HUNTINGTON BEACH 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 | 14.0% | Medicaid | 11.0% | 2.60 |
|
2.
HCAI 30-Day readmission
|
Race and/or Ethnicity | White | 13.6% | Hispanic or Latino | 8.9% | 1.50 |
|
3.
HCAI 30-Day readmission
|
Race and/or Ethnicity | Asian | 11.9% | Hispanic or Latino | 8.9% | 1.30 |
|
4.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 65 and older | 14.2% | 50 to 64 | 11.4% | 1.20 |
2. Equity Plan
Huntington Beach Hospital Top Disparities
Expected (Payor)
Medicare (13.7) patients had unplanned 30day higher readmission rate compared to Medicaid (9.6)
Race or Ethnicity
White (13.7) and Asian (11.2) patients had higher unplanned 30-day readmissions rate compared to Hispanic (8.9)
Age
Patients Greater than or equal to 65 had higher unplanned 30day readmission rates (13.8) compared to adults 50 to 64 (8.9)
Action Plan
Medicare patients may miss their follow up appointments due to lack of home support Social Work consult placed to link patients with Medicare funded community-based services or programs. Also, case management to reach out to Medicare beneficiaries before discharge
Prioritize medication reconciliation for Medicare patients with complex regimens
Discharge planner to launch targeted patient education on medication management and follow-up visits, and specifically for the Asian population Also, individualize discharge instructions and After Visit Summaries with preferred language. Translation services are also provided to ensure all communicated information is understood
Discharge Planner to follow up with patients with high-risk conditions for readmission. Include family members in discharge planning process. Specifically, with the Caucasian population we ensure to focus on family and home support and social work to link them with community-based services or programs
Strengthen partnerships with community clinics for improved transition of care on a quarterly basis
Launch targeted patient education on follow-up visits, appointment with PCP and ensure continuity of care
Social work to provide community-based resources for all disparities with low compliance
Educational teaching upon discharge with teach-back method
Recently obtained accreditation for Geriatrics in the Emergency Department. Protocols have been implemented to help with geriatric-centered care, in addition to resources and support provided upon discharge from the Emergency Department
Measurable objectives
10% reduction in all disparities identified
Specific timeframe
All initiatives to be initiated or continued. Q4 2025 to Q4 2026
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.