ADVENTIST HEALTH TEHACHAPI VALLEY

1. Top 10 Disparities

2. Equity Plan

Disparity 1-6 and Population Impact: Expected Payor: Other. The payer "other" disparity rate 20.8% with a reference rate for Medicare populations of 14.2%, for All Cause 30 Day Unplanned Readmissions, creating a return ratio of 1.5. Race and/or Ethnicity: Black or African American. The Black or African American population disparity rate 18.1% with a reference rate for Hispanic of Latino populations of 12.7% for All Cause 30 Day Unplanned Readmissions, creating a return ratio of 1.4. Race and/or Ethnicity: White. The White populations disparity rate 15.1% with a reference rate for Hispanic or Latino populations of 12.7%, for All Cause 30 Day Unplanned Readmissions, creating a return ratio of 1.2. Expected Payor: Medicaid. The Medicaid disparity rate 16.2% with a reference rate for Medicare populations of 14.2%, for All Cause 30 Day Unplanned Readmissions, creating a return ratio of 1.1. Sex Assigned as Birth: Female. Disparity Rate 15.6% while the male reference group is 14.4%, for All Cause 30 Day Unplanned Readmissions, creating a return ratio of 1.1. Age: 50-64 years. The age range of 50-64 disparity rate 15.1% while the 65 and older reference group is 14.1%, for All Cause 30 Day Unplanned Readmissions, creating a return ration of 1.1. Analysis: The "Other" payer category consists of invalid or not provided insurance, county indigent programs, government, and workmen's compensation programs. Analysis of the "other" payer group show disparities for male patients at 22.7% as compared to female patients at 11.1% and are predominately Black or African American at 40% or White 20% as listed as their race/ethnicity compared to the statewide average. Black and African American populations have a higher rate of 30-Day Unplanned Readmissions with a return ratio of 1.4. Further analysis within that patient population show that there are disparities for males 20.7%, age range of 18-34 33.3%, and self-pay or "other" payer groups 50%. White populations have a higher disparity for 30 Day Unplanned Readmission with analysis of that disparity showing female patients make up 16.7% and the age group 35-49 make up 18.6% of the disparity group. Medicaid populations have a higher disparity of 14.2% as compared to the statewide average, with analysis showing that Medicaid patients have a higher rate of race/ethnicity White of 18.3% and behavioral health indicators showing mental health disorders at 20% and substance use disorders at 19.5%. For readmissions by sex, female population 15.6% in comparison to males. Further stratification of the disparities show a significant portion of the population is from the 35-49 age group 17.1%. The patient population age range of 50-64 have an identified disparity when compared to the 65 and older population. Further analysis of the 50-64 age range population shows that 29% of that population has "other" or self-pay payer listings and have a higher rate of substance use disorder behavioral health indicators 23.8%. 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 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. Objective: Reduce All-Cause Unplanned 30-Day Hospital Readmission Disparity Rate for payer of "Other" by 1% within 24 months. Reduce All-Cause Unplanned 30-Day Hospital Readmission Disparity Rate for race/ethnicity of Black and African American by 1% within 24 months. Reduce All-Cause Unplanned 30-Day Hospital Readmission Disparity Rate for race/ethnicity White population by 1% within 24 months. Reduce All-Cause Unplanned 30-Day Hospital Readmission Disparity Rate for payer of Medicaid by 1% within 24 months. Reduce All-Cause Unplanned 30-Day Hospital Readmission Disparity Rate for the Female sex by 1% within 24 months. Reduce All-Cause Unplanned 30-Day Hospital Readmission Disparity Rate for age range population 50-64 by 1% within 24 months. Timeframe: All action plans are to begin by January 2026 with a multidisciplinary committee leading 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