Read san_benito_99.pdf text version

San Benito County

Healthcare Information

Contents

Demographics

Page 2 3 3 4 Population Education Employment Population & Healthcare Resources

Healthcare Resources

General Acute Care Hospitals Long-term Care Facilities Primary Care Clinics Home Health Agencies Hospices Inpatient Overview Clinical Overview

6 12 14 15 16

Hospitalization Characteristics

18 19

Specific Trends

Births & Deliveries Conditions Procedures Injuries

22 24 27 30

DEMOGRAPHICS

Population

Trends Age Race/Ethnicity Projection

Education

Attainment

Major Employment Sectors Unemployment

Employment

San Benito County

2

Demographics

POPULATION

County Trends

75 Thousands

California

50 25 0

Total

1990 1995 2000 2005 1990 1995 Births + Deaths Emigration/ Immigration Total Change 2000 2005 36,970 42,604 51,853 60,257

Population

Trends

40 Millions 30 20 10 0 1990 1995 2000 2005

1995

796 241 +849 1,404

1996

798 248 +1,593 2,143

1997

888 253 +1,570 2,205

1998

856 273 +1,148 1,731

1999

974 269 +1,061 1,766

Age

1999

0-4 yrs 8.8%

Race/Ethnicity

1999

Age 1999

65+ yrs, 10.7% 45-64 yrs, 20.3% 0-4 yrs, 8.1% 5-14 yrs, 16.0%

65+ yrs 11.0%

5-14 yrs 16.0%

Black Asian/ 0.4% Pacific Islander 2.1%

Native American 0.5%

45-64 yrs 19.9%

15-44 yrs 44.4%

Hispanic 43.0%

White 53.9%

15-44 yrs, 44.9%

Age

0-4 yrs 5-14 yrs 15-44 yrs 45-64 yrs 65+ yrs

Number

4,406 8,000 22,230 9,951 5,500

White 26,988 Hispanic 21,558 Asian/Pacific Is. 1,075 Black 205 Native American 261

Race

Number

Race/Ethnicity 1999

Black, 6.8%

Total

50,087

Total

50,087

Asian/ Pacific Is., 11.3%

Native American, 0.6%

Projection

Age 2005 Race/Ethnicity

Demographics

Hispanic, 30.4%

White, 50.9%

65+ yrs 10.7%

0-4 yrs 8.8% 5-14 yrs 16.2%

Black Asian/ Pacific Islander 0.4% Native American 0.5% 2.4%

45-64 yrs 21.6% Hispanic 41.7% White 54.9%

15-44 yrs 42.7%

Edition 2, 2001

Source: California Department of Finance. Note that the population data from 1999 forward are based on projections.

San Benito County

3

Education

Educational Attainment

(based on 1990 census)

California

No high school diploma, 31.6% College degree, 20.7%

Educational Attainment (based on 1990 Census)

College degree, 31.3% No high school diploma, 23.8%

High school graduate, 47.7%

High school graduate, 44.9%

Employment Sectors

Major Employment Sectors

Other, 18.6% Government, 18.4%

Major Employment Sectors (1999) Number

Government Trade Service Industry Production Other Total 2,660 3,740 1,990 3,370 2,690 14,450

Employment Sectors 1999

Other, 13.6% Production, 18.2% Government, 15.5% Trade, 22.2%

Production, 23.3% Service Industry, 13.8%

Trade, 25.9%

Service Industry, 30.4%

Unemployment

Employment Statistics

1995 1996 1997 1998 1999

Labor Unemployment Force Rate

Unemployment Rate

20 15

Percent

10.0 7.5

Percent

Unemployment Rate

Demographics

23,110 24,780 26,290 26,270 26,430

13.7% 11.7% 11.0% 10.6% 8.0%

5.0 2.5 0.0 1995 1996 1997 1998 1999

10 5 0 1995 1996

1997

1998

1999

Source: Employment Development Department, Labor Market Information Division

Edition 2, 2001

4

San Benito County Population & Healthcare Resources

Hazel Hawkins Memorial Hospital

San Benito County Line Hospital Site/ER Level Population by ZIP Code 0 - 849 850 - 4,499 4,500 + Basic

Demographics

H E A L T H C A R E R E S O U R C E S

General Acute Care Hospitals Long-term Care Facilities Clinics Home Health Agencies Hospices

San Benito County

6

Healthcare Resources

FINANCIAL & UTILIZATION INFORMATION GENERAL ACUTE CARE HOSPITALS 1999

There is only one hospital in San Benito County. It is considered a small/rural hospital and provides basic emergency services.

Resources: Acute Care Hospitals

California Type of Control, 1999

Government 6.2% District 10.4% Non-profit 50.4%

Investor 32.9%

Edition 2, 2001

San Benito County

FINANCIAL & UTILIZATION INFORMATION GENERAL ACUTE CARE HOSPITALS 1999

7

Hazel Hawkins Memorial Hospital

Income Statement

Gross Patient Revenue -Deductions from Revenue Net Patient Revenue +Other Operating Revenue Total Operating Revenue -Operating Expenses Net from Operations +Non-operating Revenue -Non-operating Expenses -Income Taxes -Extraordinary Items Net Income Per Adjusted Day Gross Patient Revenue -Deductions from Revenue Net Patient Revenue +Other Operating Revenue Total Operating Revenue -Operating Expenses Net from Operations +Non-operating Revenue -Non-operating Expenses -Income Taxes -Extraordinary Items Net Income Resource Utilization Ownership Available Beds Patient Days Discharges Occupancy Rate Outpatient Visits Average Length of Stay Emergency Service # of ER Stations Specialty/Teaching/Rural

Dollars

51,467,671 24,159,788 27,307,883 83,685 27,391,568 26,490,676 900,892 1,351,710 138,628 0 0 $2,113,974

California

Net Income from Operations Comparable Hospitals

10 5 0 -5 -10 -15 -20

1995 1996 1997 1998 1999

Dollars (Billions)

$1,054 495 559 2 561 543 18 28 3 0 0 $43 District 87 25,183 2,254 79.3% 103,273 2.9 Basic 7 Small/Rural

Resources: Acute Care Hospitals

Operating Revenue/Expense Comparable Hospitals

40 30 20 10 0

1995 1996 1997 1998 1999 Expense

Revenue

Footnotes: Per Adjusted Day: This statistic adjusts the number of patient days to compensate for outpatient services. The financial data on this page reflect disproportionate share payments transferred to a related public entity. *Excludes data from State, Kaiser, PHF, Shriner, and other non-comparable hospitals. Note that columns may not add to subtotals due to rounding.

Source: OSHPD Annual Hospital Financial Disclosure Reports.

Edition 2, 2001

San Benito County 8

Healthcare Resources

ACUTE CARE HOSPITALS

Net Patient Revenue

Net Patient Revenue

Net Patient Revenue per Adjusted Day

California

Net Patient Revenue per Adjusted Day

1,000 800

1,500 $ (Millions)

30 25

1,000

Dollars

15 10 5

Dollars

20

1995 1996 1997 1998 1999

1995 1996 1997 1998 1999

17,552,884 19,372,146 22,206,720 24,355,521 27,307,883

600 400 200 0

1995 1996 1997 1998 1999

418 437 491 527 559

500

0

1995 1996 1997 1998 1999

0

1995 1996 1997 1998 1999

Net Patient Revenue by Payer 1999

Other Payers, 11.7%

Resources: Acute Care Hospitals

Net Patient Revenue by Payer 1999

Other Payer, 5.6% Medicare, 29.7%

Medicare, 24.6%

Other Third Party, 44.7%

Other Third Party Payers, 50.3%

Medi-Cal, 11.5% County Indigent, 1.9%

Medi-Cal, County Indigent, 17.9% 2.1%

Net Patient Revenue/Expense

Net Inpatient Revenue/Expense per Day

1,000 800

Net Inpatient Revenue/Expense per Day

Dollars

500 400 Dollars 300 200 100 0

Net Outpatient Revenue/Expense per Visit

2,000

Dollars

600 400 200 0

1,500 1,000 500 0

Revenue Expense

Revenue 1995 1996 1997 1998 1999 Expense

1995 1996 1997 1998 1999

1995 1996 1997 1998 1999

1995 1996 1997 1998 1999

Edition 2, 2001

Net Outpatient Net Inpatient Net Outpatient Net Inpatient Revenue per Day Expense per Day Revenue per Visit Expense per Visit $162 $168 $418 $435 149 151 437 442 135 130 491 471 124 119 527 506 559 543 128 124

Graphs and tables exclude data from State, Kaiser, PHF, Shriner, and other non-comparable hospitals.

Source: OSHPD Annual Hospital Financial Disclosure Reports.

San Benito County 9

Emergency Room Services

ER Treatment Stations

25 20 Number 15 10 5 0

California

Hospitals with Emergency Services by Type, 1999:

Comprehensive: Basic: Standby: Trauma: 0 1 0 0

0.40 Stations 0.30 0.20 0.10 0.00

ER Treatment Stations per 1,000 Population

1995 1996 1997

1998 1999

0.30

Stations

ER Treatment Stations per 1,000 population

1995 1996 1997 1998 1999 1995 1996 1997 1998 1999

0.20 0.10 0.00

ER Treatment ER Treatment Stations Stations per 1,000 Pop.

6 9 9 8 7 0.14 0.20 0.20 0.17 0.14

1995 1996 1997 1998

1999

Resources: Acute Care Hospitals

Emergency Room Visits

% of ER Visits ER Visits Resulting in per 1,000 Pop. Admit

Emergency Room Visits

10.0 8.0 Millions 6.0 4.0 2.0 0 1995 1996 1997 1998 1999

ER Visits

Total Hospital ER Visits

20 Thousands 15 10 5 0

1995 1996 1997 1998 1999

15,332 14,199 14,712 15,372 17,258

360 323 319 318 345

5.1 5.5 6.7 6.7 6.4

1995

1996

1997

1998

1999

ER Visits, San Benito County, 1999

Urgent Visits, 4.7% Critical Visits, 7.1%

Total Hospital Emergency Room Visits per 1,000 Population

500 400 Visits 300 200 100 0

San Benito County Non-urgent Visits, 88.2%

California

1995 1996

1997 1998 1999 Graphs include data from comparable GAC hospitals plus Kaiser.

Source: California Department of Finance, OSHPD Hospital Utilization database. Edition 2, 2001

San Benito County

10

Specific Trends

ACUTE CARE HOSPITALS

Patient Days

California

Patient Days per 1,000 Population

600 450 Days 300 150 0 1995 1996 1997 1998 1999

Days 1995 1996 1997 1998 1999 24,213 24,102 24,258 24,518 25,183

per 1,000 pop.

Thousands

568 548 526 507 503

Patient Days

30

20

10

Patient Days per 1,000 Population

1000 800

0

1995 1996 1997 1998 1999

Days

600 400 200 0

Resources: Acute Care Hospitals

1995 1996 1997 1998 1999

Outpatient Visits

Outpatient Visits per 1,000 Population

2,000 1,500

1,000 500 0 1995 1996 19971998 1999

Thousands

1995 1996 1997 1998 1999

Outpatient Visits 45,927 59,162 76,479 92,225 103,273

Visits

per 1,000 pop.

1,078 1,344 1,657 1,907 2,062

125 100 75 50 25 0

Outpatient Visits

Outpatient Visits per 1,000 Population

2,500 2,000

1995 1996 1997 1998 1999

Visits

1,500 1,000 500 0

1995 1996 1997 1998 1999

Graphs include data from comparable GAC hospitals plus Kaiser.

Edition 2, 2001 Source: OSHPD Annual Hospital Financial Disclosure Reports.

San Benito County

11

Available Beds California

per 1,000 pop.

Available Beds

100 80

Beds

1995 1996 1997 1998 1999 87 87 87 87 87

Beds

Number

60 40 20 0

2.0 2.0 1.9 1.8 1.7

3.0

Available Beds per 1,000 Population

1.5

Available Beds per 1,000 Population

3

0.0

1995 1996

1997 1998 1999

1995 1996 1997 1998 1999

2

Beds

1 60

Occupancy Rate

Resources: Acute Care Hospitals

0

1995 1996 1997 1998 1999

Percent

40

Occupancy Rate

20

0

1995 1996 1997 1998 1999

Occupancy Rate

100 80

Rate

1995 1996 1997 1998 1999 76.2 75.7 76.4 77.2 79.3

Days

2.9 2.9 2.7 2.8 2.9

Days Average Length of Stay (Days)

5.0 4.0 3.0 2.0 1.0 0.0

Percent

60 40 20 0 10.0

Average Length of Stay

1995 1996 1997 1998 1999 Days

8.0 6.0 4.0 2.0 0.0

1995 1996 1997 1998 1999

1995 1996 1997 1998 1999

Graphs include data from comparable GAC hospitals plus Kaiser.

Source: OSHPD Annual Hospital Financial Disclosure Reports. Edition 2, 2001

San Benito County

12

LONG-TERM CARE FACILITIES

County Trends

California

LTC Residents

100

Trends Number

200 Thousands

75 50

LTC Residents

LTC Residents over 65

25 0

1995 1996 1997 1998 1999

LTC Residents 61 63 64 65 63

LTC Residents over 65 54 49 58 57 58

100

1995 1996 1997 1998 1999

0

1995 1996 1997 1998 1999

Beds

Total LTC Beds Total LTC Residents Residents over 65

Beds

1995 1996 1997 1998 1999 70 70 70 70 70 Number

100 75 50 25 0

1995 1996 1997 1998 1999

Occupancy Rate

Resources: Long-term Care

100 80 Percent 60 40 20 0

LTC Beds per 1,000 County Residents Over 65

20 15

LTC Beds per 1,000 County Residents over 65 1995 1996 1997 1998 1999 1995 1996 1997 1998 1999 15.2 14.4 13.8 13.2 12.7

Beds

10 5 0

1995 1996 1997 1998 1999

LTC Occupancy Rate

Occupancy Rate 1995 1996 1997 1998 1999 92.5 78.4 91.4 92.9 90.0 Percent

100 75 50 25 0

1995 1996 1997 1998 1999

Edition 2, 2001

Source: Callifornia Department of Finance, OSHPD Long-term Care Financial and Utilization databases.

San Benito County

13

Residents 1999 California

Age

over 95 yrs, 11.1% Under 45, 6.3% 55-64 yrs, 1.6% 65-74 yrs, 19.0%

Discharged To

Other, 2.5% Death, 23.5%

Discharged To 1999 Home, 36.1%

Other, 1.7% Death,19.4% Residential Care, 6.8% Other LTC, 4.9% Hospital, 33.4% Home, 33.8%

Residential Care, 9.2% Other LTC, 4.2%

85-94 yrs, 34.9%

75-84 yrs, 27.0%

Hospital, 24.4%

Financial Information

Resources: Long-term Care

Revenue per Day 1996 1997 1998 1999 $140 139 156 128

Expense per Day $145 138 150 154

California Payers, 1999

Other Payers, 9.9% Self-pay, 21.1% Medicare, 8.5%

Net Patient Services Revenue & Expense per Census Day

200 150

Dollars Self-Pay, 9.6%

Payers 1999

Other Payers, 0.1% Medicare, 13.2%

Medi-Cal, 60.4%

100 50 0

1996 1997 Revenue 1998 Medi-Cal, 77.1%

1999 Expense

Source: Callifornia Department of Finance, OSHPD Long-term Care Financial and Utilization databases.

Edition 2, 2001

San Benito County

14

Healthcare Resources

PRIMARY CARE CLINICS

County Trends

Patients & Encounters

30 Encounters

Thousands

Community clinics:

tax-exempt nonprofit organizations charges are based on patients' ability to pay

20

10

Patients

Free clinics:

0

1995

1996

1997

1998

1999

community clinics, where patients are not charged for services or medicines.

Patients 9,119 Encounters 24,149 # Community 1 # Free 0

1995

8,479 27,095 1 0

1996

7,272 23,766 1 0

1997

8,690 27,778 1 0

1998

8,813 28,161 1 0

1999

Race/Ethnicity 1999

Native American, 0.1% Filipino, 0.1% White, 7.8% Other Non-White, 25.1%

California Clinic Patients Race/Ethnicity 1999

Pacific Islander, 0.4% Filipino, 1.0% Native American, 2.1% Other Non-White, 4.6% Asian, 5.3% Black, 6.7%

Asian, 0.2% Black, 0.3% Hispanic, 66.5%

White, 26.9%

Hispanic, 53.1%

(Based on Federal Poverty Levels)

1995

The Poverty Guidelines are issued by the Federal Department of Health and Human Services to estimate the number of persons/families in poverty for determining financial eligibility for Federal programs.

Economic Status

Resources: Clinics

1999

100%-200%, 5.6% Above 200%, 0.7%

100%-200%, 3.7%

Above 200%, 0.7% Below 100%, 95.5%

Below 100%, 93.7%

Edition 2, 2001

Source: OSHPD Primary Care Clinic Utilization database.

San Benito County

HOME HEALTH AGENCIES

County Trends

15

Unduplicated Patients

2,000 Number 1,500 1,000 500 0 1995 1996 1997 1998 1999 1995 1996 1997 1998 1999

Number

456 844 1,647 679 868

Unduplicated patient: may have been seen more than once but is counted only once as a patient.

Patients 1999

Resources: Home Health Agencies

Age

0-20 yrs, 5.6% 21-40 yrs, 4.8% 81+ yrs, 39.4% 41-60 yrs, 12.8% Other, 53.1%

Condition

Fractures, 6.0% Skin Diseases, 6.3% Respiratory, 9.7% Cardiovascular, 11.7% 61-80 yrs, 37.4% Musculoskeletal Conditions, 13.2%

Over 76% of patients in home health agency care are over the age of 60.

Discharged To

1999

To hospital, 13.6% Died, 2.9% To Family/Friends, 6.7% No further care needed, 63.3%

Other, 13.5%

Source: OSHPD Home Health Agency Utilization databases.

Edition 2, 2001

San Benito County

16

Healthcare Resources

HOSPICES

County Trends

20 Number 15 10 5 0

Patients

Patients 1995 1996 1997 1998 1999

1995 1996 1997 1998 1999

support a patient in the last phases of life due to the existence of a terminal disease.

Hospice: palliative care to

0 0 0 14 0

Patients 1999

There were no hospice patients in San Benito County in 1999.

Conditions Requiring Hospice Care 1999

Resources: Hospices

Edition 2, 2001

Source: OSHPD Home Health Agency and Hospice Utilization Database.

HOSPITALIZATION CHARACTERISTICS

Inpatient Overview

Trends Demographics Admits/Dispositions

Types of Hospitalizations/Diagnosis Types of Principal Procedures Injuries/Types/Types by Age Group

Clinical Overview

San Benito County

18

Hospitalization Characteristics

INPATIENT OVERVIEW

County Trends

per 1,000 101 98 107 104 107

California

Hospitalizations

6,000 5,000

Inpatient Hospitalizations

1995 1996 1997 1998 1999

Inpatients 4,289 4,298 4,938 5,011 5,368

Hospitalization Characteristics: Inpatient Overview

Number

Trends

4,000 3,000 2,000 Number 1,000 0 1995 1996 1997 1998 1999

4.0

Millions

Hospitalizations per 1,000 Residents

200 150 100 50 0 1995 1996 1997 1998 1999

3.0 2.0 1.0 0 1995 1996 1997 1998 1999

Patients 1999

Age

0-14 yrs, 19.5%

Age 1999

60+ yrs, 36.5%

Race/Ethnicity

0-14 yrs, 23.6% Native American, 0.2% Asian, 1.5% Black, 0.5% Other/Unknown, 5.5%

60+ yrs, 28.9%

15-29 yrs, 14.2% 45-59 yrs, 13.5% 30-44 yrs, 16.3% 15-29 yrs, 17.5% 30-44 yrs, 17.5

45-59 yrs, 12.6%

Hispanic, 39.9%

White, 52.4%

Race/Ethnicity 1999

Native American, 0.2% Asian/ Pacific Is., 6.6% Black, 8.4% Hispanic, 26.1% White, 55.9% Unknown, 2.8%

Admitted From

Other, 8.6% Newborn, 17.7%

Discharged To

Transferred Within, 2.8 Transferred Other, 7.8% Home Health, 5.7%

Died, 2.3% Other, 0.3%

Home, 46.0% Emergency Room, 27.7% Edition 2, 2001 Source: Department of Finance, OSHPD California Inpatient Discharge Data.

Routine, 81.1%

San Benito County

CLINICAL OVERVIEW

Types of Principal Diagnoses

1999

All Pregnancies Births Circulatory System Digestive System Injuries/Poisonings/Complications Respiratory System Symptoms/Other Reasons Musculoskeletal System Cancer (Includes non-cancerous growths) Genitourinary System Endocrine System Mental Disorders Infections Skin Disorders Nervous System Anemia & Other Blood Disorders Perinatal Disorders Birth Defects

Circulatory system disorders, digestive system disorders, and injuries/poisonings/complications account for the top three diagnostic categories of hospital discharges in San Benito County, excluding pregnancies and births. Pregnancies/births account for 37.8% of hospital discharges in San Benito County, and 28.3% of hospital discharges statewide.

19

Hospitalization Characteristics:Clinical Overview

0

200

400

600

800

1,000

1,200

Number

Types of Principal Procedures

1999

Obstetrical Procedures Digestive System Diagnostic/Therapeutic Procedures Cardiovascular System Musculoskeletal System Female Reproductive Organs Male Reproductive Organs Skin Nervous System Respiratory System Urinary System Nose/Mouth/Throat Endocrine System Lymph Nodes/Spleen/Bone Marrow Procedures Eye Ear

Obstetrical procedures account for 29.2% of inpatient principal procedures performed on San Benito County residents and 22.2% of inpatient principal procedures performed statewide.

Principal procedures performed for digestive, cardiovascular, and musculoskeletal systems are the top three procedure categories for hospital discharges in San Benito County, excluding obstetrical and diagnostic/therapeutic procedures.

0

200

400

600

Number

800

1,000

Source: California Inpatient Discharge Data, OSHPD.

Edition 2, 2001

San Benito County

20

Hospitalization Characteristics

Types of Injuries 1999

Accidental Falls Adverse Effects of Medications Undetermined and Other

Accidental falls, adverse effects of medications, and undetermined/other accidents are the top three principal cause of injuries of San Benito County inpatients.

Rail & Motor Vehicle Accidents Other Accidents Self Inflicted Accidental Poisoning Other Vehicle/Transport Accidents Inflicted by Others Late effects of Injury

Inpatient Characteristics: Clinical Overview

0

30

60

90

Number

120

150

Types of Injuries Age 1999

100

In San Benito County, patients age 60 and over represent 67.2% of discharge records for accidental falls and 48.0% of discharge records for adverse effects of medications.

75

Number of Incidents

0-14 yrs 15-29 yrs 30-44 yrs 45-59 yrs 60+ yrs

50

25

Edition 2, 2001

Source: California Inpatient Discharge Data, OSHPD.

iso ni dv ng of e M rse ed E In ic ffe fli a c ct ed tio ts n La by s te O Ef th fe er ct s so fI O nj th ur O er y th A er cc Ve id en hi cl ts e/ Tr Ra an il & sp or M t ot or Ve hi cl Se e Un lf de In fli te ct rm ed in ed & O th er A

ta en id cc A A cc id e

lF nt

al

Po

al

ls

0

SPECIFIC TRENDS

Selected Conditions

Births & Deliveries High-risk Deliveries Asthma Cancer HIV Cardiac Bypass Mastectomy Prostatectomy Auto Injuries Drug Poisonings Gunshot Injuries

Selected Procedures

Selected Injuries

San Benito County

22

Specific Trends

BIRTHS & DELIVERIES

County Trends

Births

1,000 Number

California

Fertility Rate

600 500

Thousands

800 600 400 200 0 California 1995 1996 1997 1998 1999 County Statewide Fertility Rate Fertility Rate 82.4 80.3 84.8 82.2 87.7 75.1 73.6 71.0 70.0 69.1

Births

100 80 Percent 60 40 20 0 1995

San Benito County

400 300 200 100 0 1995 1996 1997 1998 1999

County Births 1996 1997 1998 1999 1995 1996 1997 1998 1999 776 775 858 868 953

Premature Births

Premature Births

Specific Trends: Births & Deliveries

40

30

Thousands

100 75

Premature Births

20

Number

10

0 1995 1996 1997 1998 1999

Fertility rate is calculated by dividing the number of births by the population of females aged 15-44 years, and then dividing by 1,000.

1995 1996 1997 1998 1999

San Benito County 55 51 54 57 65

Statewide 37,896 37,397 37,035 36,806 36,703

50 25 0

1995 1996

1997 1998

1999

Cesarean Section Deliveries

San Benito County Statewide

% of All Deliveries

26% of all births to California residents were premature.

50 40

Percent

Cesarean Sections, % of Deliveries

1995 1996 1997 1998 1999

C-sections

% of All Deliveries

C-sections

Year 2010 National Health Objectives Goal: Cesarean section births to equal no more than 15.5% of total births.

30 20 10 0 1995 1996

San Benito County California

193 170 215 214 223

25.0 22.0 25.1 24.7 23.6

111,393 108,263 107,256 110,034 114,397

20.7 20.6 21.0 21.7 22.8

1997

1998

1999

Edition 2, 2001

Sources: California Inpatient Discharge Data, OSHPD. Demographic data from CA Dept of Finance.

San Benito County

23

County Trends

All Deliveries: Mother's Age at Delivery,1999

Over 35 yrs, Ages 0-16, 12.5% 2.4%

California

Deliveries by females less than 16 years of age or greater than 35 years of age are considered "high risk."

0-16 yrs

Number % of all births

17-34 yrs

Number % of all births

Over 35 yrs

% of Number all births

1995 1996 1997 1998 1999

18 28 20 18 23

2.3 3.6 2.3 2.1 2.4

667 660 721 761 803

86.3 85.3 84.1 87.7 85.1

88 86 116 89 118

11.4 11.1 13.5 10.3 12.5 Ages 17-34 yrs, 85.1%

Thousands

High Risk Deliveries

80

60

High-risk Deliveries

40

20

High-risk Deliveries

150 over 35 years Deliveries 100

0

1995 1996 1997 1998 1999

Specific Trends: Births & Deliveries

0-16 yrs 35+ yrs

50 0-16 years 0

20

High Risk Deliveries % of All Deliveries

1995

1996

1997

1998

1999

15

Percent

20

High-risk Deliveries, % of All Deliveries

10

5

15 Percent over 35 years 10

0

1995 1996 1997 1998 1999

5 0-16 years 0 1995 1996 1997 1998 1999

Sources: California Inpatient Discharge Data, OSHPD. Demographic data from CA Dept of Finance. Note that 1998 population figures are based on estimates.

Edition 2, 2001

San Benito County

24

Specific Trends

(based on principal diagnosis)

ASTHMA

County Trends

Asthma Hospitalizations 50

Asthma Hospitalizations

50

Thousands

Number

California

40 30 20 10 0

Hospitalizations Age-adjusted Rate San Benito County per 1,000 Pop.

Trends

40 30 20 10 0 1995 1996 1997 1998 1999

1995 1996 1997 1998 1999

19 24 44 32 19

0.45 0.54 0.92 0.63 0.36

1995 1996

1997

1998

1999

Patients 1999

Percent of County Asthma Patients Compared to the Percent of Total County Population for Each Group

Age-adjusted Rate per 1,000 Pop.

Percent

1995 1996 1997 1998 1999

1.30 1.15 1.18 1.12 1.16

Gender

60 50 40 30 20 10

Specific Trends: Conditions

Race/Ethnicity

60 50 40 Percent 30 20 10 0

ac k c Hi sp a

m er ic an

0

Male

Female

Age

50 40 30 20 10 Percent

0-14 15-29 30-44 45-59 60+ Age (Years)

% of Asthma Patients % of County Residents

W

Edition 2, 2001

Sources: California Inpatient Discharge Data, OSHPD. Demographic data from CA Dept of Finance. Note that 1998 population figures are based on estimates.

N

at

iv

e

A

O th er

A

Bl

sia n

hi te

0

ni

San Benito County

(based on principal diagnosis)

CANCER

County Trends

25

Cancer Hospitalizations

250 200 150 100 50 0 Hospitalizations Age-adjusted Rate San Benito County per 1,000 Pop.

Number

California

Cancer Hospitalizations

150

1995 1996 1997 1998 1999

154 132 172 160 143

4.17 3.33 4.16 3.71 3.19

Trends

Thousands

1995 1996

1997 1998

1999

100

Patients

1999

Percent of County Cancer Patients Compared to the Percent of Total County Population for Each Group

50

0

1995 1996 1997 1998 1999

Gender

Age-adjusted Rate per 1,000 Pop.

60

Percent

50 40 30 20 10

1995 1996 1997 1998 1999

4.44 4.36 4.43 4.37 4.30

Specific Trends: Conditions

Race/Ethnicity

80 70 60 50 Percent 40 30 20 10 0

hi te Hi Bl a m ck er ic an O th er ic W an sp A sia n

0

Age

Male Female

80

60 50 40 30 20 10

0-14 15-29 30-44 45-59 60+ Age (Years) % of Cancer Patients % of County Residents

0

Sources: California Inpatient Discharge Data, OSHPD. Demographic data from CA Dept of Finance. Note that 1998 population figures are based on estimates.

N

at iv e

A

Percent

70

Edition 2, 2001

San Benito County

26

Specific Trends

(based on principal diagnosis)

HIV

County Trends

10

HIV Hospitalizations

Hospitalizations Age-adjusted Rate per 1,000 Pop. San Benito County

California

Number

HIV Hospitalizations

Trends

15

5

1995 1996 1997 1998 1999

1 4 2 3 4

0.02 0.09 0.04 0.06 0.08

Thousands

10

0

50

1995 1996

1997

1998 1999

0

Patients 1999

1995 1996 1997 1998 1999

Percent of County HIV Patients Compared to the Percent of Total County Population for Each Group

Gender

Age-adjusted Rate per 1,000 Pop.

1995 1996 1997 1998 1999

0.43 0.37 0.27 0.25 0.22

Specific Trends: Conditions

Race/Ethnicity

Age

Due to the confidential nature of medical information specific gender, race/ethnicity, and age statistics will not be displayed for this county on patient counts of less than five.

Edition 2, 2001

Sources: California Inpatient Discharge Data, OSHPD. Demographic data from CA Dept of Finance. Note that 1998 population figures are based on estimates.

San Benito County CARDIAC BYPASS

(based on principal procedure)

27

County Trends

Cardiac Bypass Hospitalizations

100 Hospitalizations Age-adjusted Rate San Benito County per 1,000 Pop.

California

75 Number

50

25

1995 1996 1997 1998 1999

33 38 39 50 48

0.91 0.98 0.96 1.18 1.08

30

Cardiac Bypass Hospitalizations

Trends

0

1995 1996 1997 1998 1999

Thousands

Patients 1999

Percent of County Cardiac Bypass Patients Compared to the Percent of Total County Population for Each Group

20

10

0

1995 1996 1997 1998 1999

Gender

80 70 Percent 60 50 40 30 20 10 0

Statewide Age-adjusted Rate per 1,000 Pop.

Specific Trends: Procedures

Race/Ethnicity

80 70 60 Percent 50 40 30 20 10 0

hi te an ic A sia n N at iv Bl e ac A k m er ic an O th er W Hi sp

Male

Female

Age

80 60 50 40 30 20 10 0 Percent 70

1995 1996 1997 1998 1999

0.97 1.03 0.99 0.96 0.93

0-14 15-29 30-44 45-59 60+ Age (Years)

% of Bypass Patients % of County Residents

Sources: California Inpatient Discharge Data, OSHPD. Demographic data from CA Dept of Finance. Note that 1998 population figures are based on estimates. Edition 2, 2001

San Benito County

28

Specific Trends

MASTECTOMY

(based on principal procedure)

County Trends

Mastectomy Hospitalizations

Hospitalizations San Benito County Age-adjusted Rate per 1,000 Pop.

100

Number

California

Mastectomy Hospitalizations

10

75 1995 1996 1997 1998 1999

50

Trends

25

8 10 19 7 8

0.22 0.26 0.47 0.16 0.18

0

Thousands

1995

1996 1997

1998

1999

5

Patients 1999

Percent of County Mastectomy Patients Compared to the Percent of Total County Population for Each Group

0

1995 1996 1997 1998 1999

Age-adjusted Rate per 1,000 Pop.

Specific Trends: Procedures

1995 1996 1997 1998 1999

0.32 0.29 0.29 0.29 0.29

Race/Ethnicity

100 80 60 Percent 40 20 0

te ic n an ac sia hi k W A Bl sp

Age

100 80 60 40 20 0 Percent

e

Am

Hi

Edition 2, 2001

Sources: California Inpatient Discharge Data, OSHPD. Demographic data from CA Dept of Finance. Note that 1998 population figures are based on estimates.

Na

tiv

er

0-14 15-29 30-44 45-59 Age (Years)

an O th er

60+

ic

% of Mastectomy Patients % of County Residents

San Benito County PROSTATECTOMY

(based on principal procedure)

29

County Trends

Prostatectomy Hospitalizations

100

Hospitalizations Age-adjusted Rate San Benito County per 1,000 Pop.

Number

75

California

Prostatectomy Hospitalizations

30

50

25

1995 1996 1997 1998 1999

14 20 33 24 19

0.39 0.52 0.82 0.57 0.43

Trends

0

Thousands

1995 1996

1997

1998 1999

20

Patients 1999

Percent of County Prostatectomy Patients Compared to the Percent of Total County Population for Each Group

10

0

1995 1996 1997 1998 1999

Age-adjusted Rate per 1,000 Pop.

Specific Trends: Procedures

80 70 60 50 Percent 40 30 20 10 0

an te n k an sia ac W A Bl ic sp A m er O th hi er ic

Race/Ethnicity

Age

80 70 60 Percent 50 40 30 20 10

1995 1996 1997 1998 1999

0.79 0.75 0.72 0.67 0.65

0-14 15-29 30-44 45-59 Age (Years)

60+

0

Hi

N

at iv e

% of Prostatectomy Patients % of County Residents

Sources: California Inpatient Discharge Data, OSHPD. Demographic data from CA Dept of Finance. Note that 1998 population figures are based on estimates.

Edition 2, 2001

San Benito County

30

(based on first event causing hospitalization)

AUTO INJURY

County Trends

100

Auto Injury Hospitalizations

Hospitalizations Age-adjusted Rate San Benito County per 1,000 Pop. 1995 1996 1997 1998 1999 36 30 47 38 52 0.87 0.68 1.02 0.79 1.05

California

75

Number

Auto Injury Hospitalizations

40

50

Trends

25

Thousands

30

0

1995

1996 1997

1998

1999

20

Patients 1999

Percent of County Auto Injury Patients Compared to the Percent of Total County Population for Each Group

1995 1996 1997 1998 1999

10

0

Gender

Age-adjusted Rate per 1,000 Pop. 1995 1996 1997 1998 1999 1.08 1.04 1.01 0.98 0.97

60 Percent 50 40 30 20 10

Specific Trends: Injuries

Race/Ethnicity

0

Male

Female

Age

60 50 40 Percent 30 20 10

sia n

35 30 25 15 10 5 0-14 15-29 30-44 45-59 60+ Age (Years)

an

0

te ic an hi W Hi sp

A

Bl

ic

Na

tiv

e

Am

er

O

Edition 2, 2001

Sources: California Inpatient Discharge Data, OSHPD. Demographic data from CA Dept of Finance. Note that 1998 population figures are based on estimates.

th er

ac

k

0

% of Auto Accident Patients % of County Residents

Percent

20

San Benito County

(based on first event causing hospitalization)

DRUG POISONING

County Trends

31

Drug Poisoning Hospitalizations

100

Hospitalizations San Benito County Age-adjusted Rate per 1,000 Pop.

Number

75

California

50

25

1995 1996 1997 1998 1999 1995 1996 1997 1998 1999

25 24 25 15 26

0.58 0.55 0.56 0.32 0.53

Drug Poisoning Hospitalizations

25 20

Thousands

Trends

0

Patients

1999

Percent of County Drug Poisoning Patients Compared to the Percent of Total County Population for Each Group

15 10 5 0

1995 1996 1997 1998 1999

Gender

Age-adjusted Rate per 1,000 Pop.

60 Percent 50 40 30 20 10 0 Male Female 40 35 30 20 15 10 5

sp an er ic a

1995 1996 1997 1998 1999

0.72 0.71 0.70 0.66 0.64

Specific Trends: Injuries

Race/Ethnicity

Age

60 50 40 Percent 30 20 10 0

sia n W A m Hi n O th er hi te Bl ac k A ic

0-14 15-29 30-44 45-59 60+ Age (Years)

0

N at iv

e

% of Drug Poisoning Patients % of County Residents

Sources: California Inpatient Discharge Data, OSHPD.Demographic data from CA Dept of Finance. Note that 1998 population figures are based on estimates. Edition 2, 2001

Percent

25

San Benito County

32

(based on first event causing hospitalization)

GUNSHOT INJURIES

County Trends

Gunshot Injury Hospitalizations

10 Age-adjusted Rate Hospitalizations per 1,000 Pop. San Benito County

California

Gunshot Injury Hospitalizations

Trends

10.0 8.0

Thousands

5

1995 1996 1997 1998 1999

3 2 4 2 5

0.07 0.04 0.08 0.04 0.10

Number

0

1995

1996 1997

1998 1999

6.0 4.0 2.0 0.0 1995 1996 1997 1998 1999

Patients 1999

Percent of County Gunshot Injury Patients Compared to the Percent of Total County Population for Each Group

Gender

100 Percent 80 60 40 20 0

Age-adjusted Rate per 1,000 Pop.

Specific Trends: Injuries

1995 1996 1997 1998 1999

0.24 0.20 0.16 0.13 0.12

Race/Ethnicity

Male

Female

Age

80 70 60 50 Percent 40 30 20 10

n

40 35 30 20 15 10 5

Bl a e Am ck er ic an

0

te ni c hi sp a W A Hi

0-14 15-29 30-44 45-59 60+ Age (Years)

0

sia

Edition 2, 2001

Sources: California Inpatient Discharge Data, OSHPD.Demographic data from CA Dept of Finance. Note that 1998 population figures are based on estimates.

Na

tiv

O

th

er

Percent

25

For more information please contact...

Healthcare Quality and Analysis Division

Healthcare Information Resource Center

818 K Street, Room 500 Sacramento, CA 95814

(916) 326-3802 [email protected] www.oshpd.state.ca.us

Information

san_benito_99.pdf

35 pages

Report File (DMCA)

Our content is added by our users. We aim to remove reported files within 1 working day. Please use this link to notify us:

Report this file as copyright or inappropriate

310760


Notice: fwrite(): send of 200 bytes failed with errno=104 Connection reset by peer in /home/readbag.com/web/sphinxapi.php on line 531