253 healthcare facilities (59.8 percent) gained market share from 2017 to 2022.
163 healthcare facilities (38.5 percent) lost market share from 2017 to 2022.
Introduction
In many regions of the state, individuals who need hospital inpatient (IP), emergency department (ED) or ambulatory surgery (AS) services have several facilities they can choose from. The visualizations below provide maps that display the market share each licensed health care facility in California has in nearby ZIP code areas and which facility patients from a ZIP code chose to go to, in 2017 and 2022. These can be used to:
- Determine if patients who live near the facility go to it for medical treatment or if they travel to another facility for treatment and how it has changed over a five-year span of time.
- Determine where patients from each ZIP code go for IP, ED, or AS treatment and how patient utilization patterns have changed in the last five years.
Facility Market Share and Patient Origin, 2017 and 2022
The Market Share Area Map by Facility, 2017 and 2022, provides a side-by-side comparison of two healthcare facilities and identifies the market share changes for each facility from 2017 and 2022 by ZIP code. A facility’s market share in a ZIP code area represents the percentage of patients from that specific area who went to that facility for IP, ED, or AS treatment†. Each ZIP code from which the selected facility received patients is categorized into one of three categories (indicated by color):
- Lost Market Share (orange) if the facility had market share in the ZIP code area in 2017 which dropped to 0 in 2022,
- Maintained Market Share (grey) if the facility had market share in the ZIP code area in both years, and
- Gained Market Share (blue) if the facility went from having no market share in the area in 2017 to having some market share in 2022.
Hovering over a ZIP code area within either map will display the market shares of up to five facilities in that specific area for the years 2017 and 2022. All facilities below a 10 percent threshold are combined to form an ‘Other Facilities’ group, possibly including the facility of interest.
The Market Share Area Map by ZIP Code, 2022 identifies where patients from a specified ZIP code went to for IP, ED, or AS treatment† (darker colors represent higher volume of encounters). In addition, the top five Major Diagnostic Categories (MDCs) are provided for the same ZIP code. Each MDC corresponds to a major organ system (e.g., Respiratory System, Circulatory System, Digestive System) rather than a specific disease (e.g., cancer, sepsis). The MDCs are generated using only the IP hospital records but are shown regardless of which “Patient Type” is selected. Hovering over a facility within the map will display the number of patients of the selected type who went to that facility from the selected ZIP code for the years 2017 and 2022.
Note†: Physician-owned AS clinics do not report their data to HCAI and, therefore, are not included here.
Key Findings
- Diseases & Disorders of the Circulatory System is the most common Major Diagnostic Category (MDC) in 2022.
- Gained ZIP codes averaged 53 patients, while lost averaged of 42 patients.
- EDs had the largest average differences with ZIP codes gaining 130 patients and ZIP code losing 102 patients. Whereas IP had an average difference of 34 patients gained and 34 patients lost.
Note: Consolidation of facilities that report data may have occurred during the reporting period; use caution when interpreting results. Consolidation occurs when one or more satellite facilities are reported as a part of a parent facility.
How HCAI Created This Product
These visualizations were built using HCAI’s Patient Discharge Data, Emergency Department Data, and Ambulatory Surgery Data for 2017 and 2022. Only facilities that were open in both 2017 and 2022 were included. HCAI also provides market share comparisons between 2013 and 2018, as well as 2015 and 2020.
To protect patient personal information, the California Health and Human Services Agency has adopted a policy of statistically masking or de-identifying sensitive data (CalHHS Data De-identification guidelines). Based on these guidelines, ZIP codes providing 10 percent or fewer of the patients for the selected facility and patient type were removed from the first visualization and the accompanying dataset. Patients counts of 11 or fewer (but greater than 0) were suppressed in the second visualization and the accompanying dataset.
Additional Information
Topic: Healthcare Utilization
Source Link: Patient Origin/Market Share (Pivot Profile)–Inpatient, Emergency Department, and Ambulatory Surgery
Citation: HCAI – Facility Market Share and Patient Origin, 2017 and 2022
Spatial/Geographic Coverage: Statewide
Temporal Coverage: 2017 and 2022
Frequency: Annually