LEI Resource Guide

The LEI Resource Guide is a comprehensive instructional and reference accompaniment to the Long-Term Care Equality Index (LEI) self-assessment and LEI survey. The LEI Resource Guide covers all sections of the LEI survey in great detail, providing explanation why these policies and practices we ask about are important, example policies, links to outside resources, and more. The resources provided here are certainly not the only ones available to help guide your community in LGBTQ person-centered care; however, we hope they can help you get started on implementing best practices in equitable and inclusive care for LGBTQ residents.

We hope you find the LEI Resource Guide helpful in taking steps to ensure equitable and inclusive treatment for LGBTQ residents, families, and employees at your facility. If you have any further questions about the LEI, please do not hesitate to contact our team at LEI@hrc.org.

Resident Non-Discrimination and Staff Training Resources

The Resident Non-Discrimination and Staff Training criteria represents policies and practices that are considered foundational to LGBTQ resident-centered care. The section includes important elements that should be completed first and which, when complete, will provide a strong base from which to grow. The resource pages include sample policies and examples of how long-term care communities can meet this criteria.

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Resident Services and Support Resources

This criteria in this section focuses on a wide variety of best practice recommendations drawn from federal nursing home regulations under the Centers for Medicaid and Medicare Services (CMS), guidance from the National Long-Term Care Ombudsman Program, and additional research and reports regarding the needs of LGBTQ older adults living in long-term care communities. Four subsections compose this criteria.

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Employee Benefits & Policies Resources

This criteria is designed to familiarize long-term care communities with best practices to promote equity and inclusion for LGBTQ employees.

Reviewing the practices implemented by other communities and recommended by experts, a community can identify and address gaps in their policies and practices. LGBTQ employees who work in long-term care communities play a vital role in ensuring LGBTQ residents are treated with dignity and respect by informally educating their co-workers about resident concerns, offering feedback about the community’s policies and practices, and conveying to the local community their organization’s commitment to equity and inclusion. It is critical that LGBTQ employees, like LGBTQ residents, receive equal treatment, particularly vis-à-vis health-related benefits and policies.

These policies are also informed by the HRC Foundation’s Corporate Equality Index, or CEI. The CEI is the national benchmarking tool on corporate policies and practices pertinent to lesbian, gay, bisexual and transgender employees.

Equal Benefits

Additional Support for LGBTQ Employees

Resident & Community Engagement Resources

This section includes one set of criteria to help long-term care communities ensure that 1) LGBTQ residents are connected to the larger LGBTQ community and 2) that the long-term care community builds relationships with the larger LGBTQ community.

Developing mutually-respectful relationships is a key component to building strong, long-lasting culture change that supports LGBTQ residents within their long-term care communities. It creates a bridge for two-way information- sharing and education, provide openings for programmatic partnerships, resource sharing opportunities and more. Furthermore, it helps establish a long-term care community as one that is inclusive and well-respected within the larger community, attracting LGBTQ employees and residents in the future.

Understanding the Needs of LGBTQ Patients and Community

LGBTQ Community Engagement and Marketing

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