews some common updates to organizational forms and polices to create an affirming and inclusive environment for LGBT patients, and reviews strategies to modify procedures, behavior, and language to be inclusive of all patients.

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Providing Quality Care to Lesbian, Gay, Bisexual, and Transgender Patients: An Introduction for Staff Training

In this module, you will learn ways to provide affirming and inclusive health care for lesbian, gay, bisexual, and transgender, or LGBT, patients.

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Providing Affirmative Care for Patients with Non-binary Gender Identities

All members of a health care organization—front-line staff members, clinicians, and administrators—play a crucial role in offering an inclusive, affirming experience for all people, including those with non-binary gender identities. Everyone, no matter their gender identity or expression, appreciates friendly, courteous, and effective care. In addition, non-binary people, who have gender identities other than male or female, have unique needs when interacting with the health care system. Non-binary people face numerous health disparities as well as stigma, discrimination, and a lack of access to quality care. However, you do not need to specialize in non-binary health care to give your non-binary patients an affirming experience.

This document includes important terms and definitions, data, three case scenarios, and expert-informed practices, all of which offer suggestions for how any staff member within any health care organization can implement simple changes to improve the experiences of patients with non-binary gender identities.

Building Patient-Centered Medical Homes for Lesbian, Gay, Bisexual, and Transgender Patients and Families

While expanding access to health insurance coverage through the Affordable Care Act has been vital to millions of previously uninsured Americans, moving U.S. health care away from fee-for-service, volume-driven payments to payments based on value and outcomes will be a much more challenging transformation. For health centers and other health care providers, one commonly used model for practice transformation is the patient-centered medical home (PCMH). The PCMH model transforms how primary care is coordinated and delivered by emphasizing comprehensive, team-based care that places the patient at the center. When implemented successfully, the PCMH model leads to higher quality care at a lower cost, improving both the patients’ and providers’ experience of care.

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Providing Inclusive Services and Care for LGBT People: A Guide for Health Care Staff

Providing Inclusive Services and Care for LGBT People has been developed to help all members of the health care team provide an inclusive and affirmative environment for all clients, with a focus on lesbian, gay, bisexual, and transgender (LGBT) people.

Creating an inclusive environment in which health care conversations are more comfortable for the patient is an important goal for all health care staff. All patients deserve access to high quality health care; in health care organizations, both front-line staff and clinicians must be prepared to serve people of all races, ethnicities, religions, ages, and backgrounds.

Here’s What You’ll Find Inside:

  • Part 1 provides background information on LGBT people and their health needs.
  • Part 2 provides tips and strategies to improve communication and create a more welcoming environment.
  • Part 3 includes helpful resources, a glossary of terms, and additional information about how to care for LGBT people.

Taking Routine Histories of Sexual Health: A System-Wide Approach for Health Centers

The National Association of Community Health Centers and the National LGBT Health Education Center

To support health centers as they endeavor to better integrate sexual health into patient-centered care, we collaborated with the National Association of Community Health Centers (NACHC) to create Taking Routine Histories of Sexual Health: A System-Wide Approach for Health Centers (Toolkit).

For patients and the health centers that serve them, sexual health care and prevention interventions mean routine screening of physical, behavioral, and social health factors and subsequent care management and coordination with public health through strong partnerships.  Skilled at patient engagement and proactive planned care, health centers can integrate a routine sexual health history as part of the overall health assessment, as well as routine screenings for HIV and hepatitis C based on the most current CDC recommendations. 

Las necesidades de las personas LGBT en los Centros de Salud Lo que la Junta Directiva necesita saber

The National Association of Community Health Centers and the National LGBT Health Education Center

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Do Ask, Do Tell Series: Youth Poster

This poster was developed as a companion to the Do Ask, Do Tell: Talking to your health care provider about being LGBTQ brochure for youth and adolescents. The poster can be displayed in exam rooms, waiting areas, and other areas of health centers and healthcare organizations to let patients know that the organization provides a welcoming, inclusive environment of care. There is space on the poster to add your organization's logo.

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Do Ask, Do Tell Series: Poster

This poster was developed as a companion to the Do Ask, Do Tell: Talking to your health care provider about being LGBT brochure. The poster can be displayed in exam rooms, waiting areas, and other areas of health centers and healthcare organizations to let patients know that the organization provides a welcoming, inclusive environment of care. There is space on the poster to add your organization's logo.

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Do Ask, Do Tell: Talking to your provider about being LGBT

Lesbian, Gay, Bisexual and Transgender (LGBT) people routinely face stigma and barriers to health care. Do Ask, Do Tell: Talking to your health care provider about being LGBT was developed to empower LGBT patients to "come out" to health care providers.  Being open and honest about sexuality and gender identity is important for improving individual health and allowing providers to deliver culturally responsive, cost-effective, patient-centered care.  There is space on the brochure to add your organization's logo.

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