ADVENTIST HEALTH LODI MEMORIAL
1. Top 10 Disparities
The following table lists the ten largest health equity disparities identified for this reporting period.
Disparities for each hospital equity measure are identified by comparing the rate ratios by stratification groups. Rate ratios are calculated differently for measures with preferred low rates and those with preferred high rates. Rate ratios are calculated after applying the California Health and Human Services Agency's "Data De-Identification Guidelines (DDG)," dated September 23, 2016.
The table below highlights the ten widest health equity disparities identified by hospitals and hospital systems during this reporting period. Measure names have been shortened for display purposes. To view each measure in full, please download the complete Hospital Equity Report using the link below.
| Measure | Stratification | Stratification Group | Stratification Group Rate | Reference Group | Reference Rate | Rate Ratio |
|---|---|---|---|---|---|---|
|
1.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 65 and older | 17.3% | 18 to 34 | 6.5% | 2.70 |
|
2.
HCAI 30-Day readmission
|
Expected Payor | Medicare | 17.9% | Private | 7.2% | 2.50 |
|
3.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 50 to 64 | 16.1% | 18 to 34 | 6.5% | 2.50 |
|
4.
HCAI 30-Day readmission
|
Expected Payor | Medicaid | 13.5% | Private | 7.2% | 1.90 |
|
5.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 35 to 49 | 11.9% | 18 to 34 | 6.5% | 1.80 |
|
6.
HCAI 30-Day readmission
|
Race and/or Ethnicity | Black or African American | 18.8% | Hispanic or Latino | 12.3% | 1.50 |
|
7.
HCAI 30-Day readmission NOBH
|
Sex Assigned at Birth | Male | 16.7% | Female | 11.7% | 1.40 |
|
8.
HCAI 30-Day readmission
|
Sex Assigned at Birth | Male | 17.0% | Female | 13.0% | 1.30 |
|
9.
HCAI 30-Day readmission
|
Race and/or Ethnicity | White | 15.3% | Hispanic or Latino | 12.3% | 1.20 |
|
10.
HCAI 30-Day readmission
|
Race and/or Ethnicity | Asian | 13.5% | Hispanic or Latino | 12.3% | 1.10 |
2. Equity Plan
The 2025 Adventist Health Lodi Memorial Community Health Needs Assessment (CHNA) identified ten key disparities affecting San Joaquin County. Guided by the upcoming Community Health Improvement Plan (CHIP) and Community Health Implementation Strategy (CHIS), the following actions, populations, objectives, and timelines have been defined for 2025–2028 implementation.
1. Access to Care
Expand mobile and pop-up clinics, recruit culturally and linguistically competent providers, and assist residents with insurance enrollment. Strengthen partnerships with community organizations to improve reach and trust.
Impact: Underserved residents, women of color, and rural populations.
Goals: Increase adult insurance coverage to 90% and reduce uninsured children below 2% by 2028.
2. Mental and Behavioral Health (Including Substance Use)
Integrate behavioral health into primary care, expand crisis response services, and continue the Substance Use Navigator (SUN) program in emergency departments. Promote youth mental health and substance use prevention.
Impact: Youth, unhoused individuals, and rural residents.
Goals: Reduce suicide and overdose deaths by 10% and increase behavioral health provider access by 2028.
3. Chronic Disease / Healthy Eating, Active Living (HEAL)
Address obesity, diabetes, and heart disease through nutrition education, affordable food access, and increased safe spaces for physical activity. Collaborate with schools, food networks, and parks.
Impact: Low-income residents, communities of color, and food desert areas.
Goals: Reduce obesity and diabetes rates by 5% and increase local access to healthy food options by 2028.
4. Housing
Expand transitional and supportive housing programs, increase rental and utility assistance, and advocate for affordable housing near employment and transit hubs.
Impact: Low-income families, immigrants, older adults, and individuals with disabilities.
Goals: Reduce homelessness by 15% and increase housing stability indicators by 2028.
5. Economic Stability
Strengthen workforce development, job readiness programs, and digital literacy training to improve post-pandemic recovery. Support local business and equitable hiring.
Impact: Unemployed and underemployed residents.
Goals: Decrease unemployment disparities by 50% and raise average household income in targeted areas by 10% by 2028.
6. Social Support
Expand caregiver and youth mentorship programs, community resource hubs, and elder support groups to combat social isolation and improve resilience.
Impact: Rural residents, caregivers, and foster youth aging into adulthood.
Goals: Reduce social isolation by 10% and increase participation in community support programs by 25% by 2028.
7. Community Safety
Collaborate with local coalitions and law enforcement on violence prevention and neighborhood revitalization. Increase lighting and safe public spaces to promote outdoor activity.
Impact: Children, older adults, and residents in high-crime neighborhoods.
Goals: Reduce violent crime and injury-related hospitalizations by 10% by 2028.
8. Education
Expand preschool enrollment, tutoring, and career readiness programs. Partner with schools for health education and post-secondary preparation.
Impact: Students of color, English learners, and rural youth.
Goals: Improve preschool enrollment to 45% and raise graduation rates by 5% by 2028.
9. Food Security
Enhance food bank networks, mobile pantries, and community gardens. Increase SNAP participation and nutrition education in low-income communities.
Impact: Low-income households and rural families.
Goals: Decrease food insecurity by 10% and raise SNAP participation by 15% by 2028.
10. Transportation
Work with local transit agencies to improve transportation to healthcare, employment, and food access. Develop safe walking and biking paths and expand paratransit options.
Impact: Seniors, rural residents, and people with disabilities.
Goals: Increase access to reliable transportation for medical visits by 20% and reduce missed appointments by 2028.
Implementation and Evaluation
All strategies align with the 2025–2028 CHIP and CHIS frameworks through the Healthier San Joaquin Collaborative. Progress will be evaluated annually using key performance indicators such as access rates, chronic disease outcomes, and social determinant metrics. Results will be shared publicly via HealthierSanJoaquin.org and annual hospital reports.
Through these coordinated, evidence-based actions, Adventist Health Lodi Memorial aims to advance equity, reduce health disparities, and promote long-term wellness for all San Joaquin County residents.
3. Structural Measures
| Centers for Medicare & Medicaid Services (CMS) Hospital Commitment to Health Equity Structural (HCHE) Measure | Yes/No |
|---|---|
Our hospital system strategic plan identifies priority populations who currently experience health disparities |
Yes |
Our hospital system strategic plan identifies healthcare equity goals and discrete action steps to achieve these goals |
Yes |
Our hospital system strategic plan outlines specific resources that have been dedicated to achieving our equity goals |
Yes |
Our hospital system strategic plan describes our approach for engaging key stakeholders, such as community-based organizations |
Yes |
Our hospital strategic plan identifies healthcare equity goals and discrete action steps to achieve these goals |
Yes |
Our hospital system has training for staff in culturally sensitive collection of demographics and/or social determinant of health information |
Yes |
Our hospital system inputs demographic and/or social determinant of health information collected from patients into structured, interoperable data elements using a certified EHR technology |
Yes |
Our hospital system stratifies key performance indicators by demographic and/or social determinants of health variables to identify equity gaps and includes this information in hospital performance dashboards |
Yes |
Our hospital system participates in local, regional or national quality improvement activities focused on reducing health disparities |
Yes |
Our hospital system senior leadership, including chief executives and the entire hospital board of trustees, annually reviews our strategic plan for achieving health equity |
Yes |
Our hospital system senior leadership, including chief executives and the entire hospital board of trustees, annually reviews key performance indicators stratified by demographic and/or social factors |
Yes |
5. Download Equity Measures Report
Click on the link below to download the equity measures report.
Click on the link below to download all equity measures reports.