SHARP CORONADO HOSPITAL AND HEALTHCARE 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
|
Race and/or Ethnicity | Black or African American | 23.5% | White | 12.5% | 1.90 |
|
2.
HCAI 30-Day readmission
|
Race and/or Ethnicity | Asian | 21.2% | White | 12.5% | 1.70 |
|
3.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 65 and older | 14.4% | 18 to 34 | 8.9% | 1.60 |
|
4.
HCAI 30-Day readmission
|
Expected Payor | Medicare | 14.6% | Private | 9.8% | 1.50 |
|
5.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 50 to 64 | 13.2% | 18 to 34 | 8.9% | 1.50 |
|
6.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 35 to 49 | 12.5% | 18 to 34 | 8.9% | 1.40 |
|
7.
HCAI 30-Day readmission
|
Expected Payor | Medicaid | 13.0% | Private | 9.8% | 1.30 |
|
8.
HCAI 30-Day readmission
|
Sex Assigned at Birth | Male | 15.4% | Female | 11.7% | 1.30 |
|
9.
HCAI 30-Day readmission
|
Race and/or Ethnicity | Hispanic or Latino | 13.2% | White | 12.5% | 1.10 |
2. Equity Plan
Sharp Coronado Hospital and Healthcare Center (SCO) is actively engaged in advancing health equity through strategic planning and collaboration with Sharp Healthcare's system-wide initiatives. Upon analysis of structural and core quality measures stratified across nine sociodemographic variables, SCO identified disparities were all in the category of unplanned 30 -day hospital readmission rates. The identified disparity rate ratios span older age groups above 35 years old, males and minority populations. All the calculated rate ratios were between 1.1-1.9 which align with the proportions of populations that SCO serves. SCO is a small acute care community hospital (59 beds) with approximately 2800 discharges annually. It serves a diverse population representative of approximately 46% Caucasian, 35% Hispanic, 5% Black, 5 % Asian and 9% Other. Whilst the identified disparity rate ratios are not high, SCO remains committed to providing equitable care and proactively monitors and addresses disparities as they emerge. The hospital has a multidisciplinary readmission taskforce that reviews all readmissions to identify opportunities for improvement. There are several targeted interventions in place to address readmissions across multiple hospital disciplines and services. Patients who are at high risk for readmission are identified upon admission and their personalized care plans start being initiated and continue through the patient stay. The hospital has implemented a robust discharge process that includes educating patients on their medication and discharge instructions, scheduling follow-up appointments, and ensuring patients leave with necessary medications through the Discharge Prescription Services program. Discharge education is augmented by nursing leads and managers on the day of discharge as well as by virtual nurses. High risk patient populations are followed up through post-discharge phone calls.
All admitted patients are screened for social determinants of health (SDOH), and those with identified needs are connected to community resources such as 211 San Diego and the Community Information Exchange (CIE).
As a member of the Sharp HealthCare system, SCO actively participates in the Sharp HealthCare Equity Advisory taskforce which supports alignment and collaboration across the health system. The system is currently focused on reducing readmissions across different populations and SCO participates in this effort. Sharp HealthCare establishes annual goals to reduce both 30-day and 7-day readmissions. SCO also engages in other local, regional, and national efforts to reduce health disparities and promote best practices in equitable care. This includes ongoing evaluation of policies and practices to ensure equitable access and outcomes for all patients. The hospital's strategic efforts are designed to ensure that all individuals regardless of race, ethnicity, age, payor status, or other sociodemographic factors receive high-quality, compassionate, and equitable care.
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.