Pipeline Health System

Pipeline Health System

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

Hospitals

Hospital Count: 4

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
Expected Payor Medicare 86.1% Medicaid 36.5% 2.40
2. HCAI 30-Day readmission
Expected Payor Medicare 19.9% Private 8.9% 2.20
3. HCAI 30-Day readmission
Expected Payor Medicaid 19.6% Private 8.9% 2.20
4. AHRQ pneumonia mortality rate
Sex Assigned at Birth Male 78.8% Female 49.0% 1.60
5. HCAI 30-Day readmission
Race and/or Ethnicity Black or African American 24.1% Asian 14.9% 1.60
6. HCAHPS survey-recommend hospital
Race and/or Ethnicity White 59.9% Hispanic or Latino 83.8% 1.40
7. AHRQ pneumonia mortality rate
Race and/or Ethnicity Black or African American 74.1% Hispanic or Latino 56.7% 1.30
8. AHRQ pneumonia mortality rate
Race and/or Ethnicity White 72.4% Hispanic or Latino 56.7% 1.30

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2. Equity Plan

The health system will address the eight identified disparities through a coordinated, evidence-based improvement strategy that strengthens clinical quality, enhances patient experience, and ensures equitable outcomes across all demographic groups. To improve person-centered care, the system will reinforce standardized communication practices, expand culturally responsive engagement training, and increase the use of teach-back and clear, plain-language education for all patients. To reduce disparities in pneumonia and surgical mortality, the system will implement unified clinical pathways, enhance early-warning and escalation protocols, and ensure consistent adherence to evidence-based sepsis and pneumonia bundles. To address elevated readmission rates among specific racial/ethnic groups and payer populations, the system will expand risk-stratified care coordination, increase pharmacist-involved medication reconciliation, strengthen follow-up appointment workflows, and integrate social needs screening and community-based supports. Through measurable objectives, routine performance monitoring, transparent data stratification, and cross-functional accountability, the system will drive equitable improvements in patient experience, reduce preventable mortality and readmissions, and ensure that all patients receive safe, effective, and equitable care regardless of race, language, age, sex, or payer group.

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.