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Getting Grounded: Building a Foundation for Health Equity and Racial Justice Work in Health Care Teams

This article proposes a three-pronged approach for equity improvement teams to build a strong foundation to effectively, collaboratively, and authentically dismantle racism in health care.

Reid A, Brandes R, Butler-MacKay D, Ortiz A, Kramer S, Sivashanker K, Mate K. Getting grounded: Building a foundation for health equity and racial justice work in health care teams. NEJM Catalyst Innovations in Care Delivery. 2022 Jan;3(1).

To effectively, collaboratively, and authentically dismantle racism in health care, equity improvement teams need a strong foundation. This article proposes three components that guide a “getting grounded” strategy to enable teams to center dialogue and learning around consistent language, frameworks, assumptions, values, and norms to support their pursuit of more equitable relationships, processes, and outcomes. The approach is based on the experience of the IHI Pursuing Equity Learning and Action Network.

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