TORRANCE MEMORIAL MEDICAL 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
|
Age (excluding maternal measures) | 65 and older | 14.4% | 18 to 34 | 7.1% | 2.00 |
|
2.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 50 to 64 | 13.5% | 18 to 34 | 7.1% | 1.90 |
|
3.
HCAI 30-Day readmission
|
Expected Payor | Medicare | 15.7% | Private | 8.3% | 1.90 |
|
4.
HCAI 30-Day readmission
|
Expected Payor | Medicaid | 12.6% | Private | 8.3% | 1.50 |
|
5.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 35 to 49 | 10.6% | 18 to 34 | 7.1% | 1.50 |
|
6.
AHRQ PSI surgical death rate
|
Sex Assigned at Birth | Male | 204.3% | Female | 138.3% | 1.50 |
|
7.
HCAI 30-Day readmission NOBH
|
Sex Assigned at Birth | Male | 14.3% | Female | 10.4% | 1.40 |
|
8.
AHRQ PSI surgical death rate
|
Age (excluding maternal measures) | 50 to 64 | 222.2% | 65 and older | 165.2% | 1.30 |
|
9.
CMQCC breast milk feeding
|
Race and/or Ethnicity | Hispanic or Latino | 57.0% | White | 74.6% | 1.30 |
|
10.
HCAI 30-Day readmission
|
Sex Assigned at Birth | Male | 15.0% | Female | 11.6% | 1.30 |
2. Equity Plan
Torrance Memorial is committed to creating an inclusive, patient-centered environment where every individual receives care that respects their unique needs and preferences. While we remain dedicated to ensuring equitable care for all patients, recent data trends have highlighted areas where additional focus may help strengthen equity across our health system. Over the next 12 months, we will continue to evaluate these potential opportunities and implement strategies that support equitable access and outcomes for all those we serve.
To address all-cause unplanned 30-day readmissions, we will continue to embed equity and patient-centered care into every stage of the patient experience, with additional focus on populations that may be at higher risk, including Medicare and Medicaid patients, males with behavioral health diagnoses, and patients 30 years of age and older. We will also ensure patients receive culturally and linguistically appropriate education, interpreter services, and access to support groups that strengthen understanding and self-management after discharge. Safety practice, including unconscious bias training, stratified outcome monitoring, and preventive community programs ensure equitable care. By integrating equity across care delivery, addressing social needs, and ensuring continuity beyond discharge, Torrance Memorial is reducing disparities in readmissions. With clear metrics and strong accountability, this plan provides a sustainable framework for advancing health equity and improving patient outcomes.
Building on this commitment to equitable care, Torrance Memorial is also addressing disparities in maternal and infant health, specifically the lower exclusive breastfeeding rates among Hispanic and Latina mothers. Torrance Memorial is committed to advancing maternal and infant health equity by addressing disparities in the exclusive breast milk feeding measure. Recognizing cultural, linguistic, and socioeconomic barriers to exclusive breastfeeding, the medical center integrates equity-focused strategies across patient education, clinical support, and community outreach.
Similarly, improving outcomes for surgical patients remains a key priority. The AHRQ PSI 4 measure tracks mortality among surgical inpatients with serious but treatable complications. Data indicate that males and patients aged 50 to 64 are disproportionately affected. To address disparities in the AHRQ PSI 4 measure, Torrance Memorial will continue to focus on key strategies implemented for all patients including culturally responsive patient education, stratified outcome tracking, and staff training on early detection of complications.
By integrating safety, equity, and care coordination, Torrance Memorial is improving outcomes while advancing overall patient safety and equity for all patients who entrust our health system with their 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 |
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.