This section is designed to familiarize an organization with best practices, from The Joint Commission and other sources, to enhance care for transgender patients, who can face an exceptional degree of discomfort and bias. A large survey by Lambda Legal revealed that 70% of transgender respondents had experienced serious discrimination in healthcare. In a 2011 survey of over 6,000 transgender Americans, 19% of the respondents reported being refused healthcare due to their transgender or gender-nonconforming status, with an additional 28% having postponed necessary healthcare when sick or injured, and 33% having delayed or not sought preventative care because of experiences of healthcare discrimination based on their transgender status.
To receive credit in the HEI:
This subsection of the Patient Services and Support Criteria includes 5 of the 25 scored best practices.
Scored best practices include:
- Have a written policy (or policies) that specifically outline procedures and practices aimed at eliminating bias and insensitivity, and ensuring appropriate, welcoming interactions with transgender patients
- Offer some transgender specific clinical services
- Have an externally promoted multidisciplinary gender clinic for either adults and/or youth (new)
- Have a specific program or position to provide patient navigation/advocacy services to transgender patients
- Offer all gender restrooms in public areas for patients and visitors and/or have clear posted signage indicating a policy that allows individuals to use the restroom that aligns with their gender identity (updated)