South Service Planning Area (SPA 6) and King-Drew Medical Center Health Needs Planning Data 2004...

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


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


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




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



*

* 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


%

LA County21.6



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


LA County19.3%



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%



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


%

LA County20.4



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


%LA County

6.3



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


Ra

te p

er

10

0,0

00

LA County187

1,939 Deaths in 2000

Cancer MortalityCancer MortalityAge-Adjusted RateAge-Adjusted Rate


209.0

158.5

150.1149.0

162.6

182.9170.6

156.6

0

50

100

150

200

250

AntelopeValley

SanFernando

SanGabriel


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


%LA County

7.2



56,000 Adults

Diabetes Mortality Diabetes Mortality Age-Adjusted RateAge-Adjusted Rate


26.7

37.2

11.6

20.319.218.3 20.421.0

0

10

20

30

40

50

AntelopeValley

SanFernando

SanGabriel


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


%

LA County9.8



41,000Adults

Stroke Mortality Stroke Mortality Age-Adjusted RateAge-Adjusted Rate


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


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


LA County7.9%


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


LA County6.1%


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


KDMC Discharges

(151)

0%

20%

40%

60%

80%

100%

33%

6%


(2,549)


Residents (229)

Diabetes253 Deaths, 56,202 Diagnosed Adults


KDMC Discharges

(198)

0%

20%

40%

60%

80%

100%

27%11%


(1,881)


Residents (327)

Depression46 Suicides, 41,000 Diagnosed Adults


KDMC Discharges

(63)

0%

20%

40%

60%

80%

100%

20%11%


(559)


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


KDMC Discharges

(781)

0%

20%

40%

60%

80%

100%

27%7%


(11,353)


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


KDMC Discharges

(166)

0%

20%

40%

60%

80%

100%

19%6%


(2,737)


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

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South Service Planning Area (SPA 6) and King-Drew Medical Center Health Needs Planning Data 2004...

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