Introduction: Health equity is often highlighted as an institutional value in pediatrics, but providers may not know how to assess it within their patient health system.

Objective: To develop and implement the Program for Equity in Adolescent and Child Health (PEACH), designed to assess and address differences in pediatric care based on a range of factors including socioeconomic status, weight status, race, ethnicity, ability status, gender, and language.

Method: The PEACH program was formed in January 2023 as an interdisciplinary partnership of units at a large Midwest Health System now funded by 13 Clinical Departments along with the Children’s Hospital. The Program provides a core platform of conceptual, methodological, database, statistical expertise and consultation to any employee or trainee wishing to explore an inequity in pediatric care. Importantly, the Program provides assistance in quality improvement and implementation science to develop and implement real world solutions to address identified equity issues.

Results: The PEACH program has received 79 project ideas, with 42 projects initiated from a range of employees including, physicians, child life specialists, nurses, residents, and environmental services staff. Inequities identified from PEACH projects include differences in STI testing for teens by ability status (physical disability vs. none), drug screening by race, and pain management for verbal vs. non-verbal youth.

Conclusion: The PEACH program provides research and quality improvement support to facilitate health system employees with or without research experience to address potential healthcare inequities and to participate in efforts to improve care for all children.