Systemic and Shared Accountability
Creating infrastructure to maintain accountability to sustain DEI work across departments and service lines.
The Systemic and Shared Accountability Lever Includes:
Equity Influencers
How might you create an environment that supports equity influencers throughout your organization?
How might you create an environment that supports equity influencers throughout your organization?
Our Definition:
An equity influencer is someone inside a hospital or health system who formally or informally advances the organization’s equity agenda.
Where on the continuum is your organization?
Exploring the values and resources needed to publicly commit to embarking upon a journey to achieve health equity.
Hospital leaders designate an individual or group or create a position, task force or committee to promote diversity, equity and inclusion.
Example
Hospital creates forums for staff to discuss DEI topics.
Committing the resources to listen, learn, train and implement policies and practices that establish equity as standard practice.
Hospital’s operating budget includes funding for resources or activities that incentivize participation in DEI activities.
Example
Hospital inserts a budget line item to support a full-time equivalent (FTE) or employee resource group (ERG) with a budget to implement programming.
Immersing the leadership and system into accountability for policies, procedures and cultural structures that support diversity, equity and inclusion.
Trustees, executives and managers are held accountable for hiring, training and retention of equity influencers.
Example
Hospital leaders host and participate in all-staff DEI retreats.
Affirming an equitable system culture with continuous equity self-assessments of policies and practices that remove structural barriers to equity.
Equity influencers are embedded across leadership and throughout the organization to sustain a culture and climate of equity.
Example
Hospital incentives all staff to take an active role in DEI with awards, bonuses and paid time off.
Transforming beyond the system toward supporting a sustainable and equitable ecosystem of health care within the community.
All employees see themselves as equity influencers and are empowered to participate in activities that promote DEI in the community.
Example
Hospital conducts a staff survey showing attitudes and goals committed to equity.
Employee-led Groups
How might employee-led groups address DEI topics and help keep the organization accountable?
How might employee-led groups address DEI topics and help keep the organization accountable?
Our Definition:
Employee-led groups center on voluntary efforts aimed at fostering a diverse, inclusive workplace aligned with the organizations they serve.
Where on the continuum is your organization?
Exploring the values and resources needed to publicly commit to embarking upon a journey to achieve health equity.
Hospital is planning employee-led group(s) intending to foster a diverse, equitable and inclusive workplace.
Example
Hospital is planning employee resource groups and DEI councils to address DEI topics.
Committing the resources to listen, learn, train and implement policies and practices that establish equity as standard practice.
Employee-led group(s) are in place and group charters are approved by executive leadership.
Example
Hospital formalizes an internal DEI task force.
Immersing the leadership and system into accountability for policies, procedures and cultural structures that support diversity, equity and inclusion.
Hospital establishes metrics to track goals for employee-led group(s).
Example
Hospital’s internal DEI taskforce creates a strategic plan with a focus on workforce policies. Multiyear plans are developed.
Affirming an equitable system culture with continuous equity self-assessments of policies and practices that remove structural barriers to equity.
Employee-led group(s) conduct regular assessments of their progress and makes recommendations to governing bodies and senior leaders. Employee-led group membership is diverse and includes representation from different levels of the hospital.
Example
Hospital launches employee resource groups with Executive Sponsors. Support for this employee-led group DEI work is reflected in the operational budget.
Transforming beyond the system toward supporting a sustainable and equitable ecosystem of health care within the community.
Representatives from employee-led group(s) are deployed into the community as ambassadors to support the community ecosystem. Hospital leaders publicly support employee-led group(s).
Example
Employees participate in a variety of community activities that align with the hospital and community goals for equity.
