Key:

not applicableEqual care by race

not applicableUnequal care by race

not applicableNot applicable

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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 recently looked at rates of compliance with guidelines for heart attack, heart failure, pneumonia, and surgery, we found there was only one instance where underrepresented patients (defined here by non-white race) received less care than patients of white race. This disparity is in the area of discharge instructions.  We believe this may be related to language, and a performance improvement program is underway. We expect to see that gap close.

Read about one of MGH’s programs to ensure equal healthcare for all.

MeasuresComparison GroupEquity of Care
Heart AttackRace: WhiteRace: Non-white 
Aspirin at Arrival100%
Jan 2010-Dec 2012 data.
100%
Jan 2010-Dec 2012 data.
MGH has achieved the best possible performance. There was no statistically significant variation in scores by race.
Aspirin at Discharge100%
Jan 2010-Dec 2012 data.
100%
Jan 2010-Dec 2012 data.
MGH has achieved the best possible performance. There was no statistically significant variation in scores by race.
Beta Blocker at Discharge99%
Jan 2010-Dec 2012 data.
100%
Jan 2010-Dec 2012 data.
MGH has achieved the best possible performance. There was no statistically significant variation in scores by race.
ACE-I/ARB at Discharge (AMI)96%
Jan 2010-Dec 2012 data.
100%
Jan 2010-Dec 2012 data.
There was no statistically significant variation in scores by race.
Time to Primary PCI of Less Than or Equal to 90 Minutes94%
Jan 2010-Dec 2012 data.
100%
Jan 2010-Dec 2012 data.
There was no statistically significant variation in scores by race.
“Time is Muscle:” Reducing Door to Balloon Time Can Save Lives of Heart Attack Patients
Heart FailureRace: WhiteRace: Non-white 
ACE-I/ARB at Discharge (HF)96%
Jan 2010-Dec 2012 data.
98%
Jan 2010-Dec 2012 data.
There was no statistically significant variation in scores by race.
Discharge Instructions (HF)90%
Jan 2010-Dec 2012 data.
89%
Jan 2010-Dec 2012 data.
There was no statistically significant variation in scores by race.
LVF Assessment100%
Jan 2010-Dec 2012 data.
100%
Jan 2010-Dec 2012 data.
MGH has achieved the best possible performance. There was no statistically significant variation in scores by race.
PneumoniaRace: WhiteRace: Non-white 
Timing of Blood Cultures96%
Jan 2010-Dec 2012 data.
96%
Jan 2010-Dec 2012 data.
There was no statistically significant variation in scores by race.
Selection of Antibiotics (PN)90%
Jan 2010-Dec 2012 data.
86%
Jan 2010-Dec 2012 data.
There was no statistically significant variation in scores by race.
SurgeryRace: WhiteRace: Non-white 
Antibiotics Received One Hour Prior to Surgery99%
Jan 2010-Dec 2012 data.
99%
Jan 2010-Dec 2012 data.
There was no statistically significant variation in scores by race.
Antibiotic Selection for Surgical Cases98%
Jan 2010-Dec 2012 data.
99%
Jan 2010-Dec 2012 data.
There was no statistically significant variation in scores by race.
Antibiotics Discontinued 24 Hours after Surgery95%
Jan 2010-Dec 2012 data.
95%
Jan 2010-Dec 2012 data.
There was no statistically significant variation in scores by race.

 

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