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View All ProductsMake sure your clinicians have the support they need to provide competent care with clinical competency training and development from HealthStream.
View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All ProductsThe suite of healthcare onboarding solutions available from HealthStream aids in nurse retention and improved patient outcomes.
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View All ProductsHealthStream leverages medical professional development in healthcare by providing staff training programs
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Learn MoreThis blog post is based on a recent Webinar with Sarah Bender, Health Equity Strategist and Consultant
While LGBTQ people experience the same diseases, injuries, and other health issues experienced by members of non-LGBTQ communities, we know that LGBTQ people experience these things differently. They have a higher risk of certain diseases and have historically faced discrimination within healthcare settings, which can create barriers to receiving appropriate care. In addition, clinical and non-clinical training frequently overlooks information on how to provide affirming care to the LGBTQ community.
Get On the Same Page – Start with Definitions
The LGBTQ community is not homogeneous. The term LGBTQ represents a diverse group. It is important that both clinical and non-clinical staff understand the differences between the groups. The three very distinct aspects of sexual orientation–behavior, identity, and attraction are a good place to start. Bender states, “It’s really crucial that we’re able to differentiate these aspects of our patients’ identity and not lump them together and make assumptions about one based on the other. We want to be careful to not assume that someone who is transgender for example, also identifies as lesbian or gay. Knowing someone’s sexual orientation doesn’t tell us their gender identity or vice versa.” It is also important to understand that even the term LGBTQ is not inclusive of all members of this community, so we may hear patients using terms outside of these designations to describe themselves.
Resist the Temptation to Make Assumptions about LBGTQ Patients
As a threshold, do not assume that everyone is heterosexual. In addition, not all patients will use traditional labels to define their identities. Take the time to talk to patients about their anatomy, how they would like to be addressed, and their specific healthcare needs. Bender cautions providers against making assumptions about gender identity based on the patient’s appearance, the gender of their partner, or any other clues we think that we may have. She also encourages us to remember that gender identity and sexual orientation may be somewhat fluid and could change from one visit to the next.
Setting the Stage for Open and Honest Discussions
Bender starts off with what she describes as the “low-hanging fruit.” Are there non-verbal cues that LGBTQ patients might see that would help them feel more comfortable? Bender recommends that staff wear buttons or nametags that announce their own gender pronoun to help start the discussion. Also, have brochures that address LGBTQ health issues available for patients and visitors. Make gender-inclusive restrooms available and easy to access.
An Accurate Electronic Health Record Can Be the Foundation
Bender recommends that as organizations begin to identify the ways in which to best lay the foundation for affirming care for LGBTQ patients, that the medical record is the logical place to start, as it has implications for both the clinical and non-clinical patient experience.
The Legal Framework for Providing Affirming Care
Providing affirming care to the LGBTQ community is the right thing to do and failing to do so may put healthcare providers in the crosshairs of regulatory agencies and insurers. Section 1557 of the Affordable Care Act prohibits discrimination in both health coverage and health care on the basis of race, color, national origin, sex, age or disability. Health and Human Services defines “sex,” in this case, as inclusive of gender identity. In addition, certain states have health insurance protections for transgender patients.
Learn more about creating a welcoming environment for LGBTQ patients here.
HealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All Learning & PerformanceHealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsWhen you enact HealthStream's quality compliance solutions, you can do so with the confidence your healthcare organization will meet all standards of care.
View All Quality & ComplianceBe confident in your staff’s ability to reduce risk by providing compliance training that changes behavior.
View All ProductsDevelop next-level people for next-level care by prioritizing quality and safety improvements.
View All ProductsStandardize policy and procedure management with an automated, customized, and centralized system.
View All ProductsEstablish a culture of belonging with education supporting DEI, wellness, engagement, and leadership development.
View All ProductsHealthStream offers professional training and education on how to best optimize your reimbursement process within your healthcare organization.
View All ReimbursementStreamline the revenue cycle management process and protect your bottom line with expert-backed education.
View All ProductsLearn about our advanced resuscitation training solutions. Our solutions are designed to help improve patient outcomes.
View All ResuscitationIn all areas of resuscitation, from neonatal to elderly care, clinical deterioration is a risk that can be avoided with the help of HealthStream's training programs.
View All ProductsNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
View All ProductsExpand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.
View All Clinical DevelopmentMake sure your clinicians have the support they need to provide competent care with clinical competency training and development from HealthStream.
View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All ProductsThe suite of healthcare onboarding solutions available from HealthStream aids in nurse retention and improved patient outcomes.
View All ProductsGive your healthcare staff the decision support and skills training they need with the online products available from HealthStream.
View All ProductsHealthStream leverages medical professional development in healthcare by providing staff training programs
View All ProductsMake sure your healthcare staff can schedule out appointments and work schedules with ease using HealthStream's line of software solutions.
View All SchedulingHealthcare workforce management is essential. We provide advanced scheduling solutions for organizations to solve issues such as nurse retention
View All ProductsComprehensive, industry-leading provider onboarding and credentialing software that validate health outcomes and support provider assessment.
View All CredentialingOur affordable CVO credentialing services establish patient safety by enabling primary source verification for your healthcare organization.
View All ProductsIntegrate with Epic to validate and add new providers directly to your provider master file.
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