Cal. Code Regs. Tit. 22, § 95304 - Hospital System Equity Report

(a) A hospital system, as defined in Section 95300, shall submit a hospital system equity report.
(b) A hospital system shall include in their hospital system equity report:
(1) Hospital system name.
(2) Hospital system CEO (or equivalent).
(3) Hospital system ID (as generated by HCAI reporting system).
(4) System description.
(5) Report period start date [January 1 of prior calendar year].
(6) Report period end date [December 31 of prior calendar year].
(7) 9-digit HCAI IDs of hospitals included in hospital system report.
(8) Grouped by hospital type, aggregate data from each of their hospitals, consistent with the requirements of the Measures Submission Guide. Hospital system equity reports shall include the numerator, denominator, and rate of each core measure broken down by each stratification category, to the extent the data is available and consistent with the DDG. If the DDG prohibits reporting of a stratification group, "suppressed" shall be selected. If the data is not available, the category shall be left blank. Hospital system equity reports shall report on all hospital core measures outlined in Section 95303. All structural measures outlined in Section 95303 shall also be reported except for the CMS HCHE Measure.
(9) A hospital system equity plan that includes the following:
(A) The top ten disparities identified in the data by the rate ratio between a stratification group and the reference group for each measure, consistent with the requirements included in the Measures Submission Guide.
(B) A plan to address each of the ten disparities identified in subdivision (b)(9)(A), including population impact, measurable objectives, and specific timeframe.
(C) Performance across all of the following priority areas:
I. Person-centered care.
II. Patient safety.
III. Addressing patient social determinants of health.
IV. Effective treatment.
V. Care coordination.
VI. Access to care.
(c) A hospital system equity report is not a substitute for an individual hospital equity report. An equity report, as specified in Section 95303 must be submitted by each hospital.
(d) A hospital system shall post the hospital system's equity report, or revisions thereto pursuant to section 95308, subdivisions (e) and (f), on the hospital system's website, if one is available. A hospital system may include in the equity report the web address where the hospital system's equity report is published. Report publication on the hospital system's website shall meet the requirements stated in Health and Safety Code Section 127373, subsection (a)(3).

Notes

Cal. Code Regs. Tit. 22, § 95304

Note: Authority cited: Section 127375, Health and Safety Code. Reference: Sections 127372 and 127373, Health and Safety Code.

1. New section filed 6-4-2025; operative 6/4/2025 pursuant to Government Code section 11343.4(b)(3) (Register 2025, No. 23).

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