VALLEY PRESBYTERIAN 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.
AHRQ pneumonia mortality rate
|
Race and/or Ethnicity | White | 98.0% | Asian | 0.0% | 3.30 |
|
2.
AHRQ pneumonia mortality rate
|
Sex Assigned at Birth | Male | 107.9% | Female | 46.3% | 2.30 |
|
3.
HCAI 30-Day readmission
|
Expected Payor | Medicare | 17.0% | Private | 7.3% | 2.30 |
|
4.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 65 and older | 16.3% | 18 to 34 | 7.7% | 2.10 |
|
5.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 50 to 64 | 15.3% | 18 to 34 | 7.7% | 2.00 |
|
6.
HCAI 30-Day readmission
|
Expected Payor | Medicaid | 13.1% | Private | 7.3% | 1.80 |
|
7.
HCAI 30-Day readmission
|
Race and/or Ethnicity | Black or African American | 20.1% | Hispanic or Latino | 11.4% | 1.80 |
|
8.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 35 to 49 | 13.3% | 18 to 34 | 7.7% | 1.70 |
|
9.
HCAI 30-Day readmission
|
Race and/or Ethnicity | White | 16.4% | Hispanic or Latino | 11.4% | 1.40 |
|
10.
HCAI 30-Day readmission
|
Sex Assigned at Birth | Male | 16.6% | Female | 11.5% | 1.40 |
2. Equity Plan
Valley Presbyterian Hospital (VPH) is committed to improve patient health outcomes and reduce health-care disparities through data-driven health equity interventions and quality services. Upon reviewing the top 10 disparities they can be sub-categorized into two main focuses. Disparity 1 & 2 is quality indicator pneumonia mortality rate with white race and all males being the top disparity. The best performing reference groups are Latinos and females by contrast. Disparity 3 - 10 are all focused on all cause 30-day readmission rates with stratification identifying ages 35 and above, along with white and black - African Americans. VPH will continue to develop a plan by assessing the needs of the populations identified in the top 10 disparity list and stratify the data further to identify specific areas to address. In the next 3-6 months VPH will further stratify related to mortality and readmissions listed above to identify 2-3 modifiable attributing factors and create an action plan to deliver changes.
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 |
No |
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 |
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.