Whole Person Care Metrics

Emergency Room Utilization

Frequent Emergency Room Diagnoses

For Whole Person Care-enrolled beneficiaries, the most common treat-and-release emergency room diagnostic category across all hospitals was alcohol-related disorders, which accounted for 10% of visits.
If alcohol and substance-related disorders are combined, they together represent 12.6% of all visits.
The second most common diagnostic category at 8.2% was symptoms, signs, and ill-defined conditions, suggesting that there was not a clear diagnosis at the time of the visit.
Together, alcohol, substance abuse, and ill-defined symptoms represent approximately 20% of all emergency room visits during enrollment in the Whole Person Care initiative.
Front of San Mateo Medical Center

Ambulatory Services Utilization

In-patient Services Utilization

Patient and technician at MRI machine

Frequent Inpatient Diagnoses

For Whole Person Care-enrolled beneficiaries, the most common inpatient diagnostic category across all hospitals were
  • 16.4% schizophrenia and other psychotic disorders
  • 7.9% diabetes mellitus with complications
  • 7.9% alcohol-related disorders
  • 5.4% skin and subcutaneous tissue infections
  • 5.4% bacterial infections
These top 5 diagnostic categories represented 43% of inpatient stays

Comprehensive Diabetes Care

Data shows that 56.94% of clients diagnosed with diabetes had HbA1c below 8 in 2016 compared to 54.91% in 2017. We continue to monitor our clients and implement interventions to increase the number of clients with HbA1c control.