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
Race and/or Ethnicity Asian 2.8% Hispanic or Latino 1.6% 3.60
2. HCAI 30-Day readmission
Race and/or Ethnicity White 2.6% Hispanic or Latino 1.6% 3.30
3. HCAI 30-Day readmission
Race and/or Ethnicity Black or African American 2.6% Hispanic or Latino 1.6% 3.20
4. HCAI 30-Day readmission NOBH
Race and/or Ethnicity Black or African American 3.4% Asian 2.7% 2.60
5. HCAI 30-Day readmission NOBH
Race and/or Ethnicity White 2.9% Asian 2.7% 2.20
6. AHRQ pneumonia mortality rate
Preferred Language Asian/ Pacific Islander Languages 468.1% English Language 235.9% 2.00
7. AHRQ pneumonia mortality rate
Race and/or Ethnicity Asian 397.8% White 212.3% 1.90
8. HCAI 30-Day readmission
Age (excluding maternal measures) 65 and older 2.8% 50 to 64 1.7% 1.70
9. AHRQ pneumonia mortality rate
Expected Payor Private 389.6% Medicare 244.9% 1.60
10. HCAI 30-Day readmission
Expected Payor Medicare 3.1% Private 2.0% 1.60

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2. Equity Plan

Upon full compliance with all equity reporting and privacy requirements, ten disparities were identified. Seven measures pertain to 30-day hospital readmission rates, and three pertain to pneumonia-related mortality rates.
Readmission Rate
Disparity 1: All-Cause Unplanned 30-Day Hospital Readmission Rate Race and/or Ethnicity: Asian
Disparity 2: All Cause Unplanned 30-Day Hospital Readmission Rate Race and/or Ethnicity: White
Disparity 3: All Cause Unplanned 30-Day Hospital Readmission Rate Race and/or Ethnicity: Black or African American
Disparity 4: All Cause Unplanned 30-Day Hospital Readmission Rate with No Behavioral Health Diagnosis Race and/or Ethnicity: Black or African American
Disparity 5: All Cause Unplanned 30-Day Hospital Readmission Rate with No Behavioral Health Diagnosis Race and/or Ethnicity: White
Disparity 8: All Cause Unplanned 30-Day Hospital Readmission Rate Age: 65 and older
Disparity 10: All Cause Unplanned 30-Day Hospital Readmission Rate Expected Payor: Medicare
The readmission numbers shown in this report do not represent all hospital readmissions. Due to statewide data limits in 2024, ScionHealth was able to track only patients who were transferred out then returned to a ScionHealth facility—not patients who were readmitted to other hospitals. These values represent return-from-transfer rates, which are much lower than the typical 30-day potentially preventable LTCH readmission rates reported by CMS. Even with this limitation, the differences we see between patient groups help us identify areas in which additional support may be needed during transitions of care. To address these disparities, ScionHealth will continue to take the following actions in 2026, with a goal of reducing the difference between the highest- and lowest-performing demographic groups by 10% by December 2026.
a) The disparities may indicate opportunities in overcoming language barriers, understanding cultural communication patterns, and developing culturally aligned age-friendly education and care plans. Upon admission, language preferences are identified, and professional interpreters are available. Understanding and respecting the diverse cultural backgrounds of our patients is also key in developing an individualized care plan, including effective continuity of care post-discharge.
b) Through strong assessment of Health-Related Social Needs, immediate needs and appropriate resources needed for a safe, effective discharge are identified. Discharge follow-up calls help maintain continuity of support. We partner with community-based organizations, social service agencies, and public health departments to coordinate services, reduce duplication, and improve navigation across the continuum of care.
Pneumonia Mortality Rate
Disparity 6: Pneumonia Mortality Rate Preferred Language: Asian/Pacific Islander Languages
Disparity 7: Pneumonia Mortality Rate Race and/or Ethnicity: Asian
Disparity 9: Pneumonia Mortality Rate Expected Payor: Private
Our equity analysis identified disparities in pneumonia mortality affecting several patient groups. To reduce these gaps, ScionHealth will continue a coordinated set of interventions in 2026 with a goal to reduce pneumonia mortality disparities between the highest- and lowest-performing demographic groups by 10%, as measured by the rate ratio in next year's equity report.
The disparities may indicate opportunities for improvement related to early detection, timely treatment, cultural communication patterns, and culturally aligned education due to underlying comorbidities, delayed symptom reporting, or variations in clinical presentation due to patient population variances. ScionHealth will mitigate risks of mortality for all patients by prioritizing their individual needs through the following actions:
a) Upon admission, language preferences are identified, and professional interpreters are available to improve communication.
Communication is essential for understanding and ensuring that every patient can fully participate in their care. Health-Related Social Needs that affect health outcomes, including mortality and disease management, are identified and guide care.
b) Consistent implementation of evidence-based practices that support optimal patient outcomes are utilized. Treatment plans are aligned with national industry standards and are regularly reviewed to ensure that current guidelines are applied. This ensures that every patient receives consistent, high-quality treatment across all populations.
c) We reduce the likelihood of disease progression through the mechanisms of rapid-response alerts, which are activated at the earliest signs of patient decline, and an immediate response to stabilize the patient. Performance is debriefed, including cases of pneumonia mortality, evaluate ourselves regularly, and continually translate lessons learned into practice to improve survivability across all patient populations.

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.