ORANGE COUNTY GLOBAL MEDICAL CENTER

1. Top 10 Disparities

2. Equity Plan

At Orange County Global Medical Center, we have already begun a multidisciplinary deeper dive into the equity data to better understand where we can make the biggest difference and reduce gaps in care, with the goal of decreasing disparities for all patients, particularly those identified in the equity report. This work is in progress and will continue through 2026, with ongoing reviews to ensure we are meeting our goals. To address our top identified disparity populations, we have implemented a comprehensive plan that combines care coordination, patient education, social support, and community partnerships. We are addressing our identified disparity populations through the following actions: - Inpatient multidisciplinary rounds (MDRS). - Educational assessment completed and evaluated by an RN/case manager. - Health literacy promotion through readback / teach back education. - Translation and interpretive services for language and hearing barriers. - Screening admitted patients using social determinants of health (SDOH). Using specific questions upon admission and discharge, we identify challenges and patients with positive screens will receive documented intervention and follow up - We refer patients to local food banks/pantries and soup kitchens (a list of these resources is provided in English and Spanish). - We refer Medicare patients for help with transportation to their medical appointments as well as certain Medi-Cal patients whose insurance plan allows. We also provide buss vouchers when needed. - we are compliant with Senate Bill 1152 to ensure needs for transportation, weather appropriate clothing, provision of a meal, and medications are offered to those experiencing homelessness. - Interpreter services are provided to communicate using the patient's preferred language. -- New employee orientation and annual education is provided to all staff for health equity, workplace violence, and implicit bias competencies for OB staff. - We provide a list of local resources, in English and Spanish, that includes food banks, and other community resources that can be helpful to our patients. - For patients whose plans do not offer home health care, we may keep these patients for an extra day in the hospital to ensure they have a safe discharge and to reduce the risk of readmission. - We identify patients who will not qualify for Skilled Nursing Facility (SNF) placement promptly and notify the patient care team so they can work on mobility and strengthening as soon as appropriate; we often keep these patients an extra 1-2 days to work with physical therapy on strengthening and mobility to ensure a safe discharge and decreased risk of readmission. - For added support to substance use disorder (SUD) patients in our community, including Medi-Cal and Medicare patients, we refer to our community SUD program AND/OR refer to medication assisted treatment (MAT) program for medication assisted treatment, and refer patients to Alcoholics Anonymous (AA). We offer these options to help support patients while they are waiting for an inpatient rehabilitation bed to become available. - To better support continuity of care, we attempt to schedule a follow-up appointment for discharged patients with their PCP or connect them with a PCP if they do not have one. -We conduct follow-up calls with our OB patients to ensure they have timely access to post-partum care. -For patients with SUD, we attempt to schedule a follow up visit for them after emergency room discharges to ensure they have timely access to clinic appointments. Other key initiatives are: Identifying priority populations and equity goals. Allocating resources for equity initiatives Training staff in culturally sensitive data collection Documenting SDOH in the EHR Engaging in disparity-focused quality improvement We meet regularly to monitor progress, address gaps, and drive continuous improvement, reflecting our commitment to equitable care for all patients. To address disparities in breast feeding rates we support our staff in becoming Certified Lactation Counselor (CLC) trained so families have more access for in-person consults while in our care. Cultural factors are considered in providing personalized care to promote Culturally Competent Care. To reduce the rates of unnecessary Cesarean procedures we focus on patient education, continuous monitoring, and policy reforms taking into consideration cultural factors. By 2026, at least 90% of all patients will be screened for SDOH; 80% of patients with positive screens will receive documented intervention and follow up by LCSW/case management prior to discharge.

3. Structural Measures

5. Download Equity Measures Report

Click on the link below to download the equity measures report.

6. Looking for Related Reports?

• Hospital Supplier Diversity Plan
• Hospital Profile
• Hospital Fair Billing Policies