A Model for Improving Health Care Quality for Transgender and Gender Nonconforming Patients. Jt Comm J Qual Patient Saf 2020 Jan;46(1):37-43
Date
11/12/2019Pubmed ID
31708472Pubmed Central ID
PMC7276233DOI
10.1016/j.jcjq.2019.09.005Scopus ID
2-s2.0-85075392666 (requires institutional sign-in at Scopus site) 25 CitationsAbstract
PROBLEM DEFINITION: Transgender and gender nonconforming (TGNC) populations are disproportionately affected by limited health care access and poor health outcomes and commonly report discrimination and mistreatment in health care settings. Despite these disparities, comprehensive approaches to improve the quality of health care of TGNC patient populations are currently lacking.
INITIAL APPROACH: The Vanderbilt Program for LGBTQ Health has developed a multifaceted, community-engaged approach to improve the quality of health care of TGNC patients, which includes the creation of a transgender patient advocacy program, a community advisory board, and a transgender health clinic. To support the continuous quality improvement of transgender health care, the program is currently piloting a novel multilevel monitoring and evaluation (M&E) system to collect information at the individual patient visit and health systems levels.
NEXT STEPS: The next steps for Vanderbilt's community-engaged M&E system are to identify the clinics and health services most used by TGNC patients and assess the level of patient satisfaction in each area. This process will support the identification of high- and low-performing clinics and health services and allow for targeted delivery of trainings to improve the quality of culturally competent health care TGNC patients receive systemwide.
CONCLUSION: In collaboration with TGNC patient populations and community stakeholders, Vanderbilt has created a model to improve the quality of both transition- and non-transition-related health care at the systems level that can be adopted by other health care systems nationally.
Author List
Ding JM, Ehrenfeld JM, Edmiston EK, Eckstrand K, Beach LBAuthor
Jesse Ehrenfeld MD, MPH Sr Associate Dean, Director, Professor in the Advancing a Healthier Wisconsin Endowment department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Community ParticipationGender Identity
Humans
Quality of Health Care
Stakeholder Participation
Transgender Persons
