SHARP MESA VISTA 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 | Private | 18.3% | 3.40 | ||
|
2.
HCAI 30-Day readmission
|
Expected Payor | Private | 18.3% | 2.80 | ||
|
3.
HCAI 30-Day readmission
|
Race and/or Ethnicity | White | 24.9% | 1.90 | ||
|
4.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 65 and older | 22.0% | 1.40 | ||
|
5.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 50 to 64 | 26.6% | 65 and older | 22.0% | 1.20 |
|
6.
HCAI 30-Day readmission
|
Sex Assigned at Birth | Female | 24.3% | 1.20 | ||
|
7.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 18 to 34 | 24.0% | 65 and older | 22.0% | 1.10 |
|
8.
HCAI 30-Day readmission
|
Race and/or Ethnicity | White | 24.9% | 1.10 |
2. Equity Plan
Sharp Mesa Vista Hospital is actively working to advance health equity through strategic initiatives. The hospital collaborates with Sharp Healthcare on both entity-specific and system-wide efforts. These initiatives focus on identifying priority populations experiencing health disparities, setting health equity goals, developing action plans to achieve these goals, and engaging key stakeholders across the organization. This comprehensive approach aims to address and reduce health disparities especially related to all-cause 30-day unplanned readmissions. Sharp Mesa Vista Hospital's top three disparities of the eight identified show a disparity amongst Medicare and "Other" payor groups compared to private payors and Black or African American patients being readmitted at a higher rate than White patients. Patients under 65 years of age and male patients readmit approximately one and a half times more than those older than 65 years of age and/or female. Comparing Sharp Mesa Vista Hospital to the national average of 19.4% of patients readmitted to any hospital within 30 days of discharge from an inpatient psychiatric facility result, our rates are lower than expected and better than the national rate with a 16.7% readmission for Medicare payors. Low volumes of readmission rates make it incredibly difficult to stratify data to create meaningful action plans for sub-populations. Therefore, our readmission reduction strategies are designed to be inclusive and applicable to all patients. Identified disparities align with the organization's clinical priorities, ensuring the action plan is comprehensive across all payor groups with a unified strategy to improve patient outcomes and reduce overall readmission rates.
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.