Fresno CRMC and Clovis CMC Data Map
Data Map consisting of Primary Service Area (PSA), Hospital Service Area (HSA) of Clovis CMC, and Fresno CRMC Polygon Map
Fresno CRMC and Clovis CMC Data Boundary Map
Fresno CRMC Hospital Primary Service Area:
· Urban Fresno: 93701, 93702, 93703, 93704, 93705, 93706, 93721, 93722, 93723, 93725, 93726, 93727, 93728
· West Fresno County rural communities. 93606 (Biola), 93608 (Cantua Creek), 93630 (Kerman), 93640 (Mendota), 93652 (Raisin City), 93660 (San Joaquin) and 93668 (Tranquility)
Clovis CMC Hospital Primary Service Area:
· Urban Fresno. 93720, 93727, 93730, 93737
· Clovis. 93611, 93612, 93619
·Sanger. 93657
· Eastern Fresno foothill communities. 93602 (Auberry), 93626 (Friant), 93651 (Prather), 93667 (Tollhouse)
These Hospital Primary Service Areas are based on market share as between CRMC and Clovis CMC, defined to include the contiguous zip codes where 20% or more of that zip code's 2021 patients sought treatment from one or the other of the two hospitals.
Each zip code includes relevant data points for each hospital – Fresno CRMC and Clovis CMC:
1. Market Share % – the percent of all 2021 patients from a zip code that go for inpatient and Emergency Dept treatment to each hospital;
2. 2021 patient admits – Number of ALL inpatient and Emergency Dept admits at each hospital; and
3. Patient Origin % – the percentage of each hospital's 2021 patients that come from the zip code.
Discharge data includes Emergency Department (ED) only, Inpatient only, and Inpatient Admit from ED from Fresno, Kern, Kings, Madera, Mariposa, and Tulare Counties. (Ambulatory Surgery discharges are not included.)
Source: Dept of Health Care Access and Information, Patient Discharge Data, 2020-2021 Patient Origin/Market Share (Pivot Profile)–Inpatient and Emergency Department Visits.
HPI 3.0 Percentile: The HPI tool evaluates the relationship between 23 identified key drivers of health and life expectancy at birth — which can vary dramatically by neighborhood. Based on that analysis, it produces a score ranking from 1 to 99 that shows the relative impact of conditions in a selected area compared to all other such places in the state.
The HPI assigns higher scores to healthier living conditions and lower scores to living conditions that are less healthy.
Source: California Health Places Index, API Data Download Tool, Year 2022
Healthy Places Index API
Fresno Hospital Service Area zip codes: 93630, 93640, 93660, 93701, 93702, 93703, 93704, 93705, 93706, 93721, 93722, 93723, 93725, 93726, 93727*, 93728; due to data suppression privacy protection measures for smaller geographic data, Fresno HSA data does not factor in data from four unincorporated communities in rural West Fresno County - Biola (93606), Cantua Creek (93608), Raisin City (93652) and Tranquility (93668), which are all poor communities within the Fresno Hospital Service Area
Clovis Hospital Service Area zip codes: 93611, 93612, 93619, 93720, 93727*, 93730, 93657, 93602, 93626, 93651, 93667; due to data suppression privacy protection measures for smaller geographic data, Clovis HSA data does not factor in data from 93737 on the eastern fringe of Fresno City
*93727 is included in both Hospital Service Areas (HSAs) as Market Share (percent of all 2021 patients from a zip code that go for inpatient and Emergency Dept treatment to each hospital) exceeded 20% for both HSAs in this zip code
These comments regarding Fresno and Clovis Hospital Service Area zip codes also apply to each graph below.
Source: California Health Places Index, API Data Download Tool, Year 2015 (Year 2019 for “People that Speak English ‘less than very well’)
Variable Definitions:
Below Poverty: Calculated inverse of above poverty variable from CHPI. Percent of the population with an income below 200% of federal poverty level.
Child Poverty: Percentage of the population aged under 18 below the federal poverty level.
Non-English Speaking Households: Calculated inverse of English speaking households variable from CHPI. Percent of households where no one aged 14 or older speaks English well.
People that Speak English “less than very well” (2019): Percent of people, age 5 and older, that speak English ‘’less than very well”. Note that data for this variable is not available for year 2015 but was made available in 2019.
Uninsured: Calculated inverse of insured variable from CHPI. Percentage of adults aged 18 to 64 years currently uninsured.
No Automobile Access: Calculated inverse of automobile access variable from CHPI. Percentage of households without access to an automobile.
Significance Testing: Welch’s T-Tests Run to Compare Means of Fresno and Clovis HSAs
+Approaches significance
*Statistically significant
Source: California Health Places Index, API Data Download Tool, Year 2018
Variable Definitions:
All variables are provided at rates of per 100,000
Cancer: Adults diagnosed with cancer (except skin cancer).
Asthma: People with asthma.
COPD: Adults diagnosed with chronic obstructive pulmonary disease (COPD), emphysema, or chronic bronchitis.
Diagnosed Diabetes: Adults diagnosed with diabetes (other than diabetes during pregnancy).
Coronary Heart Disease: Adults diagnosed with angina or coronary heart disease (CHD).
Underlying Data, Dept of Health Care Access and Information, Patient Discharge Data, 2020-2021 Patient Origin/Market Share (Pivot Profile)–Inpatient and Emergency Department Visits
Acknowledgments: Central Valley Health Policy Institute would like to acknowledge Dr. Chelsea Chapman, PhD who conducted a pooled zip code analysis of socioeconomic and health variables to investigate distinctions among hospital service areas. This analysis was illustrated through grouped bar graphs. The data was sourced from the California Healthy Places Index API.
