Adventist Health

ADVENTIST HEALTH

Reporting Organization
ADVENTIST HEALTH
Report Period
01/01/2024 – 12/31/2024
Hospital / Hospital System
Hospital System
Report Type
General Acute Care Hospital

Hospitals

Hospital Count: 21

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 NOBH
Age (excluding maternal measures) 65 and older 14.6% 18 to 34 3.3% 4.40
2. HCAI 30-Day readmission NOBH
Expected Payor Medicare 15.2% Self-Pay 3.9% 3.90
3. HCAI 30-Day readmission NOBH
Age (excluding maternal measures) 50 to 64 12.8% 18 to 34 3.3% 3.80
4. HCAI 30-Day readmission
Age (excluding maternal measures) 65 and older 14.9% 18 to 34 4.3% 3.50
5. HCAI 30-Day readmission
Age (excluding maternal measures) 50 to 64 14.5% 18 to 34 4.3% 3.40
6. HCAI 30-Day readmission
Expected Payor Medicare 15.6% Self-Pay 4.9% 3.20
7. HCAI 30-Day readmission CO
Race and/or Ethnicity Black or African American 25.6% White 17.2% 3.00
8. HCAI 30-Day readmission NOBH
Expected Payor Other 10.2% Self-Pay 3.9% 2.70
9. HCAI 30-Day readmission MHD
Preferred Language Asian/ Pacific Islander Languages 17.1% English Language 13.8% 2.50
10. HCAI 30-Day readmission MHD
Race and/or Ethnicity Black or African American 16.0% Hispanic or Latino 13.4% 2.40

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2. Equity Plan

Adventist Health is a faith-based, nonprofit, integrated health system that serves over 100 communities on the West Coast and Hawaii, providing care through more than 470 sites. Founded on Adventist heritage and values, the system delivers patient-centered, quality care in hospitals, clinics, home care, and hospice agencies across both rural and urban communities. The system encompasses 27 hospitals with more than 4,100 beds and over 440 clinics. Adventist Health's mission is "living God's love by inspiring health, wholeness and hope". Its compassionate team of 38,000 employees, physicians, Medical Staff, and volunteers is transforming the healthcare experience with an innovative, whole person focus on physical, mental, spiritual, and social healing to support community well-being. In 2024, the system reported 133,362 hospital admissions and 844,579 emergency visits.
The system's commitment to improving health outcomes focuses on closing the gaps identified in HCAI All-Cause Unplanned 30-Day Hospital Readmission Rate. These readmissions disproportionately affect older adults >50yrs, government payor groups Medicare, Medicaid), and specific demographic populations. Our strategy is anchored in three interconnected pillars: Standardized Care Transitions, Enhanced Clinical Management, and Robust Social Determinants of Health (SDOH) support. We are continuously enhancing our Care Transition programs across all facilities, ensuring high-risk patients are identified upon admission through validated screening tools and receive comprehensive discharge planning. This planning includes scheduling of post-discharge follow-up appointments and required follow-up calls within 48-72 hours to monitor recovery. Concurrently, we are enhancing clinical management by formalizing Age-Friendly Health System practices for older adults and strengthening our Behavioral Health (BH) support. A key component of this is the utilization of grant-funded Substance Use Navigators (SUNs) present at many of our sites, who ensure patients with substance use disorder (SUD) receive a warm handoff and immediate linkage to outpatient treatment and community resources, a critical intervention for reducing readmissions in this vulnerable group. Furthermore, we are bolstering our community partnerships, including the Cal-Bridge program, which aids in coordinating post-discharge care and resource access. A critical enhancement to our strategy is addressing SDOH barriers that fuel health disparities. We are mandating universal SDOH screening for all high-risk patients to identify non-clinical needs like housing and transportation. To efficiently address these needs, we are leveraging a system-wide contract with Findhelp.org, a platform that will enable our care teams to provide timely, comprehensive referrals to local community resources. These action plans are ongoing, with the objective to achieve measurable reductions in all major disparity categories over the next 24 months. Furthermore, a major initiative impacting this work will be the transition from Cerner to the Epic electronic health record (EHR) platform in 2027. This transition will be leveraged to hardwire and standardize our health workflows—including risk stratification, SDOH screening, and integration with the findhelp platform—across all facilities, ensuring that high-quality, standardized care delivery becomes the default setting of our system. The goal is to sustain continuous improvement, ultimately reducing the readmission rate ratio for our most impacted groups.

3. Web Address for Equity Report

https://www.adventisthealth.org/about-us/health-equity

4. Download Equity Measures Report

Click on the link below to download the equity measures report.

Hospital Equity Measures Report Download

Click on the link below to download all equity measures reports.