SAN LEANDRO 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
|
Expected Payor | Medicare | 19.1% | Private | 7.9% | 2.40 |
|
2.
HCAI 30-Day readmission
|
Expected Payor | Medicaid | 14.8% | Private | 7.9% | 1.90 |
|
3.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 50 to 64 | 17.9% | 18 to 34 | 10.5% | 1.70 |
|
4.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 65 and older | 17.5% | 18 to 34 | 10.5% | 1.70 |
|
5.
HCAI 30-Day readmission
|
Race and/or Ethnicity | Black or African American | 20.0% | Hispanic or Latino | 12.3% | 1.60 |
|
6.
HCAI 30-Day readmission
|
Preferred Language | English Language | 17.2% | Spanish Language | 10.9% | 1.60 |
|
7.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 35 to 49 | 16.2% | 18 to 34 | 10.5% | 1.50 |
|
8.
HCAI 30-Day readmission
|
Race and/or Ethnicity | White | 14.5% | Hispanic or Latino | 12.3% | 1.20 |
|
9.
HCAI 30-Day readmission
|
Race and/or Ethnicity | White | 14.5% | Hispanic or Latino | 12.3% | 1.20 |
|
10.
HCAI 30-Day readmission
|
Race and/or Ethnicity | Asian | 13.4% | Hispanic or Latino | 12.3% | 1.10 |
2. Equity Plan
In recognition of our aging population, particularly within Alameda Hospital, AHS started in June 2024 the SNF Collaborative. The goal is to strengthen the relationship between community SNF partners and our AHS facilities to address readmission disparities, promote palliative care, initiate advanced care planning, and ensure patient preferences are honored. Palliative care resources at Alameda Hospital will expand to outpatient in early 2026 providing additional opportunities to collaborate with our SNF partners. In addition to our resources, we have made available to our Medicare patients ONclick Healthcare, which is a transitional care resource that ensures their needs are being met post-discharge. From the convenience of home, and through an assigned care counselor, patients will have access to care continuity, coordinated care with physicians, prescription management, patient education, symptoms management, access to community resources, and transportation to appointments.
We see a greater prevalence of readmissions in our Black or African American, White, Native Hawaiian or Pacific Islander, and Asian groups. While this correlates with readmission rates, we do not believe this is a causal factor but rather reflects differences in underlying clinical and social factors. Many patients in our population experience multiple comorbidities—such as diabetes, heart failure, renal failure, and polysubstance use—that contribute to readmission risk. To reduce avoidable readmissions, we are focused on strengthening post-hospitalization care coordination and improving connections to complex care teams. These services and resources are available to all AHS patients, with support tailored to each patient's medical and social needs. We are strengthening our partnership with Alameda Alliance and the Community Health Center Network (CHCN) to bolster care coordination for patients who receive follow up care external to AHS. Additionally, our case managers have access to the Readmission Assessment tool in Epic to identify patients who may benefit from enhanced case management or community health advocate resources. Lastly, to address readmissions among the unhoused population, AHS contracted with Cardea Health. Cardea operates a medically supported shelter in Alameda that opened in May 2023. This program serves patients who would benefit from a safe environment for recuperation and continued access to medical and social support services.
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 |
No |
Our hospital system strategic plan identifies healthcare equity goals and discrete action steps to achieve these goals |
No |
Our hospital system strategic plan outlines specific resources that have been dedicated to achieving our equity goals |
No |
Our hospital system strategic plan describes our approach for engaging key stakeholders, such as community-based organizations |
No |
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 |
No |
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 |
No |
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.