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Organizational Change Training Materials - National LGBT Health Education Center
Organizational Change

Organizational Change


Organizational Change

Insurance Considerations for Navigating Gender Affirming Care

Faculty: Cei Lambert, MFA
Program Manager, The National LGBT Health Education Center

Cei Lambert, Program Manager for the National LGBT Health Education Center, discusses insurance barriers and navigation solutions for assisting gender diverse patients in accessing gender affirming care.


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Caring for Sexual Minority Women

Originally Presented On: June 26, 2019

Faculty: Jennifer Potter, MD Professor of Medicine, Harvard Medical School Co-Chair, The Fenway Institute

Dr. Jennifer Potter will discuss healthcare considerations for sexual and gender minority women, with particular emphasis on recent innovations and trauma informed care. This webinar will cover best practices and case scenarios, and will provide a solid foundation for caring for this population.

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Importance of Behavioral Health Integration for LGBT Patients

LGBT people have disproportionately high prevalence of depression, anxiety, substance use disorders, and suicide attempts compared with the general population. In addition, LGBT people often have unique combined physical and behavioral health needs, including those of transgender people undergoing gender affirmation and special considerations for people living with HIV AIDS.
Integration of behavioral health and primary care is therefore of particular importance as a clinical best practice for LGBT people. In this webinar, Alex S. Keuroghlian, MD, MPH, will discuss the value of behavioral health integration for LGBT patients, and how advancing behavioral health integration in primary care settings can improve patient access, engagement, and both physical and behavioral health outcomes.

Originally Presented On: September 21, 2016

Faculty: Alex Keuroghlian, MD, MPH, Associate Director of Education and Training, The Fenway Institute

Sponsors: National LGBT Health Education Center

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Promoting Health Care Access to Lesbian, Gay, Bisexual, and Transgender (LGBT) Farmworkers

There is a common misconception that few or no lesbian, gay, bisexual, and transgender (LGBT) people exist within the farmworker community. As a result, the health care needs of LGBT farmworkers are often overlooked.

This webinar will address the unique challenges faced by LGBT farmworkers, including invisibility, cultural and religious taboos, and fear of job termination or harassment, to ensure that health care providers are able to provide quality care to this highly vulnerable population.  Alexis Guild a senior health policy analyst from Farmworker Justice will provide an overview of Farmworkers in the US and the unique laws and regulations that can affect health care, and Carlos Casteñada, the Community Outreach Coordinator at Adelante Healthcare, will share his experiences of working with LGBT people in the field and making outreach workers at Adelante Healthcare accessible as a resource for LGBT people.

Originally Presented On: November 8, 2016

Faculty: Alexis Guild, Senior Policy Analyst, Farmworker Justice, Carlose Casteñada, Community Outreach Coordinator, Adelante Healthcare

Sponsors: National LGBT Health Education Center

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Providing Care for Addictions in the LGBT Community

LGBT people have disproportionately high prevalence of substance use disorders compared with the general population. This higher prevalence of addictions is viewed as a downstream consequence of pervasive minority stress that occurs in the context of stigma-related discrimination and victimization. Substance use among LGBT people is often a coping strategy for trauma-related symptoms and can be associated with poor self-care, including compromised engagement in care for HIV treatment and prevention. In this webinar, Alex S. Keuroghlian, MD, MPH, will discuss a minority stress framework for understanding substance use disorders in the LGBT community, describe how to tailor evidence-based addictions treatment practices for LGBT patients, and present systems-level approaches for health centers to better address substance use disorders, including the opioid epidemic, among LGBT people through behavioral health integration.

Originally Presented On: October 27, 2016

Faculty: Alex Keuroghlian, MD, MPH, Associate Director of Education and Training, The Fenway Institute

Sponsors: National LGBT Health Education Center

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Collecting and Reporting Sexual Orientation and Gender Identity Data: Stories from the Field

Originally Presented On: September 22, 2016

Faculty: Andrew Cronyn, MD, Pediatrician, El Rio Community Health Center, Robin LaBrecque, MBA, Director of Information Technology, El Rio Community Health Center, Nick Payne, MPH, Project Coordinator, Community-Centered Health Home, Crescent Care

LGBT people face stigma and related health disparities in healthcare. In spite of the advancements in LGBT acceptance and policy, many LGBT people remain largely invisible to their primary care providers. In order to address these disparities, new requirements included in the 2016 Uniform Data System require health centers to collect and report sexual orientation (SO) and gender identity (GI).  Collecting SO/GI data of new and returning primary care patients is critical for health centers to provide a welcoming, inclusive environment. Routine SO/GI data collection in the EHR can be used to improve care, and measure and track health outcomes at the individual and population levels. Systems that support collection of SO/GI data support improved quality of care, timely clinical information, and improved communication among patients and care teams. In this webinar, two health centers will share their experiences implementing changes within the EHR, revising workflows, and training clinical and non-clinical staff to successfully implement SO/GI data collection and create an LGBT inclusive environment in primary care.

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Collecting Data on Sexual Orientation and Gender Identity: Data Integrity and Quality Improvement

Originally Presented On: November 16, 2016

Faculty: Chris Grasso, MPH, Associate Director of Informatics and Data Services, The Fenway Institute

Lesbian, gay, bisexual, and transgender (LGBT) people face many health disparities and stigma in health care. Despite this, LGBT people remain largely invisible to their providers. Collecting sexual orientation and gender identity (SO/GI) data of new and returning patients is critical for health centers and other health care organizations to provide a welcoming, inclusive environment of care; and to provide high-quality care to all patients.

This webinar will teach participants how to recognize and address  SO/GI data issues from the electronic health record. Chris Grasso, Associate Director of Director for Informatics & Data Services at the Fenway Institute will share her experience with data quality checks at Fenway Health. At the end of the session, participants will have the tools to monitor SO/GI data collected from their own EHRs.

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Implications of the Updated National HIV/AIDS Strategy for ASOs, CBOs, and Health Centers

Originally Presented On: December 14, 2015

Faculty: Sean Cahill, PhD; Director of Health Policy Research, The Fenway Institute, Fenway Health, Boston, MA

Sponsors: The National LGBT Health Education Center and The National Center for Innovation in HIV Care

Note: CME/CEU and HRC HEI Credit are not available for this on-demand webinar.

In July 2015 the White House Office of National AIDS Policy updated the National HIV/AIDS Strategy for the next five years (NHAS2020). NHAS2020 called for increased access to pre-exposure prophylaxis, and urged that HIV prevention for gay and bisexual men and transgender women be provided in a broader context of culturally competent care for LGBT people. It also called for the integration of HIV services into primary care settings, and for screening and referral for mental health and substance use services for PLWHA. On December 1st, ONAP will release an implementation plan for NHAS2020. This webinar will present highlights of the updated strategy and implementation plan and discuss their implications for AIDS Service Organizations, community-based organizations, and health centers.

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The Affordable Care Act: Building Health Equity for LGBT People

Originally Presented On: December 7, 2015

Faculty: Kellan Baker, MPH, MA, Senior Fellow, Center for American Progres

Sponsors: The National LGBT Health Education Center and The National Center for Innovation in HIV Care

Under the Affordable Care Act, health centers and community based organizations continue to serve a critical role in helping LGBT people access health insurance coverage. In this webinar, Kellan Baker, MPH, MA, a Senior Fellow at the Center for American Progress, will explain how reforms under the new system have impacted multiple aspects of health care for LGBT people, including data collection, prevention and wellness, Medicaid and other health insurance coverage. He will also address strategies that health centers and other organizations can use to enroll LGBT people into health care to continue to reduce the number of uninsured LGBT people, especially people living with HIV/AIDS.

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How Patient-Centered Medical Homes Can Improve Health Care for Lesbian, Gay, Bisexual, and Transgender Patients and Families

Originally Presented On: April 8, 2015

Faculty: Ignatius Bau, Health Care Policy Consultant

Sponsors: The National LGBT Health Education Center

Patient-Centered Medical Homes (PCMH) create health care environments that encourage quality and equity in health care. Lesbian, Gay, Bisexual, and Transgender (LGBT) individuals and communities face numerous health care disparities, and can benefit from the PCMH model. Ignatius Bau, a nationally recognized consultant working to advance patient-centeredness and equity in health care, will describe the National Committee for Quality Assurance (NCQA) standards that are relevant for LGBT patients and families, and discuss how the PCMH model can benefit LGBT patients and families. Mr. Bau will describe best practices, and connect specific PCMH standards with LGBT health issues. Community health centers and other health care providers implementing PCMH can use the standards to guide their own improvements in health care for their LGBT patients and families

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Reaching LGBTQ Communities and Engaging them in Health Care

Originally Presented On: November 12, 2014

Faculty: Benjamin Perkins, MDiv, Associate Director for Community Engagement at The Fenway Institute, Fenway Health

Sponsors: The National LGBT Health Education Center

With the Affordable Care Act expanding coverage to thousands of Americans, health centers are working to reach and understand the needs of population groups who are not fully engaged in the health care system, including LGBTQ populations. Benjamin Perkins, MDiv, Associate Director for Community Engagement at The Fenway Institute, Fenway Health, will explain best practices in community engagement that will help you learn more about the needs of LGBTQ people in your community, including developing community advisory groups, running focus groups, and producing materials to “get the word out” about community events. In addition, the webinar will address how to structure building these partnerships to create lasting relationships within the community.that surround the bisexual community.

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Reducing HIV Health Disparities: Examining Funding, Policy, and Beliefs to Drive Local Action

Originally Presented On: February 17, 2016

Faculty: Jeffrey Crowley, Distinguished Scholar and Program Director, National HIV/AIDS Initiative, O’Neill Institute for National and Global Health Law, Georgetown Law Center

Sponsors: The National Center for Innovation in HIV Care and the National LGBT Health Education Center


Much excitement has been generated in recent years by the National HIV/AIDS Strategy, scientific advances, and expanded health care access that leads many to assert that we can move toward ending the HIV epidemic in the United States. At the same time, there is frequently a disconnect between excitement about the national picture and the reality in local communities. This session will examine how policy change is made at the federal, state, and local levels, assess recent changes in federal funding and policy, and explore how personal and community beliefs and attitudes drive efforts to better respond to HIV. The end result will not lead to giving health centers, community based organizations, or other community stakeholders answers on how to set meaningful goals, but it will strive to give participants a framework for assessing their own community priorities, resources, and commitment to develop their own strategic goals for action.

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Affirming LGBT People through Effective Communication

In this module, you will learn ways to provide affirming and inclusive health care for lesbian, gay, bisexual, and transgender, or LGBT, patients through basic communication principles. This module will:

  1. Summarize LGBT terms.
  2. Explain the importance of basic communication principles for LGBT health.
  3. Practice using terms and principles in case scenario examples.

You will need to or register to access the complete Learning Module content.


Providing Quality Care to Lesbian, Gay, Bisexual, and Transgender Patients: An Introduction for Staff Training

In this module, you will learn ways to provide affirming and inclusive health care for lesbian, gay, bisexual, and transgender, or LGBT, patients. This module will: 

  1. Summarize important LGBT terminology. 
  2. Describe health disparities faced by LGBT people.
  3. Explain the importance of effective communication to provide affirming care for LGBT patients.

You will need to or register to access the complete Learning Module content.


Achieving Health Equity for LGBT People

This module provides an overview of LGBT health disparities, demographics, and terminology, as well as key strategies for bringing high quality care to LGBT people at health centers and other health care organizations. Strategies for collection of sexual orientation and gender identity data in clinical settings will be addressed. Participants will also learn about creating LGBT-inclusive environments of care and about the intersections of LGBT health, population health and team-based care..

This module will:

  1. Describe health disparities in lesbian, gay, bisexual, and transgender (LGBT) populations
  2. Explain LGBT definitions and concepts
  3. Describe ways to overcome barriers to providing better care to LGBT people

This activity has been reviewed and is acceptable for up to 1.0 Prescribed credits by the American Academy of Family Physicians. Participants should claim only the credit commensurate with the extent of their participation in this activity.

You will need to or register to access the complete Learning Module content.


National LGBT Health Initiatives

Collecting Sexual Orientation and Gender Identity Data in Electronic Health Records

Written by the Institute of Medicine in October 2012, this document summarizes a workshop on implementing methods to collect sexual orientation and gender identity data in electronic health records.

Healthy People 2020: Lesbian, Gay, Bisexual, and Transgender Health

Healthy People 2020 is a government-funded initiative based on a 10-year agenda with the goal of improving the nation’s health in measurable ways. This web page offers an overview of health concerns facing the LGBT population.

The Health of Lesbian, Gay, Bisexual, and Transgender People: Building a Foundation for Better Understanding

Written by the Institute of Medicine and based on research funded by the National Institutes of Health, this 2011 report emphasizes the importance of collecting data on the demographics of LGBT populations, improving methods for collecting this data, and increasing the participation of LGBT individuals in research.

LGBT Health and Well-being

Published by the U.S. Department of Health & Human Services, this 2012 report outlines the LGBT Issues Coordinating Committee’s objectives for 2011 and 2012.

Health & Well-being for Lesbian, Gay, Bisexual and Transgender Americans

The HHS’s online center for information on LGBT health, including HHS reports, information on access to health care, and resources organized for specific communities within the LGBT population (including LGBT youth, people living with HIV, refugees, women, and older adults).

Cultural Competency

Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care for the Lesbian, Gay, Bisexual, and Transgender (LGBT) Community: A Field Guide

A 2014 publication by The Joint Commission, offering strategies for U.S. hospitals to create more welcoming and effective health care environments for LGBT patients. The guide also includes practice examples, resources, and testimonials.

Engaging with Men Who Have Sex with Men in the Clinical Setting: A Primer for Physicians, Nurses, and Other Health Care Providers 

Produced in 2011 by the Global Forum on MSM & HIV, this publication includes a glossary of terms, roles and responsibilities of health care providers, a framework for understanding homosexuality as an identity, not a mental disorder, and an overview of MSM health needs and issues. The piece draws connections between homophobia and HIV risk, and lays out principles for effective care for MSM.

Guidelines for Care of Lesbian, Gay, Bisexual, and Transgender Patients

A publication by the Gay & Lesbian Medical Association (GLMA), including information on creating a welcoming environment for LGBT patients, and addressing the unique medical needs of lesbian and bisexual women, and gay and bisexual men. Topics include confidentiality, language, and intake forms. Includes outside resources.

Improving the Health Care of Lesbian, Gay, Bisexual and Transgender (LGBT) People: Understanding and Eliminating Health Disparities

This 2012 publication, put out by The Fenway Institute, includes basic information about the LGBT population, LGBT health disparities, and how to incorporate LGBT health care into medical centers, hospitals, and community health centers.

Gay Lesbian Bisexual and Transgender Health Access Project: Materials

The GLBT Health Access Project’s online collection of materials, including access to posters and stickers that foster safe and welcoming spaces for LGBT patients, and generally combat homophobia in health care.

Providing Culturally Sensitive Diabetes Care and Education for the Lesbian, Gay, Bisexual, and Transgender (LGBT) Community

A 2010 journal article written by Theresa L. Garnero, APRN, BC-ADM, MSN, CDE, summarizing key concepts behind providing culturally competent diabetes care for LGBT patients. The article includes tools to help providers provide this care.

Sample Patient Non-Discrimination Policies

Hosted by the Human Rights Campaign, this webpage offers examples of patient non-discrimination policies that address matters of sexual orientation and gender identity. Examples include policies adopted by Faulkner Hospital (Boston), Group Health Central Hospital (Seattle), Rush University (Chicago), among others.

Self-Assessment Checklist for Personnel Providing Services and Supports to LGBTQ Youth and Their Families

A tool created by the National Center for Cultural Competence, intended to improve cultural competence, and to allow personnel to assess their own values, attitudes, and practices with the goal of motivating improvement.

Top Health Issues for LGBT Populations Information & Resource Kit

A publication put out by the Substance Abuse and Mental Health Services Administration (SAMHSA), exploring significant health issues faced by lesbians, gay men, bisexual men and women, and transgender people. This also includes a discussion of gender identity, PowerPoint slides on these top health issues, and outside, web-based resources for further exploration.

Online Curricula and Training

Webinars & Video Training

The National LGBT Health Education Center’s collection of webinars and video training on topics including transgender health, LGBT youth, LGBT older adults, LGBT people of color, LGBT families, HIV/STI treatment and prevention, behavioral health, collecting sexual orientation and gender identity data, cancer and LGBT people, organizational change, and other issues in primary care. These webinars include downloadable content and include free CME/CEU credit.

Learning Modules

Featuring interactive presentations, slideshows, and evaluation surveys, the National LGBT Health Education Center’s learning modules offer information and instruction on health equity, transgender health, LGBT youth, LGBT older adults, and HIV screening, treatment, and prevention.

LGBT Mental Health Syllabus

This website, created by the LGBT Issues Committee of the Group for the Advancement of Psychiatry, offers a series of modules around working with LGBT patients in a psychiatric setting. The modules include links, resource lists, and references for further exploration.

LGBT Local Projects in a Box

Offered through the American Medical Student Association (AMSA), this website provides a series of pre-packaged event/training materials on LGBT health for faculty physicians and medical students to bring to medical schools. These projects-in-a-box include instructions, power point presentations, video clip suggestions, and handouts. Topics include Queer People of Color, Transgender Health, and Heterosexual Allies.

Reexamining LGBT Healthcare

Information on LGBT cultural competence training available to interested organizations, universities, and healthcare facilities, and provided by the National LGBT Cancer Network.

The Safe Zone Project

A series of trainings related to gender, sexuality, and issues relevant to the LGBT community. Trained organizations receive Safe Zone stickers that can be displayed around the building to communicate their commitment to creating an LGBT-inclusive environment.

Referral Directories

CenterLink LGBT Community Center Member Directory

A database containing information about LGBT Community Centers and their member affiliates, both in the United States and around the world.

Gay and Lesbian Medical Association (GLMA): Find a Provider

GLMA’s online Provider Directory, allowing users to search for primary care providers, specialists, therapists, dentists, and other providers by type and location.

World Professional Association for Transgender Health (WPATH): Find a Provider

WPATH’s online Provider Directory for transgender affirming providers, allowing users to search by first and/or last name, specialty, and location.


LGBT Health Professional Associations

American Medical Association LGBT Advisory Committee

The AMA’s committee is comprised of seven members, including residents, fellows, and medical students, who hold annual meetings around LGBT health care concerns, LGBT curriculum implementation in medical schools, and the experiences of LGBT medical professionals.

American Medical Student Association Gender and Sexuality Action Committee

The AMSA’s committee works toward improvements in curriculum, education for providers, and a comprehensive resource library related to gender and sexuality in health care.

American Psychological Association Lesbian, Gay, Bisexual, and Transgender Concerns Office (LGBTCO)

The APA’s LGBTC office aims to increase knowledge in the field of psychology on gender identity and sexual orientation, in order to directly benefit the LGBT community on an individual level.

American Public Health Association: The LGBT Caucus of Public Health Workers

A group founded with the goal of increasing an emphasis on LGBT issues within the APHA and the field of public health as a whole.

The Association of LGBTQ Psychiatrists

AGLP is a group of psychiatrists dedicated to increasing awareness of LGBT mental health issues and improving resources to promote mental health in safe and welcoming environments.

Association for Behavioral and Cognitive Therapies: Study of GLBT Issues

This Yahoo Group, comprised of over 150 members, provides support for and space for dialogue among clinicians interested in working to improve the mental health of LGBT individuals, through an increased focus on research and training.

American Counseling Association: Association For Lesbian, Gay, Bisexual, & Transgender Issues in Counseling

ALGBTIC aims to increase awareness of LGBT identities and mental health concerns within the counseling field in order to improve care for vulnerable individuals, and to break down barriers faced by LGBT counselors and those in related professions.

Gay and Lesbian Medical Association

GLMA works toward LGBT healthcare equality, both for patients and for those working in healthcare who identify as LGBT. Members are professionals working toward improved policy and education through advocacy efforts.

National Association of Social Workers: National Committee on LGBT Issues

The Committee is responsible for developing and reviewing programs of the NASW that directly impact members of the LGBT community, with the goal of ultimately eliminating homophobic and transphobic practices within social work.

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Fenway Hosts Full House To Celebrate Second Guide To LGBT Health

On April 28, 2015, Fenway hosted a full house of local physicians, medical students, behavioral health professionals, and leaders of the American College of Physicians to celebrate the Second Edition. The reception welcomed attendees from many leading health care institutions, including Beth Israel

LGBT Health Week 2014

This year for LGBT Health Week, the National LGBT Health Education Center is releasing new materials focused on the importance of helping LGBT patients feel empowered to talk to their providers about being LGBT. These publications are a great way to get the conversation started! We are also offering

Welcoming LGBT Patients to Your Practice

Dr. Harvey Makadon is featured in this article from the August 2014 Issue of Chicago Medicine, a publication of the Chicago Medical Society. From the magazine: “Chicago’s lesbian, gay, bisexual and transsexual population is estimated at more than 100,000 individuals. Yet even in this LGBT