Healthcare Equality Index Resource Guide

The HEI Resource Guide is a comprehensive instructional and reference accompaniment to the Healthcare Equality Index (HEI) Survey. The HEI Resource Guide covers all of the sections of the HEI survey in great detail, providing explanations of why these policies and practices we ask about are important, example policies, links to outside resources, and more.

Healthcare Equality Index Resource Guide

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The resources provided here are certainly not the only ones available to help guide your organization in LGBTQ patient-centered care; however, we hope they can help you get started on implementing best practices in equitable and inclusive care for LGBTQ patients. The HEI Resource Guide is also designed to help facilities better understand what is required to receive credit for each question as part of the HEI scoring criteria.

We hope you find the HEI Resource Guide helpful in taking steps to ensure equitable and inclusive treatment for LGBTQ patients, families and employees at your facility. If you have any further questions about the HEI, please do not hesitate to contact our team at hei@hrc.org.

Scoring Criteria Overview

The HEI 2022 implements four core objectives which are reflected in its criteria:

  • Ensure foundational protection for patients, visitors and staff in patient and staff policies and provide cultural competency training on LGBTQ inclusion
  • Demonstrate progress toward inclusion on LGBTQ patient care and support
  • Cultivate an inclusive workforce by providing LGBTQ-inclusive employee support and benefits
  • Demonstrate public commitment to the LGBTQ community

Criteria 1: Non-Discrimination and Staff Training

The questions in this criteria reflect the previous "Core Four" Leader criteria. This section will keep its specific questions that must be met in order to receive the allotted points.


Criteria 2: Patient Services and Support

The questions in this criteria all relate to best practices in the provision of LGBTQ Patient Services and Support. The 26 scored questions in this criteria come from the following sections of questions from the former Additional Best Practices Section of the HEI Survey.


Criteria 3: Employee Benefits and Policies

The questions in this criteria all relate to best practices in the policies and benefits that most impact LGBTQ employees. The 14 scored questions in this criteria can all be found in the former Additional Best Practices' Section E. Employee Benefits & Policies.

This criterion is divided into two scored subsections:

  • The first subsection consists of 13 scored questions and like the other criterion sections, you can either receive full or partial credit depending upon how many initiatives you have in place.
  • The second subsection is related to the provision of transgender healthcare benefits for your employees and is worth 5 points.

Criteria 4: Patient and Community Engagement

The questions in this criteria all relate to how a facility engages with their LGBTQ patients and the larger LGBTQ community. The 9 scored questions in this criteria can all be found in the former Additional Best Practices' Section F. LGBTQ Patient & Community Engagement

  • In order to receive full credit (10 points) for this section, a facility must have implemented 4 or more of the best practices.
  • A facility may receive partial credit (5 points) for this section if it has implemented 2 to 3 of the best practices.

HEI 2022 Frequently Asked Questions

FAQs