Community Health Needs Assessment 2019-UC Irvine

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Adult Diabetes Orange County Diagnosed pre/borderline diabetic Diagnosed with diabetes Very confident to control diabetes Somewhat confident Not confident

California

9.2% 11.3% 53.3% 40.1% 6.6%

10.5% 13.4% 58.5% 33.8% 7.7%

Source: California Health Interview Survey, 2016. http://ask.chis.ucla.edu

The U.S. Agency for Healthcare Research and Quality (AHRQ) developed Prevention Quality Indicators (PQIs), which identify hospital admissions that may be avoided through access to high-quality outpatient care. Four PQIs are related to diabetes: longterm complications (renal, ophthalmic or neurological manifestations, and peripheral circulatory disorders); short-term complications (ketoacidosis, hyperosmolarity and coma); amputation, and uncontrolled diabetes. For all diabetes indicators, hospitalization rates were lower in Orange County than in California. Diabetes Hospitalization Rates* for Prevention Quality Indicators Orange County Diabetes long-term complications Diabetes short-term complications Lower extremity amputation among patients with diabetes Uncontrolled diabetes

California 79.8 54.4 23.6 33.9

69.2 42.0 15.8 28.4

Source: California Office of Statewide Health Planning & Development, 2016. http://www.oshpd.ca.gov/HID/Products/PatDischargeData/AHRQ/pqi_overview.html *Risk-adjusted (age-sex) annual rates per 100,000 persons.

Heart Disease In Orange County, 4.6% of adults have been diagnosed with heart disease. Among these adults, 70.1% are very confident they can manage their condition; however, 7.5% were not confident they could control their heart disease. And 70.5% have a disease management care plan developed by a healthcare professional. Adult Heart Disease Orange County Diagnosed with heart disease Very confident to control condition Somewhat confident to control condition Not confident to control condition Has a disease management care plan

California

4.6% 70.1% 22.4% 7.5% 70.5%

6.2% 57.4% 36.8% 5.8% 70.2%

Source: California Health Interview Survey, 2016. http://ask.chis.ucla.edu

As noted, Prevention Quality Indicators (PQIs) identify hospital admissions that may be avoided through access to high-quality outpatient care. The PQIs related to heart UCI Medical Center Community Health Needs Assessment

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