COAST PLAZA HOSPITAL

13100 STUDEBAKER ROAD, NORWALK, CA 90650
HCAI ID
106190766
Reporting Organization
Coast Plaza Hospital
Report Period
01/01/2024 – 12/31/2024
Hospital / Hospital System
Hospital
Report Type
General Acute Care Hospital
License No
930000162
Licensee
CPH HOSPITAL MANAGEMENT, LLC
County
Los Angeles

System Report

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. HCAHPS survey-recommend hospital
Sex Assigned at Birth Female 61.8% Male 72.9% 1.20
2. HCAHPS survey-recommend hospital
Race and/or Ethnicity White 59.1% Asian 88.2% 1.50
3. HCAHPS survey-recommend hospital
Race and/or Ethnicity Hispanic or Latino 71.1% Asian 88.2% 1.20
4. HCAHPS survey-received information
Age (excluding maternal measures) 65 and older 69.2% 35 to 49 89.5% 1.30
5. HCAHPS survey-received information
Race and/or Ethnicity Hispanic or Latino 80.0% Asian 92.9% 1.20
6. HCAHPS survey-received information
Race and/or Ethnicity White 61.1% Asian 92.9% 1.50
7. HCAI 30-Day readmission
Race and/or Ethnicity Hispanic or Latino 17.0% Asian 13.1% 1.30
8. HCAI 30-Day readmission
Race and/or Ethnicity Black or African American 18.6% Asian 13.1% 1.40
9. HCAI 30-Day readmission
Race and/or Ethnicity White 18.2% Asian 13.1% 1.40
10. HCAI 30-Day readmission
Age (excluding maternal measures) 65 and older 18.5% 50 to 64 13.5% 1.40

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2. Equity Plan

Coast Plaza Hospital will address the ten identified disparities through a coordinated, equity-focused improvement plan designed to strengthen communication, enhance patient education, standardize discharge practices, and improve care transitions across demographic groups. Key interventions include expanding culturally responsive communication, reinforcing AIDET and teach-back, implementing bilingual and literacy-sensitive education materials, and increasing caregiver involvement in discharge processes—particularly for older adults and racial/ethnic groups with lower experience scores. To reduce readmissions among Hispanic/Latino, Black or African American, White, and older adult populations, the hospital will enhance risk stratification workflows, expand pharmacist-involved medication reconciliation, encourage timely follow-up appointments, and provide targeted post-discharge care instructions for high-risk groups. Social needs screening, community partnerships, and care navigation support will help address underlying drivers of preventable readmissions. Through clear measurable objectives, routine leadership review, and standardized performance tracking, Coast Plaza Hospital will reduce disparities in patient experience, improve education and understanding of care plans, and strengthen equitable, safe, and coordinated care for all patients.

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

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5. Download Equity Measures Report

Click on the link below to download the equity measures report.

Hospital Equity Measures Report Download

Click on the link below to download all equity measures reports.

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