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. Author manuscript; available in PMC: 2022 Jun 1.
Published in final edited form as: Semin Perinatol. 2021 Mar 21;45(4):151411. doi: 10.1016/j.semperi.2021.151411

Table 1.

Structured, system-focused approach to reducing racial/ethnic disparities in neonatal intensive care delivery through improved readiness, recognition and response to the needs of minority families that is reinforced by continuous systems learning.

Domain Key Strategies
I. Readiness 1. Organizational acculturation to address the needs of diverse population served by the NICU
2. Signage and educational materials in multiple languages
3. Availability of family advisory council
4. Availability and ready access to professional translation services
II. Recognition 5. Professional and standardized assessment of social determinants of health
6. Psychosocial support and counseling available to address needs of vulnerable families
7. Support for transportation, parking, food, child care for siblings
III. Response 8. Implement quality improvement activities that target disparities
9. Cultural sensitivity, language concordance, anti-bias training
10. Family centered or family-integrated care
11. Peer-to-peer support programs
IV. Systems Learning 12. Audit and feedback of quality measures that explicitly track racial/ethnic disparities
13. Disparities dashboard for routine monitoring of racial/ethnic disparities in both process and outcome measures
14. Partner with community-based organizations to identify and address key barriers and challenges faced by minority families