GENERAL ACUTE CARE IN ALAMEDA COUNTY

BOARD OF SUPERVISORS HEALTH COMMITTEE

ALAMEDA COUNTY HEALTH REFORM PLANNING HEARINGS 2011

• The data shown here reflects only Alameda County residents who visited these facilities.  Utilization will be lower than what a facility reports to the state on total patient volume. 

• Kaiser Fremont is not reported by OSHPD as a licensed facility so they are combined with Kaiser Hayward

Alameda County Acute Care Facilities: Total Volume, 2010 (N=513,576)

 ‐  10,000  20,000  30,000  40,000  50,000  60,000  70,000  80,000

Alameda

San Leandro

Valleycare

Eden

St. Rose

Children's

ABSMC‐Hawthorne

ABSMC‐AB

Kaiser Oakland

Washington

Kaiser Hayward

ACMC

Number Hospital Visits

ED Visits ED=>Admitted Other Inpatient

51,095

49,690

43,342

51,095

40,010

39,320

35,858

34,163

77,716

27,385

25,308

13,255

76,434

EmergencyDepartment Visits:

Alameda County Acute Care Facilities, 2010

(N=457,582)

12,950

23,497

24,730

30,440

30,765

32,804

36,124

38,074

43,350

45,169

68,388

71,291

0 20,000 40,000 60,000 80,000

Alameda

Valleycare

San Leandro

ABSMC-AB

Eden

St. Rose

ABSMC-Hawthorne

Children's

Kaiser Oakland

Washington

Kaiser Hayward

ACMC

Number Visits

EmergencyDepartment Visits:

Estimated Percentage Uninsured

2010

6.6

8.6

11.7

14.1

16.3

17.3

17.5

19.6

19.9

23.5

24.5

35.2

66.5

0 20 40 60 80

Kaiser Hayward

Kaiser Oakland

Children's

Valleycare

San Leandro

Washington

ABSMC-AB

ABSMC-Hawthorne

Eden

Total AC Acute Care

St. Rose

Alameda

ACMC

Percentage

Emergency Department Payer Source:Alameda County Acute Care Facilities, 2010

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Kaiser Oakland

Kaiser Hayward

Alameda

San Leandro

Valleycare

ACMC

Eden

ABSMC‐AB

ABSMC‐Hawthorne

Washington

St. Rose

Children's

MediCal NonFed/Indigent Self‐Pay Private Other Medicare

1439

6

144

224

5 3

137

175

434

8755

120

50

100

150

200

250

300

350

400

450

500

Num

ber o

f Diversion

 Occurrences

ED Overload & Critical Patient Overload

ED

CPO

SummitHighland

EdenSan Leandro

St. Rose

>30% 20 - 29.9% 10 - 19.9%

>1.5% CR (48 – 72 visits) 1 – 1.5% CR (32 – 48 visits)

County Rate (CR) = 32.08 ED visits / 100 persons

> 1.5 times the CR (6‐10.5 avoidable visits/100)> 1‐1.5 times the CR (4‐6 avoidable visit/100 )

County Rate (CR) = 4 avoidable ED visits / 100 people

134

277

240

178 185175

146

0

50

100

150

200

250

300

Sun Mon Tues Wed Thurs Fri Sat

Num

ber o

f Diversion

 Occurrences

Day of the Week

163

50 53

329

420

320

0

50

100

150

200

250

300

350

400

450

0 ‐ 4 4 ‐8 8 ‐ 12 12 ‐ 16 16 ‐ 20 20 ‐ 24

Num

ber o

f Diversion

 Occurrences

Time of the Day

12‐4am             4‐8am           8am‐12pm        12‐4pm              4‐8pm         8pm‐12am

Inpatient Hospital Visits:

Alameda County Acute Care Facilities2010

(N=121,306)

2,468.0

3,775.0

5,393.0

7,470.0

8,209.0

9,129.0

11,582.0

12,297.0

12,849.0

13,718.0

16,362.0

18,054.0

0 5,000 10,000 15,000 20,000

Alameda

San Leandro

Children's

Valleycare

St. Rose

Eden

ABSMC-Hawthorne

Kaiser Oakland

Washington

ACMC

Kaiser Hayward

ABSMC-AB

Number Visits

Inpatient Visits: Estimated Percentage Uninsured 2010

0.8

1.3

1.7

2.4

2.5

3.2

4.0

4.3

5.4

5.5

5.9

8.6

26.2

0 10 20 30

Children's

Kaiser Hayward

Kaiser Oakland

Valleycare

ABSMC-AB

Washington

ABSMC-Hawthorne

Alameda

San Leandro

Eden

Total AC Acute Care

St. Rose

ACMC

Percentage

Inpatient Visit Payer Source:Alameda County Acute Care Facilities, 2010

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Kaiser Oakland

Kaiser Hayward

Washington

Alameda

ABSMC‐Hawthorne

San Leandro

Valleycare

Eden

ABSMC‐AB

St. Rose

Children's

ACMC

Medi‐Cal Indigent Self‐Pay Private Other Medicare

Questions and Citations

• OSHPD 20010• OSHPD 2007 ED Utilization Analysis• ALOC EMS 2007‐2010 Readinet