PROVIDENCE REDWOOD MEMORIAL HOSPITAL

1. Top 10 Disparities

2. Equity Plan

Healthcare disparities in unplanned 30-day readmission rates (RR) remain a significant concern for various patient populations. Addressing these disparities is essential for improving outcomes, reducing costs and promoting equity in care. This report outlines targeted best practice actions for male patients compared to the female patient reference group. Group 1: Goal is to reduce 30-day RR by 10% within 18 months. This will be achieved by the following- - Increase post discharge follow up rates to 90% within 12 months - Improve medication reconciliation accuracy to 95% within 12 months - Improve compliance with discharge education to 100% within 12 months Actions- - For all high risk for readmission patients our care transition teams will facilitate follow-up appointments and home visits if appropriate - Implement pharmacist-led discharge reconciliation to ensure accurate medication lists and optimize therapeutic regimes prior to patient discharge. Conduct a follow-up call within 48 hours of discharge to address any medication related questions or concerns and verify adherence - Standardized discharge protocols ensuring clear communication and individualized plans of care. Implementation of a comprehensive discharge checklist to ensure patients receive thorough education and preparation before leaving the hospital HCAHPS plays a crucial role in evaluating the overall quality and safety of patient care from the patient's perspective. HCAHPS scores influence hospital reputation, reimbursement, and quality metrics. Improving patient education ensures better understanding of care plans, medications, and discharge instructions, leading to higher satisfaction. Addressing disparities is essential for providing comprehensive person-centered care. Group 2, 3, 5, 6,10: Goal is to improve patient perception of receiving information and education by 5% within 18 months. This will be achieved by the following- - Increase nurse leader rounding rates to 90% within 12 months - Improve teach-back methods to confirm patient understanding to 95% within 12 months - Improve compliance with providing multi-modal discharge education to 100% within 12 months Actions- - Implement leader rounding focused on education quality, asking patients if they understand their care plan and medications. - Use structured rounding scripts to address common HCAHPS domains like discharge planning and medication side effects - Offer written materials in plain language, supplemented by visual aids and videos accessible via patient tablets or QR codes. - Ensure language access through interpreter services and translated materials for non-English speakers - Standardized discharge protocols ensuring clear communication and individualized plans of care. Implementation of a comprehensive discharge checklist to ensure patients receive thorough education and preparation before leaving the hospital. Group 4, 7, 8, 9: Goal is to improve willingness to recommend hospital by 5% within 18 months. This will be achieved by the following- - Increase nurse leader rounding rates to 90% within 12 months - Increase purposeful rounding to rates of 90% within 12 months - Improve teach-back methods to confirm patient understanding to 95% within 12 months - Improve compliance with providing multi-modal discharge education to 100% within 12 months Actions- - Strengthen communication across providers so patients feel heard, informed, and respected by all clinical staff (train providers in active listening, empathy, plain language explanations, and clear discharge instructions) - Ensure proper follow-up communication after discharge to positively impact patient satisfaction and reduce RR - Emphasize patient participation, preferences, values, and decisions to enhance care operations and improve patient satisfaction - Optimize hospital environment by maintaining high standards of cleanliness, minimizing noise pollution, and ensuring patient control over lighting, room temperature, and minimizing disruptions - Make patient-centered care a key requirement for new hires, evaluate staff on patient interactions, and implement patient satisfaction training Standardized discharge protocols ensuring clear communication and individualized plans of care. Implementation of a comprehensive discharge checklist to ensure patients receive thorough education and preparation before leaving the hospital.

3. Structural Measures

5. Download Equity Measures Report

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

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