Executive briefing · Basim Althani, MPH
Accessibility as System Quality
A leadership framework for embedding accessibility into health strategy, services, technology, and governance.
Include lived expertise
- Involve disabled people in problem definition, research, design, evaluation, and governance
- Recognize that standards cannot substitute for participation
- Compensate and support meaningful contribution where applicable
Review the whole journey
- Examine discovery, information, eligibility, identity, appointments, consent, delivery, follow-up, support, and complaints
- Provide multiple reliable ways to perceive, understand, navigate, and complete critical tasks
- Design recovery when a channel or step fails
Assign accountability
- Define standards, decision owners, assurance processes, escalation, and resources
- Integrate accessibility into procurement and change governance
- Track remediation as a portfolio, not isolated defects
Measure unequal friction
- Examine completion, abandonment, errors, waiting, complaints, safety, experience, and outcomes
- Use disaggregated evidence responsibly to identify barriers
- Treat accessibility improvement as service and quality improvement
Use boundary: This briefing is a general professional framework. It does not provide medical, legal, regulatory, accreditation, or investment advice. Application requires context-specific evidence and judgment.
Published and reviewed: 19 July 2026.
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