Criterion 24: #176610

Finding
Compliance

The provider’s Health Professions Executive Committee (HPEC) conducted a strategic planning process as a committee learning activity to improve the hospital’s leadership approach to addressing system-wide healthcare disparities. The committee was comprised of the Chief Executive Officer, Chief Nursing Officer, Chief Medical Officer, Chief Quality Officer, a public representative to the Board of Directors, and a liaison from the County Public Health Department. Over 14 months, the committee met six times to identify areas of concern, work collaboratively to plan action steps, and evaluate the degree to which the work of the committee was effective in providing clear, actionable direction to the health system as it relates to health care disparities.