Twenty years have passed since the National Academy of Medicine released its report, Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. While widespread recognition of disparities has increased, these disparities continue to persist. There are numerous sources of bias that affect whether people from traditionally underserved communities, including racial/ethnic populations, persons with disabilities, LGBTQIA individuals, and others, receive the appropriate treatment and care. Addressing discrimination at a health systems level is essential for achieving health equity and improving health outcomes for all. This session will explore:

• Evidence base for health systems interventions designed to address structural discrimination.
• Development and use of such interventions within institutions, highlighted by health system representatives and patient advisors.
• Practical lessons learned from creating and implementing these interventions.
• Methodological challenges of conducting patient-centered comparative clinical effectiveness research (CER) related to systems interventions.