Prism Health North Texas

Patient-Centered Medical Homes for the LGBTQ+ Community

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A story based on real world experiences…

Jill Stevens listens as the nurse calls out for “Jack Stevens.” Jill shudders involuntarily for a moment, gets up and approaches the perplexed nurse. Jill discreetly informs the nurse that Jack is still her legal name but that she has been living full-time as Jill, a transgender woman, for more than a year and her records need to be updated.

Fiction? No, unfortunately this is a fairly common occurrence. It’s also one of the many patient experiences that can be remedied using the Patient-Centered Medical Home Framework.

Texas is home to an estimated 140,000 transgender Texans including an estimated 13,800 youth. Trans people reside all across the state. Living in urban, rural, and suburban areas not just in one or two large cities. On April 5th, Texas Primary Care and Medical Home Summit attendees will explore and learn from members of the transgender community and healthcare providers treating large numbers of transgender patients and LGBTQ+ people. They will identify steps to apply the Patient-Centered Medical Home framework as a comprehensive service working with physicians, midlevel providers, nursing staff, social workers, and transgender patient navigators/advocates supporting the nuanced needs of transgender patients and their families.

Prism Health North Texas played a significant role in making “Implementing Patient-Centered Medical Homes for Transgender Patients and Families, and other members of the LGBTQ+ Community” a reality through their generous support. The session is not only the first LGBTQ+ session at the 6 year old Summit, it is the first to focus on providing culturally competent transgender healthcare using this framework. Panelists include Dr. Jamison Green, the immediate past president of WPATH, the World Professional Association for Transgender Health. WPATH writes the Standards of Care for transgender patients. This is a unique opportunity to inform Texas healthcare practitioners, policymakers, academia, governmental agencies, business representatives, employers, payors, federally qualified health centers, and health systems with best practices and lessons learned in providing care for transgender people. Fitting the framework’s puzzle pieces together is an important step in creating culturally competent healthcare for transgender people.


Written by: John Oeffinger, Director of eLearning and Training at the Texas Health Institute