HAZEL HAWKINS MEMORIAL 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
|
Expected Payor | Medicare | 15.3% | Medicaid | 8.1% | 1.90 |
|
2.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 65 and older | 16.2% | 50 to 64 | 10.7% | 1.50 |
|
3.
HCAI 30-Day readmission
|
Race and/or Ethnicity | White | 12.0% | Hispanic or Latino | 9.3% | 1.30 |
|
4.
HCAI 30-Day readmission
|
Sex Assigned at Birth | Male | 11.6% | Female | 9.5% | 1.20 |
|
5.
CMQCC breast milk feeding
|
Age (for maternal measures only) | 18 to 29 | 72.9% | 30 to 39 | 77.7% | 1.10 |
2. Equity Plan
Despite numerous initiatives aimed at reducing racial and ethnic disparities in healthcare, progress has been slow and irregular. Addressing healthcare disparities in critical access hospitals (CAH) also involves consideration of geographical challenges and the impact of location on health equity. The vast majority of the United States' rural population faces significant healthcare disparities, with rural counties often experiencing lower life expectancy and higher rates of chronic conditions compared to urban areas. By bringing together diverse stakeholders, Hazel Hawkins Memorial Hospital is able to demonstrate a shared commitment to addressing disparities.
The following plan is a comprehensive effort to develop a Health Care Equity Plan, underscoring the collaborative efforts and strategic measures to reduce disparities and improve the quality and safety of care for diverse and disparate populations in San Benito County, California.
Goals: 1. Establish clear, measurable goals for improving health equity using data to identify trends, disparities, and outcomes, 2. Define objectives and targeted interventions for each goal, tailored to address and reduce specific disparities, 3. Incorporation of health equity into the organizational mission and values, 4. Mandatory training in cultural competency, implicit bias, and health literacy, 5. Collaboration with community organizations to address social determinants of health, 6. Standardize collection of patient demographic information, 7. Integrate health equity into quality improvement projects, 8. Development of non-discriminatory policies, 9. Procedures to address grievances related to discrimination or poor access to care, 10. Provision of interpreter services and materials in multiple languages to ensure effective communication with 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 |
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.