creating equity dashboards to monitor racial, ethnic and linguistic disparities in health care:...
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Creating Equity Dashboards to Monitor Racial, Ethnic and Linguistic Disparities in Health Care: Lessons from the Disparities Leadership Program
DiversityRx Workshop
Brenda A. Battle, BSN, MBA
March 12, 2013
Policy Statement
•Data stratified by race, ethnicity, language, gender, age and payer, will inform patient-centered care, culturally and linguistically competent care and services, and help to decrease health disparities/inequities. Timely, valid, and representative data collection is essential to the provision of quality and equitable care.
Purpose of Policy
•The purpose of this policy is to extend beyond collecting data on patient’s race, ethnicity, language, gender, age and payer for compliance reasons; it is to enable the use of this data to understand the health care needs of the populations served and to provide data to support our ability to plan and customize programs and interventions to meet the needs of these populations, and to implement targeted, meaningful solutions to provide safe, quality care and improve health care outcomes.
Data Stratification Policy
2Dashboards |
3Dashboards |
Dashboard - readmissionsGender Cases
Readmit Rate
Denom Cases
30 Day
Readmit Cases
% 30 Day
Readmit
Male 18,810 18,279 3,324 18.18
Female 22,908 22,428 3,806 16.97 Gender:
Age:
Age
Category Cases
Readmit Rate
Denom Cases
30 Day
Readmit Cases
% 30 Day
Readmit
1-17 years 290 290 19 6.55
18-30 years 5,843 5,800 862 14.86
31-50 years 10,931 10,789 1,836 17.02
51-64 years 12,265 11,956 2,325 19.45
>65 years 12,374 11,859 2,088 17.61
Race:
Race Cases
Readmit Rate
Denom Cases
30 Day Readmit
Cases
% 30 Day
Readmit
Black 14,587 14,304 2,711 18.95
Multiracial 118 118 21 17.80
Native american/eskimo 371 365 60 16.44
Other 614 583 67 11.49
White 26,005 25,314 4,268 16.86
Payor:
Hospital Cases
Readmit Rate
Denom Cases
30 Day
Readmit Cases
% 30 Day
Readmit
Managed Care Readmits 13,361 13,072 2,111 16.15
Medicaid Readmits 8,523 8,403 1,553 18.48
Medicare Readmits 16,041 15,485 2,988 19.30
Equity indicators in clinical effectiveness
– Harm events - Patient safety indicators (BSI, pressure ulcer, catheter-associated UTI, etc.)
– Care transition/care coordination – hospital readmissions
– Key external quality indicators
– Other ambulatory care sensitive conditions
Creating the intersection between quality, safety and equity
4Dashboards |
Creating regression models that incorporates predictive variables to help identify a patient profile for 30-day readmissions, including indicators such as:
•Patient demographics•Diagnosis•Co-morbid conditions•Primary Care MD•Medications•# of Previous Admissions•Social determinants of health such as environment i.e., literacy levels, family support, environmental factors, etc.
Evaluate data based on:•Consistent patient population focus•Consistent timeframes
Predicting
5Dashboards |
• Community Health Needs Assessment – Community Benefit
• Clinical effectiveness
• Patient experience
Targeting interventions toward populations
6Dashboards |