Fresno County Core Metrics

The Vital Signs Core Metrics report describes that health care services are not the only or even the most important determinant of population health, but their quality matters to individuals and families, and influences both the outcomes and costs of care. The system has compelling needs for improvement. Indicators that help track progress towards improvement are included in the Care Quality domain. 

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Care Quality

Childhood Immunization

The percent of children in kindergarten who have received all required immunizations is higher in Fresno County (96.2%) compared to California (92.8%).

Technical Notes

Childhood immunization was calculated using the results from the Kindergarten Assessment, 2015-2015. All required immunizations was defined as: 4 or more doses of Diphtheria, Tetanus, Pertussis (4+ DTP); 3+ Polio; 2+ Measles, Mumps, and Rubella; 3+ Hepatitis B; and 1+ Varicella or physician-documented varicella disease. 

Data on childhood immunization rates for Latinos are not presented because they are not available in public-use reports. 

Preventable Hospitalization

Preventable Hospitalization by Race

Technical Notes

Preventable hospitalizations were documented in the Dartmouth Atlas, 2013. Preventable hospitalizations were defined as the hospital discharge rate for ambulatory care-sensitive conditions per 1,000 fee-for-service Medicare enrollees. 

Data on preventable hospitalizations for Latinos are not presented because they are not available in public-use reports. 

Hospital-Acquired Infection Rate

The standardized infection ratio indicates if there are greater or fewer numbers of infections than expected. The standardized infection ratios for Central Line-Associated Bloodstream Infections presented here indicate that there is no statistically significant difference in infections as compared to expected.  

The standardized infection ratio indicates if there are greater or fewer numbers of infections than expected. The standardized infection ratios for Clostridium Difficile Diarrheal Infections presented here indicate that there is no statistically significant difference in infections as compared to expected.  

The standardized infection ratio indicates if there are greater or fewer numbers of infections than expected. The standardized infection ratios for Methicillin-Resistant Staphylococcus aureus (MRSA) Bloodstream Infections presented here indicate that there is no statistically significant difference in infections as compared to expected.  

Technical Notes

Standardized infection ratios were calculated by the California Department of Public Health and presented in the Healthcare-Associated Infections in California Hospitals Annual Report, January - December 2014. 

Data on hospital-acquired infection rates for Latinos are not presented because they are not available in public-use reports. 

Patient-Clinician Communication Satisfaction

More than 80% of patients in health plans in Fresno County think that doctors communicate well. 


Technical Notes

Data presented are from the 2013 Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey Summary Report, March 2013, Medi-Cal Managed Care. 

Data on patient-clinician communication satisfaction for Latinos are not presented because they are not available in public-use reports. 

Getting Needed Care

More than 70% of patients in health plans in Fresno County think that they are receiving the medical care they need. 

Technical Notes

Data presented are from the 2013 Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey Summary Report, March 2013, Medi-Cal Managed Care. 

Data on getting needs care for Latinos are not presented because they are not available in public-use reports. 

Cultiva la Salud

2409 Merced St., Ste. 101

Fresno, CA 93721                 559.498.0870