EMANATE HEALTH
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) | 50 to 64 | 16.0% | 18 to 34 | 4.5% | 3.50 |
|
2.
HCAI 30-Day readmission NOBH
|
Age (excluding maternal measures) | 65 and older | 15.2% | 18 to 34 | 4.5% | 3.40 |
|
3.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 50 to 64 | 16.9% | 18 to 34 | 5.7% | 2.90 |
|
4.
CMQCC breast milk feeding
|
Preferred Language | Asian/ Pacific Islander Languages | 14.9% | English Language | 40.6% | 2.70 |
|
5.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 65 and older | 15.4% | 18 to 34 | 5.7% | 2.70 |
|
6.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 35 to 49 | 12.7% | 18 to 34 | 5.7% | 2.20 |
|
7.
HCAI 30-Day readmission NOBH
|
Age (excluding maternal measures) | 35 to 49 | 9.8% | 18 to 34 | 4.5% | 2.20 |
|
8.
HCAI 30-Day readmission NOBH
|
Expected Payor | Medicare | 16.0% | Private | 7.7% | 2.10 |
|
9.
HCAI 30-Day readmission
|
Expected Payor | Medicare | 16.2% | Private | 8.1% | 2.00 |
|
10.
CMQCC breast milk feeding
|
Race and/or Ethnicity | Asian | 26.2% | Multiracial and/or Multiethnic (two or more races) | 51.9% | 2.00 |
2. Equity Plan
Emanate Health is committed to reducing readmission rates especially for populations experiencing health disparities. Of the top ten disparities identified for Emanate Health, eight are related to readmissions. Patients aged 35 and greater readmit at a greater frequency than the reference group of patients less than 35 years of age. Patients aged 35 and greater with a behavioral health diagnosis readmit at a greater frequency than the reference group of patients less than 35 years of age with a behavioral health diagnosis. Finally, patients with federal health insurance have a higher readmission rate than the private pay reference group. In an effort to close this gap, Emanate Health is building a program that concurrently manages patients with identified disparities in-house and follow-up with post-discharge education and follow up. Reducing avoidable 30-day readmissions among this population requires a coordinated, multidisciplinary approach that emphasizes risk identification, transitional care, and engagement with community facilities. The readmission reduction program is part of the quality assessment and performance improvement plan. Using a data-driven approach, readmissions for patients with disparities are evaluated for trends and opportunities for improvement. Rapid cycle improvement models along with Robust Process Improvement tools and methods are used by the organization to develop action plans and deliver results. The goal of this scope of work is to reduce 30-day hospital readmission rates for patients who are managed by the readmission reduction program by ten percent within two years of program implementation.
Two identified disparities are related to exclusive breast milk feeding measures for the Asian and Pacific Islander population. Asian patients have a lower rate of human milk feeding than the multi-racial or multi-ethnic reference group. Patients who speak Asian Pacific Islander languages have a lower rate of human milk feeding than the English language reference group. Emanate Health participates in the Center for Health Equity, Education, and Research (CHAMPS) National Hospital Cohort with the goal of increasing the exclusive breastfeeding rate and have healthier newborns in our community. Leadership, providers and frontline staff from the Perinatal Care Services team participate in CHAMPS' regularly scheduled virtual training sessions which cover topics such as Skin-to-Skin Care Post Cesarean, Hands-On Lactation, QI for Busy Professionals, and Lactation and Medication. In partnership with this collaborative, data is evaluated for trends and opportunities for improvement. Rapid cycle improvement models along with Robust Process Improvement tools and methods are used by the organization to develop action plans and deliver results. The human milk feeding initiative is part of the quality assessment and performance improvement plan. Over the next two years, the collaborative will work Emanate Health to achieve the goal of increasing human milk feeding in the Asian population to the reference group.
3. Web Address for Equity Report
4. 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.