COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA
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
|
Expected Payor | Medicaid | 14.9% | Private | 7.1% | 4.20 |
|
2.
HCAI 30-Day readmission
|
Expected Payor | Medicare | 14.6% | Private | 7.1% | 4.10 |
|
3.
HCAI 30-Day readmission
|
Expected Payor | Other | 11.4% | Private | 7.1% | 3.20 |
|
4.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 65 and older | 14.5% | 18 to 34 | 6.8% | 2.10 |
|
5.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 50 to 64 | 13.2% | 18 to 34 | 6.8% | 1.90 |
|
6.
HCAI 30-Day readmission
|
Race and/or Ethnicity | Black or African American | 18.8% | Hispanic or Latino | 10.9% | 1.70 |
|
7.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 35 to 49 | 9.9% | 18 to 34 | 6.8% | 1.50 |
|
8.
AHRQ pneumonia mortality rate
|
Sex Assigned at Birth | Male | 66.5% | Female | 45.8% | 1.40 |
|
9.
HCAI 30-Day readmission
|
Race and/or Ethnicity | Multiracial and/or Multiethnic (two or more races) | 15.3% | Hispanic or Latino | 10.9% | 1.40 |
|
10.
HCAI 30-Day readmission NOBH
|
Sex Assigned at Birth | Male | 13.0% | Female | 10.1% | 1.30 |
2. Equity Plan
Community Hospital of the Monterey Peninsula (CHOMP), part of Montage Health, is focusing on reducing hospital readmissions in 2026. We've found that some groups of patients - such as older adults, people with Medicare or Medicaid, and certain racial and ethnic communities - are more likely to return to the hospital within 30 days of discharge. We want to change that. To help, we've created a Readmission Reduction Workgroup that will use national best practices and improve how we collect and use data about patients' health and social needs. This will help us better understand what drives readmissions and how to prevent them. Our data shows that readmission rates for conditions like heart failure, COPD, pneumonia, and joint replacements are higher than benchmarks, especially for vulnerable populations. To address this, we're using tools that identify patients at higher risk and connecting them with extra support - such as follow-up phone calls, care coordination, and chronic care management. We're also making it easier to get care when you need it. Montage Health is expanding same-day care options through our Call Us First campaign, more urgent care centers, telehealth visits, and additional providers. Finally, we're proud to participate in Monterey County's Community Health Needs Assessment every three years. This helps us and our partners understand local health challenges and plan solutions that make a real difference.
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.