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Quantum Units Education®

Promoting Equitable Care for LGBT Patients and Families

The HEI 2014 Core Four Leader Criteria

1. Across the U.S., same-sex couples, same-sex parents, and other LGBT people fear that they could be prevented from visiting their loved ones in healthcare settings because their state does not legally recognize same-sex relationships and/or because of bias or discomfort on the part of employees.

A. True

B. False


2. Federal law protects employees from discrimination based on actual or perceived sexual orientation and gender identity.

A. True

B. False


Additional Best Practices Checklist

3. LGBT status is confidential patient information.

A. True

B. False


4. Transgender patients are particularly vulnerable in healthcare for which reason?

A. Long waits for care.

B. Inappropriate questions and examinations.

C. Room assignments that reflect the sex assigned to them at birth rather than their actual gender identity.

D. All of the above.


5. Which of the following is a way for LGBT patients to self-identify as such in their health records?

A. Healthcare organizations that ask patients their marital or relationship status should offer explicit options for them to indicate that they are in a same-sex partnership.

B. Transgender patients should be provided explicit options to indicate if their gender identity differs from the sex on their birth certificate, health insurance record, and/or identification documents.

C. Explicit options for recording patients’ parents should go beyond “mother” and “father,” to be inclusive of same-sex parents and other diverse families.

D. All of the above.


6. It should be possible for LGBT status to be recorded in free-form notes, rather than via explicit options.

A. True

B. False


7. In 2011, CMS issued guidance to support enforcement of the right of patients to designate the person of their choice, including a same-sex partner, to make medical decisions on their behalf should they become incapacitated.

A. True

B. False


8. In order to allow people to express their healthcare wishes and to designate representatives to make medical decisions on their behalf in the event of incapacitation, all LGBT people are strongly encouraged to create any of the following, except for:

A. Marriage certificates

B. Durable powers of attorney

C. Healthcare proxies

D. Living wills


9. How do the LGBT employees of a healthcare organization play a vital role in ensuring LGBT patient-centered care?

A. Informally educating co-workers about patient concerns.

B. Offering feedback about organizational policies and practices.

C. Conveying to the local community the organization’s commitment to equality and inclusion.

D. All of the above.


10. Healthcare organization can best extend a welcome to LGBT people in their service area by reaching out to them via regular community engagement initiatives.

A. True

B. False


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