BEAR VALLEY COMMUNITY HOSPITAL
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
To address our top ten disparities that were identified, we have implemented plans that emphasize population-level impact, measurable objectives, and clear timeframes. Actions will include the use of evidence-based, targeted interventions tailored to the needs of the most affected groups, along with strong engagement of community partners, local organizations, and stakeholders to ensure approaches are culturally responsive and accessible. Policy and system-level changes will also be prioritized to remove barriers and eliminate practices that unintentionally perpetuate disparities. These priorities have been formally incorporated into the organization's strategic plan, and findings were further informed by the most recent Community Health Needs Assessment (CHNA). To extend reach and impact, partnerships have also been established with community-based organizations (CBOs) to perform targeted outreach to at-risk populations and improve connections to care. Progress will be closely monitored through data collection and analysis, with outcomes. Specific measurable objectives will include improvements in access, reductions in outcome gaps, and increased patient and community satisfaction. Together, these actions create a structured, time-bound approach that aligns strategies with the goal of advancing equity and improving outcomes across all identified disparities.
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 |
4. Web Address for Equity Report
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.