Transcript SPA 6 Residents - LA Health Action

South Service Planning Area
(SPA 6) and
King-Drew Medical Center
Health Needs Planning Data
2004
Compiled by LAC DHS Office of Planning, 2004
Questions
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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
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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
Los Angeles County Service Planning Areas
ROSAMOND
GORMAN
LANCASTER
QUARTZ HILL
LAKE LOS ANGELES
Antelope Valley - 1
PALMDALE
ACTON
LITTLEROCK
CANYON
COUNTRY
SANTA CLARITA
San Fernando - 2
SAN FERNANDO
LA CANADA
FLINTRIDGE
0
5
WINNETKA
10
VAN NUYS
miles
BURBANK
San Gabriel - 3
GLENDALE
AGOURA
HILLS
ARCADIA
PASADENA
DUARTE
GLENDORA
AZUSA
CLAREMONT
CALABASAS
WESTLAKE
VILLAGE
BEVERLY
HILLS
WEST
HOLLYWOOD
SANTA
MONICA
S PASADENA
HIGHLAND
PARK
COVINA
BALDWIN
PARK
SAN
GABRIEL
Metro - 4
SAN
DIMAS
EL
MONTE
POMONA
MONTEREY
PARK
MALIBU
West - 5
VENICE
MONTEBELLO
South - 6
CULVER
CITY
LA PUENTE
CITY OF
COMMERCE
VERNON
DIAMOND
BAR
WHITTIER
BELL
INGLEWOOD
BELL
GARDENS
SANTA FE SPRINGS
PARAMOUNT
LENNOX
East - 7
HAWTHORNE
EL SEGUNDO
NORWALK
COMPTON
LAWNDALE
CERRITOS
HERMOSA BEACH
CARSON
TORRANCE
WILMINGTON
South Bay - 8
RANCHO
PALOS
VERDES
SIGNAL HILL
LOMITA
LONG BEACH
SAN PEDRO
WALNUT
Age Distribution
US, LAC, and SPA 6 Population
Percent of Population
45
40
35
30
US
LAC
SPA 6
25
20
15
10
5
0
0-4
Source: US Census 2000
5-19
20-44
45-64
65+
Race/Ethnicity Distribution
US, LAC, and SPA 6 Population
Percent of Population
70
60
50
US
LAC
SPA 6
40
30
20
10
0
Latino
Source: US Census 2000
African
American
White
Asian
Other
Poverty Distribution
US, LAC, and SPA 6 Population
Percent of Population
70
60
50
US
LAC
SPA 6
40
30
20
10
0
<100% FPL
Source: US Census 2000
100-200% FPL
>200% FPL
Percentage of Children (Age 0 to 17 years)
Who Are Uninsured
by SPA, 2002-03
25%
20%
17.7%
14.3%
15%
10%
8.3%
8.3%
7.2%
10.2%
9.6%
East
South Bay
LA County
10.3
6.7%
5%
0%
Antelope
Valley
San
Fernando
San
Gabriel
Metro
West
South
2002-03 Los Angeles County Health Survey
Department of Health Services, Public Health
Percentage of Adults (Age 18 to 64 years)
Who Are Uninsured
by SPA, 2002-03
50%
37.6%
40%
36.4%
28.7%
30%
24.5%
22.5%
22.3%
20%
17.6%
LA County
26.2
16.0%
10%
0%
Antelope
Valley
San
Fernando
San
Gabriel
Metro
West
South
East
South Bay
2002-03 Los Angeles County Health Survey
Department of Health Services, Public Health
Percent of Children (0 to 17 Years) in
Fair or Poor Health (Parent-Reported)
by SPA, 2002-03
40
30
24.5
23.1
% 20
16.2
13.2
12.3
12.4
LA County
15.5
10.0
10
6.4 *
0
Antelope
San
Valley
Fernando
San
Gabriel
Metro
West
South
East
South
Bay
2002-03 Los Angeles County Health Survey
* Estimate based on a cell size <20 (> 23% of the point estimate), which may be statistically unstable.
Department of Health Services, Public Health
Percent of Adults Reporting
Fair or Poor Health
by SPA, 2002-03
40
186,000 Adults
30.1
30
24.6
24.9
21.4
% 20
18.8
20.9
18.4
LA County
21.6
12.1
10
0
Antelope
San
Valley
Fernando
San
Gabriel
Metro
West
South
East
South
Bay
2002-03 Los Angeles County Health Survey
Department of Health Services, Public Health
Teen Birth Rate*
by SPA, 2001
3,452
Teen Births
100
85.7
80
60
52.1
50.8
43.3
35.0
40
40.8
35.1
LA County
44.4
20
8.4
0
Antelope
Valley
San
Fernando
San Gabriel
Metro
West
South
East
South Bay
Los Angeles County Department of Health Services
* Births to teens per 1,000 live births to mothers 15-19 years
Maternal, Child and Adolescent Health Program
Leading Causes of Death
SPA 6, 2001
Heart Disease
Cancer
Stroke
Homicide
Diabetes
Unintentional Injuries
Chronic Lower Resp.
Disease
Pneumonia/Influenza
0
500
1,000
1,500
Number of Deaths
2,000
2,500
Prevalence of Obesity
Among Adults
by SPA, 2002-03
40%
30.0%
30%
24.7%
23.6%
21.2%
17.7%
20%
LA County
19.3%
17.2%
15.9%
10.6%
10%
0%
Antelope
Valley
San
Fernando
San
Gabriel
Metro
West
South
East
South Bay
2002-03 Los Angeles County Health Survey
Department of Health Services, Public Health
Ante lop e Va lley
San Fe rn and o
N
0
10
20 Miles
Eas t Va lle y
Fo othi ll
W e s t V alle y
Gle nda le
Pas a de na
W e st
H olly w oo d/
W il s hir e
#
Alh am b ra
C entra l
Pom ona
El M on te
Sou thw es t
Eas t LA
#
San Anto nio
Prevalence of Obesity
15% and below
16% to 20%
21% to 25%
Above 25%
W h itti er
Sou th
So uth east
North eas t
In gle w ood
C om pto n
Bel lflow e r
To rra nc e
Lon g Be ac h
H arb or
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
Prevalence of Cigarette Smoking
Among Adults
by SPA, 2002-03
30%
20.6%
20%
17.0%
15.1%
14.8%
San
Fernando
San Gabriel
16.9%
14.3%
14.2%
15.0%
West
South
East
LA County
15.6%
10%
0%
Antelope
Valley
Metro
South Bay
2002-03 Los Angeles County Health Survey
Department of Health Services, Public Health
Prevalence of Hypertension
(High Blood Pressure) Among Adults
by SPA, 2002-03
157,000 Adults
30
25.4
25
22.4
22.3
20.4
20.3
20
18.7
18.8
LA County
20.4
16.7
% 15
10
5
0
Antelope
San
Valley
Fernando
San
Gabriel
Metro
West
South
East
South
Bay
2002-03 Los Angeles County Health Survey
Department of Health Services, Public Health
Prevalence of Heart Disease
Among Adults
by SPA, 2002-03
15
43,000 Adults
10
8.2
7.3
7.5
6.9
%
5.5
4.9
5
6.5
LA County
6.3
4.6
0
Antelope
San
Valley
Fernando
San
Gabriel
Metro
West
South
East
South
Bay
2002-03 Los Angeles County Health Survey
Department of Health Services, Public Health
Coronary Heart Disease Mortality
Age-Adjusted Rate
by SPA, 2000
400
1,939 Deaths in 2000
Rate per 100,000
300
242
209
203
182
200
171
169
188
154
100
0
Antelope
Valley
San
Fernando
San
Gabriel
Metro
West
South
East
South Bay
LA County
187
Cancer Mortality
Age-Adjusted Rate
by SPA, 2000
1,312 Deaths in 2000
250
209.0
200
182.9
Rate per 100,000
162.6
158.5
156.6
150
149.0
150.1
Metro
West
170.6
LA County
164.5
100
50
0
Antelope
Valley
San
Fernando
San
Gabriel
South
East
South Bay
Prevalence of Diabetes
Among Adults
by SPA, 2002-03
15
56,000 Adults
9.4
10
9.2
8.0
6.9
%
6.8
LA County
7.2
6.8
6.3
4.2
5
0
Antelope
San
Valley
Fernando
San
Gabriel
Metro
West
South
East
South
Bay
2002-03 Los Angeles County Health Survey
Department of Health Services, Public Health
Diabetes Mortality
Age-Adjusted Rate
by SPA, 2000
50
249 Deaths in 2000
37.2
Rate per 100,000
40
30
26.7
18.3
19.2
21.0
20.4
20.3
20
11.6
10
0
Antelope
San
Valley
Fernando
San
Gabriel
Metro
West
South
East
South
Bay
LA County
21.7
Prevalence of Depression
Diagnosed Among Adults
by SPA, 2002-03
15
11.7
10.8
10
9.4
10.7
41,000
Adults
9.8
9.0
%
9.7
LA County
9.8
6.6
5
0
Antelope
San
Valley
Fernando
San
Gabriel
Metro
West
South
East
South
Bay
2002-03 Los Angeles County Health Survey
Department of Health Services, Public Health
Stroke Mortality
Age-Adjusted Rate
by SPA, 2000
100
477 Deaths in 2000
90
80
Rate per 100,000
70.2
70
60
56.5
53.6
48.4
45.3
50
46.4
45.8
46.1
San
Fernando
San
Gabriel
Metro
LA County
50.5
40
30
20
10
0
Antelope
Valley
West
South
East
South Bay
Prevalence of Asthma*
Among Children (0 to 17 Years)
by SPA, 2002-03
15%
13.0%
12.3%
10%
20,000
Children
8.4%
7.5%
9.8%
LA County
7.9%
6.9%
5.9%
5.3%
5%
0%
Antelope
Valley
San
Fernando
San
Gabriel
Metro
West
South
East
South Bay
2002-03 Los Angeles County Health Survey
* Ever diagnosed and currently still has asthma or had an attack in the past 12 months.
Department of Health Services, Public Health
Prevalence of Asthma*
Among Adults
by SPA, 2002-03
15%
10.0%
43,000 Adults
10%
6.9%
5.8%
5.7%
5.7%
6.2%
6.6%
4.8%
5%
LA County
6.1%
0%
Antelope
Valley
San
Fernando
San
Gabriel
Metro
West
South
East
South Bay
2002-03 Los Angeles County Health Survey
* Ever diagnosed and currently still has asthma or had an attack in the past 12 months.
Department of Health Services, Public Health
Age Distribution
SPA 6 Population and KDMC Patients
Percent of Population
45
40
35
30
25
SPA 6
KDMC
20
15
10
5
0
0-4
5-19
20-44
45-64
65+
Source: US Census 2000 (SPA 6) and DHS Information Systems FY 2002/03 Data (KDMC)
Race/Ethnicity Distribution
SPA 6 Population and KDMC Patients
Percent of Population
70
60
50
40
SPA 6
KDMC
30
20
10
0
Latino
African
American
White
Asian
Other
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
Asthma
41,239 Diagnosed Adults
100%
Discharges:
SPA 6 Residents
(3,433)
Discharges:
Uninsured SPA 6
Residents
(258)
80%
60%
40%
20%
0%
28%
11%
KDMC
Discharges
(377)
Uninsured
Discharges
KDMC (72)
Cancer
1,368 Deaths
100%
Discharges:
SPA 6 Residents
(2,549)
Discharges:
Uninsured SPA 6
Residents
(229)
80%
60%
40%
20%
0%
33%
6%
KDMC
Discharges
(151)
Uninsured
Discharges
KDMC (76)
Diabetes
253 Deaths, 56,202 Diagnosed Adults
100%
Discharges:
SPA 6 Residents
(1,881)
Discharges:
Uninsured SPA 6
Residents
(327)
80%
60%
40%
20%
0%
27%
11%
KDMC
Discharges
(198)
Uninsured
Discharges
KDMC (88)
Depression
46 Suicides, 41,000 Diagnosed Adults
100%
Discharges:
SPA 6 Residents
(559)
Discharges:
Uninsured SPA 6
Residents
(152)
80%
60%
40%
20%
0%
11%
KDMC
Discharges
(63)
20%
Uninsured
Discharges
KDMC (31)
Drug Overdose
3,817 Drug-related Discharges
Discharges
SPA 6
Residents (507)
Uninsured
SPA 6
Residents (93)
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
10%
Inpatient
Utilization
KDMC (51)
11%
Uninsured
Residents
KDMC (10)
Heart Disease
2,032 Deaths, 42,000 Diagnosed Adults
100%
Discharges:
SPA 6 Residents
(11,353)
Discharges:
Uninsured SPA 6
Residents
(744)
80%
60%
40%
20%
27%
0%
7%
KDMC
Discharges
(781)
Uninsured
Discharges
KDMC (203)
HIV/AIDS
104 New Cases, 1,833 Living w/Aids
Discharges
SPA 6
Residents (774)
Uninsured
SPA 6
Residents (84)
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
24%
11%
Inpatient
Utilization
KDMC (86)
Uninsured
Residents
KDMC (20)
Stroke
457 Deaths
100%
Discharges:
SPA 6 Residents
(2,737)
Discharges:
Uninsured SPA 6
Residents
(202)
80%
60%
40%
20%
19%
0%
6%
KDMC
Discharges
(166)
Uninsured
Discharges
KDMC (39)
Trauma
2,724 Visits
Discharges
SPA 6
Residents (1,042)
Uninsured
SPA 6
Residents (322)
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
34%
33%
0%
Inpatient
Utilization
KDMC (353)
Uninsured
Residents
KDMC (106)
Ambulatory Care Sensitive Conditions
KDMC 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