Applying Healthcare Accountability Commitments

Toolkit: HIA3-AHCC

Healthcare Accountability Initiative toolkit

Applying Healthcare
Accountability Commitments

Designing and Applying Healthcare Accountability Commitments

Introduction

Accountability must show up in day-to-day work, not just strategy statements. This section helps teams apply anti-racist and power-shifting commitments to projects, partnerships, and investments.

Aligning

project goals with accountability commitments

Identifying

risks of harm or extraction

Designing

for shared governance and transparency

Embedding

accountability checkpoints throughout implementation

Activities for this tool

Activities to map an anti-racist and power-shifting project:
Project Accountability
Planning Tool
Sample actions to advance healthcare accountability

Final Reflections

When harm, misalignment, or power imbalance occurs, accountability requires more than learning — it requires repair. This work may surface discomfort, grief, or resistance, particularly for those operating within institutions that have historically held power. These reactions are not failures of the process; they are signals that deeper learning is underway.

 

This framework supports teams to:

Acknowledge harm

clearly and without defensiveness

Redress

through concrete changes, not symbolic gestures

Close the loop

with communities through communication and follow-through

Activities for this tool

Project reflection prompts

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