LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES
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 PSI surgical death rate
|
Race and/or Ethnicity | White | 375.0% | Hispanic or Latino | 197.8% | 3.80 |
|
2.
HCAI 30-Day readmission CO
|
Expected Payor | Medicare | 28.6% | Other | 18.7% | 3.10 |
|
3.
HCAI 30-Day readmission CO
|
Expected Payor | Medicaid | 26.3% | Other | 18.7% | 2.80 |
|
4.
HCAI 30-Day readmission
|
Expected Payor | Medicare | 18.6% | Self-Pay | 6.8% | 2.70 |
|
5.
HCAI 30-Day readmission CO
|
Expected Payor | Private | 24.0% | Other | 18.7% | 2.60 |
|
6.
HCAI 30-Day readmission
|
Expected Payor | Medicaid | 16.9% | Self-Pay | 6.8% | 2.50 |
|
7.
HCAI 30-Day readmission SUD
|
Expected Payor | Medicare | 22.0% | Private | 9.1% | 2.40 |
|
8.
HCAI 30-Day readmission SUD
|
Expected Payor | Medicaid | 21.3% | Private | 9.1% | 2.30 |
|
9.
AHRQ pneumonia mortality rate
|
Expected Payor | Medicare | 80.3% | Medicaid | 35.5% | 2.30 |
|
10.
CMQCC VBAC rate
|
Race and/or Ethnicity | Black or African American | 142.9% | Hispanic or Latino | 299.8% | 2.10 |
2. Equity Plan
LA Health Services is uniquely positioned to address health disparities across our three hospitals and rehabilitation center. As our equity teams continue to analyze system data to identify priority disparities, current focus areas include readmission reduction—particularly among adults 65+—and maternal health outcomes.
We support this work through a robust equity and quality infrastructure, including:
1. Integrated Patient & Family Advisory Committees that directly inform improvement strategies.
2. Interdisciplinary Patient Experience Councils that identify and address care concerns.
3. Patient Safety Councils that promote a strong safety culture and high reliability practice.
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.