Table 2.

Proposed solutions to racial misclassification.

Domain	Solutions
Research	(i) Standardized methods to calculate disease rates across populations (ii) Strengthened linkages between health care systems and tribal enrollment records, and IHS records (iii) Challenge power differences (iv) Collaborate with health professionals for improved race and ethnicity recording in patient medical records
Policy	(i) Create funding sources to support, build, and develop infrastructure such as tribal disease registries (ii) Challenge power differences (iii) Create policy that unifies and defines demographic categories from a community-oriented perspective (iv) Enact legislation requiring consistent, verifiable, and reliable data from reporting sources, including departments of public health, disease registries, offices of vital records and health statistics, and other data end-points
Community	(i) Collaborate with health systems and IHS to provide linkages for improved data quality purposes (ii) Initiate research driving community priorities to the forefront (iii) Empower and educate community members to report and correct race/ethnicity data in medical records (iv) Challenge power differences