HRC Releases Annual Healthcare Equality Index, Honors Six Michigan Health Care Facilities for LGBTQ Inclusion

WASHINGTON – Last March, the Human Rights Campaign Foundation (HRC) released the 11th edition of its annual Healthcare Equality Index (HEI), which scores healthcare facilities on policies and practices dedicated to the equitable treatment and inclusion of their LGBTQ patients, visitors and employees. A record 626 healthcare facilities actively participated in this year's survey, including 14 in Michigan. Of the Michigan facilities surveyed, six earned a top score of 100 and received HRC's coveted "Leader in LGBTQ Healthcare Equality" designation.
HRC recently launched HRC Rising, the largest grassroots expansion in its history that will include significant investments in Michigan ahead of the 2018 midterm elections.
"At a time when health care and the rights of LGBTQ people are under attack by the Trump-Pence Administration and state legislatures across the country, hundreds of top healthcare facilities are driving progress toward equality," said HRC Michigan State Manager Amritha Venkataraman. "These top-scoring facilities are not only establishing policies that save LGBTQ lives every day, they have become vocal advocates for equality in the public square. This year, we are heartened to see corporate champions, including many healthcare systems, not just speaking out, but also doubling down on their commitment to equality. We are also excited by the leadership of Affirmations, non-profit based in Ferndale, and the trainings they provide on LGBTQ sensitivity and diversity for healthcare providers."
The release of the 2018 HEI coincides with the March 27 deadline for public comments on the proposed Trump-Pence "conscience" regulation at the U.S. Department of Health and Human Services. In a press release, the HRC stated that the "measure will directly harm LGBTQ people and women by prioritizing physicians' beliefs over life-saving patient care." "If finalized, it would empower health care providers to deny LGBTQ people and women necessary care, and deter healthcare organizations and providers from taking necessary action to guarantee that all patients have access to the care they not only deserve, but are legally entitled to," the press release said.
The 11th edition of the HEI marks the second year that participants have been given a numerical score based on their LGBTQ-inclusive policies and practices. HEI participants are assessed on four criteria: LGBTQ Patient-Centered Care, LGBTQ Patient Services and Support, Employee Benefits and Policies and LGBTQ Patient and Community Engagement.
In the 2018 report, over 400 facilities earned HRC's "LGBTQ Healthcare Equality Leader" designation, receiving the maximum score in each section and earning an overall score of 100. Another 95 facilities earned the "Top Performer" designation for scoring from 80 to 95 points.
"With 82 percent of participating facilities scoring 80 points or more, health care facilities are demonstrating concretely that they are going beyond the basics when it comes to adopting policies and practices in LGBTQ care," the press release said.
The progress reflected in the 2018 HEI includes:
59 percent increase in hospitals that have written gender transition guidelines;
42 percent increase in hospitals that offer trans-inclusive benefits;
21 percent increase in the number of participants that have transgender-specific policies;
63 percent increase in training hours recorded – clocking in at more than 70,000 hours of LGBTQ care training provided.
Of the hospitals that did not actively participate in the HEI, but were included based on HRC Foundation research, only 63 percent have patient non-discrimination policies that include both sexual orientation and gender identity, and only 53 percent were found to have an LGBTQ-inclusive employment non-discrimination policy. The equal visitation policy, at 93 percent, is the only one that comes close to matching the rate of the participating facilities.
"While the 2018 HEI shows a growing commitment across the nation to equitable and inclusive health care, it also illustrates work left to be done," said Tari Hanneman, Director of the HRC Foundation's Health Equality Project, and author of the HEI. "And that work has never been more urgent, given the all-out assaults on the LGBTQ community from the highest levels of government."
In comments submitted to the administration on the final day it was allowed, parents, spouses, nurses and physicians expressed alarm at the prospect of allowing health care workers to prioritize their beliefs over care — whether it be for a transgender person, for a patient seeking life-saving access to PrEP or LGBTQ couples needing fertility services to start their family.
"The right to believe is absolutely fundamental," wrote a man from Casper, Wyoming. "The right to discriminate is not. Discrimination has no place in this country, especially in healthcare."
The Human Rights Campaign Foundation describes itself as the "education arm of America's largest civil rights organization working to achieve equality for lesbian, gay, bisexual, transgender and queer people. HRC envisions a world where LGBTQ people are embraced as full members of society at home, at work and in every community."