District 11 Health Profile

Transcription

1 , FL, FL District 11 Health Profile 2013

2 Demographics Total Population 2,605, % 73, % 19,356, % <5 156, % 3, % 1,112, % , % 3, % 1,101, % , % 2, % 1,130, % , % 1, % 713, % , % 1, % 773, % , % 3, % 1,013, % Age , % 8, % 2,351, % , % 9, % 2,399, % , % 12, % 2,733, % , % 13, % 2,482, % , % 8, % 1,939, % , % 3, % 1,134, % , % 1, % 470, % Gender Male 1,261, % 39, % 9,460, % Female 1,343, % 34, % 9,895, % White 1,933, % 65, % 14,342, % Race & Ethnicity Black/African American 482, % 4, % 3,156, % Hispanic 1,744, % 16, % 4,661, % Non-Hispanic 861, % 57, % 14,694, % Page 1 District 11 Health Profile 2013

3 2. Economics 2013 Average Household Income 1 $58,947 $68,065 $59,964 Less than $15, , % 3, % 1,187, % $15,000 to $24, , % 4, % 1,026, % $25,000 to $34, , % 4, % 978, % $35,000 to $49, , % 5, % 1,220, % Household Income $50,000 to $74, , % 6, % 1,345, % $75,000 to $99,999 82, % 3, % 785, % $100,000 to $124,999 49, % 1, % 437, % $125,000 to $149,999 23, % % 214, % $150,000 to $199,999 27, % 1, % 231, % $200,000 to $499,999 22, % 1, % 165, % $500,000 or more 6, % % 38, % Median Household Income $38,977 $47,418 $42,662 Year/ Month Miami- Dade Percent of Businesses < 100 Employees % 99.2% 98.1% Unemployment Rate (Annual Average) 3 Unemployment Rate (Not Seasonally Adjusted) 3 Percentage of PreK-12 Students Eligible for Free/Reduced Lunch 4 Percentage of High School Diplomas or Higher (Population 25 Years or Over) (Revise d August % 5.0% 8.6% 8.4% 4.0% 7.1% 73.1% 44.1% 58.6% % 89.9% 85.2% Percent with College Diplomas (Bachelor's Degree or Higher, Population 25 Years or % 28.4% Over) 1 Percent of Persons Below 100% of the Federal Poverty Level (FPL) 5 Median Monthly Medicaid Enrollment (Rate per 100,000 Total Population) % % 14.2% 17.1% , , ,524.1 Page 2 District 11 Health Profile 2013

4 3. Adult Behavioral Risk Factors * Percentage of adults who are sedentary 24.5% 16.9% 24.0% Percentage of adults who are obese 28.1% 16.9% 27.2% Percentage of Adults who are overweight, not obese 38.3% 37.1% 37.8% Current Smokers 10.2% 21.4% 17.1% Heavy Drinkers (Men: > 2 drinks/day; Women: >1 drink/day); 1.9% 10.0% 5.2% Binge Drinkers (Men: 5+ drinks on a single occasion in the past month; Women: 4+) 11.6% 23.0% 13.7% Have ever been told by a doctor that they have diabetes 9.0% 7.3% 10.4% Have been told they currently have asthma 7.1% 5.8% 8.3% Adults aged 50+ who have ever had a sigmoidoscopy or colonoscopy Adults aged 50+ who have had a blood stool test within the past two years Women aged 40+ who have had a mammogram within the past two years Women aged 50+ who have had a mammogram within the past two years Women aged 18+ who have had a pap test within the past three years 71.4% 58.5% 68.2% 16.9% 15.7% 21.1% 78.9% 75.2% 77.1% 83.6% 76.8% 80.4% 74.5% 83.4% 80.4% *The results from the 2013 county level Behavioral Risk Factor Surveillance System Survey (BRFSS) will be available in May, Page 3 District 11 Health Profile 2013

5 4. Communicable Diseases 2012 Year Number Rate per 100,000 Number Rate per 100,000 Number Rate per 100,000 Reported New AIDS Cases , Reported New HIV Cases , , Reported Tuberculosis Cases Gonorrhea Cases , , Chlamydia Cases , , Infectious Syphilis Cases , Page 4 District 11 Health Profile 2013

6 Absence of Health Insurance Coverage Total 745, % 19, % 3,815, % Under 6 years 12, % % 103, % 6 to 17 years 60, % 1, % 331, % 18 to 24 years 105, % 3, % 602, % 25 to 34 years 154, % 3, % 820, % 35 to 44 years 150, % 4, % 705, % 45 to 54 years 144, % 2, % 709, % 55 to 64 years 101, % 2, % 492, % 65 to 74 years 11, % % 34, % 75 years and over 4, % % 15, % Under 18 years 73, % 2, % 435, % , % 16, % 3,331, % 65 years or over 15, % % 45, % White 564, % 16, % 2,686, % Black or African American 141, % 2, % 747, % White, Not Hispanic 54, % 11, % 1,514, % Hispanic 551, % 5, % 1,411, % Not Hispanic 193, % 13, % 2,403, % Non-Citizen 355, % 4, % 969, % Page 5 District 11 Health Profile 2013

7 11, Maternal and Infant Health Indicators 2012 Total Resident Live Births 30, ,954 Total Resident Live Birth Rate (per 1,000 Population) Total Teen Births (Age 15-19) 1, ,950 Percent of Total Births 5.5% 5.2% 7.5% Rate per 1,000 Females Ages Total Repeat Births to Teens Age ,693 Percent of Teen Births 15.9% 8.1% 16.9% Low Birth Weight Infants (< 2500 Grams) 2, ,291 Low Birth Weight Rate 8.8% 6.2% 8.6% Percent of Births to Mothers with 1 st Trimester Prenatal Care 87.7% 83.5% 80.0% Percent Late or No Prenatal Care * 2.8% 3.5% 4.8% Infant Deaths ,285 Infant Death Rate (per 1,000 Live Births) Percent of Kindergarteners Immunized 91.5% 94.8% 92.1% *Late Prenatal Care refers to prenatal care commencing during the 3 rd Trimester Page 6 District 11 Health Profile 2013

8 13, 14, Leading Causes of Death Monore 2012 Number Age Adjusted Death Rate Number Age Adjusted Death Rate Number Age Adjusted Death Rate Heart Diseases 4, , Cancer 4, , Stroke , Chronic Lower Respiratory Disease , Unintentional Injuries , All Causes, Total Deaths 18, , , 16, 17, Hospital Utilization January 1, 2012 December 31, 2012 Total Resident Discharges 342,735 9,098 2,670,508 Rate per 100,000 Population 13, , ,243.1 Total Licensed Beds (All Unit Types Excluding Skilled Nursing)* 9, ,590 Total Licensed Acute Care Beds (December 31, 2012) 7, ,258 Occupancy Rate (Acute Care Beds) 53.2% 35.7% 56.4% *There are 37 Skilled Nursing Beds in District 11 Page 7 District 11 Health Profile 2013

9 8. Hospital Utilization (Continued) 16 (2012) Number of Discharges Percent Total Resident Discharges 342, % Hospitals 316, % Resident Discharges by Hospital Jackson Memorial Hospital 35, % Baptist Hospital Of Miami 35, % Kendall Regional Medical Center 22, % Palmetto General Hospital 22, % Mount Sinai Medical Center 20, % South Miami Hospital, Inc 17, % Mercy Hospital 17, % Aventura Hospital And Medical Center 17, % University Of Miami Hospital 16, % North Shore Medical Center 13, % Hialeah Hospital 12, % Homestead Hospital 10, % Jackson North Medical Center 10, % Jackson South Community Hospital 9, % Miami Children's Hospital 9, % All Remaining Hospitals 72, % (2012) Total Resident Discharges (2012) Hospitals (2012) Hospitals (2012) Number of Discharges Percent 9, % 5, % 3, % Resident Discharges by Hospital Lower Keys Medical Center 4, % Baptist Hospital Of Miami % Mariners Hospital % Mount Sinai Medical Center % Fishermen's Hospital % Depoo Hospital % Homestead Hospital % South Miami Hospital, Inc % Jackson Memorial Hospital % University Of Miami Hospital % Miami Children's Hospital % All Remaining Hospitals % Page 8 District 11 Health Profile 2013

10 9. Preventable Hospitalizations PQI 1 Diabetes Short-term Complications Admission Rate per 100,000 population 18 years and older AHRQ Prevention Quality Indicators (PQI) Residents Residents Residents Admissions Rate Admissions Rate Admissions Rate 1, , Perforated Appendix Admission Rate (% all discharges age 18 years and older with diagnosis code for appendicitis) % % 3, % 3 Diabetes Long-term Complications Admission Rate per 100,000 population 18 years and older 2, , Chronic Obstructive Pulmonary Disease (COPD) Admission Rate per 100,000 population 18 years and older 4, , Hypertension Admission Rate per 100,000 population 18 years and older 2, , Congestive Heart Failure (CHF) Admission Rate per 100,000 population 18 years and older 8, , Low Birth Weight Rate (% all live born births) 1, % % 13, % 10 Dehydration Admission Rate per 100,000 population 18 years and older , Bacterial Pneumonia Admission Rate per 100,000 population 18 years and older 6, , Urinary Tract Infection Admission Rate per 100,000 population 18 years and older 6, , Angina w/o Procedure Admission Rate per 100,000 population 18 years and older , Uncontrolled Diabetes Admission Rate per 100,000 population 18 years and older , Adult Asthma Admission Rate per 100,000 3, , Rate of Lower-extremity Amputation among Patients with Diabetes per 100,000 population 18 years and older , Page 9 District 11 Health Profile 2013

11 9. Preventable Hospitalizations (Continued) PQI AHRQ Pediatric Quality Indicators (PDI) Residents Residents Residents Admissions Rate Admissions Rate Admissions Rate 14 Asthma Admission Rate per 100,000 population ages 2 to 17 years , Diabetes Short-term Complications Admission Rate per 100,000 population ages 6 to 17 years Gastroenteritis Admission Rate per 100,000 population ages 29 days to 17 years (Please refer to the note below) , Perforated Appendix Admission Rate (% all discharges ages 1 to 17 years with diagnosis code for appendicitis) % % % 18 Urinary Tract Infection Admission Rate per 100,000 ages 29 days to 17 years Please refer to the note below) , Note: For PDI-16 and PDI-18 (Gastroenteritis and Urinary Tract Infection, respectively) there is an issue with the Agency for Health Research and Quality (AHRQ) requirements and the Agency for Health Care Administration (AHCA) inpatient discharge data. The AHRQ analysis requirements, for PDI-16 and PDI-18, state "All non-maternal discharges ages 3 months to 17 years" need to be excluded (i.e days) The AHCA hospital discharge data does not have data for the "Age in Days" for records indicating an Age of Zero (0). Therefore, it is not possible to exclude records of children with age days (0-28 days are excluded via neonate exlusion). Page 10 District 11 Health Profile 2013

12 10. Emergency Department (ED) Utilization Number 864,674 30,405 7,053,265 Total Resident ED Visits Percent 100.0% 100.0% 100.0% Usually, the presenting problem(s) are self-lmited or minor. CPT Code Number 142,036 4, ,841 Percent 16.4% 16.3% 7.3% Usually, the presenting problem(s) are of low to moderate severity. CPT Code: Number 167,416 3, ,717 Percent 19.4% 12.2% 12.9% Usually, the presenting problem(s) are of moderate serverity. CPT Code: Number 314,164 10,643 2,817,584 Percent 36.3% 35.0% 39.9% Usually, the presenting problem(s) are of high severity, and require urgent evaluation by the physician but do not pose an immediate significant threat to life or physiologic function CPT Code: Number 188,461 8,168 2,131,949 Percent 21.8% 26.9% 30.2% Usually, the presenting problem(s) are of high severity and pose an immediate significant threat to life or physiologic function CPT Code: Number 52,597 2, ,174 Percent 6.1% 9.6% 9.7% Note: The above analysis contains records for all emergency department visits for which the severity of the visit did not result in an inpatient admission. All records that do not have one of the 5 above mentioned CPT codes (in the CPT code fields) are discarded. The data file contains 10 CPT code fields: Principal CPT Code field (PRINCPT) and 9 other secondary CPT (OTHCPT 1-9) code fields. From these 10 CPT code fields, the CPT code found with the most severe acuity is used to categorize each patient record. Page 11 District 11 Health Profile 2013

13 1, 18, 21, Hospital Unit Type Inventory and Utilization Hospital Unit Type Licensed Hospitals Licensed Hospitals Licensed Beds 7, ,373 Licensed Beds per Acute Care ,000 Population Occupancy Rate 53.2% 35.7% 56.9% Average Length of Stay (2012) 5.0 days 3.7 days Not Available Licensed Hospitals Long Term Care Licensed Beds ,398 Occupancy Rate 89.9% 66.2% Average Length of Stay (2012) 26.9 days Not Available Licensed Hospitals Comprehensive Medical Rehabilitation Licensed Beds ,404 Occupancy Rate 64.9% 62.6% Average Length of Stay (2012) 13.2 days Not Available Licensed Hospitals Psychiatric Adult Licensed Beds ,736 Occupancy Rate 59.7% 14.3% 66.3% Average Length of Stay 6.1 days 3.3 days Not Available Licensed Hospitals Psychiatric Child/Adolescent Licensed Beds Occupancy Rate 52.8% 55.1% Average Length of Stay (2012) 5.0 days Not Available Licensed Hospitals Substance Abuse Adult Licensed Beds Occupancy Rate 19.0% 8.4% 52.2% Average Length of Stay (2012) 5.2 days 2.7 days Not Available Note: Licensed Hospitals and Licensed Hospital Beds are as of July 19, 2013 Occupancy Rate is for July June 2013 Page 12 District 11 Health Profile 2013

14 1, 18, 21, Nursing Home Inventory and Utilization Licensed Community Nursing Homes (September 1, 2013) Licensed Beds (July 1, 2013) 8, ,042 Licensed /Active Beds per 1,000 Population Patient Days (July 1, June 30, 2013) 2,680,479 43,866 25,457,012 Occupancy Rate 88.1% 50.1% 87.3% Note to the Reader: Please note that this Health Profile reflects aggregate or county-wide numbers. Specific geographic areas within the and/or population segments may have higher or lower rates Page 13 District 11 Health Profile 2013

15 References 1. Nielsen Claritas. The Nielsen Company Business Patterns (NAICS), CenStats Databases, U.S. Census Bureau; 3. State of Labor Force Summary (Annual Average), State of Department of Economic Opportunity, Released September 20, 2013; 4. Free/Reduced-Price Lunch Eligibility, Data Report, Education Information & Accountability Services, Department of Education, Series D, May 2013; American Community Survey 1-Year Estimates; 6. Agency for Health Care Administration, Department of Health, Division of Public Health Statistics & Performance Management, CHARTS.com, October 9, 2013; 7. Behavioral Risk Factor Surveillance System, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, 2011; 8. Department of Health, Bureau of HIV/AIDS, CHARTS.com, Department of Health, Division of Public Health Statistics & Performance Management, October 10, 2013; 9. Department of Health, Bureau of TB & Refugee Health, CHARTS.com, Department of Health, Division of Public Health Statistics & Performance Management, October 11, 2013; Department of Health, Bureau of STD Prevention & Control, CHARTS.com, Department of Health, Division of Public Health Statistics & Performance Management, October 11, 2013; Department of Health, Bureau of Vital Statistics, CHARTS.com, Department of Health, Division of Public Health Statistics & Performance Management, December 8, 2013; Department of Health, Bureau of Immunization, CHARTS.com, Department of Health, Division of Public Health Statistics & Performance, December 8, 2013; Department of Health, Office of Health Statistics and Assessment; CHARTS.com, Department of Health, Division of Public Health Statistics and Performance Management, December 9, 2013; 012&tn= Department of Health, Office of Health Statistics and Assessment; CHARTS.com, Department of Health, Division of Public Health Statistics and Performance Management, December 9, 2013; 012&tn= Department of Health, Office of Health Statistics and Assessment; CHARTS.com, Department of Health, Division of Public Health Statistics and Performance Management, December 9, 2013; 012&tn= Hospital Inpatient Data File, Calendar Year 2012, Agency for Health Care Administration; Medi Dat Online Healthcare Business Intelligence for Executives, HealthScope, Inc.; Page 14 District 11 Health Profile 2013

16 17. United States Department of Commerce, United States Census Bureau, American Fact Finder; Hospital Bed Need Projections & Service Utilization by District, July 2013 Batching Cycle, Certificate of Need Program Office, Agency for Health Care Administration, December 10, 2013; albedneedprojections.pdf 19. Hospital Inpatient & Emergency Department Analytical System, Calendar Year 2012; ( Agency for Health Care Administration Hospital Inpatient Data File, Nielsen Claritas Inc., population data and Agency for Healthcare Research and Quality Prevention and Pediatric Quality Indicators Technical Specifications), Broward Regional Health Planning Council, Inc.; Hospital Inpatient & Emergency Department Analytical System, Calendar Year 2012; ( Agency for Health Care Administration Emergency Department Patient Data File), Broward Regional Health Planning Council, Inc.; Hospital Beds and Services List, July 19, 2013, Certificate of Need Office, agency for Health Care Administration; BedsandServicesList.pdf 22. District 11 Hospital Utilization Report, Calendar Year 2012, Health Council of South 23. Nursing Home Utilization by District and Subdistrict, July June 2013, Certificate of Need, Agency for Health Care Administration, September 27, 2013; lizationbydistrict_subdistrict-jul2012-jun2013.pdf Page 15 District 11 Health Profile 2013