PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL-MONTGOMERY

1. Top 10 Disparities

2. Equity Plan

At Providence, we acknowledge that all people do not have equal opportunities and access to living their fullest, healthiest lives due to systems of oppression and inequities. We are committed to ensuring health equity for all by addressing the underlying causes of racial and economic inequities and health disparities. Our Vision is "Health for a Better World," and to achieve that we believe we must address not only the clinical care factors that determine a person's length and quality of life, but also the social and economic factors, the physical environment, and the health behaviors that all play an active role in determining health outcomes. Our approach to health equity is both systemic and patient centered. We embed equity into every aspect of care delivery by integrating language access, behavioral health services, and social determinants of health screening into standardized workflows. We recognize that disparities in health outcomes often stem from barriers such as poverty, housing instability, food insecurity, and limited access to culturally competent care. To address these challenges, we partner with community organizations, faith-based groups, and local agencies to connect patients to essential resources beyond the hospital walls. Measurement and accountability are central to our equity strategy. We stratify key performance indicators-such as readmission rates, access to interpreter services, and completion of social needs screenings-by demographic factors to identify gaps and implement targeted interventions. Through continuous improvement cycles, we work to close these gaps and ensure that every patient receives care that is equitable, respectful, and responsive to their unique needs. Health equity is not a standalone initiative; it is woven into our mission and values. By addressing systemic inequities and fostering partnerships that extend care into the community, Providence strives to create a future where every person has the opportunity to achieve optimal health, regardless of race, income, or social circumstance. #1 & #4: Goal: Include/consider maternal age in 100% of NTSV cesarean section cases reviewed. Action: Continue with OB leadership review of NTSV cesarean birth cases monthly; include maternal age in review. Engage Women's and Children's Safety Committee for improvement initiatives to address inequity. #2, 3 5 6, 7,8, 9, 10: Goal: Demonstrate monthly 30-Day OE ratio of 1.03. Actions: - Increase compliance in fully completing initial case management assessments within 24 hours of admission to ensure early identification of population-specific needs (e.g., SNF authorization, coverage limitations, discharge planning complexity, and patient/family education). - Utilize evidence-based readmission risk assessment tool to flag high risk patients - Include follow-up appointment education into discharge education - Educate patients of an automatic discharge follow-up call within 48 hours of discharge - Initiate palliative care referrals for ED patients who will be admitted - Partner with Home Health Collaborative to discuss causes and prevention of readmissions for patients receiving home health - Include printed patient education about admitting diagnosis and new medications in patient's After Visit Summary - Initiate Care Network referrals for all Medicare FFS patient with high LACE scores - Approach care and patient education in a culturally sensitive manner utilizing translation services for patients with Limited English Proficiency. - For behavioral health patients, include behavioral health assessment early in the admission and engage mental health resources into discharge planning, including substance use disorders

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
• Community Benefit Plan
• Hospital Profile
• Hospital Fair Billing Policies