PRISCILLA CHAN & MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL & TRAUMA 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
|
Expected Payor | Medicare | 11.1% | Private | 1.7% | 6.50 |
|
2.
HCAI 30-Day readmission
|
Expected Payor | Medicaid | 11.1% | Private | 1.7% | 6.50 |
|
3.
HCAI 30-Day readmission
|
Sexual Orientation | Bisexual | 20.2% | Don’t know | 4.6% | 4.40 |
|
4.
HCAI 30-Day readmission
|
Sexual Orientation | Something else | 13.3% | Don’t know | 4.6% | 2.90 |
|
5.
HCAI 30-Day readmission
|
Sexual Orientation | Lesbian, gay or homosexual | 12.2% | Don’t know | 4.6% | 2.70 |
|
6.
HCAI 30-Day readmission
|
Gender Identity | Male-to-female (MTF)/transgender female/trans woman | 22.0% | Female | 9.0% | 2.40 |
|
7.
HCAI 30-Day readmission
|
Preferred Language | English Language | 10.9% | Other/Unknown | 4.6% | 2.40 |
|
8.
HCAI 30-Day readmission
|
Sexual Orientation | Straight or heterosexual | 10.4% | Don’t know | 4.6% | 2.30 |
|
9.
HCAI 30-Day readmission
|
Preferred Language | Spanish Language | 10.0% | Other/Unknown | 4.6% | 2.20 |
|
10.
HCAI 30-Day readmission
|
Race and/or Ethnicity | American Indian or Alaska Native | 16.7% | Asian | 8.2% | 2.00 |
2. Equity Plan
The development of robust action plans to address the disparities identified in this submission requires further in-depth analysis and contextual understanding. The current data reveals significant disparities across multiple domains but also presents challenges related to data definitions, small sample sizes, and the clinical complexity of the high-risk population served by Zuckerberg San Francisco General Hospital and Trauma Center (ZSFG). For example, pneumonia-related outcomes show disproportionately high rates among Asian and Asian Pacific Islander language speakers, while readmission rates are notably elevated among Medicare, Medicaid, and LGBTQ+ populations. These disparities are further compounded by social drivers of health and systemic barriers to care. Recognizing these complexities, ZSFG remains firmly committed to advancing health equity. As part of its 2026 Strategic Plan, the organization will prioritize targeted, data-informed initiatives to reduce disparities. This includes refining data collection and stratification methods, engaging impacted communities in solution design, and implementing measurable interventions to improve outcomes for the diverse populations we serve.
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
https://www.zuckerbergsanfranciscogeneral.org/services/healt
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.