Medicare Fee-For-Service (FFS)
Hospital Readmissions:
Q4 2013–Q3 2014
State of California
Please contact Michelle Pastrano-Bower via email at mpastrano@hsag.com
or by phone at 818.265.4648 for additional information.
Statewide Overview
Table 1: 30-Day All-Cause Readmission Rates—Q4 2013–Q3 2014
Q4 13 Q1 14 Q2 14 Q3 14 18.6% 18.4% 18.3% 18.3% 18.3% 138,758/747,069 33,131/180,312 34,380/188,245 32,672/178,916 31,352/171,423 Nation1 C alifornia Baseline (CY 2013) Current 18.0%
Table 2: Number of Emergency Department (ED) Visits—Q4 2013–Q3 2014
Q4 2013 Q1 2014 Q2 2014 Q3 2014
California 266,441 271,714 273,935 275,208
Table 3: Number of Observation Stays—Q4 2013–Q3 2014
Q4 2013 Q1 2014 Q2 2014 Q3 2014
California 28,804 27,456 27,649 27,875
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Table 4: All-Cause Average Readmissions Rates by Region
[state_img]
Region AverageRate Re gion 9 8.5% Re gion 7 12.6% Re gion 20 14.2% Re gion 11 14.2% Re gion 6 14.4% Re gion 21 14.6% Re gion 14 14.8% Re gion 5 16.5% Re gion 13 16.9% Re gion 18 17.1% Re gion 17 17.2% Re gion 3 17.3% Re gion 16 17.5% Re gion 10 17.9% Re gion 1 18.2% Re gion 2 18.2% Re gion 12 18.2% Re gion 15 18.4% Re gion 19 19.5% Re gion 8 20.0% Re gion 4 21.0% 1
Figure 1: California and National Outpatient ED Visits, Observation Stays, and Inpatient Admissions
2,3 0 50 100 150 200 250 300 Q2 2011 Q3 2011 Q4 2011 Q1 2012 Q2 2012 Q3 2012 Q4 2012 Q1 2013 Q2 2013 Q3 2013 Q4 2013 Q1 2014 Q2 2014 Q3 2014 En co un te rs b y Th ou sa nd sCalifornia ED Visits California Observation Stays California Admissions
0.5 1 1.5 2 2.5 3 3.5 4 En co un te rs b y M illio ns
Table 5: Discharge Distribution after Inpatient Hospitalization for All Causes—Q4 2013–Q3 2014
N % N % N % N % N % Home 17.2% 353,622 60,757 43,259 71.2% 17,498 28.8% 10,439 17.2% 11,622 19.1% 15,235 25.1% 11,703 19.3% 11,758 19.4% SNF 20.8% 170,745 35,519 25,347 71.4% 10,172 28.6% 4,993 14.1% 6,458 18.2% 9,232 26.0% 7,316 20.6% 7,520 21.2% HHA 19.2% 126,002 24,209 18,811 77.7% 5,398 22.3% 3,908 16.1% 4,771 19.7% 6,256 25.8% 4,694 19.4% 4,580 18.9% Hospice 3.5% 16,384 572 385 67.3% 187 32.7% 111 19.4% 112 19.6% 138 24.1% 106 18.5% 105 18.4% O the r 20.1% 52,143 10,478 6,008 57.3% 4,470 42.7% 2,599 24.8% 1,711 16.3% 2,201 21.0% 1,797 17.2% 2,170 20.7% Total 18.3% 718,896 131,535 93,810 71.3% 37,725 28.7% 22,050 16.8% 24,674 18.8% 33,062 25.1% 25,616 19.5% 26,133 19.9% 22-30 Days C alifornia 30-Day Readmits toDifferent Hospital Days to Readmission
N % N % 0-3 Days 4-7 Days 8-14 Days 15-21 Days Group Discharged ToSetting Readmit Rate30-Day Discharges within 30 DaysReadmits
30-Day Readmits to Same Hospital
Figure 2: 30-Day All-Cause Readmission Rates
415.5% 16.0% 16.5% 17.0% 17.5% 18.0% 18.5% 19.0% 19.5% 20.0% Q2 2011 Q3 2011 Q4 2011 Q1 2012 Q2 2012 Q3 2012 Q4 2012 Q1 2013 Q2 2013 Q3 2013 Q4 2013 Q1 2014 Q2 2014 Q3 2014 All -C au se Rea dm issi on Ra te State Nation 4
Table 6: Discharge Distribution after Inpatient Hospitalization for Acute Myocardial Infarction (AMI)—Q4 2013–Q3 2014
N % N % N % N % N % Home 16.2% 8,593 1,395 940 67.4% 455 32.6% 315 22.6% 280 20.1% 318 22.8% 233 16.7% 249 17.8% SNF 24.3% 2,371 575 383 66.6% 192 33.4% 93 16.2% 129 22.4% 153 26.6% 87 15.1% 113 19.7% HHA 23.0% 2,213 509 376 73.9% 133 26.1% 91 17.9% 89 17.5% 154 30.3% 91 17.9% 84 16.5% Hospice 4.1% 341 14 10 71.4% 4 28.6% 2 14.3% 3 21.4% 3 21.4% 2 14.3% 4 28.6% O the r 27.7% 1,044 289 156 54.0% 133 46.0% 111 38.4% 49 17.0% 43 14.9% 41 14.2% 45 15.6% Total 19.1% 14,562 2,782 1,865 67.0% 917 33.0% 612 22.0% 550 19.8% 671 24.1% 454 16.3% 495 17.8% 22-30 Days C alifornia 30-Day Readmits toDifferent Hospital Days to Readmission
N % N % 0-3 Days 4-7 Days 8-14 Days 15-21 Days Group Discharged ToSetting Readmit Rate30-Day Discharges within 30 DaysReadmits
30-Day Readmits to Same Hospital
Figure 3: 30-Day AMI Readmission Rates
50.0% 5.0% 10.0% 15.0% 20.0% 25.0% Q2 2011 Q3 2011 Q4 2011 Q1 2012 Q2 2012 Q3 2012 Q4 2012 Q1 2013 Q2 2013 Q3 2013 Q4 2013 Q1 2014 Q2 2014 Q3 2014 AM I Rea dm issi on Ra te State Nation
Table 7: Discharge Distribution after Inpatient Hospitalization for Heart Failure (HF)—Q4 2013–Q3 2014
N % N % N % N % N % Home 24.0% 17,043 4,094 3,089 75.5% 1,005 24.5% 607 14.8% 719 17.6% 1,010 24.7% 880 21.5% 878 21.4% SNF 27.3% 6,580 1,794 1,323 73.7% 471 26.3% 242 13.5% 297 16.6% 474 26.4% 375 20.9% 406 22.6% HHA 25.4% 7,704 1,954 1,536 78.6% 418 21.4% 276 14.1% 352 18.0% 498 25.5% 428 21.9% 400 20.5% Hospice 4.7% 1,049 49 38 77.6% 11 22.4% 9 18.4% 11 22.4% 13 26.5% 9 18.4% 7 14.3% O the r 29.5% 1,723 509 299 58.7% 210 41.3% 126 24.8% 88 17.3% 110 21.6% 83 16.3% 102 20.0% Total 24.6% 34,099 8,400 6,285 74.8% 2,115 25.2% 1,260 15.0% 1,467 17.5% 2,105 25.1% 1,775 21.1% 1,793 21.3% 22-30 Days C alifornia 30-Day Readmits toDifferent Hospital Days to Readmission
N % N % 0-3 Days 4-7 Days 8-14 Days 15-21 Days Group Discharged ToSetting Readmit Rate30-Day Discharges within 30 DaysReadmits
30-Day Readmits to Same Hospital
Figure 4: 30-Day HF Readmission Rates
60.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% Q2 2011 Q3 2011 Q4 2011 Q1 2012 Q2 2012 Q3 2012 Q4 2012 Q1 2013 Q2 2013 Q3 2013 Q4 2013 Q1 2014 Q2 2014 Q3 2014 HF Rea dm issi on Ra te State Nation 6
National data are obtained from the Hospital Compare website and are calculated using the 30-day risk adjustment standardized methodology for the CMS Hospital Readmission Reduction Program. The most recent data available are from July 1, 2010, through June 30, 2013.
Table 8: Discharge Distribution after Inpatient Hospitalization for Pneumonia (PNE)—Q4 2013–Q3 2014
N % N % N % N % N % Home 15.9% 12,254 1,949 1,500 77.0% 449 23.0% 358 18.4% 331 17.0% 488 25.0% 379 19.4% 393 20.2% SNF 22.4% 6,345 1,419 1,053 74.2% 366 25.8% 174 12.3% 250 17.6% 375 26.4% 303 21.4% 317 22.3% HHA 20.4% 4,682 955 772 80.8% 183 19.2% 151 15.8% 200 20.9% 255 26.7% 178 18.6% 171 17.9% Hospice 3.0% 735 22 15 68.2% 7 31.8% 2 9.1% 5 22.7% 5 22.7% 7 31.8% 3 13.6% O the r 19.4% 1,695 329 177 53.8% 152 46.2% 90 27.4% 51 15.5% 72 21.9% 44 13.4% 72 21.9% Total 18.2% 25,711 4,674 3,517 75.2% 1,157 24.8% 775 16.6% 837 17.9% 1,195 25.6% 911 19.5% 956 20.5% 22-30 Days C alifornia 30-Day Readmits toDifferent Hospital Days to Readmission
N % N % 0-3 Days 4-7 Days 8-14 Days 15-21 Days Group Discharged ToSetting Readmit Rate30-Day Discharges within 30 DaysReadmits
30-Day Readmits to Same Hospital
Figure 5: 30-Day PNE Readmission Rates
715.5% 16.0% 16.5% 17.0% 17.5% 18.0% 18.5% 19.0% 19.5% 20.0% 20.5% Q2 2011 Q3 2011 Q4 2011 Q1 2012 Q2 2012 Q3 2012 Q4 2012 Q1 2013 Q2 2013 Q3 2013 Q4 2013 Q1 2014 Q2 2014 Q3 2014 PN E Rea dm issi on Ra te State Nation
Table 9: Discharge Distribution after Inpatient Hospitalization for Chronic Obstructive Pulmonary Disease (COPD)—Q4 2013–Q3 2014
N % N % N % N % N % Home 20.8% 12,496 2,597 2,001 77.1% 596 22.9% 412 15.9% 386 14.9% 677 26.1% 554 21.3% 568 21.9% SNF 24.9% 3,987 991 725 73.2% 266 26.8% 133 13.4% 158 15.9% 276 27.9% 220 22.2% 204 20.6% HHA 24.6% 3,963 973 796 81.8% 177 18.2% 130 13.4% 180 18.5% 259 26.6% 206 21.2% 198 20.3% Hospice 6.7% 345 23 15 65.2% 8 34.8% 3 13.0% 5 21.7% 6 26.1% 3 13.0% 6 26.1% O the r 26.4% 1,510 398 242 60.8% 156 39.2% 102 25.6% 68 17.1% 89 22.4% 65 16.3% 74 18.6% Total 22.3% 22,301 4,982 3,779 75.9% 1,203 24.1% 780 15.7% 797 16.0% 1,307 26.2% 1,048 21.0% 1,050 21.1% 22-30 Days C alifornia 30-Day Readmits toDifferent Hospital Days to Readmission
N % N % 0-3 Days 4-7 Days 8-14 Days 15-21 Days Group Discharged ToSetting Readmit Rate30-Day Discharges within 30 DaysReadmits
30-Day Readmits to Same Hospital
Figure 6: 30-Day COPD Readmission Rates
818.0% 19.0% 20.0% 21.0% 22.0% 23.0% 24.0% 25.0% Q2 2011 Q3 2011 Q4 2011 Q1 2012 Q2 2012 Q3 2012 Q4 2012 Q1 2013 Q2 2013 Q3 2013 Q4 2013 Q1 2014 Q2 2014 Q3 2014 CO PD Rea dm issi on Ra te State Nation 8
National data are obtained from the Hospital Compare website and are calculated using the 30-day risk adjustment standardized methodology for the CMS Hospital Readmission Reduction Program. The most recent data available are from July 1, 2010, through June 30, 2013.
Table 10: Discharge Distribution after Inpatient Hospitalization for Total Hip/Knee Replacement (THA/TKA)—Q4 2013–Q3 2014
N % N % N % N % N % Home 3.6% 5,999 218 133 61.0% 85 39.0% 49 22.5% 42 19.3% 46 21.1% 41 18.8% 40 18.3% SNF 5.7% 8,662 490 351 71.6% 139 28.4% 90 18.4% 75 15.3% 120 24.5% 100 20.4% 105 21.4% HHA 3.2% 14,476 456 310 68.0% 146 32.0% 97 21.3% 87 19.1% 113 24.8% 82 18.0% 77 16.9% Hospice 28.6% 7 2 1 50.0% 1 50.0% 1 50.0% 1 50.0% 0 0.0% 0 0.0% 0 0.0% O the r 6.0% 1,829 110 75 68.2% 35 31.8% 21 19.1% 15 13.6% 35 31.8% 23 20.9% 16 14.5% Total 4.1% 30,973 1,276 870 68.2% 406 31.8% 258 20.2% 220 17.2% 314 24.6% 246 19.3% 238 18.7% 22-30 Days C alifornia 30-Day Readmits toDifferent Hospital Days to Readmission
N % N % 0-3 Days 4-7 Days 8-14 Days 15-21 Days Group Discharged ToSetting Readmit Rate30-Day Discharges within 30 DaysReadmits
30-Day Readmits to Same Hospital
Figure 7: 30-Day THA/TKA Readmission Rates
90.0% 1.0% 2.0% 3.0% 4.0% 5.0% 6.0% Q2 2011 Q3 2011 Q4 2011 Q1 2012 Q2 2012 Q3 2012 Q4 2012 Q1 2013 Q2 2013 Q3 2013 Q4 2013 Q1 2014 Q2 2014 Q3 2014 TH A/ TK A Rea dm issi on Ra te State Nation
Methodology and Data Source Information
The dashboard provides information regarding the state’s all-cause, acute myocardial infarction (AMI), heart failure (HF),
pneumonia (PNE), chronic obstructive pulmonary disease (COPD), and total hip/knee replacement (THA/TKA) 30-day
readmissions. Rates are calculated using hospital inpatient claims for Medicare Fee-For-Service (FFS) beneficiaries. Data
in this report are limited to Medicare FFS Part-A data for discharges from October 1, 2013, through September 30, 2014.
10Readmission rates in this report are not calculated using the 30-day risk standardized methodology for the Centers for
Medicare & Medicaid Services (CMS) Hospital Readmission Reduction Program or found on hospitalcompare.hhs.gov.
Readmission rates are updated quarterly with the most current time period’s data. The time periods illustrated in this
document are examples only and may not reflect the most current data period.
Pages 1 and 2 contain the following information.
Summary table
Regional map
Emergency department (ED) visits and
observation stays tables
Outpatient ED visits, observation stays, and inpatient
admissions graphs
Example Dashboard (Pages 1 and 2)
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The CSAT data file was used for this analysis. The CSAT data file is provided to HSAG by CMS. The CSAT data file includes Part A and Part B claims for FFS beneficiaries.
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Example Outpatient ED Visits, Observation Stays, and Inpatient Admissions Dashboard
Summary Table
The summary table contains the state’s baseline and current 30-day readmission rates, including the numerator and
denominator for each quarter. All rates are calculated from Medicare inpatient claims for FFS beneficiaries. See page D
for measure definitions. The summary table also includes the national rate. Due to availability of the data, the national
rate may be calculated from a different time period.
ED Visits and Observation Stays Tables
The ED visits and observation stays tables provide the count of ED visits and observation stays, respectively, for each
quarter in the current report period. ED visits and observation stays resulting in an inpatient stay are not included in the
counts.
Regional Map
The state of California was divided into 21 regions, which are defined similarly to the regions established by the Hospital
Council of Northern and Central California, the Hospital Association of Southern California, and the Hospital Association
of San Diego and Imperial Counties. Aggregate readmission rates are calculated for each region using the hospitals
located in the region. The table shows regional readmission rates for each region.
Outpatient ED Visits, Observation Stays, and Inpatient Admissions
The two graphs depict the volume of outpatient ED visits, observation stays, and inpatient admissions for the state and the
nation. The purpose of each is to monitor acute care utilization at the state and national levels. The counts are calculated
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Pages 3 through 8 provide the following data for all-cause and disease-specific 30-day readmissions:
Discharge distribution table
Line graph
Example Dashboard (discharge distribution and line graph)
Discharge Distribution Table
The discharge distribution table shows the 30-day readmission rates by discharge setting, the proportion of readmissions
that occurred back to the admitting hospital or another hospital, and the number of days from discharge to readmission.
Readmissions from home, skilled nursing facilities (SNFs), home health agencies (HHAs), and hospice are determined by
the patient discharge status on the index hospitalization claim. All other discharge status codes are bucketed into the
“Other” category.
Line Graph
The purpose of the readmission line graph is to track readmission rates over time. The line graph shows the state’s (green
line) improvement in relation to the nation (orange line). Rates are calculated quarterly.
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Measure Definitions
All-Cause 30-Day Readmission Rates
All-cause readmission rates are calculated as the percentage of hospital admissions that occurred within 30 days of an
index admission for any condition. Each hospital admission within 30 days following an index admission is considered a
readmission (e.g., a beneficiary with four readmissions in the measurement period counts as four separate readmissions).
Any beneficiary who dies in the hospital or is transferred to another hospital on the same day is excluded from the
calculation. Readmissions from home, SNFs, HHAs, and hospice are determined by the patient discharge status on the
index hospitalization claim.
Condition-Specific 30-Day Readmission Rates
When calculating condition-specific readmission rates, an admission is included if the principal diagnosis/procedure code
for the admission specifies that disease (i.e., AMI, HF, PNE, COPD, and THA/TKA). Condition-specific readmissions
include all-cause admissions that occur within 30 days of an index admission for the specific condition (e.g., a beneficiary
with an index admission of AMI who is readmitted for a urinary tract infection [UTI] is considered an AMI readmission).
Any beneficiary who dies in the hospital or is transferred to another hospital on the same day is excluded from the
calculation. The following table lists the codes used to identify the discharges for AMI, HF, PNE, COPD, and THA/TKA.
Disease Diagnosis Codes
AMI11 410.00, 410.01, 410.10, 410.11, 410.20, 410.21, 410.30, 410.31, 410.40, 410.41, 410.50, 410.51, 410.60, 410.61, 410.70, 410.71, 410.80, 410.81, 410.90, 410.91 HF 402.01, 402.11, 402.91, 404.01, 404.03, 404.11, 404.13, 404.91, 404.93, 428 PNE 480.0, 480.1, 480.2, 480.3, 480.8, 480.9, 481.0, 482.0, 482.1, 482.2, 482.3, 482.31, 482.32, 482.39, 482.4, 482.41, 482.42, 482.49, 482.81, 482.82, 482.83, 482.84, 482.89, 482.9, 483.0, 483.1, 483.8, 485.0, 486.0, 487.0, 488.11 COPD 491.21, 491.22, 491.8, 491.9, 492.8, 493.20, 493.21, 493.22, 496, 518.81*, 518.82*, 518.84*, 799.1*
Procedure Procedural Codes
THA/TKA12 81.51, 81.54
* Principal diagnosis when combined with a secondary diagnosis of COPD (491.21, 491.22, 493.21, or 493.22)
ED Visits and Observation Stays
The following table lists the codes used to identify ED visits and observation stays.
Revenue Codes HCPCS
ED Visits 0450, 0451, 0452, 0456, 0459, 0981
California Hospitals by Region
Region 1: San Diego/Imperial
Alvarado Hospital Medical Center Palomar Health Downtown Campus Scripps Mercy Hospital
Alvarado Parkway Institute Behavioral Health
System Paradise Valley Hospital Sharp Chula Vista Medical Center
Aurora San Diego Pioneers Memorial Healthcare District Sharp Coronado Hospital And Healthcare Center
El Centro Regional Medical Center Pomerado Hospital Sharp Memorial Hospital
Fallbrook Hospital Scripps Green Hospital Sharp Mesa Vista Hospital
Grossmont Hospital Scripps Memorial Hospital - Encinitas Tri-City Medical Center
Kaiser Foundation Hospital - San Diego Scripps Memorial Hospital La Jolla University Of California San Diego Medical Center
Region 2: San Bernardino/Riverside
Arrowhead Regional Medical Center Hi-Desert Medical Center Parkview Community Hospital Medical Center
Barstow Community Hospital John F Kennedy Memorial Hospital, Inc. Redlands Community Hospital
Bear Valley Community Hospital Kaiser Foundation Hospital Fontana Riverside Community Hospital
Canyon Ridge Hospital Kaiser Foundation Hospital, Riverside Riverside County Regional Medical Center
Chino Valley Medical Center Kaiser Foundation Hospital-Moreno Valley San Antonio Community Hospital
Colorado River Medical Center Loma Linda Behavioral Med Ctr San Gorgonio Memorial Hospital
Community Hospital Of San Bernardino Loma Linda University Medical Center Southwest Healthcare System
Corona Regional Medical Center Loma Linda University Medical Center-Murrieta St. Bernardine Medical Center
Desert Regional Medical Center Menifee Valley Medical Center St Mary Medical Center
Desert Valley Hospital Montclair Hospital Medical Center Temecula Valley Hospital
Eisenhower Medical Center Mountains Community Hospital Victor Valley Community Hospital
Hemet Valley Medical Center Palo Verde Hospital Vista Behavioral Hospital
Region 3: Orange
AHMC Anaheim Regional Medical Center Hoag Orthopedic Institute Placentia Linda Hospital
Anaheim General Hospital Huntington Beach Hospital Saddleback Memorial Medical Center
Chapman Medical Center Kaiser Foundation Hospital Anaheim St Joseph Hospital
Coastal Communities Hospital La Palma Intercommunity Hospital St Jude Medical Center
College Hospital Costa Mesa Los Alamitos Medical Center University Of California Irvine Med Center
Fairview Developmental Center Mission Hospital Regional Med Center West Anaheim Medical Center
Fountain Valley Regional Hospital & Medical
Center Newport Bay Hospital Western Medical Center Hosp Anaheim
Garden Grove Hospital & Medical Center Orange Coast Memorial Medical Center Western Medical Center Santa Ana
Region 4: Los Angeles
Alhambra Hospital Medical Center Hollywood Community Hospital Of Hollywood Pacific Hospital Of Long Beach
Antelope Valley Hospital Med Center Hollywood Presbyterian Medical Center Pacifica Hospital Of The Valley
Aurora Charter Oak Huntington Memorial Hospital Palmdale Regional Medical Center
Aurora Las Encinas Hospital Joyce Eisenberg Keefer Medical Center Pomona Valley Hospital Medical Center
Bellflower Medical Center Kaiser Foundation Hospital - Baldwin Park Presbyterian Intercommunity Hospital
Beverly Hospital Kaiser Foundation Hospital - Downey Providence Holy Cross Medical Center
BHC Alhambra Hosp Kaiser Foundation Hospital - Los Angeles Providence Little Co Of Mary Med Ctr San Pedro
Brotman Medical Center Kaiser Foundation Hospital - Panorama City Providence Little Company Of Mary Med Ctr Torrance
California Hospital Medical Center La Kaiser Foundation Hospital - South Bay Providence Saint Joseph Medical Ctr
Catalina Island Medical Center Kaiser Foundation Hospital - West La Providence Tarzana Medical Center
Cedars-Sinai Medical Center Kaiser Foundation Hospital - Woodland Hills Resnick Neuropsychiatric Hospital At UCLA
Centinela Hospital Medical Center Keck Hospital Of USC Ronald Reagan UCLA Medical Center
Citrus Valley Medical Center-IC Campus Lac/Harbor-UCLA Med Center Saint Francis Medical Center
City Of Hope Helford Clinical Research Hospital Lac/Olive View-UCLA Medical Center Saint John's Health Center
Coast Plaza Hospital Lac/Rancho Los Amigos National Rehabilitation Ctr Saint Vincent Medical Center
College Hospital LAC+USC Medical Center San Dimas Community Hospital
College Medical Center Lakewood Regional Medical Center San Gabriel Valley Medical Center
Community And Mission Hospital Of
Huntington Park Lanterman Developmental Center Santa Monica - UCLA Med Ctr & Orthopaedic Hospital
Community Hospital Of Long Beach Long Beach Memorial Medical Center Sherman Oaks Hospital
Del Amo Hospital Los Angeles Community Hospital Silver Lake Medical Center
Doctors Hospital Of West Covina, Inc. Los Angeles Metropolitan Medical Ctr St Mary Medical Center
Downey Regional Medical Center Marina Del Rey Hospital Tarzana Treatment Center
East Los Angeles Doctors Hospital Memorial Hospital Of Gardena Temple Community Hospital
East Valley Hospital Medical Center Methodist Hospital Of Southern Ca Torrance Memorial Medical Center
Encino Hospital Medical Center Miracle Mile Medical Center Tri-City Regional Medical Center
Foothill Presbyterian Hospital Mission Community Hospital - Panorama USC Kenneth Norris Jr Cancer Hospital
Garfield Medical Center Monterey Park Hospital Valley Presbyterian Hospital
Glendale Adventist Medical Center Motion Picture & Television Hospital Verdugo Hills Hospital
Glendale Mem Hospital & Health Center Northridge Hospital Medical Center West Hills Hospital & Medical Center
Good Samaritan Hospital Olympia Medical Center White Memorial Medical Center
Greater El Monte Community Hospital Pacific Alliance Medical Center Whittier Hospital Medical Center
Region 5: Ventura
Aurora Vista Del Mar Hospital Ojai Valley Community Hospital St Johns Pleasant Valley Hospital
Community Memorial Hospital San
Buenaventura Santa Barbara County Psychiatric Health Facility St John’s Regional Medical Center
Los Robles Hospital & Medical Center Simi Valley Hospital & Health Care Services Ventura County Medical Center
Region 6: Santa Barbara
Goleta Valley Cottage Hospital Marian Regional Medical Center Santa Ynez Valley Cottage Hospital
Lompoc Valley Medical Center Santa Barbara Cottage Hospital
Region 7: San Luis Obispo
Arroyo Grande Community Hospital Ridgecrest Regional Hospital Twin Cities Community Hospital
French Hospital Medical Center Sierra Vista Regional Medical Center
Region 8: Kern
Bakersfield Heart Hospital Good Samaritan Hospital Mercy Hospital
Bakersfield Memorial Hospital Kern Medical Center San Joaquin Community Hospital
Delano Regional Medical Center Kern Valley Healthcare District Tehachapi Hospital
Region 9: Inyo/Mono
Mammoth Hospital Northern Inyo Hospital Southern Inyo Hospital
Region 10: Madera/Fresno/Kings/Tulare
Adventist Medical Center Corcoran District Hospital Madera Community Hospital
Adventist Medical Center - Reedley Fresno Heart And Surgical Hospital Porterville Developmental Center
Central Valley General Hospital Fresno Surgical Hospital Saint Agnes Medical Center
Clovis Community Medical Center Kaiser Foundation Hospital - Fresno Sierra View District Hospital
Coalinga Regional Medical Center Kaweah Delta Medical Center Tulare Regional Medical Center
Community Regional Medical Center
Region 11: Monterey/San Benito
Community Hospital Of The Monterey Peninsula Hazel Hawkins Memorial Hospital Salinas Valley Memorial Hospital
George L Mee Memorial Hospital Natividad Medical Center
Region 12: Stanislaus/Merced/Mariposa
Doctors Medical Center Kaiser Permanente Psychiatric Health Facility-Sant Mercy Medical Center
Emanuel Medical Center Inc. Memorial Medical Center Oak Valley District Hospital
Region 13: Santa Clara
El Camino Hospital Kaiser Foundation Hospital-Santa Clara Saint Louise Regional Hospital
Good Samaritan Hospital O'Connor Hospital Santa Clara Valley Medical Center
Kaiser Foundation Hospital-San Jose Regional Medical Center Of San Jose Stanford Hospital
Region 14: San Mateo/Santa Cruz
Dominican Hospital Langley Porter Psychiatric Institute Sequoia Hospital
Jewish Home Menlo Park Surgical Hospital Seton Medical Center
Kaiser Foundation Hospital - Redwood City Peninsula Medical Center Sutter Maternity & Surgery Center Of Santa Cruz
Kaiser Foundation Hospital - South San Francisco San Mateo Medical Center Watsonville Community Hospital
Region 15: San Francisco
California Pacific Medical Ctr - St. Luke's Campus John Muir Behavioral Health Center St Mary's Medical Center
California Pacific Medical Ctr-Davies Campus
Hosp Kaiser Foundation Hospital - San Francisco St. Helena Hospital Center For Behavioral Health
California Pacific Medical Ctr-Pacific Campus
Hosp Laguna Honda Hospital & Rehabilitation Center Telecare Heritage Psychiatric Health Facility
Chinese Hospital Saint Francis Memorial Hospital UCSF Medical Center
Fremont Hospital San Francisco General Hospital
Region 16: Solano/Contra Costa/Alameda
Alameda County Medical Center John Muir Medical Center - Walnut Creek Campus Northbay Vacavalley Hospital
Alameda Hospital Kaiser Foundation Hospital - Antioch San Leandro Hospital
Alta Bates Summit Medical Center Kaiser Foundation Hospital - Vacaville San Ramon Regional Medical Ctr
Alta Bates Summit Medical Center - Alta Bates
Camp Kaiser Foundation Hospital - Walnut Creek St Rose Hospital
Contra Costa Regional Medical Center Kaiser Foundation Hospital And Rehab Center Sutter Delta Medical Center
Doctors Medical Center-San Pablo Kaiser Foundation Hospital Fremont/Hayward Sutter Solano Medical Center
Eden Medical Center Kaiser Foundation Hospital Oakland/Richmond Valleycare Medical Center
John Muir Medical Center - Concord Campus Northbay Medical Center Washington Hospital
Region 17: San Joaquin/Amador/Calaveras/Tuolumne/Alpine
Dameron Hospital Mark Twain St Joseph's Hospital St Josephs Med Center Of Stockton
Doctors Hospital Of Manteca San Joaquin General Hospital Sutter Amador Hospital
Heritage Oaks Hospital Sierra Vista Hospital, Inc. Sutter Center For Psychiatry
Region 18: Yolo/Sacramento/Nevada/Placer/El Dorado
Barton Memorial Hospital Mercy Hospital Of Folsom Sutter General Hospital
Kaiser Foundation Hosp So Sacramento Mercy San Juan Medical Center Sutter Roseville Medical Center
Kaiser Foundation Hospital - Roseville Methodist Hospital Of Sacramento Tahoe Forest Hospital
Kaiser Foundation Hospital - Sacramento Sierra Nevada Memorial Hospital University Of California Davis Medical Center
Marshall Medical Center (1-Rh) Sutter Auburn Faith Hospital Woodland Memorial Hospital
Mercy General Hospital Sutter Davis Hospital
Region 19: Sutter/Yuba/Sierra/Plumas/Tehama/Glenn/Colusa/Butte
Aurora Behavioral Healthcare-Santa Rosa, LLC. Feather River Hospital Sempervirens
Biggs Gridley Memorial Hospital Glenn Medical Center Seneca District Hospital
Colusa Regional Medical Center Oroville Hospital St Elizabeth Community Hospital
Eastern Plumas Hospital - Portola Campus Plumas District Hospital Sutter Surgical Hospital - North Valley
Enloe Medical Center Rideout Memorial Hospital
Region 20: Marin/Napa/Sonoma/Lake/Mendocino/Humboldt/Del Norte
Frank R Howard Memorial Hospital Novato Community Hospital Sonoma Valley Hospital
Healdsburg District Hospital Palm Drive Hospital St Helena Hospital
Jerold Phelps Community Hospital Petaluma Valley Hospital St Joseph Hospital
Kaiser Foundation Hospital Queen Of The Valley Medical Center Sutter Coast Hospital
Kaiser Foundation Hospital-Santa Rosa Redbud Community Hospital Sutter Lakeside Hospital
Mad River Community Hospital Redwood Memorial Hospital Sutter Medical Center Of Santa Rosa
Marin General Hospital Santa Rosa Memorial Hospital Ukiah Valley Medical Center/Hospital D
Mendocino Coast District Hospital Sonoma Developmental Center
Region 21: Siskiyou/Modoc/Trinity/Shasta/Lassen
Banner Lassen Medical Center Mercy Medical Center Redding Shasta Regional Medical Center
Fairchild Medical Center Modoc Medical Center Surprise Valley Community Hospital
Mayers Memorial Hospital Patients' Hospital Of Redding Trinity Hospital