​Achieving Health Equity: A Guide for Health Care Organizations


This IHI White Paper presents a framework for health care organizations to improve health equity in the communities they serve, guidance for measuring health equity, and case studies of health care systems that have advanced health equity. Learn More >>



In April 2017 the Institute for Healthcare Improvement (IHI) launched the two-year IHI Pursuing Equity initiative to learn alongside eight US health care delivery systems that are working to improve equity at their organizations. The five-component framework presented in the IHI White Paper, Achieving Health Equity: A Guide for Health Care Organizations, serves as the initiative's theory for how health care organizations can improve health equity. The learning and experience of the eight Pursuing Equity teams has been harvested in several resources.

Guides were developed for the five component framework. These guides include strategies, examples of specific improvements tested, lessons learned, challenges and mitigation strategies, and tools and resources.


Additional Resources:

​Additional Resources

The Path to Pursuing Equity
A brief overview of why eight health care organizations joined Pursuing Equity, a two-year learning and action network.

5 Guiding Principles for Health Care Leaders
Specific guidance for health care executives striving to attain health equity by drawing from the experience of participants in IHI's Pursuing Equity initiative.

Making Health Equity a Strategic Priority
Lessons learned from health systems participating in the Pursuing Equity initiative that are testing changes to make health equity a strategic priority.

Learning to Apologize and Other Surprising Leadership Lessons

An interview with Jack Lynch, FACHE, CEO of Main Line Health, on how his health system plans to make safety and quality outcomes “a direct reflection of equitable care delivery” in every patient encounter.

The Numbers Tell a Story: How to Use Data to Achieve Health Equity
Michael Hanack, MD, FAAFP, Associate Chief Medical Information Officer at Rush University Medical Center, explains why it is so important to build the capacity for data collection when tackling health inequities.

6 Tips for Measuring Health Equity at Your Organization

Advice for developing a measurement framework focused on equity to help your organization understand what changes are reducing inequities and whether any of your work might actually be increasing disparities.

Liberation in the Exam Room: Racial Justice and​ Equity in Health Care
This tool serves as a resource to begin conversations with teams within the organization toward developing a deeper understanding of structural racism and its impact on achieving health equity.

Using Meaningful Community Partnerships to Attain Health Equity
How Main Line Health is training volunteer medical students to address patients' non-medical needs to end healht disparities in their diverse patient populations

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