The Human Rights Campaign Foundation (HRC) released its 12th annual Healthcare Equality Index (HEI), which scores health care facilities on policies and practices dedicated to the equitable treatment and inclusion of their LGBTQ patients, visitors and employees. A record 680 health care facilities actively participated in this year’s survey, and, even as Trump-Pence continue their assault on LGBTQ-inclusive health care, 406 of them earned a top score of 100. They received HRC’s coveted “Leader in LGBTQ Health Care Equality” designation. In addition, the HRC Foundation proactively researched key policies at 1,000 non-participating hospitals across the nation.

The 12th edition of the HEI assesses participants on four criteria: Non-Discrimination and Staff Training, Patient Services and Support, Employee Benefits and Policies, and Patient and Community Engagement.

In the 2019 report, an impressive 406 facilities earned HRC’s “LGBTQ Health Care Equality Leader” designation, receiving the maximum score in each section and earning an overall score of 100. Another 148 facilities earned the “Top Performer” designation for scoring from 80 to 95 points. With 81% 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 remarkable progress reflected in the 2019 HEI includes:

• Over half of HEI participants now have written gender transition guidelines;
• 75% of hospitals surveyed offer trans-inclusive benefits -- an impressive eight percentage point increase over last year, and numbers that bring them on par with their corporate counterparts, as measured by HRC’s 2019 CEI;
• A 35% increase in training hours recorded -- clocking in at more than 94,000 hours of LGBTQ care training provided;
• A 60% increase in the number of HEI participants whose electronic health records capture a patient's sexual orientation, and a 40% increase in the number of HEI participants whose electronic health records capture a patient's gender identity.

Of the 1,000 hospitals that didn’t actively participate in the HEI but were included based on HRC Foundation research, only 67% have patient non-discrimination policies that include both sexual orientation and gender identity, and only 62% were found to have an LGBTQ-inclusive employment non-discrimination policy. The equal visitation policy, in place at 90% of facilities that didn’t actively participate, is the only aspect in which this group comes close to matching the rate of the participating facilities.