COMMUNITY MEMORIAL HOSPITAL-SAN BUENAVENTURA
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
|
Race and/or Ethnicity | White | 11.1% | Asian | 7.6% | 2.90 |
|
2.
HCAI 30-Day readmission
|
Race and/or Ethnicity | Black or African American | 10.9% | Asian | 7.6% | 2.90 |
|
3.
HCAI 30-Day readmission
|
Race and/or Ethnicity | Hispanic or Latino | 9.6% | Asian | 7.6% | 2.50 |
|
4.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 50 to 64 | 13.5% | 18 to 34 | 5.3% | 2.50 |
|
5.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 65 and older | 12.3% | 18 to 34 | 5.3% | 2.30 |
|
6.
HCAI 30-Day readmission
|
Expected Payor | Medicare | 13.2% | Private | 6.0% | 2.20 |
|
7.
HCAI 30-Day readmission
|
Expected Payor | Medicaid | 10.8% | Private | 6.0% | 1.80 |
|
8.
HCAI 30-Day readmission NOBH
|
Sex Assigned at Birth | Male | 11.2% | Female | 6.5% | 1.70 |
|
9.
HCAI 30-Day readmission
|
Sex Assigned at Birth | Male | 12.7% | Female | 8.7% | 1.50 |
|
10.
CMQCC breast milk feeding
|
Race and/or Ethnicity | Hispanic or Latino | 57.6% | White | 81.3% | 1.40 |
2. Equity Plan
Community Memorial Hospital - Ventura recognizes that nine out of ten disparities reflected in our data are related to readmissions within 30 days and are closely tied to the demographics of our service area, including race, ethnicity, age, and payor type. While we cannot control the underlying community demographics, we can address the way these factors influence health outcomes by focusing on equitable access and treatment by implementing focused strategies that lessen their impact and advance equity in care delivery. The overall goal of reducing readmissions by 10% has been identified as one of main strategies for better patient outcomes. Patients are assessed for risk of readmissions and followed by case managers when moderate to high risk is identified. The Community Memorial Case Management department is collaborating with a transitional care management program for Medicare patients discharged to home, which involves initial contact within 48 hours, and 30 days follow up for medication reconciliation and support. Patients also receive post-discharge care through our Transition Care Management program at our clinics.
Community Memorial Hospital - Ventura received Geriatric Emergency Department Accreditation by ACEP in 2025. This accreditation is awarded to organizations who demonstrate their commitment to adopting best practices for older adults in the emergency department and are dedicated to providing the best care possible for the community's older adults.
The last disparity identified was related to breast feeding. We pride ourselves on having received the Excellence in Lactation Care Award, given by IBLCE and ILCA, as well as the Maternity Honor Role from the California Health and Human Services Agency. CMH- Ventura Community Memorial Hospital - Ventura has also been a designated Baby-Friendly Birth Facility for many years. This designation recognizes that a maternity facility has successfully implemented the Ten Steps to Successful Breastfeeding as stipulated by the WHO and Baby-Friendly USA. We will continue to provide education and support to all mothers who deliver their babies at our facility, and will work with our physicians on providing breast feeding education and other perinatal care to expecting mothers prior to their delivery date.
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.