Updating LGBTQ-competent

practices in an established FQHC

S. Stimmel, J. Yap
Dept. Family and Social Medicine
Social Medicine Project
Intersectional experiences of sexual and gender minorities
in the Bronx causes poor health outcomes.

LGBTQ LGBTQ LGBTQ

tolerant sensitive affirming
 Initiative #1 Initiative #2 Initiative #3
Environment Education Engagement
Affirming indicators Train staff Partnerships
- badge buddy - stigma/bias trainings - internal and external
- Umbrella training networking

Update intake form Improve provider Visibility/Outreach

- subcommittee knowledge - show at pride, events
- HIM, registration - TransECHO - Grindr
- longitudinal curriculum

Formalize EMR SOGI Update LGBTQ Longevity

capture resource

Update policies Create EPIC tools

“It’s interesting to see the community of
providers – how far reaching and the
incredible expertise...and how much work
is needed for providers and support is
needed both internally and externally for
providers and patients.”
- Dr. Krithika Kavanoor
“I learned so much from the cases. I feel
like I actually learned something new. I’m
really impressed by the multidisciplinary
approach.”
- Dr. Yuri Lee
“As mental health, I had a little
experience before. But I didn’t know a lot
about the medications and surgeries and
things. I am very comfortable talking to
patients but I needed to learn to talk
about those things with patients.
- Yemily Morales
 Initiative #1 Initiative #2 Initiative #3
Environment Education Engagement
Affirming indicators Train staff Partnerships
- badge buddy - stigma/bias trainings - internal and external
- Umbrella training networking

Update intake form Improve provider Visibility/Outreach

- subcommittee knowledge - show at pride, events
- HIM, registration - TransECHO - Grindr
- longitudinal curriculum

Formalize EMR SOGI Update LGBTQ Longevity

capture resource

Update policies Create EPIC tools

 From Health Systems month lecture
An Engendered System

- The history of policies in regards

to TGNC people
- How the document change process
works and how providers can best
advocate for patients

From Social Medicine month panel

- Local advocacy and resources

- Understanding what is desired
by the local community
From FACTS lecture with repro team
Trans 102

- Respecting the boundaries between

medical necessity and invasive curiosity
- Practicing patient-affirming language
 Visit:
tinyurl.com/bxlgbtq
 Initiative #1 Initiative #2 Initiative #3
Environment Education Engagement
Affirming indicators Train staff Partnerships
- badge buddy - stigma/bias trainings - internal and external
- Umbrella training networking

Update intake form Improve provider Visibility/Outreach

- subcommittee knowledge - show at pride, events
- HIM, registration - TransECHO - Grindr
- longitudinal curriculum

Formalize EMR SOGI Update LGBTQ Longevity

capture resource

Update policies Create EPIC tools

Things we learned

●How institutional change happens

○So slow, just getting the intake form updated and registration updated is limited by EPIC

●We are not alone, I went to BNGAP and the same issues we run into, big
organizations like Weill Cornell and NYU as well as small clinics have the same
problems

●Administrative buy-in helps

●Montefiore doesn’t show up

Next steps

●Josh will still be here

●In talks with up and coming second years to create an LGBTQ activity/session
for social med month and track

●Much more staff education

●Patient feedback – how did recommendations from fenway translate to our local
population?

●Community board members

●If anyone wants LGBTQ SMP ideas I have so many asks

●Create a packet to encourage reproducibility

●Move to Williamsbridge
Thanks

●We appreciate Otis Lewis, Dr. Maria Gbur, Dr. Krithika Kavanoor, Dr. Victoria
Gorski, and Dr. Diane McKee for their support in this project. We also thank the
staff at the Family Health Center and family medicine residents and attendings for
their participation.