AURORA CHARTER OAK
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 CO
|
Race and/or Ethnicity | American Indian or Alaska Native | 52.0% | Asian | 6.3% | 8.30 |
|
2.
HCAI 30-Day readmission
|
Race and/or Ethnicity | American Indian or Alaska Native | 52.0% | Asian | 9.8% | 5.30 |
|
3.
HCAI 30-Day readmission
|
Gender Identity | Male | 19.3% | Not disclosed | 4.4% | 4.40 |
|
4.
HCAI 30-Day readmission
|
Sexual Orientation | Straight or heterosexual | 20.5% | Choose not to disclose | 7.0% | 2.90 |
|
5.
HCAI 30-Day readmission MHD
|
Expected Payor | Medicare | 8.7% | Private | 4.1% | 2.10 |
|
6.
HCAI 30-Day readmission CO
|
Age (excluding maternal measures) | 35 to 49 | 12.4% | 18 to 34 | 6.6% | 1.90 |
|
7.
HCAI 30-Day readmission MHD
|
Race and/or Ethnicity | Black or African American | 6.6% | Hispanic or Latino | 4.0% | 1.70 |
|
8.
HCAI 30-Day readmission CO
|
Gender Identity | Male | 10.9% | Female | 6.4% | 1.70 |
|
9.
HCAI 30-Day readmission
|
Expected Payor | Medicare | 22.8% | Medicaid | 15.5% | 1.50 |
|
10.
HCAI 30-Day readmission CO
|
Expected Payor | Medicare | 14.0% | Medicaid | 11.0% | 1.30 |
2. Equity Plan
Aurora Charter Oak Hospital is committed to reducing readmission rates especially for populations experiencing health disparities. Of the top ten disparities identified for Aurora Charter Oak Hospital, all ten are related to readmissions. American Indian/Alaska Native, White, Black/African American, and Hispanic/Latino patients have a higher readmission rate compared to the Asian reference group. American Indian/Alaska Native have a higher rate ratio compared to other race/ethnicity groups for All-Cause Unplanned 30-Day Readmission Date in an IPF and All-Cause Unplanned 30-Day Readmission Date, stratified by behavioral health diagnosis (Co-Occurring Disorder). Males have a higher readmission rate compared to the female reference group for gender identity. Males have a higher rate ratio compared to females for All-Cause Unplanned 30-Day Readmission Date in an IPF and All-Cause Unplanned 30-Day Readmission Date, stratified by behavioral health diagnosis (Co-Occurring Disorder). Straight/heterosexual patients have a higher readmission rate compared to other sexual orientations. Straight/heterosexual patients have a higher rate ratio compared to other sexual orientation groups for All-Cause Unplanned 30-Day Readmission Date in an IPF, All-Cause Unplanned 30-Day Readmission Date, stratified by behavioral health diagnosis (Co-Occurring Disorder) and All-Cause Unplanned 30-Day Readmission Date, stratified by behavioral health diagnosis (Mental Health Disorder). Some patients chose not to disclose their sexual orientation upon and during their inpatient hospitalization. Finally, patients with federal health insurance have a higher readmission rate compared to the private pay reference group. Patients on Medicare have a higher rate ratio compared to other expected payors for All-Cause Unplanned 30-Day Readmission Date in an IPF, All-Cause Unplanned 30-Day Readmission Date, stratified by behavioral health diagnosis (Co-Occurring Disorder) and All-Cause Unplanned 30-Day Readmission Date, stratified by behavioral health diagnosis (Mental Health Disorder). In an effort to close this gap, Aurora Charter Oak Hospital is building a program that concurrently manages patients with identified disparities in-house and following-up with post-discharge education and follow up care. Reducing avoidable 30-day unplanned readmissions among this population requires a coordinated, multidisciplinary approach which includes, but is not limited to the emphasis of risk identification, transitional care and housing, medication management, and next level of care treatment referrals (e.g., psychiatrist, psychologist, therapist, mental health clinics, etc.). The reduction of 30-day readmissions is part of the quality assessment and performance improvement plan. Using a data-driven approach, readmissions for patients with disparities are evaluated for trends and opportunities for improvement. The goal of this scope of work is to reduce 30-day unplanned hospital readmission rates by ten percent within the next two years.
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.