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Alameda County
Healthcare Information
Contents
Page
Demographics
Population 2
Education 3
Employment 3
Population & Healthcare Resources 4
Healthcare Resources
General Acute Care Hospitals
(individual facility information) 6
Long-term Care Facilities 16
Primary Care Clinics 18
Home Health Agencies 19
Hospices 20
Hospitalization Characteristics
Inpatient Overview 22
Clinical Overview 23
Specific Trends
Births & Deliveries 26
Conditions 28
Procedures 31
Injuries 34
DEMOGRAPHICS
Population
Trends
Age
Race/Ethnicity
Projection
Education
Attainment
Employment
Major Employment Sectors
Unemployment
Alameda County
Demographics
2
POPULATION
County Trends
2
Total
1990 1,284,825
California
Millions
1 1995 1,347,739
2000 1,470,155
2005 1,571,796
0
1990 1995 2000 2005
Population 1995 1996 1997 1998 1999
Trends Births + 20,941 20,668 20,766 20,436 20,547
Deaths - 9,924 9,670 9,574 9,801 9,863
40
Emigration/ +6,285 +22,551 +14,997 +13,229 +10,828
30 Immigration
Millions
20 Total Change 17,304 33,549 26,189 23,864 21,512
10
Age Race/Ethnicity
0
1990 1995 2000 2005 1999 1999
65+ yrs 0-4 yrs
Native American
10.4% 7.5% Black 0.5%
Age 17.2%
5-14 yrs
1999 14.9%
45-64 yrs Asian/ White
65+ yrs, 0-4 yrs,
8.1% 22.3% Pacific Islander 44.8%
10.7%
19.5%
5-14 yrs, 15-44 yrs
45-64 yrs, 16.0%
44.9% Hispanic
20.3%
18.0%
15-44 yrs,
44.9% Age Number Race Number
0-4 yrs 109,006 White 649,147
5-14 yrs 215,838 Hispanic 261,220
15-44 yrs 650,482 Asian/Pacific Is. 282,128
45-64 yrs 323,302 Black 249,383
65+ yrs 150,015 Native American 6,765
Race/Ethnicity Total 1,448,643 Total 144,8643
1999
Black,
6.8% Native American,
Asian/ 0.6% Projection
Pacific Is.,
11.3% Age 2005 Race/Ethnicity
Demographics
White,
Hispanic, 50.9%
30.4%
65+ yrs 0-4 yrs Native American
6.9% Black 0.4%
10.6% 16.7%
5-14 yrs
14.8%
45-64 yrs Asian/
26.0% Pacific Islander
23.0% White
40.3%
15-44 yrs Hispanic
41.7% 19.5%
Source: California Department of Finance.
Edition 2, 2001
Note that the population data from 1999 forward are based on projections.
Alameda County
3
Education
Educational Attainment
(based on 1990 census)
California
No high school diploma,
18.6%
College degree,
Educational Attainment
36.6% (based on 1990 Census)
College degree,
31.3% No high school
diploma,
23.8%
High school graduate,
44.9%
High school graduate,
44.9%
Employment Sectors
Major Employment
Sectors
Employment Sectors
Trade, 1999
23.1% Major Employment Sectors Other,
Other, Government,
(1999) Number 13.6%
15.5%
29.1% Trade 158,100 Production,
Service Industry 195,700 Trade,
18.2%
Production 130,600 22.2%
Other 199,200
Production, Total 683,600 Service Industry,
19.1% 30.4%
Service Industry,
28.6%
Unemployment
Unemployment Rate
10.0
Employment Statistics
Demographics
Unemployment Rate
Labor Unemployment 7.5
Force Rate
Percent
1995 682,000 5.8% 6 5.0
1996 680,700 5.0%
1997 698,800 4.4% 5 2.5
1998 707,700 4.1%
1999 719,800 3.5% 4 0.0
Percent
1995 1996 1997 1998 1999
3
2
1
0
1995 1996 1997 1998 1999
Source: Employment Development Department, Labor Market Information Division Edition 2, 2001
Alameda County
Population & Healthcare Resources
4
Children's Hospital Med Ctr of No Cal
Summit Medical Center
Alta Bates Med Ctr-Ashby Campus
Kaiser Fdn Hosp - Oakland Campus
Alameda County Medical Center
San Leandro Hospital
Eden Medical Center
Valley Memorial Hospital
Washington Hospital - Fremont
Kaiser Fdn Hosp - Hayward
St. Rose Hospital
Alameda County Line
Population by ZIP Code Hospital Sites/ER Level
0 - 1,149 Basic
1,150 - 17,549
17,550 - 34,549
35,550 - 52,549
52,550 +
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
Alameda County
6
Healthcare Resources
FINANCIAL & UTILIZATION INFORMATION
GENERAL ACUTE CARE HOSPITALS 1999
Alta Bates
Alameda Cnty Alameda Med Ctr Eden
Income Statement Med Ctr Hospital -Ashby Campus Medical Ctr
Gross Patient Revenue $264,793,305 N $ 1,034,215,299 $200,291,781
o
-Deductions from Revenue 55,968,235 t 735,431,282 123,663,417
Net Patient Revenue 208,825,070 298,784,017 76,628,364
+Other Operating Revenue 9,147,149 R 12,147,014 1,302,920
Total Operating Revenue 217,972,219 e 310,931,031 77,931,284
p
13 of 18 GAC hospitals in -Operating Expenses 205,320,045 o 308,182,070 74,496,491
Alameda County are non- Net from Operations 12,652,174 r 2,748,961 3,434,793
profit. +Non-operating Revenue 5,088,614 t 6,686,083 799,152
-Non-operating Expense 53,824 e 1,295,684 498,702
7 of 18 GAC hospitals d
reported a negative net -Income Taxes 0 0 0
income. -Extraordinary Items 0 0 0
12 of 18 GAC hospitals provide Net Income $17,686,964 $8,139,360 $3,735,243
emergency services.
Per Adjusted Day
Gross Patient Revenue $1,620 N $5,672 $3,534
-Deductions from Revenue 342 o 4,033 2,182
Net Patient Revenue 1,277 t 1,639 1,352
+Other Operating Revenue 56 R 67 23
Total Operating Revenue 1,333 e 1,705 1,375
-Operating Expenses 1,256 p 1,690 1,314
Net from Operations 77 o 15 61
r
+Non-operating Revenue 31 t 37 14
Resources: Acute Care Hospitals
-Non-operating Expense 0 e 7 9
-Income Taxes 0 d 0 0
-Extraordinary Items 0 0 0
Net Income $108 $45 $66
Resource Utilization
California
Ownership Gov't Non-profit Non-profit Non-profit
Type of Control, Available Beds 535 Not reported 509 216
1999 Patient Days 116,545 " 137,637 43,008
Government Discharges 13,174 " 22,394 9,338
6.2% Occupancy Rate 59.7% " 74.1% 54.6%
Non-profit
District
50.4%
Outpatient Visits 201,999 " 387,004 125,947
10.4%
Average Length of Stay 6.5 " 5.3 3.5
Emergency Service Basic Basic Basic Basic
# of ER Stations 30 10 29 13
Specialty/Teaching/Rural Teaching -- -- --
Investor
32.9%
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.
Edition 2, 2001 Source: OSHPD Annual Hospital Financial Disclosure Reports.
Alameda County
7
FINANCIAL & UTILIZATION INFORMATION
GENERAL ACUTE CARE HOSPITALS 1999
San Leandro St. Rose Summit Valley
Hospital Hospital Medical Ctr Memorial Hosp
Income Statement
$125,371,181 $96,181,137 $493,760,868 $258,240,217 Gross Patient Revenue
California
79,983,616 46,816,482 312,870,076 167,122,465 - Deductions from Revenue
45,387,565 49,364,655 180,890,792 91,117,752 Net Patient Revenue
342,092 750,960 15,491,680 1,250,621 + Other Operating Revenue
45,729,657 50,115,615 196,382,472 92,368,373 T otal Operating Revenue Net Income from Operations
46,223,649 54,501,851 209,127,127 89,294,536 -Operating Expenses Comparable Hospitals
(493,992) (4,386,236) (12,744,655) 3,073,837 Net from Operations 10
482,500 339,100 13,405,487 3,095,664 + Non-operating Revenue 5
423,190 0 2,043,851 472,187 -Non-operating Expense
0
Dollars
0 0 0 0 -Income Taxes
-5
0 0 0 0 -Extraordinary Items
-10
($434,682) ($4,047,136) ($1,383,019) $5,697,314 Net Income
-15
-20
Per Adjusted Day 1995 1996 1997 1998 1999
$3,633 $1,991 $3,459 $5,755 Gross Patient Revenue
2,317 969 2,192 3,724 -Deductions from Revenue
1,315 1,022 1,267 2,031 Net Patient Revenue
10 16 109 28 +Other Operating Revenue
1,325 1,037 1,376 2,058 Total Operating Revenue
Resources: Acute Care Hospitals
1,339 1,128 1,456 1,990 -Operating Expenses Operating Revenue/Expense
(14) (91) (89) 69 Net from Operations Comparable Hospitals
14 7 94 69 +Non-operating Revenue
40
12 0 14 11 -Non-operating Expense
0 0 0 0 -Income Taxes Dollars (Billions)
30
0 0 0 0 -Extraordinary Items
20
($13) ($84) ($10) $127 Net Income
10
Resource Utilization
0
Investor Non-Profit Non-Profit Non-Profit Ownership 1995 1996 1997 1998 1999
122 175 441 152 Available Beds
25,847 36,339 109,499 31,934 Patient Days Revenue Expense
5,349 7,026 20,922 6,768 Discharges
63.4% 56.9% 68.0% 57.6% Occupancy Rate
17,456 82,126 180,168 193,086 Outpatient Visits
4.0 4.1 4.7 4.1 Average Length of Stay
Basic Basic Basic None Emergency Service
7 12 22 -- # of ER Stations
-- -- -- -- Specialty/Teaching/Rural
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
Alameda County
8
Healthcare Resources
FINANCIAL & UTILIZATION INFORMATION
GENERAL ACUTE CARE &
NONCOMPARABLE HOSPITALS1999
Valley Care Washington Hosp Kaiser Fnd Hosp
Income Statement Med Cntr Fremont Hayward
Gross Patient Revenue $342,714,471
-Deductions from Revenue 199,483,302 N
Included o
Net Patient Revenue 143,231,169
in t
+Other Operating Revenue 1,452,462
Total Operating Revenue Valley 144,683,631 R
-Operating Expenses 136,082,465 e
Kaiser Foundation Hospitals Net from Operations Memorial 8,601,166 p
report data by region. There
+Non-operating Revenue 6,163,836 o
are fourteen locations in the Hospital r
Northern California region and -Non-operating Expense 203,752 t
twelve in the Southern -Income Taxes 0 e
California region. d
-Extraordinary Items 241,805
Net Income $14,319,445
Per Adjusted Day
Gross Patient Revenue $4,763 N
-Deductions from Revenue 2,773 o
Included t
Net Patient Revenue 1,991
+Other Operating Revenue in 20 R
Total Operating Revenue 2,011 e
-Operating Expenses Valley 1,891 p
Net from Operations 120 o
Memorial r
+Non-operating Revenue 86 t
Hospital
Resources: Acute Care Hospitals
-Non-operating Expense 3 e
-Income Taxes 0 d
-Extraordinary Items 3
Net Income $199
Resource Utilization
Ownership Non-profit District Non-profit
Available Beds -- 279 213
Patient Days -- 60,237 48,607
Discharges -- 13,988 14,350
Occupancy Rate -- 59.2% 62.5%
Outpatient Visits -- 148,902 41,673
Average Length of Stay -- 4.3 3.4
Emergency Service Basic Basic Basic
# of ER Stations 12 16 19
Specialty/Teaching/Rural -- -- --
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.
Edition 2, 2001 Source: OSHPD Annual Hospital Financial Disclosure Reports.
Alameda County
9
FINANCIAL & UTILIZATION INFORMATION
NONCOMPARABLE & SPECIALTY
HOSPITALS 1999
Children Hosp
Kaiser Fdn Hosp Med Ctr Laurel Grove
Oakland of N Calif. Hospital Income Statement
$261,165,749 $18,467,518 Gross Patient Revenue
N 109,396,316 10,146,450 - Deductions from Revenue
o 151,769,433 8,321,068 Net Patient Revenue
t 37,116,437 46,245 + Other Operating Revenue
R 188,885,870 8,367,313 T otal Operating Revenue There are six specialty hospitals
e 191,820,722 8,444,423 -Operating Expenses in Alameda County in the
p following categories: one is a
(2,934,852) (77,110) Net from Operations
o children's hospital, one is for
7,393,111 76,259 + Non-operating Revenue patients requiring long-term
r
t 3,443,371 20,268 -Non-operating Expense care, one is for patients with
0 0 -Income Taxes chemical dependencies,
e one is for rehabilitation, one
d 0 0 -Extraordinary Items is for comatose patients, and
$1,014,888 ($21,119) Net Income one is a psychiatric health
facility.
Per Adjusted Day Of the six specialty hospitals in
Alameda County, two are
$3,670 $1,776 Gross Patient Revenue investor-owned and four are
N 1,537 976 -Deductions from Revenue non-profit.
o
t 2,133 800 Net Patient Revenue
Kaiser Foundation Hospitals
522 4 +Other Operating Revenue report data by region. There
R 2,654 805 Total Operating Revenue are fourteen locations in the
Resources: Acute Care Hospitals
e 2,695 812 -Operating Expenses Northern California region and
p (41) (7) Net from Operations twelve in the Southern
o California region.
r 104 7 +Non-operating Revenue
t 48 2 -Non-operating Expense
e 0 0 -Income Taxes
d 0 0 -Extraordinary Items
$14 ($2) Net Income
Resource Utilization
Non-profit Non-Profit Non-Profit Ownership
292 204 42 Available Beds
50,627 53,630 9,078 Patient Days
12,710 10,282 672 Discharges
47.5% 72.0% 59.2% Occupancy Rate
40,742 157,145 11,463 Outpatient Visits
4.0 5.2 14.3 Average Length of Stay
Basic Basic None Emergency Service
27 14 -- # of ER Stations
-- Children Specialty Specialty/Teaching/Rural
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
Alameda County
10
Healthcare Resources
FINANCIAL & UTILIZATION INFORMATION
SPECIALTY & PSYCHIATRIC HOSPITALS 1999
Thunder Road
Merritt Peralta Chem Dep
Income Statement Institute CDRH Recovery Hosp
Gross Patient Revenue $3,380,417 $4,203,947
-Deductions from Revenue 2,300,642 1,173,079
Net Patient Revenue 1,079,775 3,030,868
+Other Operating Revenue 0 265,375
Total Operating Revenue 1,079,775 3,296,243
There are six specialty hospitals -Operating Expenses 3,097,588 3,367,590
in Alameda County in the Net from Operations (2,017,813) (71,347)
following categories: one is a
+Non-operating Revenue 0 100,969
children's hospital, one is for
patients requiring long-term -Non-operating Expense 0 0
care, one is for patients with -Income Taxes 0 0
chemical dependencies, -Extraordinary Items 0 0
one is for rehabilitation, one
is for comatose patients, and Net Income ($2,017,813) $29,622
one is a psychiatric health
facility.
Per Adjusted Day
Of the six specialty hospitals in Gross Patient Revenue $624 $263
Alameda County, two are
investor-owned and four are -Deductions from Revenue 425 73
non-profit. Net Patient Revenue 199 190
+Other Operating Revenue 0 17
Total Operating Revenue 199 206
-Operating Expenses 572 211
Net from Operations (373) (4)
+Non-operating Revenue 0 6
-Non-operating Expense 0 0
Resources: Acute Care Hospitals
-Income Taxes 0 0
-Extraordinary Items 0 0
Net Income ($373) $2
Resource Utilization
Ownership Non-profit Non-Profit
Available Beds 20 50
Patient Days 5,294 15,975
Discharges 460 301
Occupancy Rate 86.5% 87.5%
Outpatient Visits 0 0
Average Length of Stay 11.5 53.1
Emergency Service None None
# of ER Stations -- --
Specialty/Teaching/Rural Specialty Specialty
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.
Edition 2, 2001 Source: OSHPD Annual Hospital Financial Disclosure Reports.
Alameda County
11
FINANCIAL & UTILIZATION INFORMATION
SPECIALTY & PSYCHIATRIC HOSPITALS 1999
Vencor Hosp
San Leandro Fremont Hosp
Income Statement
$61,528,438 $12,785,333 Gross Patient Revenue
45,204,287 6,269,528 -Deductions from Revenue
16,324,151 6,515,805 Net Patient Revenue
20,368 78,205 +Other Operating Revenue
16,344,519 6,594,010 Total Operating Revenue There are six specialty hospitals
17,692,396 7,833,174 -Operating Expenses in Alameda County in the
(1,347,877) (1,239,164) Net from Operations following categories: one is a
children's hospital, one is for
57,682 68,245 +Non-operating Revenue patients requiring long-term
0 13,968 -Non-operating Expense care, one is for patients with
0 0 -Income Taxes chemical dependencies,
one is for rehabilitation, one
0 0 -Extraordinary Items
is for comatose patients, and
one is a psychiatric health
($1,290,195) ($1,184,887) Net Income facility.
Of the six specialty hospitals in
Per Adjusted Day Alameda County, two are
$3,612 $809 Gross Patient Revenue investor-owned and four are
2,654 397 -Deductions from Revenue non-profit.
958 412 Net Patient Revenue
1 5 +Other Operating Revenue
960 417 Total Operating Revenue
1,039 496 -Operating Expenses
Resources: Acute Care Hospitals
(79) (78) Net from Operations
3 4 +Non-operating Revenue
Resources: Acute Care Hospitals
0 1 -Non-operating Expense
0 0 -Income Taxes
0 0 -Extraordinary Items
($76) ($75) Net Income
Resource Utilization
Investor Investor Ownership
80 78 Available Beds
17,033 13,922 Patient Days
414 1,982 Discharges
58.3% 48.9% Occupancy Rate
0 5,985 Outpatient Visits
41.1 7.0 Average Length of Stay
None None Emergency Service
-- -- # of ER Stations
Specialty Psychiatric Specialty/Teaching/Rural
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's Annual Hospital Financial Disclosure Reports. Edition 2, 2001
Alameda County
12
Healthcare Resources
ACUTE CARE HOSPITALS
Net Patient Revenue
California
Net Patient Revenue Net Patient Revenue
per Adjusted Day
1995 1,209,004,372 1995 1,375
Net Patient Revenue 1996 1,176,542,808 1996 1,335
per Adjusted Day 1997 1,196,766,739 1997 1,372
2 2,000
1,500 1998 1,205,596,635 1998 1,412
1999 1,372,343,860 1999 1,469
1,500
$ (Billions)
Dollars
1 1,000
1,000
Dollars
500
500 0 0
1995 1996 1997 1998 1999 1995 1996 1997 1998 1999
Net Patient Revenue by Payer
0
1995 1996 1997 1998 1999
1999
Other Payers,
5.0% Medicare,
Net Patient Revenue 28.4%
by Payer
1999
Resources: Acute Care Hospitals
Other Payer,
5.6%
Other Third Party, Medicare, Medi-Cal,
44.7 29.7% 17.5%
Other Third County Indigent,
Party Payers, 3.5%
Medi-Cal, 45.5%
17.9%
County Indigent,
2.1%
Net Patient Revenue/Expense
Net Inpatient Net Inpatient Net Outpatient
Revenue/Expense Revenue/Expense per Day Revenue/Expense per Visit
2,000 300
per Day
1,500
200
Dollars
Dollars
2,000
1,000
1,500 Revenue 100
500
Dollars
1,000 Expense Revenue
0 0
1995 1996 1997 1998 1999 Expense 1995 1996 1997 1998 1999
500
Net Inpatient Net Inpatient Net Outpatient Net Outpatient
0
1995 1996 1997 1998 1999 Revenue per Day Expense per Day Revenue per Visit Expense per Visit
1995 $1,367 $1,367 $155 $155
1996 1,339 1,435 166 178
1997 1,371 1,501 157 171
1998 1,414 1,512 185 198
1999 1,464 1,546 204 215
Graphs and tables exclude data from State, Kaiser, PHF, Shriner, and other non-comparable hospitals.
Edition 2, 2001
Source: OSHPD Annual Hospital Financial Disclosure Reports.
Alameda County
13
Emergency Room Services
ER Treatment Stations California
300 Hospitals with
Emergency
200 Services
Number
by Type, 1999: ER Treatment Stations
100 Comprehensive: 0 per 1,000 Population
Basic: 12
Standby: 0 0.40
0
1995 1996 1997 1998 1999 Trauma: 3
Stations
0.30
ER Treatment Stations ER Treatment
0.20
per 1,000 population ER Treatment Stations 0.20
0.15 Stations per 1,000 Pop.
1995 208 0.15 0.10
Stations
0.10 1996 215 0.16
1997 209 0.15
0.00
0.05 1998 207 0.15 1995 1996 1997 1998 1999
1999 211 0.15
0.00
1995 1996 1997 1998 1999
Resources: Acute Care Hospitals
Emergency Room Visits
% of ER Visits
ER Visits Resulting in Emergency Room Visits
ER Visits per 1,000 Pop. Admit
10.0
Total Hospital ER Visits 1995 409,741 304 14.6
1996 420,333 308 14.8 8.0
600
Millions
1997 431,512 309 15.1 6.0
500
1998 421,269 296 15.9
400 1999 418,798 289 14.6 4.0
Thousands
300 2.0
200
0
100 1995 1996 1997 1998 1999
0
1995 1996 1997 1998 1999 ER Visits,
Alameda County, 1999
Critical Visits,
11.4% Non-urgent
Total Hospital Emergency Room Visits Visits, 40.1%
per 1,000 Population
Alameda
300 County
California
200
Visits
100 Urgent Visits,
48.5%
0
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
Alameda County
14
Specific Trends
ACUTE CARE HOSPITALS
Patient Days
California
per
Patient Days 1,000
Days
per 1,000 Population pop. Patient Days
1995 749,385 556
600 1996 737,582 540 800
1997 728,350 521 700
450 1998 720,497 506 600
1999 779,265 538
Thousands
Days
500
300
400
300
150
200
0 Patient Days 100
1995 1996 1997 1998 1999 per 1,000 Population 0
600 1995 1996 1997 1998 1999
500
400
Days
300
200
Resources: Acute Care Hospitals
100
0
1995 1996 1997 1998 1999
Outpatient Visits
Outpatient Visits
per 1,000 Population
2,000
per
Outpatient 1,000
1,500 Visits Outpatient Visits
pop. 2.0
Visits
1995 1,850,248 1,373
1,000
1996 1,731,926 1,269
1997 1,832,461 1,310 1.5
500
1998 1,656,278 1,162
Millions
1999 1,672,969 1,155
0 1.0
1995 1996 19971998 1999
0.5
Outpatient Visits
per 1,000 Population
1,500 0.0
1995 1996 1997 1998 1999
1,000
Visits
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.
Alameda County
15
Available Beds
California
per
1,000 Available Beds
Available Beds Beds pop. per 1,000 Population
3.0
4,000 1995 3,335 2.5
1996 3,276 2.4
1997 3,381 2.4
3,000 1998 3,090 2.2
Beds
1999 3,527 2.4
Number
1.5
2,000
1,000
Available Beds per 1,000 Population 0.0
1995 1996 1997 1998 1999
3
0
1995 1996 1997 1998 1999
2
Beds
1 Occupancy Rate
60
Resources: Acute Care Hospitals
0
1995 1996 1997 1998 1999
40
Percent
20
Occupancy Rate
0
1995 1996 1997 1998 1999
Occupancy Rate Rate Days
70
1995 61.6 5.1
60 1996 61.6 4.9 Average Length of Stay
1997 59.0 4.8 (Days)
50 5.0
1998 64.0 4.8
Percent
40 1999 60.5 4.7
4.0
30
Days
3.0
20
Average Length of Stay 2.0
10
6.0
0 1.0
1995 1996 1997 1998 1999 5.0
0.0
4.0 1995 1996 1997 1998 1999
Days
3.0
2.0
1.0
0.0
1995 1996 1997 1998 1999
Graphs include data from comparable GAC hospitals plus Kaiser.
Source: OSHPD Annual Hospital Financial Disclosure Reports. Edition 2, 2001
Alameda County
16
LONG-TERM CARE FACILITIES
County Trends
California
LTC Residents
6,000 LTC LTC Residents
LTC Residents
5,000 Residents over 65
Trends 1995 5,058 4,304
4,000
1996 5,154 4,081
Number
200 3,000 LTC Residents over 65 1997 5,128 4,128
1998 5,009 4,064
2,000
Thousands
1999 4,924 4,309
1,000
100
0
1995 1996 1997 1998 1999
0
1995 1996 1997 1998 1999
Beds
6,000
Total LTC Beds Beds 5,000
Total LTC Residents
1995 5,927 4,000
Number
Residents over 65
1996 5,927 3,000
1997 5,820
1998 5,802 2,000
1999 5,503 1,000
0
1995 1996 1997 1998 1999
Occupancy Rate
Resources: Long-term Care
100
LTC Beds per 1,000 County Residents Over 65
80
50
Percent
60 LTC Beds per 1,000
40
County Residents over 65
1995 41.6
Beds
20
25 1996 41.0
0 1997 39.7
1995 1996 1997 1998 1999
1998 39.1
1999 36.7
0
1995 1996 1997 1998 1999
LTC Occupancy Rate
Occupancy Rate 100
1995 85.5 75
Percent
1996 87.4
1997 86.2 50
1998 84.7
1999 87.3 25
0
1995 1996 1997 1998 1999
Edition 2, 2001 Source: Callifornia Department of Finance, OSHPD Long-term Care Financial and Utilization databases.
Alameda County
17
Residents
1999
California
Age Discharged To
Discharged To
1999
Under 45, 2.3%
over 95 yrs, 6.8% Other, 2.1%
45-54 yrs, 3.7% Home, 32.6%
Death, 16.9% Other, 1.7%
55-64 yrs, 6.5% Home, 33.8%
Death,19.4%
65-74 yrs, 14.6%
Residential Residential
Care, 9.1% Care,
6.8%
Other LTC, 3.9% Other LTC,
4.9%
Hospital, 33.4%
75-84 yrs, 32.6% Hospital, 35.4%
85-94 yrs, 33.5%
Financial Information
Resources: Long-term Care
Revenue Expense California Payers,
per Day per Day 1999
Other Payers, Medicare,
1996 $126 $129 9.9% 8.5%
1997 132 135 Self-pay,
1998 134 140 21.1%
1999 132 143
Medi-Cal,
Net Patient Services Revenue & Expense Payers 60.4%
per Census Day 1999
Medicare,
150 Other Payers, 9.6%
9.9%
100
Dollars
Self-Pay,
50 20.6%
0 Medi-Cal,
1996 1997 1998 1999 59.9%
Revenue Expense
Source: Callifornia Department of Finance, OSHPD Long-term Care Financial and Utilization databases. Edition 2, 2001
Alameda County
18
Healthcare Resources
PRIMARY CARE CLINICS
County Trends
Patients & Encounters
600
500
Community clinics: Encounters
400
Thousands
tax-exempt nonprofit
organizations 300
charges are based on patients' 200
ability to pay Patients
100
0
1995 1996 1997 1998 1999
Free clinics:
community clinics, where
patients are not charged for 1995 1996 1997 1998 1999
services or medicines. Patients 109,436 127,044 130,830 145,854 137,735
Encounters 428,879 527,164 545,435 553,857 547,803
# Community 42 44 44 44 42
# Free 1 1 1 1 1
Race/Ethnicity
1999
Pacific Islander, 0.6
Native American, 1.2%
California Filipino, 4.4%
Clinic Patients Other Non-White, 8.1%
Race/Ethnicity White, 17.6%
1999
Pacific Islander, 0.4%
Asian, 15.9%
Filipino, 1.0%
Native American, 2.1%
Other Non-White, 4.6%
Asian, 5.3%
Black, 6.7% White,
26.9%
Hispanic, 30.4%
Black,21.8%
Hispanic,
53.1%
Economic Status
(Based on Federal Poverty Levels)
1995 1999
Resources: Clinics
Above 200%, Above 200%,
5.7% 12.8%
The Poverty Guidelines are
issued by the Federal
100%-200%,
Department of Health and
Human Services to estimate the 30.1%
number of persons/families in 100%-200%,
poverty for determining 24.8%
financial eligibility for Federal
programs. Below 100%, Below 100%,
69.5% 57.1%
Edition 2, 2001 Source: OSHPD Primary Care Clinic Utilization database.
Alameda County
19
HOME HEALTH AGENCIES
County Trends
Unduplicated Patients
60
50
Thousands
40 Number
30 1995 31,921
1996 37,478 Unduplicated patient: may
20 have been seen more than
1997 39,380
once but is counted only once
1998 31,319 as a patient.
10 1999 25,502
0
1995 1996 1997 1998 1999
Patients
1999
Resources: Home Health Agencies
Age Condition Nearly 65% of patients in
home health agency
0-20 yrs, Fractures, care are over the age of 60.
15.7% 5.0%
81+ yrs, Skin Diseases,
21-40 yrs, 5.7%
27.9% 6.7%
Respiratory,
Other, 7.5%
62.5%
41-60 yrs,
13.1% Cardiovascular,
9.8%
Musculoskeletal
61-80 yrs, Conditions,
36.6% 9.5%
Discharged To
1999
To hospital,
Died, 5.1%
2.8%
To family/friends,
2.6%
Other, No further care needed,
14.7% 74.9%
Source: OSHPD Home Health Agency Utilization databases. Edition 2, 2001
Alameda County
20
Healthcare Resources
HOSPICES
County Trends
4,000 Patients
3,000
Patients
Number
1995 1,524
2,000
Hospice: palliative care to 1996 3,389
support a patient in the last 1997 3,652
phases of life due to the 1,000 1998 3,144
existence of a terminal disease. 1999 3,662
0
1995 1996 1997 1998 1999
Patients
1999
Age Discharged To
0-30 yrs,
83% of hospice patients are
91+ yrs, 0.7% 31-60 yrs, Moved Out of Area, 0.6%
Refused Service, 0.4% Prognosis Extended, 4.8%
over the age of 60. 10.0% 16.3% Transferred, 1.2%
Patient Desired Curative, 0.8%
Other, 4.0%
81-90 yrs,
29.1% 61-80 yrs,
43.9%
Died,
88.2%
Conditions Requiring Hospice Care
1999
Cancer
Resources: Hospices
Other
Diseases of the Circulatory System
Diseases of the Respiratory System
Diseases of the Nervous System
Diseases of the Digestive System
HIV
0 10 20 30 40 50 60
Percent
Edition 2, 2001 Source: OSHPD Home Health Agency and Hospice Utilization Database.
HOSPITALIZATION
CHARACTERISTICS
Inpatient Overview
Trends
Demographics
Admits/Dispositions
Clinical Overview
Types of Hospitalizations/Diagnosis
Types of Principal Procedures
Injuries/Types/Types by Age Group
Alameda County
Hospitalization Characteristics
22
INPATIENT OVERVIEW
County Trends
per
Inpatients 1,000
1995 148,608 110
California Inpatient Hospitalizations 1996 148,930 109
200 1997 152,340 109
1998 157,485 111
150 1999 159,582 110
Hospitalizations
Thousands
Trends
Hospitalization Characteristics: Inpatient Overview
4.0 100
Hospitalizations per 1,000 Residents
200
3.0
50
Millions
150
2.0
Number
0 100
1.0
1995 1996 1997 1998 1999
0 50
1995 1996 1997 1998 1999
0
1995 1996 1997 1998 1999
Patients
1999
Age Age Race/Ethnicity
1999
0-14 yrs, Native American, 0.2% Other/Unknown, 4.1%
60+ yrs, 0-14 yrs,
36.5% 19.5%
19.3% Asian, 12.1%
60+ yrs,
36.0%
15-29 yrs,
14.2%
White, 47.1%
15-29 yrs,
45-59 yrs, 13.0% Black, 21.7%
30-44 yrs,
13.5% 16.3%
45-59 yrs,
14.6% 30-44 yrs,
17.1% Hispanic, 14.8%
Race/Ethnicity Admitted From Discharged To
1999
Native American, Unknown,
0.2% 2.8% Other, Died, 2.4%
Asian/ Transferred Within, 3.3%
9.1% Other, 0.2%
Pacific Is., Home,
6.6% Newborn, Transferred Other, 12.5%
36.8%
12.7%
Black,
8.4% Home Health,
White, 10.2%
Hispanic, 55.9%
26.1% Routine, 71.4%
Emergency
Room,
41.4%
Edition 2, 2001 Source: Department of Finance, OSHPD California Inpatient Discharge Data.
Alameda County
23
CLINICAL OVERVIEW
Types of Principal Diagnoses
1999
Circulatory System
All Pregnancies
Births Pregnancies/births account for 26.9% of
hospital discharges in Alameda County, and
Respiratory System
Hospitalization Characteristics:Clinical Overview
28.3% of hospital discharges statewide.
Digestive System
Injuries/Poisonings/Complications
Symptoms/Other Reasons
Mental Disorders Circulatory, respiratory, and digestive
disorders account for the top three
Cancer (Includes non-cancerous growths) diagnostic categories of hospital
Musculoskeletal System discharges in Alameda County, excluding
pregnancies and births.
Genitourinary System
Endocrine System
Infections
Skin Disorders
Nervous System
Anemia & Other Blood Disorders
Perinatal Disorders
Birth Defects
0 5000 10000 15000 20000 25000
Number
Types of Principal Procedures
1999
Diagnostic/
Therapeutic Procedures Obstetrical procedures account for 12.5% of
Obstetrical Procedures inpatient principal procedures performed on
Alameda County residents and 22.2% of
Cardiovascular System inpatient principal procedures performed
Digestive System statewide.
Musculoskeletal System
Female Reproductive Organs
Male Reproductive Organs
Principal procedures performed for
Skin cardiovascular, digestive, and
muskuloskeletal systems are the top three
Nervous System procedure categories for hospital
Respiratory System discharges in Alameda County, excluding
obstetrical and diagnostic/therapeutic
Urinary System procedures.
Nose/Mouth/Throat
Lymph Nodes/Spleen/Bone Marrow Procedures
Endocrine System
Eye
Ear
0 5,000 10,000 15,000 20,000 25,000
Number
Source: California Inpatient Discharge Data, OSHPD. Edition 2, 2001
Alameda County
24
Hospitalization Characteristics
Types of Injuries
1999
Accidental Falls
Adverse Effects of Medications
Other Accidents
Rail & Motor Vehicle Accidents
Accidental falls, adverse effects
of medications, and other accidents
are the top three principal cause of Undetermined and Other
injuries of Alameda County inpatients.
Self Inflicted
Inflicted by Others
Accidental Poisoning
Other Vehicle/Transport Accidents
Late effects of Injury
Inpatient Characteristics: Clinical Overview
0 500 1,000 1,500 2,000 2,500 3,000 3,500 4,000
Number
Types of Injuries
Age 1999
3,000
In Alameda County, patients
age 60 and over represent
68.1% of discharge records for
accidental falls and 61.6% of
discharge records for adverse
effects of medications.
Number of Incidents
0-14 yrs
15-29 yrs
2,000 30-44 yrs
45-59 yrs
60+ yrs
1,000
0
e
ts
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t
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er
ng
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oi
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en
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ct
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A
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Edition 2, 2001
O
Source: California Inpatient Discharge Data, OSHPD.
SPECIFIC TRENDS
Selected Conditions
Births & Deliveries
High-risk Deliveries
Asthma
Cancer
HIV
Selected Procedures
Cardiac Bypass
Mastectomy
Prostatectomy
Selected Injuries
Auto Injuries
Drug Poisonings
Gunshot Injuries
Alameda County
26
Specific Trends
BIRTHS & DELIVERIES
County Trends
Births
30
Thousands
California 20
Fertility Rate
100 10
Births
600
80 California
0
500 1995 1996 1997 1998 1999
Percent
60
Alameda County
Thousands
400 40 County County Statewide
Births Fertility Rate Fertility Rate
300 20
1995 20,688 66.0 75.1
200 0 1996 20,522 65.8 73.6
1995 1996 1997 1998 1999
1997 20,631 65.4 71.0
100 1998 20,749 65.5 70.0
1999 20,348 64.0 69.1
0
1995 1996 1997 1998 1999
Premature Births
Premature Births
Specific Trends: Births & Deliveries
40
Premature Births
30 2,000
Thousands
20
Number
1,000
10
Alameda Statewide
County
0 1995 1,591 37,896
1995 1996 1997 1998 1999 1996 1,539 37,397
1997 1,634 37,035 0
1998 1,617 36,806 1995 1996 1997 1998 1999
Fertility rate is calculated 1999 1,547 36,703
by dividing the number of
births by the population of
females aged 15-44 years,
and then dividing by 1,000. Cesarean Section Deliveries
Alameda County Statewide
26% of all births to % of All % of All
California residents were C-sections Deliveries C-sections Deliveries
Cesarean Sections, % of Deliveries
premature. 50 1995 3,547 17.4 111,393 20.7
1996 3,373 16.6 108,263 20.6
40 1997 3,348 16.4 107,256 21.0
Year 2010 National Health
Objectives Goal: Cesarean 1998 3,564 17.4 110,034 21.7
30
Percent
section births to equal no 1999 4,023 20.0 114,397 22.8
more than 15.5% of total
California
births. 20
10 Alameda County
0
1995 1996 1997 1998 1999
Edition 2, 2001 Sources: California Inpatient Discharge Data, OSHPD. Demographic data from CA Dept of Finance.
Alameda County
27
County Trends
All Deliveries:
Mother's Age at Delivery,1999
California
Over 35 yrs,
0-16 yrs 17-34 yrs Over 35 yrs 19.0% Ages 0-16, Deliveries by females
% of % of % of 1.5% less than 16 years of age
Number all births Number all births Number all births or greater than 35 years
of age are considered
"high risk."
1995 436 2.1 16,626 81.5 3,345 16.4
1996 397 2.0 16,412 80.9 3,477 17.1
1997 364 1.8 16,415 80.3 3,652 17.9
1998 356 1.7 16,404 79.9 3,781 18.4
High Risk Deliveries
1999 304 1.5 16,006 79.5 3,832 19.0
80
Ages 17-34 yrs,
79.5%
60
Thousands
40
High-risk Deliveries
20
0
High-risk Deliveries 1995 1996 1997 1998 1999
Specific Trends: Births & Deliveries
4,000
0-16 yrs
3,000 over 35 years
35+ yrs
Deliveries
2,000
1,000 High Risk Deliveries
0-16 years % of All Deliveries
20
0
1995 1996 1997 1998 1999
15
High-risk Deliveries, % of All Deliveries
Percent
10
20 over 35 years
5
16
0
12
Percent
1995 1996 1997 1998 1999
8
4
0-16 years
0
1995 1996 1997 1998 1999
Sources: California Inpatient Discharge Data, OSHPD. Demographic data from CA Dept of Finance. Edition 2, 2001
Note that 1998 population figures are based on estimates.
Alameda County
28
Specific Trends
ASTHMA
(based on principal diagnosis)
County Trends
Asthma Hospitalizations
3,000
California Hospitalizations Age-adjusted Rate
Alameda County per 1,000 Pop.
Asthma 2,000
Number
Hospitalizations 1995 2,367 1.74
Trends 1996 2,295 1.68
50
1997 2,464 1.75
1000,
1998 2,637 1.86
40
1999 2,798 1.93
Thousands
30
0
20
1995 1996 1997 1998 1999
10
Patients
0
1995 1996 1997 1998 1999 1999
Percent of County Asthma Patients Compared to the Percent of Total
County Population for Each Group
Age-adjusted Rate
per 1,000 Pop.
1995 1.30 Gender
1996 1.15
1997 1.18
60
1998 1.12
1999 1.16 50
40
Percent
30
20
Specific Trends: Conditions
10
Race/Ethnicity 0
Female
Age
Male
50 50
40 40
30 30
Percent
Percent
20 20
10 10
0 0
0-14 15-29 30-44 45-59 60+
k
ic
er
n
te
an
ac
sia
an
Age (Years)
th
hi
ic
Bl
W
A
O
sp
er
Hi
m
A
% of Asthma Patients
e
iv
% of County Residents
at
N
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.
Alameda County
29
CANCER
(based on principal diagnosis)
County Trends
Cancer Hospitalizations
10,000
Hospitalizations Age-adjusted Rate California
Alameda County per 1,000 Pop.
Number
1995 4,960 4.17
5,000 1996 4,887 4.01 Cancer
1997 4,972 3.98
1998 5,359 4.20
Hospitalizations
1999 5,538 4.25 150 Trends
Thousands
0 100
1995 1996 1997 1998 1999
Patients 50
1999
Percent of County Cancer Patients Compared to the Percent of Total 0
1995 1996 1997 1998 1999
County Population for Each Group
Gender
Age-adjusted Rate
per 1,000 Pop.
60
1995 4.44
50 1996 4.36
1997 4.43
40 1998 4.37
Specific Trends: Conditions
1999 4.30
30
Percent
20
10
Race/Ethnicity 0 Age
Male Female
60 80
70
50
60
40 50
30 40
Percent
Percent
30
20
20
10 10
0 0
0-14 15-29 30-44 45-59 60+
te
m ck
ic
er
an
n
Age (Years)
sia
hi
an
th
a
ic
W
Bl
O
A
sp
er
Hi
A
e
iv
% of Cancer Patients
at
N
% of County Residents
Sources: California Inpatient Discharge Data, OSHPD. Demographic data from CA Dept of Finance. Edition 2, 2001
Note that 1998 population figures are based on estimates.
Alameda County
30
Specific Trends
HIV
(based on principal diagnosis)
County Trends
HIV Hospitalizations
800
California Hospitalizations Age-adjusted Rate
600 Alameda County per 1,000 Pop.
HIV Hospitalizations Number
Trends 400 1995 773 0.55
1996 700 0.50
15 1997 557 0.39
200 1998 419 0.29
1999 376 0.25
10
Thousands
0
1995 1996 1997 1998 1999
50
Patients
1999
0
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.
80
1995 0.43
1996 0.37 70
1997 0.27 60
1998 0.25
Percent
50
1999 0.22
40
30
20
Specific Trends: Conditions
10
Race/Ethnicity 0 Age
Male Female
60 60
50 50
40 40
Percent
Percent
30 30
20 20
10 10
0 0
0-14 15-29 30-44 45-59 60+
n
ic
er
an
k
te
sia
ac
an
Age (Years)
th
hi
ic
A
O
Bl
W
sp
er
m
Hi
A
e
iv
at
N
% of HIV Patients
% of County Residents
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.
Alameda County
31
CARDIAC BYPASS
(based on principal procedure)
County Trends
Cardiac Bypass Hospitalizations
2,000
California
Hospitalizations Age-adjusted Rate
Alameda County per 1,000 Pop.
1,500
1995 988 0.84
Number
1996 1,077 0.90
1,000 1997 1,046 0.85 Cardiac Bypass
1998 1,028 0.81
1999 1,005 0.78 Hospitalizations
500
Trends
30
0
1995 1996 1997 1998 1999
Thousands
20
Patients
1999
10
Percent of County Cardiac Bypass Patients Compared to the Percent
of Total County Population for Each Group
0
1995 1996 1997 1998 1999
Gender
80
70
60 Statewide
50 Age-adjusted Rate
Percent
per 1,000 Pop.
Specific Trends: Procedures
40
30 1995 0.97
20 1996 1.03
1997 0.99
10 1998 0.96
0 1999 0.93
Race/Ethnicity Male Female Age
60 80
70
50
60
40 50
Percent
Percent
30 40
30
20
20
10 10
0 0
0-14 15-29 30-44 45-59 60+
te
O n
ic
n
m ck
er
Age (Years)
a
sia
an
hi
th
ic
a
W
Bl
A
er
sp
Hi
A
e
iv
at
N
% of Bypass Patients
% of County Residents
Sources: California Inpatient Discharge Data, OSHPD. Demographic data from CA Dept of Finance. Edition 2, 2001
Note that 1998 population figures are based on estimates.
Alameda County
32
Specific Trends
MASTECTOMY
(based on principal procedure)
County Trends
500
Mastectomy Hospitalizations
400 Hospitalizations Age-adjusted Rate
California Alameda County per 1,000 Pop.
300 1995 312 0.26
Number
1996 276 0.22
1997 291 0.23
Mastectomy 200
1998 313 0.24
Hospitalizations 1999 361 0.27
Trends 100
10
0
1995 1996 1997 1998 1999
Thousands
5 Patients
1999
Percent of County Mastectomy Patients Compared to the Percent
0 of Total County Population for Each Group
1995 1996 1997 1998 1999
Age-adjusted Rate
per 1,000 Pop.
1995 0.32
1996 0.29
1997 0.29
1998 0.29 Race/Ethnicity Age
Specific Trends: Procedures
1999 0.29
60 50
50
40
40
30
Percent
Percent
30
20
20
10 10
0 0
0-14 15-29 30-44 45-59 60+
an
ic
k
n
te
er
ac
sia
an
ic
Age (Years)
hi
th
Bl
er
A
W
sp
O
Am
Hi
e
% of Mastectomy Patients
tiv
Na
% of County Residents
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.
Alameda County
33
PROSTATECTOMY
(based on principal procedure)
County Trends
Prostatectomy Hospitalizations
800
700 Hospitalizations Age-adjusted Rate
600
Alameda County per 1,000 Pop. California
500 1995 777 0.68
Number
400 1996 728 0.62
1997 701 0.59 Prostatectomy
300 1998 714 0.58 Hospitalizations
1999 800 0.64
200
Trends
100 30
0
1995 1996 1997 1998 1999
Thousands
20
Patients
1999 10
Percent of County Prostatectomy Patients Compared to the Percent
of Total County Population for Each Group 0
1995 1996 1997 1998 1999
Age-adjusted Rate
Specific Trends: Procedures
per 1,000 Pop.
1995 0.79
1996 0.75
1997 0.72
1998 0.67
80 1999 0.65
100
70 Race/Ethnicity Age
60 80
50
Percent
Percent
60
40
30 40
20
20
10
0 0
0-14 15-29 30-44 45-59 60+
an
n
te
er
ic
k
sia
ic
ac
an
th
hi
Age (Years)
er
W
A
O
Bl
sp
m
Hi
A
e
iv
at
N
% of Prostatectomy Patients
% of County Residents
Sources: California Inpatient Discharge Data, OSHPD. Demographic data from CA Dept of Finance. Edition 2, 2001
Note that 1998 population figures are based on estimates.
Alameda County
34
AUTO INJURY
(based on first event causing hospitalization)
County Trends
Auto Injury Hospitalizations
2,000
Hospitalizations Age-adjusted Rate
California Alameda County per 1,000 Pop.
1,500
1995 1,555 1.17
1996 1,305 0.96
Number
1,000 1997 1,393 1.00
Auto Injury 1998 1,285 0.91
Hospitalizations 1999 1,466 1.02
Trends 500
40
0
30 1995 1996 1997 1998 1999
Thousands
20 Patients
1999
10
Percent of County Auto Injury Patients Compared to the Percent
0
of Total County Population for Each Group
1995 1996 1997 1998 1999
Gender
Age-adjusted Rate 80
per 1,000 Pop.
70
60
1995 1.08
50
Percent
1996 1.04
1997 1.01 40
1998 0.98
1999 0.97
30
20
10
0
Race/Ethnicity Male Female Age
Specific Trends: Injuries
50 35
30
40
25
Percent
30 20
Percent
20 15
10
10
5
0 0
0-14 15-29 30-44 45-59 60+
n
an
er
k
te
ic
sia
ac
an
hi
th
ic
A
W
Bl
Age (Years)
O
er
sp
Am
Hi
e
tiv
Na
% of Auto Accident Patients
% of County Residents
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.
Alameda County
35
DRUG POISONING
(based on first event causing hospitalization)
County Trends
Drug Poisoning Hospitalizations
1,000
Hospitalizations Age-adjusted Rate
California
750
Alameda County per 1,000 Pop.
Number
500 1995 928 0.69
1996 942 0.69 Drug Poisoning
1997 964 0.70 Hospitalizations
250 1998 999 0.71 Trends
1999 956 0.67 25
0 20
1995 1996 1997 1998 1999
Thousands
15
Patients
1999 10
5
Percent of County Drug Poisoning Patients Compared to the Percent
of Total County Population for Each Group
0
1995 1996 1997 1998 1999
Gender
Age-adjusted Rate
per 1,000 Pop.
80
70 1995 0.72
60 1996 0.71
50 1997 0.70
Percent
40 1998 0.66
1999 0.64
Specific Trends: Injuries
30
20
10 Age
Race/Ethnicity
0
Male Female
30
50
25
40
20
Percent
30
Percent
15
20
10
10 5
0 0
0-14 15-29 30-44 45-59 60+
er
te
an
k
ic
n
ac
sia
th
an
hi
Age (Years)
ic
W
O
Bl
A
er
sp
m
Hi
A
e
iv
at
N
% of Drug Poisoning Patients
% of County Residents
Sources: California Inpatient Discharge Data, OSHPD.Demographic data from CA Dept of Finance. Edition 2, 2001
Note that 1998 population figures are based on estimates.
Alameda County
36
GUNSHOT INJURIES
(based on first event causing hospitalization)
County Trends
Gunshot Injury Hospitalizations
400 Hospitalizations Age-adjusted Rate
Alameda County per 1,000 Pop.
California
300
1995 296 0.21
1996 238 0.17
Number
200 1997 264 0.18
Gunshot Injury 1998 208 0.14
Hospitalizations 1999 170 0.11
100
Trends
10.0 0
1995 1996 1997 1998 1999
8.0
Patients
Thousands
6.0
4.0
1999
2.0 Percent of County Gunshot Injury Patients Compared to the Percent
of Total County Population for Each Group
0.0
1995 1996 1997 1998 1999
Gender
100
80
Age-adjusted Rate
60
Percent
per 1,000 Pop.
1995 0.24 40
1996 0.20
1997 0.16 20
1998 0.13
Age
Specific Trends: Injuries
1999 0.12 Race/Ethnicity 0
Male Female
60 80
70
50
60
40
50
Percent
Percent
30 40
30
20
20
10
10
0 0
0-14 15-29 30-44 45-59 60+
an
ic
er
Hi ite
n
ck
sia
an
th
h
a
ic
Age (Years)
W
O
A
Bl
er
sp
m
A
e
iv
at
% of Gunshot Injury Patients
N
% of County Residents
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.
For more information please contact...
Healthcare Quality and Analysis Division
Healthcare Information Resource Center
818 K Street, Room 500
Sacramento, CA 95814
(916)322-2814
hirc@oshpd.state.ca.us
www.oshpd.state.ca.us
