Key Findings of the Practice Assessment Survey, 2016-2017 (N = 10 FQHCs)
| Measure (Question Numbera) | Preintervention, No. | Postintervention, No. | Change, % |
|---|---|---|---|
| LGBT culturally affirming training | |||
| FQHC trains all new hires in medical decision making for LGBT preventive health services (Q4) | 1 | 2 | 100.0 |
| FQHC trains all new hires in the behavioral health needs of LGBT clients (Q4) | 1 | 3 | 200.0 |
| FQHC trains all new hires in disclosure of LGBT status and confidentiality of information (Q4) | 5 | 7 | 40.0 |
| FQHC trains all new hires in culturally competent care and service delivery (Q4) | 6 | 8 | 33.3 |
| LGBT culturally affirming practices | |||
| Preferred names and pronouns of patients are collected (Q9) | 7 | 10 | 42.9 |
| LGBT services are posted to FQHC website (Q11) | 2 | 5 | 150.0 |
| LGBT educational brochures are available to clients (Q11) | 2 | 5 | 150.0 |
| LGBT signage is clearly posted in public areas of the FQHC (Q11) | 0 | 5 | N/A |
| Staff member is identified as LGBT liaison or navigator for clients (Q11) | 1 | 4 | 300.0 |
| LGBT-specific clinicians are made known to clients (Q11) | 2 | 5 | 150.0 |
| LGBT advisory group is fully operational (Q11) | 5 | 4 | –20.0 |
| LGBT culturally affirming policies | |||
| Policies protect staff from discrimination based on sexual orientation (Q5) | 9 | 10 | 11.1 |
| Policies protect staff from discrimination based on gender identity and/or gender expression (Q5) | 6 | 9 | 50.0 |
| FQHC has clear mechanisms for reporting and addressing discrimination or disrespect of LGBT people (Q5) | 6 | 9 | 50.0 |
| FQHC has a clear policy protecting patients based on gender identity and/or gender expression (Q5) | 7 | 10 | 42.9 |
| Systems to improve LGBT care | |||
| All patients are asked SOGI questions (Q7) | 2 | 9 | 350.0 |
| FQHC has the capacity to capture SOGI data (Q8) | 6 | 10 | 66.7 |
| SOGI can be captured as structured data in the EHR (Q9) | 5 | 10 | 100.0 |
| Patients living with HIV can be broken down by LGBT category (Q15) | 4 | 10 | 150.0 |
| Reports can be generated from the EHR on patients living with HIV, by LGBT category (Q15) | 0 | 7 | N/A |
| Transgender patients can be identified for targeted HIV/STD screening (Q24) | 4 | 9 | 125.0 |
| MSM patients can be identified for targeted HIV/STD screening (Q24) | 5 | 8 | 60.0 |
EHR = electronic health record; FQHC = federally qualified health center; LGBT = lesbian, gay, bisexual, and transgender; MSM = men who have sex with men; N/A = not available; SOGI = sexual orientation and gender identity; STD = sexually transmitted disease.
↵a From the Practice Assessment Survey questionnaire in the Supplemental Appendix 2, available at https://www.AnnFamMed.org/content/18/4/292/suppl/DC1/.