Third, the group called for increasing diversity in governance and management, in board members and in executive positions, to be more reflective of their patient communities.
"The third one, our people say is most challenging, but we have a lot of members who are great case studies, people who have morphed the composition of board and senior leadership to be more reflective. But we do know that our compositions do lag. They are generally white."
On the first call to action, Umbdenstock says, better ethnic, racial, and language data will enable each hospital to better understand how their treatment processes and procedures are applied to various groups and whether they show good comparative outcomes.
"Everybody complains that this data is not being collected now, not on a patient specific basis," he explained. "We don't have it to overlay with our own quality data, to know our own populations."
"How do you know that the patients within your walls are getting the same care, and if they're getting the same care, are they getting the same outcomes."
It may reveal, for example, that patients in different groups do need to be treated differently. "Maybe you find out that one population is the one that's coming back (being readmitted) more often, or that demographically one population is more vulnerable, or there's some sort of cultural issue at home. Who knows?"