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Overview
1. Introduction
Introduction
Understanding SGM Health and Healthcare Disparities
The Role of Primary Care in Reducing SGM Disparities
Principles of the Toolkit
Goals of the Toolkit
A Process Model to Guide Organizational Change Efforts
Overview of the Content of the Toolkit
Appendices
References
2. Implementation Teams
Developing an Implementation Team
Structuring the Implementation Team
Responsibilities of the Implementation Team
Documenting Implementation Team Membership, Capacities, and Roles
Conducting Meetings and Maintaining Minutes
References
3. Patient Engagement
Engaging SGM Patients in Meaningful Ways
Invite SGM Community Members to Join an Advisory Board
Sharing Stories with Providers, Staff, and Administrators
Including a Focus on SGM People in Health and Healthcare Quality Improvement Efforts
Prioritizing Outreach and Support for SGM people in the Clinic and Community
Planning for Outreach Engagement to Community Partners
References
4. Patient Centeredness & Diversity
Advancing a Patient-Centered Perspective that Accounts for Diversity
Fluidity in Sexuality and Gender
Multiple Social Identities and Intersectionality
Minority Stress
Influences on SGM Identities and Barriers to Health Care
How to Support Diverse SGM Patients
References
5. Leadership & Support
Cultivating Organizational Leadership, Champions, and Staff Support for Organizational Change
Getting Multi-Level Leadership Involved in Efforts to Improve SGM Health and Health Care
Multi-Level Leadership Practices and Behaviors that Can Enhance the Likelihood of Success
Identifying and Cultivating “Champions”
Gaining Buy-in from Providers and Staff
References
6. Organizational Assessment
Planning and Implementing Organizational Change for SGM Health
Purpose of an Organizational Assessment
Conducting an Organizational Assessment
Checklist for Recommendations to Improve Primary Care for SGM Patients
Using the Results of the Organizational Assessment
References
7. Implementation Strategies
Applying Implementation Strategies to Organizational Change
What is an Implementation Strategy?
Common Implementation Strategies
Selecting Implementation Strategies
Ensure that the Strategies are Implemented Successfully
References
8. Action Plans
Developing Action Plans to Promote Successful Organizational Change
Using the Checklist for Recommendations to Improve Primary Care for SGM Patients
Addressing Diversity Through Action Planning
Formulating SMART Objectives
Monitoring the Progress of Action Plans Using Plan-Do-Study-Act Cycles
Getting Implementers to Do What They Agreed to Do
References
9. Key Recommendations
Recommendations for Increasing Healthcare Access and Quality for SGM Patients
Section 1. Adopt affirmative policies and procedures
Section 2. Create a welcoming physical environment
Section 3. Documenting sexual orientation and gender identity information
Section 4. Ongoing training for all staff in SGM cultural competency, including use of supportive language
Section 5. Workforce development to encourage delivery of high-quality services for SGM patients
References
Glossary
Appendices
Appendix A: Blank Planning Templates
Appendix B: Trauma-Informed Care as A Model to Increase Access and Quality of Care
Appendix C: New Mexico Sexual and Gender Minority Resources
Appendix D: National and Regional Data Sources
Appendix E: Sample Advisory Board Invitation
Appendix F: Where to Get Cool Stuff for a Welcoming Environment
Appendix G: Clinical Care Resources
Contact
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Overview
1. Introduction
Introduction
Understanding SGM Health and Healthcare Disparities
The Role of Primary Care in Reducing SGM Disparities
Principles of the Toolkit
Goals of the Toolkit
A Process Model to Guide Organizational Change Efforts
Overview of the Content of the Toolkit
Appendices
References
2. Implementation Teams
Developing an Implementation Team
Structuring the Implementation Team
Responsibilities of the Implementation Team
Documenting Implementation Team Membership, Capacities, and Roles
Conducting Meetings and Maintaining Minutes
References
3. Patient Engagement
Engaging SGM Patients in Meaningful Ways
Invite SGM Community Members to Join an Advisory Board
Sharing Stories with Providers, Staff, and Administrators
Including a Focus on SGM People in Health and Healthcare Quality Improvement Efforts
Prioritizing Outreach and Support for SGM people in the Clinic and Community
Planning for Outreach Engagement to Community Partners
References
4. Patient Centeredness & Diversity
Advancing a Patient-Centered Perspective that Accounts for Diversity
Fluidity in Sexuality and Gender
Multiple Social Identities and Intersectionality
Minority Stress
Influences on SGM Identities and Barriers to Health Care
How to Support Diverse SGM Patients
References
5. Leadership & Support
Cultivating Organizational Leadership, Champions, and Staff Support for Organizational Change
Getting Multi-Level Leadership Involved in Efforts to Improve SGM Health and Health Care
Multi-Level Leadership Practices and Behaviors that Can Enhance the Likelihood of Success
Identifying and Cultivating “Champions”
Gaining Buy-in from Providers and Staff
References
6. Organizational Assessment
Planning and Implementing Organizational Change for SGM Health
Purpose of an Organizational Assessment
Conducting an Organizational Assessment
Checklist for Recommendations to Improve Primary Care for SGM Patients
Using the Results of the Organizational Assessment
References
7. Implementation Strategies
Applying Implementation Strategies to Organizational Change
What is an Implementation Strategy?
Common Implementation Strategies
Selecting Implementation Strategies
Ensure that the Strategies are Implemented Successfully
References
8. Action Plans
Developing Action Plans to Promote Successful Organizational Change
Using the Checklist for Recommendations to Improve Primary Care for SGM Patients
Addressing Diversity Through Action Planning
Formulating SMART Objectives
Monitoring the Progress of Action Plans Using Plan-Do-Study-Act Cycles
Getting Implementers to Do What They Agreed to Do
References
9. Key Recommendations
Recommendations for Increasing Healthcare Access and Quality for SGM Patients
Section 1. Adopt affirmative policies and procedures
Section 2. Create a welcoming physical environment
Section 3. Documenting sexual orientation and gender identity information
Section 4. Ongoing training for all staff in SGM cultural competency, including use of supportive language
Section 5. Workforce development to encourage delivery of high-quality services for SGM patients
References
Glossary
Appendices
Appendix A: Blank Planning Templates
Appendix B: Trauma-Informed Care as A Model to Increase Access and Quality of Care
Appendix C: New Mexico Sexual and Gender Minority Resources
Appendix D: National and Regional Data Sources
Appendix E: Sample Advisory Board Invitation
Appendix F: Where to Get Cool Stuff for a Welcoming Environment
Appendix G: Clinical Care Resources
Contact
model to guide organizational change
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