A Gap Analysis Will Save Your Life........... Every Time
- Deann Butler
- Apr 15
- 2 min read
Why a Gap Analysis is Crucial for Health Equity Accreditation
Health equity accreditation is a decisive step toward demonstrating your organization's commitment to equitable healthcare. However, before achieving accreditation, you must understand precisely where you stand. That's where a Gap Analysis comes in.
What Exactly Is a Gap Analysis?

A Gap Analysis is a systematic review of your organization's current policies, practices, documentation, and resources measured against established health equity accreditation standards. The goal is simple yet critical: to identify precisely what is compliant, what is partially compliant, and where significant gaps exist.
Our Step-by-Step Approach
When you partner with Connected Consultants, we take a structured, thorough approach:
Step 1: Broad Overview and Buy-In
We start by walking your organization through the accreditation standards. This step isn't just educational—it's foundational. Understanding the "why" behind the accreditation standards helps your entire team buy into the process, grasp the significance of the work involved, and allocate resources effectively.
Step 2: Document and Resource Collection
Next, we guide your team to compile all relevant documents, materials, reports, policies, and processes. This comprehensive collection phase ensures nothing is overlooked.
Step 3: Detailed Organization and Review
Our consultants organize these materials based on the specific accreditation standards, breaking them down further into individual elements and factors. We then meticulously review each document to identify compliance or any gaps in meeting standard requirements.
Step 4: Individual and Comprehensive Gap Reports
For every accreditation standard, you receive a detailed gap analysis highlighting where your organization meets, exceeds, or falls short of requirements. After completing these individual analyses, we combine them into a comprehensive report providing an overall picture of your organization's readiness.
Step 5: Gap List and Actionable Recommendations
We extract and compile a clear, actionable gap list from the comprehensive report. Each identified gap includes tailored recommendations and a gap closure plan designed to address each area of concern systematically.
Step 6: Gap Closure and Path to Accreditation
With a clearly outlined gap closure plan, your organization has a roadmap for achieving compliance confidently. You can implement these strategies independently or engage Connected Consultants for continued guidance and full support throughout your accreditation journey.
Why is a Gap Analysis So Important?
A Gap Analysis isn't merely a "check-the-box" activity—it's essential for ensuring your organization’s resources are effectively directed toward meaningful change. According to the Agency for Healthcare Research and Quality (AHRQ), organizations that actively identify and address gaps significantly improve patient satisfaction, clinical outcomes, and operational efficiency.
Moreover, unaddressed gaps can result in lost accreditation opportunities, reduced competitive advantage, and, ultimately, lower-quality patient care.
Ready to Move Toward Accreditation?
Connected Consultants is here to help. Whether you need assistance conducting a detailed Gap Analysis or prefer comprehensive support throughout the accreditation process, our experienced team is ready to partner with you.

Don’t leave your health equity accreditation to chance. Contact us today to schedule your Gap Analysis or discuss how we can support your organization's needs and goals.
Your path to health equity accreditation begins with clarity—let’s close the gaps together.
Comments