This section is designed to familiarize an organization with best practices, from The Joint Commission and other sources, for providing patients the opportunity to be identified as LGBTQ in health records, if they so wish. Adding LGBTQ self-identification options to an electronic health record system is a significant step a facility can take to help end LGBTQ health disparities with LGBTQ self-identification options in a facility's electronic health records.
To receive credit in the HEI:
This subsection of the Patient Services and Support Criteria includes 10 of the 25 scored best practices.
Scored best practices include:
Collecting information about sexual orientation and gender identity through the following:
- Electronic health records that offer explicit options to capture patient’s current gender identity if it differs from the sex they were assigned at birth
- A two-question process used to collect gender identity information identity (i.e. first asking current gender identity and then asking sex assigned at birth)
- Training is provided to staff on how to collect and record gender identity data
- Electronic health records that offer explicit options of capturing the patient's pronouns in use and prominently displays these pronouns in the banner or a pop-up
- Electronic health records that caputre the patient’s name in use if it differs from their legal name AND prominently displays this name in the banner or a pop-up so that front line staff and providers will see this information (new)
- Electronic health records that offer an explicit way to capture a patient's organ inventory
- Electronic health records that offer explicit options for capturing patient’s sexual orientation if they choose to volunteer that information
- Employees that are provided training explicitly reminding them that LGBTQ status is confidential patient information
Providing LGBTQ family inclusive health records with:
- Electronic health records that offer explicit options for recording parents that are inclusive of same-sex parents and other diverse families
- Electronic health records that offer explicit options for recording relationship status with an unmarried partner