ADVENTIST HEALTH DELANO

1. Top 10 Disparities

2. Equity Plan

Disparity and Population Impact 1-5: Age Group: 65 and older: The age group of 65 and older has a disparity rate of 17.5% in comparison to the reference age range of 18-34 of a 2.5% for All Cause 30 Day Unplanned Readmissions, creating a return ratio of 6.9. Age Group: 50-64: The age range of 50-64 has a disparity rate of 16.4% in comparison to the reference age range of 18-34 of a 2.5% for All Cause 30 Day Unplanned Readmissions, creating a return ratio of 6.5. Age Group 35 to 49: The age range of 35-49 has a disparity rate of 10.8% in comparison to the reference range of 18-34 of a 2.5% for All Cause 30 Day Unplanned Readmissions, creating a return ratio of 4.3. Expected Payor: Medicare: The Medicare patient population as a disparity rate of 20.3% in comparison to the reference range of Medicaid with 6.4% for All Cause 30 Day Unplanned Readmissions, creating a return ratio of 3.2. Race and Ethnicity: White: The race and ethnicity population, White, has a disparity rate of 15.4% in comparison to the reference range for Hispanic or Latino of 9.2% for All Cause 30 Day Unplanned Readmissions, creating a return ratio of 1.7. Analysis: The age range of 65 and older have the highest disparity for 30 Day Unplanned Readmissions with further analysis showing that the male patient population makes up 20.5%, race and ethnicity populations from Black or African American 27.3%, White 21.3% and Hispanic or Latino 17.6%, language disparities for Asian/ Pacific Islander 33% and Spanish 17.7%, and lastly a higher rate for mental health disorders 27% in comparison to the 15.1% statewide average. The age range of 50-64 have a high disparity for 30 Day Unplanned Readmissions with further analysis within that age grouping showing that females 18% have a higher return rates than patients with Medi-Cal 19.2%, and lastly patient populations with mental health disorders 37.5% and substance use disorders 35.7% have a higher return rates in comparison to the statewide average of 15.1%. The age range of 35 to 49 have a high disparity for 30 Day Unplanned Readmissions with further analysis within that age group, revealing the male population 23.5% has a significant return rate in comparison the females 3.5%, Medicare payer 57.1%, English speakers 13.3%, and substance use disorders 26.1% within that age range in comparison to the statewide average of 15.1%. The Medicare patient population has a high disparity for 30 Day Unplanned Readmissions with analysis in into that population group identifying further disparity for the age range 35 to 49 57.1%, male patients 24.6%, Medicare payor 20/3%, race and ethnicity populations of Asian/ Pacific Islander 28.6%, English 22%, and Spanish 17%, and lastly mental health 29.5% and substance use disorders 33.3% within the Medicare payor population in comparison to the 15.1% statewide average. The race and ethnicity White population have a high disparity for the 30 Day Unplanned Readmissions with further analysis of the identified group, has further disparity related to the age population 65 and older 21.3%, Medicare payer 21.4%, and mental health disorders 32% in comparison to the 15.1% statewide average. 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 exploration and development to address access barriers for high-risk readmission patients. Medication delivery options shared as part of the discharge planning that deliver to surrounding communities. Follow up calls to help assist with care coordination post disposition are made within 48hrs of discharge for all high-risk readmission patients. Objectives: Reduce All-Cause Unplanned 30-Day Hospital Readmission Disparity Rate for age group 65 and older by 1% within 24 months. Reduce All-Cause Unplanned 30-Day Hospital Readmission Disparity Rate for age group 50-64 by 1% within 24 months. Reduce All-Cause Unplanned 30-Day Hospital Readmission Disparity Rate for age group 35-49 by 1% within 24 months. Reduce All-Cause Unplanned 30-Day Hospital Readmission Disparity Rate for payer of Medicare by 1% within 24 months. Reduce All-Cause Unplanned 30-Day Hospital Readmission Disparity Rate for race/ethnicity White by 1% within 24 months. Timeframe: All action plans are to begin by January 2026 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 Profile
• Hospital Fair Billing Policies