Providing Equitable Care

At MGH, we are committed to making sure that all patients, regardless of race, ethnicity, and primary language spoken, receive proper care. When we looked at rates of compliance with guidelines for heart attack, heart failure, pneumonia and surgery, we found there were no incidences where underrepresented patients (defined here by non-white race) received less care than patients of white race. The population we serve at MGH is reflective of the population of the state of Massachusetts. Read about one of MGH’s programs to ensure equal healthcare for all.

Measures	Comparison Group		Equity of Care
Heart Attack	Race: White	Race: Non-white
Aspirin at Arrival	100% Jan 2007-Dec 2008 data.	100% Jan 2007-Dec 2008 data.	MGH has achieved the best possible performance. There was no statistically significant variation in scores by race.
Aspirin at Discharge	100% Jan 2007-Dec 2008 data.	100% Jan 2007-Dec 2008 data.	MGH has achieved the best possible performance. There was no statistically significant variation in scores by race.
Beta Blocker at Discharge	100% Jan 2007-Dec 2008 data.	99% Jan 2007-Dec 2008 data.	There was no statistically significant variation in scores by race.
ACE-I/ARB at Discharge (AMI)	97% Jan 2007-Dec 2008 data.	100% Jan 2007-Dec 2008 data.	There was no statistically significant variation in scores by race.
Time to Primary PCI of Less Than or Equal to 90 Minutes	73% Jan 2007-Dec 2008 data.	91% Jan 2007-Dec 2008 data.	Non white patients receive timely PCIs at least as often as white patients. In this sample, non white patients received timely PCIs even more frequently. “Time is Muscle:” Reducing Door to Balloon Time Can Save Lives of Heart Attack Patients
Smoking Counseling (AMI)	100% Jan 2007-Dec 2008 data.	100% Jan 2007-Dec 2008 data.	MGH has achieved the best possible performance. There was no statistically significant variation in scores by race.
Heart Failure	Race: White	Race: Non-white
ACE-I/ARB at Discharge (HF)	97% Jan 2007-Dec 2008 data.	97% Jan 2007-Dec 2008 data.	There was no statistically significant variation in scores by race.
Discharge Instructions (HF)	85% Jan 2007-Dec 2008 data.	84% Jan 2007-Dec 2008 data.	There was no statistically significant variation in scores by race.
LVF Assessment	100% Jan 2007-Dec 2008 data.	98% Jan 2007-Dec 2008 data.	There was no statistically significant variation in scores by race.
Smoking Counseling (HF)	100% Jan 2007-Dec 2008 data.	100% Jan 2007-Dec 2008 data.	MGH has achieved the best possible performance. There was no statistically significant variation in scores by race.
Pneumonia	Race: White	Race: Non-white
Pneumovax Vaccination	83% Jan 2007-Dec 2008 data.	84% Jan 2007-Dec 2008 data.	There was no statistically significant variation in scores by race.
Antibiotics within 6 hours	87% Jan 2007-Dec 2008 data.	82% Jan 2007-Dec 2008 data.	There was no statistically significant variation in scores by race.
Timing of Blood Cultures	96% Jan 2007-Dec 2008 data.	92% Jan 2007-Dec 2008 data.	There was no statistically significant variation in scores by race.
Selection of Antibiotics	88% Jan 2007-Dec 2008 data.	92% Jan 2007-Dec 2008 data.	There was no statistically significant variation in scores by race.
Smoking Counseling (PN)	100% Jan 2007-Dec 2008 data.	100% Jan 2007-Dec 2008 data.	MGH has achieved the best possible performance. There was no statistically significant variation in scores by race.
Surgery	Race: White	Race: Non-white
Antibiotics Received One Hour Prior to Surgery	97% Jan 2007-Dec 2008 data.	95% Jan 2007-Dec 2008 data.	There was no statistically significant variation in scores by race.
Antibiotic Selection for Surgical Cases	98% Jan 2007-Dec 2008 data.	100% Jan 2007-Dec 2008 data.	There was no statistically significant variation in scores by race.
Antibiotics Discontinued 24 Hours after Surgery	90% Jan 2007-Dec 2008 data.	95% Jan 2007-Dec 2008 data.	There was no statistically significant variation in scores by race.

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