GREATER EL MONTE 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.
| Measure | Stratification | Stratification Group | Stratification Group Rate | Reference Group | Reference Rate | Rate Ratio |
|---|---|---|---|---|---|---|
|
1.
HCAI 30-Day readmission
|
Race and/or Ethnicity | White | 23.7% | Asian | 12.2% | 1.90 |
|
2.
HCAI 30-Day readmission
|
Race and/or Ethnicity | Black or African American | 18.6% | Asian | 12.2% | 1.50 |
|
3.
HCAI 30-Day readmission
|
Race and/or Ethnicity | Hispanic or Latino | 15.7% | Asian | 12.2% | 1.30 |
|
4.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 50 to 64 | 19.9% | 65 and older | 16.0% | 1.20 |
|
5.
HCAI 30-Day readmission
|
Sex Assigned at Birth | Female | 17.0% | Male | 15.1% | 1.10 |
|
6.
HCAI 30-Day readmission
|
Expected Payor | Medicaid | 16.9% | Medicare | 16.6% | 1.00 |
2. Equity Plan
Overall Goal
To reduce unplanned 30-day hospital readmission rates across identified disparity groups through targeted, evidence-based interventions that address clinical, social, and cultural barriers.
Background
Greater El Monte Community Hospital (GEMCH) identified six key disparities, all related to readmission rates. These disparities highlight performance gaps that affect both quality of care and cost-effectiveness. Contributing factors include inconsistent follow-up care, medication non-adherence, socioeconomic challenges, transportation barriers, limited access to care, language and literacy barriers, insurance gaps, affordability of medications, early return to work, gender bias in symptom management, social role stressors, and limited access to post-acute resources.
Action Plan
To address these disparities and improve equity in care, GEMCH will implement the following interventions:
Enhanced Discharge Planning:
Implement comprehensive discharge planning for high-risk patients with chronic conditions to ensure safe transitions of care.
Post-Discharge Outreach:
Strengthen follow-up communication by contacting patients within 72 hours of discharge to assess needs and reinforce discharge instructions.
Follow-Up Appointments:
Schedule primary care or specialty follow-up appointments within 7 days of discharge for all high-risk patients.
Medication Management:
Integrate pharmacist-led medication reconciliation and counseling calls to improve adherence and reduce medication-related readmissions.
Cultural and Linguistic Competency:
Provide cultural competency training for all staff, emphasizing effective communication and health literacy. Ensure discharge instructions are available in Spanish and other prevalent languages, written at an appropriate literacy level.
Language Access and Patient Education:
Expand bilingual staff coverage and interpreter availability during discharge education. Conduct teach-back audits to confirm patient understanding prior to discharge.
Equitable Access to Care:
Ensure all patients, regardless of demographic group, have equal access to follow-up testing, outpatient appointments, and community resources.
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.