The UTMB Center to Eliminate Health Disparities (CEHD) chose the REAL Data project on Race, Ethnicity and Language (REAL) disparities as one of its selected projects under the State of Texas 1115 Medicaid Waiver. The purpose of the project is to use the growing set of information resources in the hospital’s electronic health record (EHR) and administrative data systems to identify disparities in health and health care in the UTMB patient population. The ultimate goal of this project is to improve the equitable delivery of high quality care to all racial and ethnic groups in our diverse patient population.