KINDRED HOSPITAL – BALDWIN PARK
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.
AHRQ pneumonia mortality rate
|
Race and/or Ethnicity | Asian | 343.8% | White | 271.4% | 1.30 |
|
2.
AHRQ pneumonia mortality rate
|
Sex Assigned at Birth | Female | 314.3% | Male | 276.9% | 1.10 |
2. Equity Plan
Upon full compliance with all equity reporting and privacy requirements, two disparities were identified among the stratified measures for Baldwin Park.
Disparity #1: Data from the Agency for Healthcare Research and Quality (AHRQ) shows that in 2024, pneumonia-related mortality rates were higher among Asian patients. This difference may be related to delays in early detection, timely treatment, or barriers such as limited English proficiency, or lack of culturally appropriate education. Addressing the disparity is important to ensure safe, equitable care and better outcomes for our patients. Our goal is to reduce pneumonia related mortality among Asian patients by at least 10% by the end of 2026. To support this, we will focus on improving communication and patient participation, including increasing documented use of interpreter services by 25% for Asian patients with limited English proficiency by the end of 2026. We also aim to increase influenza and pneumococcal vaccine compliance by 15%. These interventions will begin in the first quarter of 2026, with progress monitored annually.
Disparity #2: According to the Agency for Healthcare Research and Quality (AHRQ), male patients had a higher pneumonia-related mortality rate in 2024 compared with the female reference group. The difference may be related to factors such as underlying medical conditions, delays in reporting symptoms, or differences in clinical presentation. Addressing this disparity is important to ensure early detection and improve outcomes for our male patients within our facility. We also aim to increase influenza and pneumococcal vaccine compliance by 15%. Our goal is to reduce pneumonia related mortality among male patients by at least 10% by the end of 2026. These interventions will begin in the first quarter of 2026, with progress monitored annually.
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.