The Six
Levers of Transformation

The journey toward creating equitable and inclusive organizations will require assessing embedded practices and policies; engaging in internal and external system changes; and acknowledging structural barriers that compromise equity. Research and experience show that leading health equity strategies cut across these six major areas within health care organizational structures. Explore these six levers of transformation to understand capabilities to improve performance, what actions you may take and how to move forward on the journey.

Culturally Appropriate Patient Care icon. A photo of a patient connected to a personal profile, medical records, and the world wide web.

Culturally Appropriate Patient Care

Practicing cultural humility and activities that improve culturally appropriate care such as language access and health literacy.

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Equitable and Inclusive Organizational Policies icon. A checklist on the left with a magnifying glass revealing a hand giving a thumbs-up sign on the right.

Equitable and Inclusive Organizational Policies

Applying a DEI lens to organizational policies and supporting an equitable and inclusive climate and culture.

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Collection and Use of Data to Drive Action icon. A data graph with an arrow above it that it pointed up.

Collection and Use of Data to Drive Action

Using quantitative and qualitative data to inform, design, and evaluate improvement strategies.

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Diverse Representation in Leadership and Governance icon. A picture of a white hand and a black hand shaking hands on a page with a pen writing a checkmark on the page.

Diverse Representation in Leadership and Governance

Creating pathways that lead to diversifying leadership ranks to reflect the populations and communities served.

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Community Collaboration for Solutions icon. On digital chat thread.

Community Collaboration for Solutions

Advancing health equity and fostering healthy communities by investing in strong hospital-community partnerships.

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Systemic and Shared Accountability icon. A concept map showing connections within a system.

Systemic and Shared Accountability

Creating infrastructure to maintain accountability to sustain DEI work across departments and service lines.

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