ADVENTIST HEALTH BAKERSFIELD

1. Top 10 Disparities

2. Equity Plan

Adventist Health Bakersfield HQI Top 10 Disparity list returned 8 disparities related to the HCAI All-Cause Unplanned 30-Day Hospital Readmission Rate and 2 disparities related to the AHRQ Quality Indicators, Death among Surgical patients with Serious Treatable Complications and Pneumonia Mortality Rate. The action plan to address is carefully developed with an evidenced based, standardized workflow to identify the need and tailor the care planning to encompass the individual person.
#1 Age: 50 to 64 Population Impact (PI): The age 50 to 64 disparity rate of 15.4% with reference rate for age 18 to 34 of 4.1%, for All Cause 30 Day Unplanned Readmissions (hereafter All Cause Readmit), creating return ratio of 3.7.
#2 Age: 65 and older PI: The Age 65 and older population disparity rate 15.3% with reference rate for age 18 to 34 populations of 4.1% for All Cause Readmit, return ratio of 3.7.
#3 Race and/or Ethnicity: Black or African American PI: The Black or African American populations disparity rate is 17.1% with referenced to Hispanic or Latino populations of 10.7 %, for All Cause Readmit return ratio of 3.2.
#4: Expected Payor: Medicare PI: The Medicare disparity rate 15.9% with reference rate for Private Insurance populations of 5.3%, for All Cause Readmit, return ratio of 3.0.
#5 Age: 35 to 49 PI: The disparity rate is 10.7% for populations between ages 35 to 49 while the age 18 to 34 reference group is 4.1%, for All Cause Readmit, return ratio of 2.6
#6 Race and/or Ethnicity: White PI: The White populations disparity rate is 13.6% while the Hispanic or Latino reference group is 10.7%, for All Cause Readmit, return ratio of 2.5
#7 Expected Payor: Medicaid PI: The disparity rate is 12.8% for populations with Medicaid as payor while the Private Payor reference group is 5.3%, for All Cause Readmit, return ratio of 2.4.
#8 Race or Ethnicity: Asian PI: The disparity rate is 11.2% for Asian populations while the Hispanic reference group is 10.7%, for All Cause Readmit, return ratio of 2.1.
#9 AHRQ Patient Safety Indicator Death among Surgical patients with Serious Treatable Complications: Age 50 to 64. PI: The disparity rate 333.3 Compared to 65 and older rate 186.7, return ration 1.8.
#10 AHRQ Quality Indicator Pneumonia Mortality Rate: Sex Assigned at Birth: Male PI: The disparity rate is 66.7% for male populations while the female reference group is 50.6%, return ratio of 1.3.

Disparity 1-10 Action Plans:
• Risk stratification by disparity shared with the multidisciplinary committees to help target the specific identified disparities within the readmission reduction performance improvement work.
• Discharge planning to include SDOH screening review and provide interventions to help address the health equity barriers identified to the individual patient.
• Rounding prior to patient discharge by the care management team to confirm communication preference prior to disposition for the care transition team needs.
• Follow up appointments made prior to discharge for all high-risk readmission patients within the provider recommended time frame.
• Meds to Beds program development to address access barriers for high-risk readmission patients.
• Medication delivery options shared as part of the discharge planning that deliver to surrounding rural communities.
• Follow up calls to help assist with care coordination post disposition are made within 48hrs of discharge for all high-risk readmission patients.
Measurable Objective by Disparity:
1: Reduce All-Cause Unplanned 30-Day Hospital Readmission Disparity Rate for population age 50 to 64 by 1% within 24 months.
2: Reduce All-Cause Unplanned 30-Day Hospital Readmission Disparity Rate for population age 65 and older by 1% within 24 months.
3: Reduce All-Cause Unplanned 30-Day Hospital Readmission Disparity Rate for race/ethnicity Black or African American population by 1% within 24 months.
4: Reduce All-Cause Unplanned 30-Day Hospital Readmission Disparity Rate for payer of Medicare by 1% within 24 months.
5: Reduce All-Cause Unplanned 30-Day Hospital Readmission Disparity Rate for population age 35-49 by 1% within 24 months.
6: Reduce All-Cause Unplanned 30-Day Hospital Readmission Disparity Rate for race/ethnicity White population by 1% within 24 months.
7: Reduce All-Cause Unplanned 30-Day Hospital Readmission Disparity Rate for race/ethnicity White population by 1% within 24 months.
8: Reduce All-Cause Unplanned 30-Day Hospital Readmission Disparity Rate for race/ethnicity Asian population by 1% within 24 months.
9: Reduce AHRQ Indicator Death Rate among Surgical Inpatients with Serious Treatable Complications by 1% within 24 months.
10: Reduce AHRQ Pneumonia Mortality among Males Rate by 1% within 24 months. Timeframe: All action plans are in progress with a multidisciplinary committee leading and tracking improvement through the duration of the action plan.

3. Structural Measures

4. Web Address for Equity Report

https://www.adventisthealth.org/about-us/health-equity

5. Download Equity Measures Report

Click on the link below to download the equity measures report.

6. Looking for Related Reports?

• Hospital Supplier Diversity Plan
• Hospital Fair Billing Policies
• Hospital Profile