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IPODR - California County Profile Report

Placer County, 2011

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Contents of This Page
 1. Introduction
 2. Definitions
 3. Live Births With Non-Normal DRG or MS-DRG
 4. Live Births With Hospial Stays Longer than 5 Days
Introduction
While mortality outcomes are an important indicator of a nation's health, neonatal mortality in developed countries has become increasingly rare. Small area estimates needed for smaller counties or ZIP codes are unstable. Additional measures of infant morbidity might be useful to complement mortality rates in these situations.
The California County Profile Reports include two additional measures for assessing infant health: 1) the percent of non-normal newborns and 2) the percent of newborns with a hospital stay exceeding 5 days after birth.
Definitions
Diagnosis related groups (DRG) are case mix assignments grouping hospital patients to categories based on diagnostic, therapeutic, and demographic characteristics for the purpose of reimbursement. Beginning in 2008, The PDD began reporting Medicare DRGs, known as MS-DRGs. Although MS-DRGs greatly expanded the number of diagnosis related groups, the relevant groups for newborns were essentially unchanged. Only the code identifiers changed. The groups and their definitions remained the same. Each newborn is assigned to one of seven DRG or MS-DRG codes as follows:
DRG
(prior to 2008)
MS-DRG
(2008 and later)
Description
385789Died/Transferred
386790Extreme Immaturity/Respiratory Distress Syndrome
387791Prematurity with Major Problems
388792Prematurity without Major Problems
389793Full Term Neonate with Major Problems
390794Full Term Neonate with Significant Problems
391795Normal Newborn
For the California County Profile Reports, all newborns that died/transferred, were born prematurely, or were born full term but with major or significant problems were included in the group of non-normal newborns.
A long length of stay is defined as a hospital stay after birth that exceeded 5 days. Note that only infants who were home discharged are included in the reference at risk population.
Tables and Figures
Number and Percent of Non-Normal Newborns by Race/Ethnicity, California and Placer County, 2011
Race/Ethnicity Placer CountyCalifornia
NAll
Births
%NAll
Births
%
Hispanic 186     694     26.8     62,887     245,942     25.6    
Non-Hispanic White 726     2,527     28.7     37,112     131,658     28.2    
Non-Hispanic Black 10     38     26.3     8,357     26,092     32.0    
Non-Hispanic Asian/Pacific Islander 90     308     29.2     17,109     62,848     27.2    
Non-Hispanic Other Race 69     193     35.8     7,135     20,793     34.3    
Overall 1,081     3,760     28.8     132,600     487,333     27.2    
Births with unknown DRG/MS-DRG are not included
Categories with less than 10 live births are grayed
Source: California Department of Public Health and California Office of Statewide Health Planning and Development
 2011 Linked Birth and Patient Discharge File
Percent of Non-Normal Newborns, Placer County, 2009-2011
 map NONDRG391
Source: California Department of Public Health and California Office of Statewide Health Planning and Development
 2011, 2010 and 2009 Linked Birth and Patient Discharge File
Download as PDF
Percent of Non-Normal Newborns, California and Placer County, 1991-2011
 trend NONDRG391
Source: California Department of Public Health and California Office of Statewide Health Planning and Development
 1991 through 2011 Linked Birth and Patient Discharge File
Download as PDF
Number and Percent of Newborns with Hospital Stay Longer than 5 Days Until Home Discharge by Race/Ethnicity, California and Placer County, 2011
Race/Ethnicity Placer CountyCalifornia
NAll
Births
%NAll
Births
%
Hispanic 38     694     5.5     15,857     245,649     6.5    
Non-Hispanic White 138     2,529     5.5     8,340     131,494     6.3    
Non-Hispanic Black 4     38     10.5     2,478     26,053     9.5    
Non-Hispanic Asian/Pacific Islander 18     308     5.8     3,832     62,788     6.1    
Non-Hispanic Other Race 20     193     10.4     1,763     20,753     8.5    
Overall 218     3,762     5.8     32,270     486,737     6.6    
Births with unknown LOS are not included
Categories with less than 10 live births are grayed
Source: California Department of Public Health and California Office of Statewide Health Planning and Development
 2011 Linked Birth and Patient Discharge File
Percent of Newborns with Hospital Stay Longer than 5 Days Until Home Discharge, Placer County, 2009-2011
 map LOS5
Source: California Department of Public Health and California Office of Statewide Health Planning and Development
 2011, 2010 and 2009 Linked Birth and Patient Discharge File
Download as PDF
Percent of Newborns with Hospital Stay Longer than 5 Days Until Home Discharge, California and Placer County, 1991-2011
 trend LOS5
Source: California Department of Public Health and California Office of Statewide Health Planning and Development
 1991 through 2011 Linked Birth and Patient Discharge File
Download as PDF

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