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Work group weighs equity stratifications for 2026 snapshot
Summary
HCAI staff proposed an equity domain built from stratifications of access indicators (race/ethnicity, age, urban/rural, insurance status, poverty); participants urged including race/ethnicity and geographic detail where data allow and recommended prioritizing stratifications for the static 2026 PDF versus the interactive 2027 dashboard.
Debbie Lindes (Healthcare Delivery System Group Manager, OCA, HCAI) and Miranda Wirtz (Senior Primary Care Specialist) presented the proposed equity domain, which would display stratifications of access indicators rather than independent new measures. "We identified 30 stratification combinations as most relevant to equity by prioritizing stratifications related to race and ethnicity, age, geography, insurance status, and income," Lindes said.
Staff proposed 10 stratification combinations to appear in the 2026 equity domain and emphasized that data limitations—particularly for race/ethnicity in HPD and aggregation challenges across plans—will constrain what can be reported this year. Multiple participants urged maximizing race/ethnicity reporting where feasible: Renee, a primary care pediatrician on the call, said the CHIS routine‑checkup measure is valuable because it can be stratified by race and ethnicity and "that is a piece of information that we really need to go out of our way to capture."
Participants also recommended geographic stratification and measures that reflect rural retention. Raul noted that "miles traveled is the biggest deal to primary care" in Central California, which staff said supports including median miles traveled with an urban/rural stratification. HCAI staff said they will prioritize stratifications for the static 2026 report and expand reporting once the 2027 interactive dashboard is available.
