Professional Documents
Culture Documents
Disparities
A Benchmarking Study of U.S. Hospitals in 2015
Contents
About the Survey.............................................................................................................3
Executive Summary.........................................................................................................4
Major Findings..................................................................................................................6
Collection and Use of REAL Data.....................................................................................9
Cultural Competence Commitment................................................................................14
Leadership and Governance.........................................................................................16
Supplier Diversity Activities...........................................................................................23
Appendices.....................................................................................................................24
Equity of Care Resources...............................................................................................31
Executive Summary
Hospitals and health systems have a great opportunity to improve the health of the
individuals and communities they serve by eliminating health care disparities through:
Increasing the collection and use of race, ethnicity and language preference (REAL) data;
Increasing cultural competency training; and
Increasing diversity in leadership and governance.
The survey results show that, overall, much more work needs to be done to eliminate health
care disparities, but hospitals are making progress on important areas that will lead to more
equitable care.
Executive Summary
The survey provides a snapshot of some common strategies used to improve the quality of
care that hospitals provide to all patients.
The survey provides data to help the health care field focus attention on areas that will have
the most impact and establish a benchmark to gauge hospitals progress in the coming years.
The AHA last year launched its #123forEquity Pledge to Act Campaign to Eliminate
Health Care Disparities. Through the campaign, AHA is providing resources and sharing best
practices to help hospital and health systems on their efforts. For more on the campaign, see
page 31.
Overall, modest progress was made in the collection of patient demographic data at
first patient encounter.
2011
2013
2015
Race
Ethnicity
Primary language
Gender
99%
99%
Religion
Disability status
Sexual orientation
Gender identity
Veteran status
Socioeconomic status
Progress was made in using some REAL data to identify gaps in care.
2011
2013
2015
Race
Ethnicity
Primary language
Gender
32%
45%
Religion
Disability status
Sexual orientation
Gender identity
Veteran status
Socioeconomic status
6% 7% 5%
Not collected in survey
2015 patient data was more commonly collected than used, and used more to
assess satisfaction than outcomes
100%
98%
99%
95%
94%
90%
80%
77%
72%
70%
60%
50%
57%
54%
49%
45%
45%
40%
40%
45%
40%
40%
38%
28%
30%
20%
13%12%
10%
0%
14%
10%
17%
16%
5% 5%
Race
Ethnicity
Primary
Gender
Religion
Disability status
Sexual
language
orientation
7% 7%
10%
7%
11%
2011
2013
2015
90%
80%
70%
60%
50%
43%
41%
40%
35%
30%
20%
27%
20%
21%
14%
8%
10%
0%
14%
15%
13%
8%
Medical Errors
Readmission Data
90%
80%
91%
83%
67%
70%
72%
74%
74%
80% 78%
77%
74%
73%
66%
2011
2013
2015
73%
66%
60%
50%
40%
30%
20%
10%
0%
Available Language
Diverse Health Beliefs
Services
Held by Patient
Populations
Religious Beliefs
Affecting Health Care
Family/Community
Interactions
Languages Spoken by
Patients
2011
2013
2015
90%
80%
70%
60%
50%
40%
30%
29%
20%
32%
14%
10%
0%
31%
14%
14%
12%
12%
11%
Patients
Board Members
Executive Leadership
15%
17%
19%
First- /Mid-Level
Officials and Managers
2011
2013
2015
90%
80%
70%
60%
50%
40%
30%
29%
20%
31%
32%
14%
14%
14%
14%
14%
15%
15%
17%
19%
10%
0%
Patients
Board Members
Executive Leadership
First- /Mid-Level
Officials and Managers
85% 85%
Patients
Board
C-Suite
80%
70%
68%
60%
50%
40%
30%
20%
15%
9%
10%
0%
13%
8%
4%
3%
2%
2% 1%
3%
4%
2%
2%
1%
0%
White
Black/African American Hispanic or Latino
Two or More Races
Asian
American Indian/
Alaska Native
1.41
1.4
1.24
1.26
1.24
1.2
1.04
1
0.8
0.71
0.6
0.53
0.59
2011
2013
2015
0.68
0.54
0.43
0.4
0.32 0.31
0.29
0.37
0.24
0.28
0.2
0
White
Black/African American Hispanic or Latino
Two or More Races
Asian
American Indian/
Alaska Native
77%
70%
60%
60%
58%
2011
2013
2015
50%
40%
30%
20%
10%
0%
14% 13%
9% 9% 9%
7% 6% 6%
10% 11%
14%
16%16%
9%
Chief Executive
Chief Operating
Chief Financial
Chief Medical
Chief Nursing
Chief Diversity
Chief HR
Officer Officer Officer Officer Officer Officer Officer
33%
37%
36%
2011
2013
2015
23%
27%
31%
10%
13%
20%
2011
2013
2015
30%
30%
34%
26%
27%
37%
60%
59%
53%
2011
2013
2015
32%
32%
40%
57%
50%
55%
2011
2013
2015
90%
80%
70%
60%
50%
40%
45%
44%
42%
40%
35%
33%
30%
35%
33%
31%
28%
35%
34%
23%
32%
31%
26%
30%
26%
39%
32%
25%
24%
32%
32%
24%
23%
20%
10%
0%
Race
Ethnicity
Gender
Disability status Veteran status
Primary
Religion
Sexual
Gender
Socioeconomic
language
orientation
identity
status
80%
87%
81%
54%
50%
58%
2011
2013
2015
2011
2013
2015
90%
80%
75%
70%
61%
63%
60%
50%
40%
30%
30%
21%
20%
16%
10%
9%
10%
0%
15%
Yes
No
Not sure
97%
93%
90%
2011
2013
2015
86%
80%
75%
70%
74%
65%
60%
50%
41%
40%
38%
41%
30%
20%
10%
0%
Agency or third-party
Dedicated interpreters on
interpreters
staff whose primary job
function is interpreting
58%
46%
16%
2011
2013
2015
22%
22%
89%
93%
99%
81%
86%
82%
www.equityofcare.org
31 Diversity and Disparities
L aunched in 2015 to
accelerate progress
to ensure equitable
care for all persons in
every community
M
ore than 1,100
organizations pledged
to begin taking
specific actions in the
next year to eliminate
disparities in care
N
ew organizations
continue to pledge
each day
#123forEquity:
T
oolkits with best
practices and
strategies for
achieving success
W
ebinars featuring
hospitals and health
systems that are
leaders on these
efforts
O
ther resources
available on
www.equityofcare.org
A
dvertorial in the Wall
Street Journal May 2
M
ore than 30 local and
national organizations have
endorsed the campaign
P
artnerships with state
and metropolitan hospital
associations
H
onoring organizations that
have pledged during the
AHA and IFD meetings
A M E S S AG E F R O M A M E R I C A S H O S P I TA L S