PRIME HEALTHCARE SERVICES
Hospitals
Hospital Count: 13
- CENTINELA HOSPITAL MEDICAL CENTER
- ENCINO HOSPITAL MEDICAL CENTER
- SAN DIMAS COMMUNITY HOSPITAL
- SHERMAN OAKS HOSPITAL
- ST. FRANCIS MEDICAL CENTER
- HUNTINGTON BEACH HOSPITAL
- LA PALMA INTERCOMMUNITY HOSPITAL
- GARDEN GROVE HOSPITAL AND MEDICAL CENTER
- WEST ANAHEIM MEDICAL CENTER
- CHINO VALLEY MEDICAL CENTER
- MONTCLAIR HOSPITAL MEDICAL CENTER
- PARADISE VALLEY HOSPITAL
- SHASTA REGIONAL MEDICAL CENTER
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
|
Expected Payor | Medicare | 17.9% | Self-Pay | 4.9% | 3.70 |
|
2.
AHRQ pneumonia mortality rate
|
Race and/or Ethnicity | Asian | 106.8% | White | 61.2% | 3.50 |
|
3.
HCAI 30-Day readmission
|
Expected Payor | Medicaid | 17.0% | Self-Pay | 4.9% | 3.50 |
|
4.
HCAI 30-Day readmission NOBH
|
Age (excluding maternal measures) | 65 and older | 17.3% | 18 to 34 | 6.0% | 2.90 |
|
5.
HCAI 30-Day readmission NOBH
|
Age (excluding maternal measures) | 50 to 64 | 16.5% | 18 to 34 | 6.0% | 2.80 |
|
6.
HCAI 30-Day readmission
|
Expected Payor | Other | 13.2% | Self-Pay | 4.9% | 2.70 |
|
7.
AHRQ pneumonia mortality rate
|
Race and/or Ethnicity | Hispanic or Latino | 68.4% | White | 61.2% | 2.20 |
|
8.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 50 to 64 | 18.6% | 18 to 34 | 8.5% | 2.20 |
|
9.
HCAI 30-Day readmission
|
Expected Payor | Private | 10.6% | Self-Pay | 4.9% | 2.20 |
|
10.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 65 and older | 18.0% | 18 to 34 | 8.5% | 2.10 |
2. Equity Plan
Prime Healthcare is dedicated to delivering high-quality, equitable care for all patients. Guided by the California Department of Health Care Access and Information (HCAI) methodology and national quality standards, we address disparities in outcomes and improve care for vulnerable populations across our health system.
Identified Health Disparities:
Through data analysis and stratification of core measures based on HCAI Methodology, we have identified key areas where disparities exist:
Hospital Readmissions: Higher rates of unplanned 30-day readmissions among Medicare and Medicaid patients aged 50 and older, including those 65+.
Pneumonia Mortality: Increased mortality among Asian and Hispanic/Latino patients with pneumonia across multiple payer groups.
Surgical Complications: Higher mortality among surgical inpatients aged 65 and older with serious but treatable complications.
Our Goals
Reduce Pneumonia Mortality from 2024/2025 baseline for identified disparity groups while improving overall mortality.
Lower 30-Day Readmission Rates for Medicare and Medicaid patients aged 50+.
Improve Surgical Outcomes for patients aged 65+ by reducing mortality from treatable complications.
Strategies and Interventions for Pneumonia Care:
Early severity assessment and timely first-dose antibiotics.
Vaccination screening and patient education.
Language access: bilingual discharge materials, teach-back methods, and family engagement.
Improve compliance with 3-hour and 6-hour treatment bundles for severe sepsis and septic shock.
For Readmission Reduction:
Post-discharge follow-up calls to confirm medications, appointments, and symptom monitoring.
Enhanced EHR patient portal access and standardized readmission risk stratification.
Medication access support: bedside delivery, 30-day supply, and pharmacist education.
Address Social Determinants of Health (SDOH) through community resource linkage and operational dashboards.
For Surgical Patients Aged 65+:
Implement age-friendly surgical care: delirium prevention, early mobilization, nutrition optimization, and polypharmacy review.
Daily review of surgical cases with complications and immediate countermeasures using AHRQ Quality Improvement toolkits.
Monitoring and Accountability:
Monthly review of mortality and quality indicators (IQI-20, PSI-04).
Quarterly dashboard updates on readmission rates and intervention effectiveness.
Benchmarking across health systems using AHRQ resources.
Active participation in CMS Quality Improvement Organization (HSAG) initiatives.
Prime Healthcare is committed to closing gaps in care, improving outcomes, and ensuring that every patient regardless of race, ethnicity, language, or socioeconomic status receives safe, high-quality, and equitable care.
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.