Culture & Inclusiveness Action Collaborative

Advancing a culture of health equity and engagement that places the needs of people and communities at its core

As one of four action collaboratives under the National Academy of Medicine’s Leadership Consortium, the Culture & Inclusiveness Action Collaborative (CIAC) promotes equitable and evidence-based health care practices; implements strategies to ensure patient, family, and community engagement in health and health care decisions; and identifies the sociocultural conditions both inside and outside the health system that best meet individual needs.

A healthy life is influenced by a range of factors, and by some estimates health care only makes up for 10 to 20 percent of them. The other 80 percent or more include social and cultural factors such as education, race and gender, and the condition of the community a patient lives in. The CIAC works to identify the cultural contexts that best facilitate a healthy life for individuals and the social structures that create highly engaged and resilient communities.

Strategic Framework  |  Winter 2020 Update  | Winter 2019 UpdateSummer 2018 Update

Mary Naylor (Co-Chair)

Mary D. Naylor (Co-Chair)

Sandra R. Hernández (Co-Chair)

Sandra R. Hernández (Co-Chair)

William Novelli (Co-Chair)

William D. Novelli (Co-Chair)

Action Collaborative Description

CIAC catalyzes joint activities to drive health care culture in three main areas:

Culture: Collaborative activities to ensure that the next generation of clinicians provides care that reflects patients’ preferences and values, care teams work collaboratively and in concert with patients, and health care leadership fosters the creation of a culture of care that is seamless, team-driven, and that continuously learns.

Evidence: The ability to make informed decisions requires targeted incentives and timely delivery of scientifically validated evidence at the point of decision in a format that best meets the needs of patients and family caregivers. To that end, learning health systems engage patients, families, and communities in the capture and use of information on their health and health care experiences to generate evidence and accelerate knowledge about the most effective and efficient care practices.

Engagement: The growth in awareness and opportunity for patients and families to be more engaged in their own care, as well as in the design and delivery of care at the organizational and policy levels, means it is critical to engage all health care stakeholders and accelerates the need to deepen the involvement of patients and family leadership in improving knowledge generation and value in health care, developing a culture of effective stakeholder collaboration, and the consistent, meaningful, and increasing engagement of patients, families, and communities in the design and delivery of health care in addition to personal engagement in their own health care decision-making.

Also operating under the auspices of the CIAC is the National Academy of Medicine (NAM) Patient & Family Leadership Network, which supports ongoing communication, collaboration, and synergy among patient and family thought leaders to advance their equal and full engagement across the health care continuum: as equal and effective partners in care decisions, at the community and organizational level through continuous improvement initiatives, and at the policy level. The PFLN is a vibrant virtual Network that engages the nation’s patients and families in serving as effective leaders and advisors to the NAM and others to achieve better culture, better care, better value, and better health for all in a healthcare system that continuously learns and improves.

This activity blends the expertise of professional organizations representing clinicians on the front lines of health care delivery, patient- and family-focused organizations, decision science practitioners, and government agencies actively involved in patient care or programs and policies centrally concerned with the identification and application of best clinical services. These professional and citizen leaders work collaboratively with individuals with relevant expertise from organizations with active, public, and patient-oriented health efforts. The aim is for an inclusive Collaborative – without walls – and participation in individual projects is structured according to interest, need, and practicality. As such, CIAC seeks to include a wide variety of stakeholder voices to further cultural change and patient and family engagement, including but not limited to:


    • Aging organizations
    • Business and industry groups
    • Child and maternal health organizations
    • Clinician and other professional organizations
    • Community organizations
    • Decision science experts
    • Government agencies
    • Health and health care equity and disparities experts
    • Health IT organizations
    • Hospital and health system leaders
    • Patient and family organizations
    • Patient and family advisory council and thought leaders
    • Pediatric organizations
    • Payers and insurance organizations
    • Public health organizations
    • Purchaser and employer organizations
    • Researchers
    • Women’s health organizations

In-person attendance at meetings is by invitation only due to room capacity limitations. All meetings are available by webcast, and information on joining the webcast is available on the meeting event page as the meeting approaches.

Past Meetings:

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