In Los Angeles County, the mortality rate among people experiencing homelessness (PEH) consistently increased between 2014 and 2019. In 2019, the mortality rate reached a peak for the given period at 2,021 deaths per 100,000 people. This statistic depicts the mortality rate among people experiencing homelessness between 2014 and 2019 in Los Angeles County.

This dataset contains counts of deaths for California counties based on information entered on death certificates. Final counts are derived from static data and include out-of-state deaths to California residents, whereas provisional counts are derived from incomplete and dynamic data. Provisional counts are based on the records available when the data was retrieved and may not represent all deaths that occurred during the time period. Deaths involving injuries from external or environmental forces, such as accidents, homicide and suicide, often require additional investigation that tends to delay certification of the cause and manner of death. This can result in significant under-reporting of these deaths in provisional data.

The final data tables include both deaths that occurred in each California county regardless of the place of residence (by occurrence) and deaths to residents of each California county (by residence), whereas the provisional data table only includes deaths that occurred in each county regardless of the place of residence (by occurrence). The data are reported as totals, as well as stratified by age, gender, race-ethnicity, and death place type. Deaths due to all causes (ALL) and selected underlying cause of death categories are provided. See temporal coverage for more information on which combinations are available for which years.

The cause of death categories are based solely on the underlying cause of death as coded by the International Classification of Diseases. The underlying cause of death is defined by the World Health Organization (WHO) as "the disease or injury which initiated the train of events leading directly to death, or the circumstances of the accident or violence which produced the fatal injury." It is a single value assigned to each death based on the details as entered on the death certificate. When more than one cause is listed, the order in which they are listed can affect which cause is coded as the underlying cause. This means that similar events could be coded with different underlying causes of death depending on variations in how they were entered. Consequently, while underlying cause of death provides a convenient comparison between cause of death categories, it may not capture the full impact of each cause of death as it does not always take into account all conditions contributing to the death.

The COVID-19 Vulnerability and Recovery Index uses Tract and ZIP Code-level data* to identify California communities most in need of immediate and long-term pandemic and economic relief. Specifically, the Index is comprised of three components — Risk, Severity, and Recovery Need with the last scoring the ability to recover from the health, economic, and social costs of the pandemic. Communities with higher Index scores face a higher risk of COVID-19 infection and death and a longer uphill economic recovery. Conversely, those with lower scores are less vulnerable.

The Index includes one overarching Index score as well as a score for each of the individual components. Each component includes a set of indicators we found to be associated with COVID-19 risk, severity, or recovery in our review of existing indices and independent analysis. The Risk component includes indicators related to the risk of COVID-19 infection. The Severity component includes indicators designed to measure the risk of severe illness or death from COVID-19. The Recovery Need component includes indicators that measure community needs related to economic and social recovery. The overarching Index score is designed to show level of need from Highest to Lowest with ZIP Codes in the Highest or High need categories, or top 20th or 40th percentiles of the Index, having the greatest need for support.

The Index was originally developed as a statewide tool but has been adapted to LA County for the purposes of the Board motion. To distinguish between the LA County Index and the original Statewide Index, we refer to the revised Index for LA County as the LA County ARPA Index.

*Zip Code data has been crosswalked to Census Tract using HUD methodology

Indicators within each component of the LA County ARPA Index are:Risk: Individuals without U.S. citizenship; Population Below 200% of the Federal Poverty Level (FPL); Overcrowded Housing Units; Essential Workers Severity: Asthma Hospitalizations (per 10,000); Population Below 200% FPL; Seniors 75 and over in Poverty; Uninsured Population; Heart Disease Hospitalizations (per 10,000); Diabetes Hospitalizations (per 10,000)Recovery Need: Single-Parent Households; Gun Injuries (per 10,000); Population Below 200% FPL; Essential Workers; Unemployment; Uninsured PopulationData are sourced from US Census American Communities Survey (ACS) and the OSHPD Patient Discharge Database. For ACS indicators, the tables and variables used are as follows:

Indicator

ACS Table/Years

Numerator

Denominator

Non-US Citizen

B05001, 2019-2023

b05001_006e

b05001_001e

Below 200% FPL

S1701, 2019-2023

s1701_c01_042e

s1701_c01_001e

Overcrowded Housing Units

B25014, 2019-2023

b25014_006e + b25014_007e + b25014_012e + b25014_013e

b25014_001e

Essential Workers

S2401, 2019-2023

s2401_c01_005e + s2401_c01_011e + s2401_c01_013e + s2401_c01_015e + s2401_c01_019e + s2401_c01_020e + s2401_c01_023e + s2401_c01_024e + s2401_c01_029e + s2401_c01_033e

s2401_c01_001

Seniors 75+ in Poverty

B17020, 2019-2023

b17020_008e + b17020_009e

b17020_008e + b17020_009e + b17020_016e + b17020_017e

Uninsured

S2701, 2019-2023

s2701_c05_001e

NA, rate published in source table

Single-Parent Households

S1101, 2019-2023

s1101_c03_005e + s1101_c04_005e

s1101_c01_001e

Unemployment

S2301, 2019-2023

s2301_c04_001e

NA, rate published in source table

The remaining indicators are based data requested and received by Advancement Project CA from the OSHPD Patient Discharge database. Data are based on records aggregated at the ZIP Code level:

Indicator

Years

Definition

Denominator

Asthma Hospitalizations

2017-2019

All ICD 10 codes under J45 (under Principal Diagnosis)

American Community Survey, 2015-2019, 5-Year Estimates, Table DP05

Gun Injuries

2017-2019

Principal/Other External Cause Code "Gun Injury" with a Disposition not "Died/Expired". ICD 10 Code Y38.4 and all codes under X94, W32, W33, W34, X72, X73, X74, X93, X95, Y22, Y23, Y35 [All listed codes with 7th digit "A" for initial encounter]

American Community Survey, 2015-2019, 5-Year Estimates, Table DP05

Heart Disease Hospitalizations

2017-2019

ICD 10 Code I46.2 and all ICD 10 codes under I21, I22, I24, I25, I42, I50 (under Principal Diagnosis)

American Community Survey, 2015-2019, 5-Year Estimates, Table DP05

Diabetes (Type 2) Hospitalizations

2017-2019

All ICD 10 codes under E11 (under Principal Diagnosis)

American Community Survey, 2015-2019, 5-Year Estimates, Table DP05

For more information about this dataset, please contact egis@isd.lacounty.gov.

In Los Angeles, the number of deaths among people experiencing homelessness (PEH) progressively increased between 2014 and 2020. From 2019 to 2020, there was an increase of 40 percent in deaths among PEH, reaching 1,776 deaths in 2020. This statistic depicts the number of deaths among PEH between 2014 and 2020 in Los Angeles County.

The dataset contains risk-adjusted mortality rates, quality ratings, and number of deaths and cases for 6 medical conditions treated (Acute Stroke, Acute Myocardial Infarction, Heart Failure, Gastrointestinal Hemorrhage, Hip Fracture and Pneumonia) and 3 procedures performed (Carotid Endarterectomy, Pancreatic Resection, and Percutaneous Coronary Intervention) in California hospitals. The 2023 IMIs were generated using AHRQ Version 2024, while previous years' IMIs were generated with older versions of AHRQ software (2022 IMIs by Version 2023, 2021 IMIs by Version 2022, 2020 IMIs by Version 2021, 2019 IMIs by Version 2020, 2016-2018 IMIs by Version 2019, 2014 and 2015 IMIs by Version 5.0, and 2012 and 2013 IMIs by Version 4.5). The differences in the statistical method employed and inclusion and exclusion criteria using different versions can lead to different results. Users should not compare trends of mortality rates over time. However, many hospitals showed consistent performance over years; “better” performing hospitals may perform better and “worse” performing hospitals may perform worse consistently across years. This dataset does not include conditions treated or procedures performed in outpatient settings. Please refer to statewide table for California overall rates: https://data.chhs.ca.gov/dataset/california-hospital-inpatient-mortality-rates-and-quality-ratings/resource/af88090e-b6f5-4f65-a7ea-d613e6569d96

The New York Times is releasing a series of data files with cumulative counts of coronavirus cases in the United States, at the state and county level, over time. We are compiling this time series data from state and local governments and health departments in an attempt to provide a complete record of the ongoing outbreak.

Since late January, The Times has tracked cases of coronavirus in real time as they were identified after testing. Because of the widespread shortage of testing, however, the data is necessarily limited in the picture it presents of the outbreak.

We have used this data to power our maps and reporting tracking the outbreak, and it is now being made available to the public in response to requests from researchers, scientists and government officials who would like access to the data to better understand the outbreak.

The data begins with the first reported coronavirus case in Washington State on Jan. 21, 2020. We will publish regular updates to the data in this repository.

ObjectivesAn accurate prognostic score to predict mortality for adults with COVID-19 infection is needed to understand who would benefit most from hospitalizations and more intensive support and care. We aimed to develop and validate a two-step score system for patient triage, and to identify patients at a relatively low level of mortality risk using easy-to-collect individual information.DesignMulticenter retrospective observational cohort study.SettingFour health centers from Virginia Commonwealth University, Georgetown University, the University of Florida, and the University of California, Los Angeles.PatientsCoronavirus Disease 2019-confirmed and hospitalized adult patients.Measurements and Main ResultsWe included 1,673 participants from Virginia Commonwealth University (VCU) as the derivation cohort. Risk factors for in-hospital death were identified using a multivariable logistic model with variable selection procedures after repeated missing data imputation. A two-step risk score was developed to identify patients at lower, moderate, and higher mortality risk. The first step selected increasing age, more than one pre-existing comorbidities, heart rate >100 beats/min, respiratory rate ≥30 breaths/min, and SpO2 <93% into the predictive model. Besides age and SpO2, the second step used blood urea nitrogen, absolute neutrophil count, C-reactive protein, platelet count, and neutrophil-to-lymphocyte ratio as predictors. C-statistics reflected very good discrimination with internal validation at VCU (0.83, 95% CI 0.79–0.88) and external validation at the other three health systems (range, 0.79–0.85). A one-step model was also derived for comparison. Overall, the two-step risk score had better performance than the one-step score.ConclusionsThe two-step scoring system used widely available, point-of-care data for triage of COVID-19 patients and is a potentially time- and cost-saving tool in practice.