HI-DESERT MEDICAL CENTER
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
|
Age (excluding maternal measures) | 35 to 49 | 15.7% | 18 to 34 | 4.6% | 3.40 |
|
2.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 65 and older | 14.5% | 18 to 34 | 4.6% | 3.20 |
|
3.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 50 to 64 | 13.0% | 18 to 34 | 4.6% | 2.80 |
|
4.
HCAI 30-Day readmission
|
Race and/or Ethnicity | White | 14.7% | Hispanic or Latino | 6.9% | 2.10 |
|
5.
HCAI 30-Day readmission
|
Expected Payor | Medicare | 15.0% | Private | 7.9% | 1.90 |
|
6.
HCAI 30-Day readmission
|
Sex Assigned at Birth | Male | 17.1% | Female | 9.9% | 1.70 |
|
7.
HCAI 30-Day readmission
|
Expected Payor | Medicaid | 10.7% | Private | 7.9% | 1.40 |
2. Equity Plan
Hi-Desert Medical Center strives to treat every patient equally with inclusion, courtesy and respect. In review of our Hospital Wide all cause readmission rates, drilling down to our sub populations, we feel pneumonia patients may be one area we may be able to see the most impact from the interventions we have and plan to put in place. We continue to review our data on a monthly basis to determine next steps. Using a predictive analysis platform with our vendor we determined that we could:
Reduce 30-day readmission rate for patients with Pneumonia
Reduce the 30-day Pneumonia readmission rate from 19.78% to 15.3%, to reach the 90th percentile for the PY 2028 based on the CMS forecasted performance period of 7/1/2023-6/30/2026.
This will be accomplished by screening all patients and identifying patients at risk for readmission, ensuring they have a discharge appointment within 7 days of discharge, ensure optimization of medications, evaluating SDOH and providing resources and referrals as needed and other interventions as we reassess.
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 |
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.