Abstract
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.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 37-43 |
| Number of pages | 7 |
| Journal | Joint Commission Journal on Quality and Patient Safety |
| Volume | 46 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 2020 |
Fingerprint
ASJC Scopus subject areas
- Leadership and Management
Cite this
}
A Model for Improving Health Care Quality for Transgender and Gender Nonconforming Patients. / Ding, James M.; Ehrenfeld, Jesse M.; Edmiston, E. Kale; Eckstrand, Kristen; Beach, Lauren B.
In: Joint Commission Journal on Quality and Patient Safety, Vol. 46, No. 1, 01.2020, p. 37-43.Research output: Contribution to journal › Article
TY - JOUR
T1 - A Model for Improving Health Care Quality for Transgender and Gender Nonconforming Patients
AU - Ding, James M.
AU - Ehrenfeld, Jesse M.
AU - Edmiston, E. Kale
AU - Eckstrand, Kristen
AU - Beach, Lauren B.
PY - 2020/1
Y1 - 2020/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85075392666&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85075392666&partnerID=8YFLogxK
U2 - 10.1016/j.jcjq.2019.09.005
DO - 10.1016/j.jcjq.2019.09.005
M3 - Article
C2 - 31708472
AN - SCOPUS:85075392666
VL - 46
SP - 37
EP - 43
JO - Joint Commission Journal on Quality and Patient Safety
JF - Joint Commission Journal on Quality and Patient Safety
SN - 1553-7250
IS - 1
ER -