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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