Post on 12-Jan-2016
transcript
South Service Planning Area (SPA 6) and
King-Drew Medical CenterHealth Needs Planning Data
2004
Compiled by LAC DHS Office of Planning, 2004
Questions
• Who lives in SPA 6?
• What are their health risks?
• What are their specific health problems?
• What is their access to care?
• Where are the existing resources?
• Who uses KDMC?
Data Sources
• Census 2000
• DHS Vital Statistics
• Los Angeles County Health Survey
• Office of Statewide Health Planning Data (OSHPD) Hospital Discharge Data and Hospital Utilization Reports
• DHS Patient Assessment Survey
• DHS Enterprise Data Warehouse
GORMAN
WESTLAKEVILLAGE
MALIBU
AGOURAHILLS
CALABASAS
WINNETKA
VAN NUYS
SANTAMONICA
SANTA CLARITA
VENICE
SAN FERNANDO
BEVERLYHILLS
CANYONCOUNTRY
WESTHOLLYWOOD
BURBANK
CULVERCITY
RANCHOPALOS
VERDES
EL SEGUNDO
HERMOSA BEACH
LENNOX
LAWNDALE
INGLEWOOD
LOMITA
SAN PEDRO
TORRANCE
HAWTHORNE
CARSON
COMPTON
WILMINGTON
BELL
VERNON
SIGNAL HILL
LONG BEACH
PARAMOUNT
CITY OFCOMMERCE
BELLGARDENS
MONTEBELLO
MONTEREYPARK
NORWALK
CERRITOS
ELMONTE
WHITTIER
SANTA FE SPRINGS
LA PUENTE WALNUT
DIAMONDBAR
SANDIMAS
QUARTZ HILL
LANCASTER
ACTON
ROSAMOND
PALMDALE
LITTLEROCK
LAKE LOS ANGELES
LA CANADAFLINTRIDGE
GLENDALE
HIGHLAND PARK
PASADENA
SANGABRIEL
ARCADIA
S PASADENACOVINA
DUARTE
BALDWINPARK
AZUSA GLENDORA
POMONA
CLAREMONT
0 5 10
miles
East - 7
San Fernando - 2
San Gabriel - 3
Metro - 4
South - 6
South Bay - 8
West - 5
Antelope Valley - 1
Los Angeles County Service Planning Areas
Age DistributionUS, LAC, and SPA 6 Population
0
5
10
15
20
25
30
35
40
45
0-4 5-19 20-44 45-64 65+
Per
cent
of
Pop
ulat
ion
USLACSPA 6
Source: US Census 2000
Race/Ethnicity Distribution US, LAC, and SPA 6 Population
0
10
20
30
40
50
60
70
Latino AfricanAmerican
White Asian Other
Per
cent
of
Pop
ulat
ion
USLACSPA 6
Source: US Census 2000
Poverty Distribution US, LAC, and SPA 6 Population
0
10
20
30
40
50
60
70
<100% FPL 100-200% FPL >200% FPL
Per
cent
of
Pop
ulat
ion
USLACSPA 6
Source: US Census 2000
Percentage of Children (Age 0 to 17 years) Who Are Uninsured
by SPA, 2002-03
8.3% 8.3%7.2%
14.3%
6.7%
17.7%
10.2% 9.6%
0%
5%
10%
15%
20%
25%
AntelopeValley
SanFernando
SanGabriel
Metro West South East South Bay
2002-03 Los Angeles County Health Survey
Department of Health Services, Public Health
LA County10.3
Percentage of Adults (Age 18 to 64 years) Who Are Uninsured
by SPA, 2002-03
17.6%
37.6%
16.0%
36.4%
24.5%22.3%
28.7%
22.5%
0%
10%
20%
30%
40%
50%
AntelopeValley
SanFernando
SanGabriel
Metro West South East South Bay
2002-03 Los Angeles County Health Survey
Department of Health Services, Public Health
LA County26.2
Percent of Children (0 to 17 Years) in Percent of Children (0 to 17 Years) in FairFair or or Poor HealthPoor Health (Parent-Reported) (Parent-Reported)
by SPA, 2002-03by SPA, 2002-03
24.5
12.3 12.410.0
13.2
23.1
6.4
16.2
0
10
20
30
40
AntelopeValley
SanFernando
SanGabriel
Metro West South East SouthBay
%
LA County15.5
2002-03 Los Angeles County Health Survey
Department of Health Services, Public Health
*
* Estimate based on a cell size <20 (> 23% of the point estimate), which may be statistically unstable.
Percent of Adults ReportingPercent of Adults Reporting FairFair or or Poor HealthPoor Health
by SPA, 2002-03by SPA, 2002-03
30.1
24.6
12.1
24.9
18.418.8
20.921.4
0
10
20
30
40
AntelopeValley
SanFernando
SanGabriel
Metro West South East SouthBay
%
LA County21.6
2002-03 Los Angeles County Health Survey
Department of Health Services, Public Health
186,000 Adults
Teen Birth Rate*Teen Birth Rate*by SPA, 2001by SPA, 2001
52.1
35.1
85.7
50.840.843.3
35.0
8.4
0
20
40
60
80
100
AntelopeValley
SanFernando
San Gabriel Metro West South East South Bay
LA County44.4
Los Angeles County Department of Health Services
Maternal, Child and Adolescent Health Program* Births to teens per 1,000 live births to mothers 15-19 years
3,452Teen Births
Leading Causes of DeathSPA 6, 2001
0 500 1,000 1,500 2,000 2,500
Pneumonia/Influenza
Chronic Lower Resp.Disease
Unintentional Injuries
Diabetes
Homicide
Stroke
Cancer
Heart Disease
Number of Deaths
Prevalence of ObesityPrevalence of ObesityAmong Adults Among Adults by SPA, 2002-03by SPA, 2002-03
23.6%
30.0%
10.6%
17.2%15.9%
24.7%
21.2%
17.7%
0%
10%
20%
30%
40%
AntelopeValley
SanFernando
SanGabriel
Metro West South East South Bay
LA County19.3%
2002-03 Los Angeles County Health Survey
Department of Health Services, Public Health
Prevalence of Overweight Among Los Angeles County School Children (Grades 5, 7, and 9) by Health District, Based on data from the 2001 California Physical Fitness Testing Program
Antelope Valley
San Fernando
East ValleyFoothill
West Valley
West Pomona
El Monte
Whittier
Glendale
Torrance
Harbor
Bellflower
Alhambra
Inglewood
Pasadena
East LA
San Antonio
Compton
Long Beach
South
Central
Southwest
Hollywood/Wilshire
#
Northeast
#
SoutheastPrevalence of Obesity15% and below16% to 20%21% to 25%Above 25%
0 10 20 Miles
N
Prevalence of Cigarette Smoking Prevalence of Cigarette Smoking Among Adults Among Adults by SPA, 2002-03by SPA, 2002-03
20.6%
15.1%17.0%
15.0%16.9%
14.8% 14.2%14.3%
0%
10%
20%
30%
AntelopeValley
SanFernando
San Gabriel Metro West South East South Bay
LA County15.6%
2002-03 Los Angeles County Health Survey
Department of Health Services, Public Health
Prevalence of HypertensionPrevalence of Hypertension(High Blood Pressure) Among Adults (High Blood Pressure) Among Adults
by SPA, 2002-03by SPA, 2002-03
25.4
20.3
22.422.3
18.7 18.816.7
20.4
0
5
10
15
20
25
30
AntelopeValley
SanFernando
SanGabriel
Metro West South East SouthBay
%
LA County20.4
2002-03 Los Angeles County Health Survey
Department of Health Services, Public Health
157,000 Adults
Prevalence of Heart DiseasePrevalence of Heart DiseaseAmong Adults Among Adults by SPA, 2002-03by SPA, 2002-03
6.97.3
4.65.54.9
8.2
6.57.5
0
5
10
15
AntelopeValley
SanFernando
SanGabriel
Metro West South East SouthBay
%LA County
6.3
2002-03 Los Angeles County Health Survey
Department of Health Services, Public Health
43,000 Adults
Coronary Heart Disease MortalityCoronary Heart Disease MortalityAge-Adjusted RateAge-Adjusted Rate
by SPA, 2000by SPA, 2000
242
171169
154
203209188182
0
100
200
300
400
AntelopeValley
SanFernando
SanGabriel
Metro West South East South Bay
Ra
te p
er
10
0,0
00
LA County187
1,939 Deaths in 2000
Cancer MortalityCancer MortalityAge-Adjusted RateAge-Adjusted Rate
by SPA, 2000by SPA, 2000
209.0
158.5
150.1149.0
162.6
182.9170.6
156.6
0
50
100
150
200
250
AntelopeValley
SanFernando
SanGabriel
Metro West South East South Bay
Ra
te p
er
10
0,0
00 LA County
164.5
1,312 Deaths in 2000
Prevalence of Diabetes Prevalence of Diabetes Among Adults Among Adults by SPA, 2002-03by SPA, 2002-03
9.29.4
4.2
6.8
6.3
6.98.0
6.8
0
5
10
15
AntelopeValley
SanFernando
SanGabriel
Metro West South East SouthBay
%LA County
7.2
2002-03 Los Angeles County Health Survey
Department of Health Services, Public Health
56,000 Adults
Diabetes Mortality Diabetes Mortality Age-Adjusted RateAge-Adjusted Rate
by SPA, 2000by SPA, 2000
26.7
37.2
11.6
20.319.218.3 20.421.0
0
10
20
30
40
50
AntelopeValley
SanFernando
SanGabriel
Metro West South East SouthBay
Ra
te p
er
10
0,0
00
LA County21.7
249 Deaths in 2000
Prevalence of DepressionPrevalence of DepressionDiagnosed Among Adults Diagnosed Among Adults
by SPA, 2002-03by SPA, 2002-03
6.6
9.8
11.7
10.710.8
9.49.7
9.0
0
5
10
15
AntelopeValley
SanFernando
SanGabriel
Metro West South East SouthBay
%
LA County9.8
2002-03 Los Angeles County Health Survey
Department of Health Services, Public Health
41,000Adults
Stroke Mortality Stroke Mortality Age-Adjusted RateAge-Adjusted Rate
by SPA, 2000by SPA, 2000
70.2
48.445.3
46.146.4
53.656.5
45.8
0
10
20
30
40
50
60
70
80
90
100
AntelopeValley
SanFernando
SanGabriel
Metro West South East South Bay
Ra
te p
er
10
0,0
00
LA County50.5
477 Deaths in 2000
Prevalence of Asthma*Prevalence of Asthma*Among Children (0 to 17 Years) Among Children (0 to 17 Years)
by SPA, 2002-03by SPA, 2002-03
12.3%
5.3%5.9%
6.9%
9.8%
13.0%
8.4%7.5%
0%
5%
10%
15%
AntelopeValley
SanFernando
SanGabriel
Metro West South East South Bay
LA County7.9%
2002-03 Los Angeles County Health Survey
Department of Health Services, Public Health* Ever diagnosed and currently still has asthma or had an attack in the past 12 months.
20,000Children
Prevalence of Asthma*Prevalence of Asthma*Among Adults Among Adults by SPA, 2002-03by SPA, 2002-03
10.0%
4.8%
6.9%6.2% 6.6%
5.7%5.8% 5.7%
0%
5%
10%
15%
AntelopeValley
SanFernando
SanGabriel
Metro West South East South Bay
LA County6.1%
2002-03 Los Angeles County Health Survey
Department of Health Services, Public Health* Ever diagnosed and currently still has asthma or had an attack in the past 12 months.
43,000 Adults
Age DistributionSPA 6 Population and KDMC Patients
0
5
10
15
20
25
30
35
40
45
0-4 5-19 20-44 45-64 65+
Per
cent
of
Pop
ulat
ion
SPA 6KDMC
Source: US Census 2000 (SPA 6) and DHS Information Systems FY 2002/03 Data (KDMC)
Race/Ethnicity Distribution SPA 6 Population and KDMC Patients
0
10
20
30
40
50
60
70
Latino AfricanAmerican
White Asian Other
Per
cent
of
Pop
ulat
ion
SPA 6KDMC
Source: US Census 2000 (SPA 6) and DHS Information Systems FY 2002/03 Data (KDMC)
Private Hospitals within 5 and 10 Miles of KDMC
Within 5 miles of KDMC:• 5 Private Acute Care hospitals
– 2 Non-profit, 3 For Profit– 3 have ER services, incl. 1 Trauma Center– 880 licensed beds
Within 10 miles of KDMC:• 32 Private Acute Care hospitals
– 18 Non-profit, 14 For Profit– 24 have ER services, incl. 3 Trauma Centers– 7,120 licensed beds
Asthma41,239 Diagnosed Adults
Uninsured Discharges KDMC (72)
KDMC Discharges
(377)
0%
20%
40%
60%
80%
100%
28%11%
Discharges:SPA 6 Residents
(3,433)
Discharges:Uninsured SPA 6
Residents (258)
Cancer1,368 Deaths
Uninsured Discharges KDMC (76)
KDMC Discharges
(151)
0%
20%
40%
60%
80%
100%
33%
6%
Discharges:SPA 6 Residents
(2,549)
Discharges:Uninsured SPA 6
Residents (229)
Diabetes253 Deaths, 56,202 Diagnosed Adults
Uninsured Discharges KDMC (88)
KDMC Discharges
(198)
0%
20%
40%
60%
80%
100%
27%11%
Discharges:SPA 6 Residents
(1,881)
Discharges:Uninsured SPA 6
Residents (327)
Depression46 Suicides, 41,000 Diagnosed Adults
Uninsured Discharges KDMC (31)
KDMC Discharges
(63)
0%
20%
40%
60%
80%
100%
20%11%
Discharges:SPA 6 Residents
(559)
Discharges:Uninsured SPA 6
Residents (152)
Drug Overdose3,817 Drug-related Discharges
Uninsured Residents KDMC (10)
Inpatient Utilization KDMC (51)
Uninsured SPA 6
Residents (93)
Discharges SPA 6
Residents (507)
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
11%1010%%
Heart Disease2,032 Deaths, 42,000 Diagnosed Adults
Uninsured Discharges KDMC (203)
KDMC Discharges
(781)
0%
20%
40%
60%
80%
100%
27%7%
Discharges:SPA 6 Residents
(11,353)
Discharges:Uninsured SPA 6
Residents (744)
HIV/AIDS104 New Cases, 1,833 Living w/Aids
Uninsured Residents KDMC (20)
Inpatient Utilization KDMC (86)
Uninsured SPA 6
Residents (84)
Discharges SPA 6
Residents (774)
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
24%1111%%
Stroke457 Deaths
Uninsured Discharges KDMC (39)
KDMC Discharges
(166)
0%
20%
40%
60%
80%
100%
19%6%
Discharges:SPA 6 Residents
(2,737)
Discharges:Uninsured SPA 6
Residents (202)
Trauma2,724 Visits
Uninsured Residents
KDMC (106)
Inpatient Utilization
KDMC (353)
Uninsured SPA 6
Residents (322)
Discharges SPA 6
Residents (1,042)
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
3434%% 33%
Ambulatory Care Sensitive ConditionsKDMC ER Visits and Admissions, FY 2002/03
ER Visits Hospital Admissions
Psychiatric Disorders 8,104 621
Asthma 2,098 459
Hypertension 518 526
Diabetes 380 313
Substance Abuse 286 104
Chronic Obstructive Pulmonary Disease
232 142
Ischemic Heart Disease 231 244
Congestive Heart Failure
212 355