San Francisco Health Network

Reporting Organization: San Francisco Health Network
Report Period: 01/01/2024 – 12/31/2024
Hospital / Hospital System: Hospital System

Report Type: General Acute Care Hospital

Hospitals

Hospital Count: 2

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	Sexual Orientation	Bisexual	20.2%	Choose not to disclose	6.9%	2.90
2. HCAI 30-Day readmission	Sexual Orientation	Lesbian, gay or homosexual	12.2%	Choose not to disclose	6.9%	1.80
3. HCAI 30-Day readmission	Sexual Orientation	Straight or heterosexual	10.4%	Choose not to disclose	6.9%	1.50
4. HCAI 30-Day readmission	Expected Payor	Medicare	11.1%	Private	7.9%	1.40
5. HCAI 30-Day readmission	Expected Payor	Medicaid	11.1%	Private	7.9%	1.40

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2. Equity Plan

The development of robust action plans to address the disparities identified in this submission requires further in-depth analysis and contextual understanding. The current data reveals significant disparities across multiple domains but also presents challenges related to data definitions, small sample sizes, and the clinical complexity of the high-risk population served by the San Francisco Health Network (SFHN). For example, pneumonia-related outcomes show disproportionately high rates among Asian and Asian Pacific Islander language speakers, while readmission rates are notably elevated among Medicare, Medicaid, and LGBTQ+ populations. These disparities are further compounded by social drivers of health and systemic barriers to care. Recognizing these complexities, SFHN remains firmly committed to advancing health equity. As part of its 2026 Strategic Plan, our organizations will prioritize targeted, data-informed initiatives to reduce disparities. This includes refining data collection and stratification methods, engaging impacted communities in solution design, and implementing measurable interventions to improve outcomes for the diverse populations we serve.

San Francisco Health Network