The Lown Institute Hospitals Index is the first ranking to examine the racial inclusivity of over 3,200 U.S. hospitals to assess their success at serving the people of color living in their communities. (press release | methodology)
To create the rankings, the Institute assessed how well the demographics of a hospital’s Medicare patients matched the demographics of the hospital’s surrounding communities. Hospitals underserving communities of color got lower rankings. Some of the most and least racially inclusive U.S. hospitals are located in the same cities.
Watch our launch video featuring Dr. Aletha Maybank, Chief Equity Officer of the American Medical Association, Harriet Washington, medical ethicist and author of Medical Apartheid, and Dr. Richard Besser, CEO and President of the Robert Wood Johnson Foundation.
These are the fifty most racially inclusive hospitals in the United States.
These are the fifty least racially inclusive hospitals in the United States.
The following cities* have some of the most segregated systems, with at least 40% of their hospitals falling in the most or least inclusive categories.
* Cities are defined by their hospital referral regions (HRRs). The Dartmouth Atlas of Health Care has identified 306 HRRs based on where Medicare patients are admitted for tertiary care.
These are the most racially inclusive hospitals in each state (ranked #1).
The 2021 Lown Institute Hospitals Index racial inclusivity metric measures how well more than 3,200 US hospitals serve people of color in their surrounding community. To create this metric, we used Medicare claims from 2018 and the U.S. Census Bureau’s American Community Survey from 2018.
Each hospital’s racial inclusivity score shows how the demographics of the hospitals’ community area (who the hospital could serve) compare to their actual patient population (who the hospital does serve). The “community area” radius is defined by the distance from which about 90% of the hospital’s Medicare patients travel.
We used Census data to determine the proportions of the following racial/ethnic groups in both the hospital patient zip codes and and community area zip codes in the 65+ population: American Indian or Alaska Native, Asian, Black or African American, Hispanic or Latino, Native Hawaiian and other Pacific Islander, Other, Two or more races, and White (not Hispanic or Latino). Hospitals received higher scores if they had higher patient counts from zip codes with greater proportions of non-white patients compared to their community area.
Media inquiries should be directed to Aaron Toleos, vice president of communications for the Lown Institute, at firstname.lastname@example.org.