PLUMAS DISTRICT 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.
No disparity data for this period.
2. Equity Plan
After applying the CalHHS Data-identification guideline, no disparities are identified.
In the United States, approximately 6% of adults reported that lack of reliable transportation impacted their access to medical care, meetings, or daily living needs in the past 12 month. Patient access to reliable and affordable transportation is a focus Plumas District Hospital has as part of our Health Equity initiative along with Social Determinants of Health (SDoH), impacting a patient's ability to access healthcare, transportation, food, education, social connections, and other aspects of quality of life. Transportation barriers can impact a variety of individuals, including patients with disabilities, low income patients, and racial/ethnic minority groups. Our Critical Access Hospital has developed action plans to address our identified transportation disparity and promote health equity regardless of payor source. • Non-Emergency Medical Transportation (NEMT) (dependent on type of medical insurance) • Providing to patients list of resources available to minimize/remove transportation barriers • Providing bus vouchers (public transportation is free) Currently we complete data analysis on identifying transportation needs by: • Monthly reviews of transportation barriers for inpatients age 18-64. This data is obtained by every patient having, on admission, an SDoH assessment completed. • If a patient identifies with a positive for a transportation barrier, the medical chart is reviewed to ensure case management was notified and proper workflow completed. • Transportation barriers are reported monthly on the hospital strategic
Our intervention plan to address the transportation inequity is: • Monday – Friday 0800-1700 - Case Management/ Care Coordinator RN reviews patients who have identified with a transportation risk. • Case Management/ Care Coordinator RN discusses with patients transportation resources available once discharged from PDH that include but are not limited to: o Free daily rides through Plumas Transit Systems o AmeriCorps Senior Transportation o Wildwood Village in Chester o Greenville Senior Transportation o Portola Veterans Hall o Quincy Veterans Hall o Blairsden Mohawk Community Center • If outside of the 0800-1700 timeframe, our nursing staff has a workflow of steps to take in the absence of case management to ensure transportation vulnerable patients are provided with proper resources.
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.