Providence St. Joseph Health ("Providence")
Hospitals
Hospital Count: 19
- THE GENERAL HOSPITAL
- PROVIDENCE REDWOOD MEMORIAL HOSPITAL
- PROVIDENCE ST. JOSEPH HOSPITAL
- PROVIDENCE HOLY CROSS MEDICAL CENTER
- PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE
- PROVIDENCE CEDARS-SINAI TARZANA MEDICAL CENTER
- PROVIDENCE LITTLE COMPANY OF MARY MC – SAN PEDRO
- SAINT JOHN’S HEALTH CENTER
- PROVIDENCE SAINT JOSEPH MEDICAL CENTER
- PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER
- PROVIDENCE MISSION HOSPITAL
- PROVIDENCE MISSION HOSPITAL – LAGUNA BEACH
- PROVIDENCE ST. JOSEPH HOSPITAL
- PROVIDENCE ST. JUDE MEDICAL CENTER
- PROVIDENCE ST. MARY MEDICAL CENTER
- PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL-SOTOYOME
- HEALDSBURG HOSPITAL
- PETALUMA VALLEY HOSPITAL
- PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL-MONTGOMERY
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.
CMQCC NTSV cesarean rate
|
Age (for maternal measures only) | 40 and older | 0.4% | Less than 18 | 0.1% | 4.00 |
|
2.
HCAI 30-Day readmission NOBH
|
Age (excluding maternal measures) | 65 and older | 8.2% | 18 to 34 | 2.1% | 3.90 |
|
3.
HCAI 30-Day readmission NOBH
|
Age (excluding maternal measures) | 50 to 64 | 6.4% | 18 to 34 | 2.1% | 3.00 |
|
4.
CMQCC NTSV cesarean rate
|
Age (for maternal measures only) | 30 to 39 | 0.3% | Less than 18 | 0.1% | 3.00 |
|
5.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 65 and older | 8.6% | 18 to 34 | 3.0% | 2.90 |
|
6.
HCAI 30-Day readmission
|
Age (excluding maternal measures) | 50 to 64 | 7.7% | 18 to 34 | 3.0% | 2.60 |
|
7.
HCAI 30-Day readmission NOBH
|
Expected Payor | Medicare | 8.4% | Private | 3.5% | 2.40 |
|
8.
HCAI 30-Day readmission SUD
|
Age (excluding maternal measures) | 50 to 64 | 11.5% | 18 to 34 | 4.9% | 2.30 |
|
9.
HCAI 30-Day readmission SUD
|
Race and/or Ethnicity | Asian | 14.7% | Black or African American | 6.3% | 2.30 |
|
10.
HCAI 30-Day readmission SUD
|
Age (excluding maternal measures) | 65 and older | 10.7% | 18 to 34 | 4.9% | 2.20 |
2. Equity Plan
Every year, our hospitals in California share reports with the state to show how we're working to make health care fair for everyone. These reports include data about how well we care for patients from different backgrounds, and plans to improve care where there are gaps. At Providence, our Mission is to serve all with compassion and excellence. We believe everyone deserves high-quality care, no matter who they are. Summary of Healthcare Disparities and Action Plans Across Our Hospitals Reducing 30-Day Readmission Rates - Comprehensive Discharge Planning: Early case management, clear education, scheduling follow-ups, and warm handoffs to next level of care. - Medication Management: Reconciliation prior to discharge, pharmacy partnerships, and post-discharge follow-up calls. - Patient Education: Teach-back methods, inclusion of family/caregivers, tailored materials, and use of EHR interventions to identify high-risk patients. - Addressing SDoH: Screening for transportation, food, and housing barriers; connecting patients to community resources. - Committee Oversight: Multi-professional readmission committees review cases, establish goals, and share best practices. Maternal Health Initiatives - NTSV Cesarean Rate Reduction: Provider-level performance transparency, mandatory training, case reviews, and labor management bundles. - Exclusive Breast Milk Feeding: Extended lactation coverage, bilingual education, outpatient support, and donor milk programs. - Doula Partnerships: Promotion of labor support and advocacy, especially for first-time mothers and Medicaid populations. Enhancing Patient Experience (HCAHPS) - Teach-Back and Written Information: Ensuring patients receive clear, written instructions about symptoms and care after discharge. - Leader and Hourly Rounding: Structured rounding scripts, patient care boards, and regular feedback to improve education and satisfaction. - Person-Centered Care: Screening for preferred language, interpreter services, and personalized care plans. - Social Needs Integration: Use of platforms like FindHelp to connect patients to local resources for housing, food, and transportation. Behavioral Health Focus - Early Assessment and Follow-Up: Behavioral health assessment at admission, engagement of mental health resources, and warm handoffs to outpatient care. - Substance Use Disorder Programs: Education on follow-up and medication management, aiming for increased attendance at follow-up visits. - Telehealth Integration: For behavioral health support during hospitalization. Data-Driven Improvement - Dashboard Integration: Disparity data incorporated into readmissions dashboard and high-risk stratification. - Continuous Review: Regular case reviews, rapid improvement events, and feedback loops to sustain outcomes and drive change. Overarching Strategy The approach is systemic and patient-centered, embedding equity into care delivery through language access, behavioral health integration, and SDoH screening. The organization partners with community resources to address barriers beyond clinical care, aiming for measurable improvements in outcomes, cost reduction, and patient satisfaction. Continuous improvement cycles and transparent data sharing ensure accountability and progress toward health equity for all patient groups.
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.