Improve Health Status and Reduce Health Disparities

Transcription

1 Improve Health Status and Reduce Health Disparities Indicator Prevention Agenda 2017 Objective NYS NYS excl. NYC (Upstate) Capital Region (6 ) Summary Albany Schenectady Rensselaer YEAR Rate Rate & # Rate & # Rate & # Rate & # Rate & # Rate & # Rate & # Rate & # Rate & # Age-adjusted total mortality rate per Number : ,038 2,806 1,546 1,555 1, Percentage of premature death (before age 65 years) Number : 1, Years of Potential Life Lost (YPLL) per , , , , , , , , ,995.5 Rate of preventable hospitalizations- Ages 18+ years Number : 10,488 3,368 1,882 1,714 2, Age-adjusted total hospitalization rate per 10, , , , , , , ,113.9 Number : ,250 31,637 18,503 17,192 21,163 6,754 6,001 Age-adjusted total emergency department visit rate per 10, , , , , , , , , ,296.3 Number : , ,338 70,219 73,477 52,971 24,027 15,947 Percentage of adults with health insurance - Ages years # without health insurance 40,466 13,018 7,740 3,377 8,334 3,813 3,644 Age-adjusted Percentage of adults with a regular health care provider - Ages 18+ yrs Saratoga Columbia # without health care provider 101,216 36,808 17,351 13,656 19,499 6,384 6,598 Age-adjusted % Adults not receiving regular care due to cost Number : 78,780 24,936 15,459 13,771 16,983 3,462 4,170 Age-adjusted % Adults who have seen a dentist in the past year # not seen a dentist 200,508 65,724 34,483 34,357 39,967 13,665 12,312 Primary care physician to pop. ratio ,202:1 na na 949:1 1,267:1 1,908:1 1,414:1 1,984:1 2,646:1 Dentist to pop. ratio ,240:1 na na 1,119:1 1,207:1 2,255:1 1,207:1 2,259:1 2,795:1 Greene

2 Mental health provider to pop. ratio :1 na na 317:1 502:1 673:1 672:1 622:1 1,320:1 Other primary care provider (NP, PA, Clin. Nurse Spec.) ,014:1 na na 638:1 1,024:1 1,455:1 1,3760:1 1,525:1 1,033:1 % of labor force unemployed na Number : 19,146 6,423 3,207 3,321 4,216 1, % of population at or below poverty level na Number : 99,612 35,585 17,158 17,978 14,094 7,519 7,218 % of children ages less than 18 yrs at or below poverty level na Number : 27,519 8,865 5,996 5,530 3,549 1,930 1,649 % of children in public schools eligible for free/reduced lunch na Median Household Income 2016 $60,741 na na $60,904 $59,959 $61,754 $74,080 $59,916 $51,013 Promote a Healthy and Safe Environment Indicator Prevention Agenda 2017 Objective NYS NYS excl. NYC (Upstate) Capital Region (6 ) Summary Albany Schenectady Rensselaer YEAR Rate Rate & # Rate & # Rate & # Rate & # Rate & # Rate & # Rate & # Rate & # Rate & # Rate of hospitalizations due to falls per 10,000 - Ages 65+ years Number : 2, Rate of ED visits due to falls per 10,000 - Ages 1-4 years Number : 1, Assault-related hospitalization rate per 10, Number : s s s 0.0 s s Ratio of low income ZIP codes to nonlow income ZIP codes s s s Rate of occupational injuries treated in ED- Ages years Number : Percentage of population that lives in a Climate Smart Community Number not in C.S. Community 309, ,435 15,316 34,920 34,785 Saratoga Columbia Greene

3 Percentage of commuters who use alternate modes of transportation Number not using: 377, ,450 59,171 63,899 94,606 22,739 16,103 % pop. without adequate access to locations for physical activity na Number : 178,386 43,222 17,041 48,025 29,212 26,031 14,855 % of pop. with inadequate access to food druring past year na Number : 109,530 40,020 18,620 18,800 19,990 6,370 5,730 Percentage of low-income pop. with low access to a supermarket Number : 45,133 14,541 8,859 4,826 8,751 3,190 2,966 Percentage of homes with fewer asthma triggers during home revisit na 20.5 na na 23.1 na Percentage of households with severe housing problem na na Percentage of residents served by CWS with fluoridated water # without fluiridated water 476, ,003 46,234 19, ,763 27,375 25,605 Air Polution--ave. daily measure of fine particulate matter (PM2.5) na na Unintentional Injury Mortality per Number : Unintentional Injury Hospitalizations per 10, Number : ,088 1, , Motor Vehicle Related Mortaity per Number : Work-related Hospitalizations per 10,000 employed persons 16+yrs Number : Elevated blood lead levels (>10ug/dl)per employed persons 16+ yrs Number : Prevent Chronic Diseases

4 Indicator Prevention Agenda 2017 Objective NYS NYS excl. NYC (Upstate) Capital Region (6 ) Summary Albany Schenectady Rensselaer YEAR Rate Rate & # Rate & # Rate & # Rate & # Rate & # Rate & # Rate & # Rate & # Rate & # Age-adjusted percentage of adults who are obese Number : 191,462 56,849 30,744 35,822 45,227 12,877 10,030 Percentage of children and adolescents who are obese na Number : 24,411 7,147 4,725 4,481 5,107 1,692 1,259 % of children (aged 2-4 yrs.) enrolled in WIC who are obese Number : Age-adjusted % Adults not engaged in some type of leisure time physical activity Saratoga Columbia # no leisure time PA 167,787 58,509 30,034 32,060 30,823 9,548 8,115 Age-adusted % Adults who consume 1+ sugary drinks daily Number : 147,320 49,137 20,557 26,159 34,377 8,228 8,489 Age-adjusted % Adults who don't consume <1 friut or vegetable daily Number who don't consume : 165,394 55,979 29,250 31,275 35,028 8,064 6,868 Age-adjusted % Diabetes Prevalence in Adults Number : 64,920 22,967 12,026 9,870 14,587 3,001 2,953 Age-adjusted % Adults with physician diagnosed pre-diabetes Number : 33,014 10,472 4,929 5,903 7,071 3,065 1,574 Diabetes Mortality Rate per Number : Diabetes (primary diagnosis) Hospitalizations per 10, Number : , Diabetes (any diagnosis) Hospitalizations per 10, Number : , ,603 3,662 2,882 1,485 1,184 Hospitalizations for short-term complications of diabetes yrs s Number : s Hospitalizations for short-term complications of diabetes Number : Chronic Kidney Disease (any diagnosis) Hospitalizations per 10, Number : ,111 4,008 2,178 1,996 2, Greene

5 Chronic Kidney Disease (any diagnosis) ED visits per 10, Number : ,724 5, ,568 2, Percentage of cigarette smoking among adults Number : 141,063 39,049 22,677 29,431 30,141 10,331 9,434 Lung Cancer Incidence/ Number : Lung Cancer Mortality/ Number : COPD/CLRD Mortality Rate per Number : COPD/CLRD Hospitalizations per 10, Number : , Age-adjusted % Adults with Current Asthma Number : 96,173 33,206 13,381 14,154 26,542 5,467 4,147 Asthma emergency department visit rate per 10, Number : 3,973 1, Asthma emergency department visit rate per 10,000 - Ages 0-4 years Number : Asthma Hospitalizations-Total per 10, Number : Asthma Hospitalizations-0-17 years per 10, Number : Age-adjusted % Adults with Elevated Cholesterol Number : 235,112 70,939 42,198 39,271 52,680 18,461 11,563 Age-adjusted % Adults with physician diagnosed high blood presssure Number : 243,986 77,952 40,624 43,225 49,150 17,015 16,019 Age-adjusted Heart Attack (Acute MI) Mortality per , Number : Age-adjusted heart attack hospitalization rate per 10, Number : 1, Coronary Heart Disease Mortality per Number : , Coronary Heart Disease Hospitalizations per 10, Number : ,

6 Congestive Heart Failure Mortality per Number : Congestive Heart Failure Hospitalizations per 10, Number : , Cerebrovascular (Stroke) Disease Mortality per Number : Cerebrovascular (Stroke) Disease Hospitalizations per 10, Number : , % Women yrs. with mammo. Screening based on recent guidelines # not screened: 31,549 8,765 5,516 5,324 8,191 1,984 1,721 % Women 50-74yrs. with mammo. during measurement year or year prior in Oct through Dec Medicaid population 2015 # on Medicaid not meeting screening guidelines 1, Age-adj. Regional/Distant Stage Diagnosis- Breast (female) Cancer per na # late stage ave Age-adj. Breast (female) Cancer Incidence per na Number : ave Age-adj. Breast (female) Cancer Mortality per na Number : ave Age-adj. Regional/Distant Stage Diagnosis- Prostate Cancer per na # late stage ave Age-adj. Prostate Cancer Incidence per na Number : ave Age-adj. Prostate Cancer Mortality per na Number : ave % Women yrs. receiving cervical cancerscreening based on recent guidelines # not meeting guidelines: 37,337 14,817 3,689 4,754 7,240 2,255 2,350 Cervical Cancer Incidence per na Number: ave Cervical Cancer Mortality per na Number : ave

7 Percentage of adults who receive a colorectal cancer screening - Ages years^ # who did not receive screening 66,415 17,721 10,448 10,602 16,962 5,592 4,980 Age-adj. Regional/Distant Stage Diagnosis- Colorectal Cancer per na # late stage ave Colorectal Cancer Incidence per na Number : ave Colorectal Cancer Mortality per na Number : ave Prevent HIV/STDs, Vaccine Preventable Diseases and Healthcare-Associated Infections Indicator Prevention Agenda 2017 Objective NYS NYS excl. NYC (Upstate) Capital Region (6 ) Summary Albany Schenectady Rensselaer YEAR Rate Rate & # Rate & # Rate & # Rate & # Rate & # Rate & # Rate & # Rate & # Rate & # Percentage of children with immunizations months na # not immunized 4,012 1, Percentage of females with 3-dose HPV immunization years na # not immunized 16,830 5,550 2,545 2,594 4,214 1, Percentage of adults with flu immunization - Ages 65+ years # not immunized 62,378 18,378 10,769 9,486 14,013 5,756 4,031 Saratoga Columbia Newly diagnosed HIV case rate per Number : Difference in rates (Black and White) of new HIV diagnoses s s Difference in rates (Hispanic and White) of new HIV diagnoses s 29.7 s AIDS mortality rate per Number: Gonorrhea case rate per women - Ages years Number : Gonorrhea case rate per men - Ages years Greene

8 Number : Chlamydia case rate per women - Ages years Number : 2, Primary and secondary syphilis case rate per males Number : Primary and secondary syphilis case rate per females Number : Tuberculosis case rate per Number : Lyme Disease case rate per Number : 1, Pertussis incidence per Number : Chronic Hepatitis C case rate per Number: Promote Healthy Women, Infants, and Children Indicator Prevention Agenda 2017 Objective NYS NYS excl. NYC (Upstate) Capital Region (6 ) Summary Albany Schenectady Rensselaer YEAR Rate Rate & # Rate & # Rate & # Rate & # Rate & # Rate & # Rate & # Rate & # Rate & # Percentage of women with health coverage - Ages years na # without health insurance 13,405 4,016 2,297 2,162 2,980 1, Percentage of preterm births (<37 weeks gest.) Number : s Ratio of Medicaid births to non- Medicaid births % Low Birthweight Births (<2500gms) Number : Infant Mortality per 1000 births Number : Saratoga Columbia Greene

9 Maternal mortality rate per births Number : % of births with Early Prenatal Care (1st Trimester) # not early prenatal care 2, % of births with Late (3rd trimester) or No Prenatal Care Number : % of births with adequate prenatal care (Kotelchuck) # not adequate prenatal care , Newborn abstinence syndrome rate per 1,000 newborn discharges (any diagnosis) Number: Percentage of infants exclusively breastfed in the hospital # not exclusively breastfed 3,363 1, s Ratio of Medicaid births to non- Medicaid births Percentage of children with any kind of health insurance yrs na # without health insurance 5,207 1, , Children who have well child visits in government sponsored insurance programs 4 # without well child visits 10,932 3,491 2,723 1,979 1, Percentage of children ages 0-15 months # without well child visits Percentage of children ages 3-6 years # without well child visits 2, Percentage of children ages years # without well child visits 8,150 2,524 2,051 1,441 1, Percentage of 3rd-grade children with untreated tooth decay na 24 na Number : NYS excl. NYC na , Ratio of low-income children to nonlow income children 2.21 na 2.46 na % Children born in 2014 tested for lead before 3 years na # without screen 2,740 1,

10 Incidence of Confirmed Blood Lead Levels of 5-<10mcg/dl per 1,000 Children < na years born in 2014 Number : Incidence of Confirmed Blood Lead Levels of 10+mcg/dl per 1,000 Children < 3 years na born in 2014 Number : Adolescent pregnancy rate per 1,000 females - Ages years Number : Percentage of unintended pregnancy among live births Number : 1, s s s s s Ratio of Medicaid births to non- Medicaid births Births that occur within 24 months of a previous pregnancy Number : 2, Promote Mental Health and Prevent Substance Abuse Indicator Prevention Agenda 2017 Objective NYS NYS excl. NYC (Upstate) Capital Region (6 ) Summary Albany Schenectady Rensselaer Saratoga Columbia Greene YEAR Rate Rate & # Rate & # Rate & # Rate & # Rate & # Rate & # Rate & # Rate & # Rate & # Adults with poor mental health for 14 or more days in the last month^ Number : 84,522 24,755 17,375 15,213 17,818 3,878 5,449 Age-adjusted mental disease/disorder primary dx ED visit rate per 10, Number: ,163 4,633 3,609 2,485 2, Age-adjusted mental disease/disorder primary dx hospitalization rate per 10, Number: ,239 1,551 1,300 1,

11 Age-adjusted mental disease/disorder any dx ED visit rate per 10, , Number: ,196 21,103 16,367 10,585 7,656 1,743 1,742 Age-adjusted mental disease/disorder any dx hospitalization rate per 10, Number: ,885 12,788 8,058 6,877 7,653 2,954 2,555 Age-adjusted Suicide Mortality rate per Number : ave Suicide Mortality (15-19yrs) rate per Number : Self-inflicted Injury Hospitalizations per 10, Number : Self-inflicted Injury (15-19 yrs) Hospitalizations per 10, Number : s s Drug-related Hospitalizations per 10, Number : , Newborn drug-related discharge rate per 10,000 newborn discharges Number : s s Age-adjusted Opioid Analgesic Prescription rate per 1,000 pop na Number prescriptions: , ,517 86,478 90, ,289 40,028 37,808 Opioid Overdose ED visits per 10, na Number: ave Opioid Overdose Hospitalizations per 10, na Number: ave Opioid Overdose Mortality Rate per na Number: ave Heroin Overdose ED visits per na Number: ave Heroin Overdose Hospitalizations per na 6.4 na s s Number: ave na s s Heroin Overdose Mortality rate per na Number: ave Age-adjusted Buprenorphine prescribing for substance use disorder (SUD) rate per na ,000 pop. Number prescriptions: ,060 13,888 8,750 8,369 9,738 3,888 3,427

12 Adult binge drinking during the past month^ Number : 122,086 30,400 19,021 23,676 35,907 7,060 5,440 Cirrhosis mortality rate per Number : Cirrhosis Hospitalizations per 10, Number : s Alcohol-related motor vehicle injuries and deaths per Number : Counties in the 4th Quartile (1=good; 4=bad) Counties in the 3rd Quartile s Data do not meet reporting criteria 1- Alternate modes of transportation include public transportation, carpool, bike, walk, and telecommute supermarket or grocery store in rural areas 3- The 4:3:1:3:3:1:4 immunization series includes: 4 DTaP, 3 polio, 1 MMR, 3 hep B, 3 Hib, 1 varicella, 4 PCV13 4- Government sponsored insurance programs include Medicaid and Child Health Plus