AURORA SAN DIEGO
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.
No disparity data for this period.
2. Equity Plan
As the data collected was limited, Aurora San Diego was unable to identify the disparities across priority populations for 2024. That said, we have developed a Health Equity Plan to ensure that disparities are addressed in the future for our patients. It includes continued growth and development across the priority performance areas in the sections below with specific attention to understanding how disparities affect access to care and patient outcomes. We have tasked our IT department with developing ways to aggregate the data that we currently collect for the different stratification categories so that we can analyze outcomes across the Quality Indicators separated out by Race and/or Ethnicity, Age, Sex Assigned at Birth, Payer Type, Preferred Language, Disability Status, Sexual Orientation, and Gender Identity. This will allow us to analyze the data for each reference group and compare this to national data. We are also developing training for our Intake, Social Services, and Clinical departments who collect this data to ensure that the data is complete, accurate, and collected in culturally sensitive and appropriate ways. In addition, we are developing resources for each of the stratification and reference groups to assist in targeted education about culture-specific interventions and care that address possible and actual disparities. This will: (a) assist our Intake team in employing cultural humility during the assessment of patients while continuously training them in best practices for working with diverse individuals seeking treatment as well as the nuances of differential symptom presentation across stratification and reference groups; (b) assist our Clinical Services teams in investigating and learning about current best practices in assessment and treatment for each of the stratification and reference groups to ensure that we are on the cutting edge of patient-centered, trauma-informed, whole-person care that takes into account the effects that disparities have on the mental health, substance use, and wellbeing of our patients; (c) assist our Social Services and Case Management teams in providing patient-specific resources for aftercare and discharge planning that address the unique cultural needs of our patients based on their intersectional group membership; (d) provide direction for our Business Development, Community Outreach, and Psychoeducation teams to seek out new partnerships and relationships with providers and resources in the community that address the needs of our diverse population in addition to outreach in these communities to continue to receive feedback about the effectiveness of our programs and care; and (e) allow our Quality Assurance team to better track analytics on our performance across key Quality Indicators with these stratification and reference groups.
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.