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Implicit bias may perpetuate healthcare disparities for marginalized patientpopulations. Such bias is expressed in communication between patients and theirproviders. We design an ecosystem with guidance from providers to make thisbias explicit in patient-provider communication. Our end users are providersseeking to improve their quality of care for patients who are Black,Indigenous, People of Color (BIPOC) and/or Lesbian, Gay, Bisexual, Transgender,and Queer (LGBTQ). We present wireframes displaying communication metrics thatnegatively impact patient-centered care divided into the following categories:digital nudge, dashboard, and guided reflection. Our wireframes providequantitative, real-time, and conversational feedback promoting providerreflection on their interactions with patients. This is the first designiteration toward the development of a tool to raise providers' awareness oftheir own implicit biases.

Making Hidden Bias Visible: Designing a Feedback Ecosystem for Primary Care Providers