Hospital Commitment to Health Equity

Identifying Attributes

Care Settings
Hospital Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Hospital Inpatient Quality Reporting Program
Type of Quality Indicator
Structure
IOM Quality Dimension
Equity
Setting-Specific Domain
Wait Times and System Planning / Access

Defining Attributes

Definition

The number of areas (0-5) that the hospital used to measure their hospital commitment to health equity for racial and ethnic minority groups, people with disabilities, members of the LGBTQ+ communities, people with limited English proficiency, rural populations, religious minorities, and people facing socioeconomic challenges.

Numerator

The number of domains (including key elements) the hospital fulfilled the criteria for: • 1. Equity is a Strategic Priority • 2. Data Collection • 3. Data Analysis • 4. Quality Improvement • 5. Leadership Engagement

Denominator

This is a categorical variable.

Exclusions
Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

By domain, hospital and state.

Collection and Reporting Attributes

Type of Data Collection
Administrative data
Data Collection Methods

Entered into QualityNet Secure Portal

Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods

Hospital Care Compare Website

Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

Source and Reference Attributes

Link to Measurement Tools
Domain
Comprehensive Care
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Can the Quality Indicator be Readily Implemented at a Population Level in Australia Given its Current Data Landscape?
Implementation of this quality indicator was not assessed.
Identified by PHARMA-Care Project
No
Upload Date
23 July 2025