RIVERSIDE COMMUNITY 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.
| Measure | Stratification | Stratification Group | Stratification Group Rate | Reference Group | Reference Rate | Rate Ratio |
|---|---|---|---|---|---|---|
|
1.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 65 and older | 3.4% | 50 to 64 | 0.9% | 3.80 |
|
2.
HCAI 30-Day readmission MHD
|
Age (excluding maternal measures) | 65 and older | 4.2% | 50 to 64 | 1.6% | 2.60 |
|
3.
HCAI 30-Day readmission
|
Race and/or Ethnicity | Black or African American | 2.0% | White | 1.9% | 1.10 |
|
4.
HCAI 30-Day readmission
|
Gender Identity | Male | 1.7% | Female | 1.6% | 1.10 |
2. Equity Plan
Riverside Community Hospital has a health equity plan that was created prior to the compilation of the health equity data submitted with this report. This plan was focused primarily on the use of language assistance services and homelessness and other social determinants of health. Some of the highest rated disparities that were identified when calculating risk ratios as part of this report may be related to data that was skewed by inaccurate data collection or low denominators.
All of the highest risk ratios were identified in the overall 30-day readmission category and the mental health readmission category.
In the overall 30-day readmission rate, the groups with the highest risk ratios were as follows vision disability (52.70), Race of NHPI at (43.3), language as other (28.7), age over 65 (22.7), and gender identity of female (15.3). The following groups all had no readmissions within 30 days: race of AIAN, race of Hispanic, language ASL, language API, language ME, and gender identity of F2M and M2F. To address that rates of readmission in the languages other than English as well as in the vision disability group, the hospital will encourage nurses to help patients record the audio of discharge instructions given verbally or through the use of language interpreter services on their cellphones if applicable so that patients can refer back to discharge instructions as needed. As for female gender and age over 65 years, the hospital will analyze the disease groups and discharge dispositions of these patients to better identify trends and implement targeted solutions.
In the MHD Readmission rate the groups with the highest risk ratios were hearing disability (83.5), vision disability (24), age over 65 (21), race of white (15.5) and race of black (14). The following groups had no MHD readmissions: race of AIAN, race of Asian, race of NHPI, language API, language ME, language other, and gender identity of F2M and M2F. The hospital’s plan for addressing the MHD readmission rate will be to analyze all MHD readmission for trends and to partner with our local community resources to address identified gaps.
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.