Despite civil rights gains, subtle racialized patterns in American institutional culture, policies and practices continue to generate stark differences in well being between people of color and whites. Institutional leaders need a framework that directs them to analyze characteristics of institutions rather than characteristics of individuals and groups, in order to understand how institutions function differently for different people. Our training introduces a historical and institutional power analysis that provides the framework necessary for institutions to build their capacity to achieve true racial equity. The one caveat is that this work requires long-term institutional commitment because inequities that have been built into systems over hundreds of years are not easily deconstructed. We do believe that if racial equity processes are embraced and prioritized within an institution or organization that institutional inequities can be reduced or eliminated.