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For decades, race-based clinical algorithms and guidelines have quietly shaped medical decisions—delaying care and reinforcing systemic racism in healthcare. Marginalized communities and older adults have been disproportionately impacted, facing delays in life-saving treatments and leading to inequitable care.
Beginning in 2021, the New York City Health Department Coalition to End Racism in Clinical Algorithms (CERCA) led nine major NYC hospitals in successfully removing harmful race-based clinical algorithms from their systems. Their work has set a new precedent for racial equity in healthcare.
Now, you can build on this proven model. Our practical, action-oriented toolkit equips you with the strategies, resources, and real-world examples needed to eliminate harmful race-based algorithms and guidelines in your clinical setting—helping you improve patient outcomes and deliver safer, more effective care.
Whether you’re just beginning the conversation or ready to take action, this toolkit provides you with the structure, strategies, and real-world examples to help you lead meaningful change in your healthcare system. The process may take a few months, but each step is designed to be manageable and impactful—allowing you to make steady progress toward equitable care.
Start here if you are looking for a high-level overview of the de-implementation process, or need help making the case to organizational leadership. This will take you 30 minutes or less.
Start here if you are ready to dive into the full de-implementation process. There’s a lot to explore—plan to spend a few hours reviewing the activities and resources. It may seem overwhelming at first, but this toolkit is built to guide you step-by-step, making the process manageable and effective.
The Toolkit
Lay the groundwork by building a knowledgeable, committed team to drive the de-implementation process forward.
Assess your team’s readiness with a self-assessment and identify gaps to build a strong foundation for de-implementation.
Replace harmful algorithms with race-conscious alternatives and update workflows to support sustainable change.
Equip providers with the knowledge and skills to implement equitable care, including a Provider FAQ for quick answers to burning questions.
Engage patients directly to address past harms and build trust through restorative justice efforts.
Are you a patient interested in learning more about the use of race in healthcare decision-making?
Thank you to The SCAN Foundation for supporting this critical work to bring equitable care to historically marginalized communities and older adults.
Additional resources to support your
de-implementation process
New York City Coalition to End Racism in Clinical Algorithms (CERCA): Inaugural Report
Hidden in Plain Sight — Reconsidering the Use of Race Correction in Clinical Algorithms
Fact vs. Fiction: Clinical Decision Support Tools and the (Mis)use of Race
Nondiscrimination in Health Programs and Activities
Impact of Healthcare Algorithms on Racial and Ethnic Disparities in Health and Healthcare