<b>Objectives:</b> A health disparity index (HDI) can be used to regularly assess quality metrics by race and ethnicity. Our objective was to describe the implementation of the HDI for gynecology oncology patients at a tertiary-care academic center. <b>Methods:</b> We systematically collected reportable quality events for gynecologic oncologic patients at a single academic institution over a one-year period, July 2020 - June 2021, who were presented at the department's bimonthly morbidity and mortality quality forum. Reportable events were mainly postoperative complications and were predefined as death within 30 days, transfusion of greater than four units of blood products, hospital stay greater than 15 days, unplanned transfer to the intensive care unit, unanticipated return to the operating room, re-admission within 30 days, venous thromboembolic event, operative injury, surgical site infection, and estimated blood loss greater than 750 mL for benign cases. The calculation below was used to compare events in Black patients compared to White patients. The race was self-reported and extracted from the electronic medical record. For the purposes of this calculation, reportable events were considered binary (i.e., patients either had or did not have a reportable event). A Chi-square test was used to compare the two populations. An HDI of 1 describes equal morbidity in White and Black patients, HDI <1 greater morbidity in White patients, and HDI >1 greater morbidity in Black patients. <b>Results:</b> A total of 458 patients underwent surgery with the gynecologic oncology service from July 2020 to June 2021 at The Hospital of the University of Pennsylvania. Sixty-two percent (<i>n</i>=284) identified as White, 29.7% (<i>n</i>=136) identified as Black, and 8.3% (<i>n</i>=38) identified as a race or ethnicity that was not White or Black. There were 73 reported events captured in the safety net reporting application. Of those 73 events, 33% (<i>n</i>=24) were for Black patients, 60% (<i>n</i>=44) were white patients, while the remaining 7% (<i>n</i>=5) were for all remaining patients. The proportion of Black patients with a reportable event was 17.6% (24/136), with a 95% CI of 11.6-25.1. The proportion of White patients with a reportable event was 15.5% (44/284), with a 95% CI of 11.5-20.2. The HDI presented at individual quality forums ranged from 0.50 to 5.1 over a 12-month period. The mean HDI is 1.14 with a 95% CI of 0.72-1.79 (p=0.57). <b>Conclusions:</b> From July 2020 to June 2021, the HDI was greater than 1 for our gynecologic oncology patients, indicating that a disparity in surgical and medical outcomes was present at a large urban academic institution. The wide range, as well as statistically non-significant p-value, is likely attributable to the small cohort. Using this HDI, our department is undertaking innovative quality improvement efforts to close the health disparity gap seen amongst gynecologic oncology patients.