2019-2022 Community Health Assessment Data Review Guide ...

2019-2022 Community Health Assessment Data Review Guide for the Prevention Agenda Priority Areas

Page | 1

Prevention Agenda Priority

Area Indicator Data Source

Indicator Available:

County, Zip Code or Civil

Division and/or Race/Ethnicity

Current Data Year Available

County Rate

Trend from previous year

when data was available

(Better, Worse or

Same)

Better, Worse, or

Same as NYS

PA Goal Met

Improve Health Status and

Reduce Health Disparities

(Overall PA Goals)

Percentage of premature mortality <65 yrs of age

Prevention Agenda Dashboard (PA-DASH)

County and Civil Division

2016 26% (County rate) higher in select areas

Same Worse No

Percentage of premature mortality <75 yrs of age

Community Health Indicator Reports (CHIRS) and County Health Indicators by Race (CHIRE)

County and Race/Ethnicity

2014-2016 43.5% (County rate) higher in Black and Hispanic populations

Same Worse No

Preventable Adult (>18 yrs) Hospitalizations (rate per 10,000)

PA-DASH County 2016 131.9 Worse Worse No

Percentage of Adults with health insurance (18-64 yrs)

PA-DASH County 2016 92.4 Same Same No

Percentage of Adults who have a regular health care provider

PA-DASH and CHIRS DASH

County 2016 81.8% Same Worse No

Premature deaths: Ratio of Black non-Hispanics to White non-Hispanics

PA-DASH County 2014-2016 1.79 Better Better Yes

https://webbi1.health.ny.gov/SASStoredProcess/guest?_program=%2FEBI%2FPHIG%2Fapps%2Fdashboard%2Fpa_dashboard&p=ch&cos=33#HIV


https://webbi1.health.ny.gov/SASStoredProcess/guest?_program=%2FEBI%2FPHIG%2Fapps%2Fchir_dashboard%2Fchir_dashboard&p=ch&cos=33

https://www.health.ny.gov/statistics/community/minority/county/orange.htm


Page | 2


Area

Indicator Data Source





County Rate



(Better, Worse or

Same)

Better, Worse, or

Same as NYS

PA Goal Met



(Overall PA Goals)

Premature deaths: Ratio of Hispanics to White non-Hispanics

PA-DASH County 2014-2016 1.95 Worse Worse No

Years of potential life lost per 100,000

CHIRS County 2014-2016 5,628 Worse Better N/A

Age-adjusted total mortality rate per 100,000

CHIRS County 2014-2016 694 Same Worse N/A

Percentage of population in poverty

CHIRS County 2016 12.6 Same Better N/A

Percentage of children aged <18 years below poverty

CHIRS County 2016 19.3 Same Better N/A

Percentage of families below poverty

CHIRE County and Race/Ethnicity

2012-2016 9.1% (County rate) higher in Black and Hispanic populations

Same Better N/A

Age-adjusted percentage of adults who did not receive medical care because of cost

CHIRE County 2016 11.1 No trend data available

Same N/A


Page | 3


Area






County Rate



(Better, Worse or

Same)

Better, Worse, or

Same as NYS

PA Goal Met



Percentage of labor force unemployed

CHIRE County 2017 4.6 Worse Same N/A

Percentage of population who did not have access to a reliable source of food during the past year (Food insecurity)

CHIRE County 2015 8.7 No trend data available

Better N/A

Percentage of population with low income and low access to supermarket or large grocery store

CHIRE County 2015 5.0 Worse Not available N/A

Percentage of renter occupied units in which gross rent is 30% or more of household income

CHIRE County 2012-2016 59.3 No trend data available

Worse N/A

Percentage of population aged 25 years and older with less than a high school degree

CHIRE County 2012-2016 10.6 No trend data available

Better N/A

High school graduation rate New York State Report Cards

County and School District

2017-2018

86% (County rate) lower in Black and Hispanic populations

Better Better N/A

https://data.nysed.gov/profile.php?county=44

https://data.nysed.gov/profile.php?county=44


Page | 4


Area






County Rate



(Better, Worse or

Same)

Better, Worse, or

Same as NYS

PA Goal Met

Prevent Chronic Disease

Percentage of adults who are overweight or obese

PA-DASH and CHIRS

County 2016 69.6% Worse Worse No

Percentage of children who are overweight or obese

CHIRS County and School District

2016-2018

36.2% (County rate) higher in the 3 cities

Worse Same No

Percentage of adults who consume 1 or more sugary beverage per day

CHIRS County 2016 24% Better Worse No

Percentage of adults who consume less than one fruit and less than one vegetable per day

CHIRS County 2016 24.5% No trend data available

Better No

Percentage of adults with perceived food security

Behavioral Risk Factor Surveillance Survey (BRFSS)

County 2016 75.6% Better Worse No

Percentage of adults who participate in leisure time activity

CHIRS County 2016 70.7% Worse Worse No

https://health.data.ny.gov/Health/Behavioral-Risk-Factor-Surveillance-System-BRFSS-H/jsy7-eb4n


Page | 5


Area






County Rate



(Better, Worse or

Same)

Better, Worse, or

Same as NYS

PA Goal Met


Percentage of 8th, 10th and 12th grade students who are physically active for at least 1 hour per day

Orange County Youth Development Survey (OCYDS)

County/ School District (with school district (SD) permission only)

2017 55.7% No trend data available

Better Yes

Percentage of students with current cigarette use

OCYDS County/School District (with SD permission only)

2017 6.3% Worse No comparison data available

No

Percentage of students ever used electronic vaping products


2017 25% Better Worse No

Percentage of students ever used electronic cigarettes


2017 13.4% Better Worse No

Adults reporting current cigarette use

BRFSS County 2016 13.2% Better Worse No

Adults reporting current cigarette use with income <$25,000

BFRSS County 2016 26.2% No trend data available

Worse No

Adults with a disability reporting current cigarette use

BRFSS County 2016 25.2% No trend data available

Worse No

Percentage of women who receive a breast cancer screening

BRFSS County 2016 74.5% Worse Worse No


Page | 6


Area






County Rate



(Better, Worse or

Same)

Better, Worse, or

Same as NYS

PA Goal Met


Percentage of women who receive cervical cancer screening

BRFSS County 2016 85.7% Better Worse No

Percentage of adults who receive colorectal cancer screening

BRFSS County 2016 71% Better Better No

Percentage of adults diagnosed with diabetes

BRFSS County 2016 9.5% Better Better No

Diabetes hospitalization rate per 10,000 (primary diagnosis)

CHIRS County 2016 14.6 No trend data available (ICD-10 from ICD-9 previous data)

Better N/A

Age-adjusted diabetes mortality rate per 100,000

CHIRS County 2016 16.8 Same Same N/A

Percentage of adults diagnosed with prediabetes

BRFSS County 2016 12.3 Worse Better N/A

Percentage of adults diagnosed with hypertension

BRFSS County 2016 30.4 Worse Better N/A


Page | 7


Area






County Rate



(Better, Worse or

Same)

Better, Worse, or

Same as NYS

PA Goal Met


Age-adjusted Cardiovascular disease mortality rate per 100,000

CHIRS County 2014-2016 223.4 Same Worse N/A

Cardiovascular disease premature death (aged 35-64 years) rate per 100,000

CHIRS County 2014-2016 101.4 Worse Better N/A

Age-adjusted cardiovascular disease hospitalization rate per 10,000

CHIRS County 2014-2016 137.3 No trend data available (ICD-10 from ICD-9 previous data)

Worse N/A

Age-adjusted disease of the heart mortality rate per 100,000


Age-adjusted heart attack mortality rate per 100,000

CHIRS County 2014-2016 25.9 Better Better N/A

Hypertension emergency department visit rate per 10,000 - Aged 18 years and older


Better N/A


Page | 8


Area






County Rate



(Better, Worse or

Same)

Better, Worse, or

Same as NYS

PA Goal Met


Age-adjusted cerebrovascular disease (stroke) hospitalization rate per 10,000


Worse N/A

Asthma emergency department visit rate per 10,000 population

PA-DASH County and Zip Code

2014 (County) 2010-2014 (Zip Code)

65.1 (County rate) higher in the 3 cities and surrounding areas

Same Better No

Asthma emergency department visit rate per 10,000 - Aged 0-4 years

PA-DASH County and Zip Code

2014 (County) 2010-2014 (Zip Code)

91.9 (County rate) higher in the 3 cities and surrounding areas)

Better Better No

Age-adjusted asthma hospitalization rate per 10,000

CHIRS and CHIRE


2016 (County) 2014-2016 (Race/ Ethnicity)

9.0 (County rate) higher in Black population

No trend data available (ICD-10 from ICD-9 previous data)

Better N/A


Page | 9


Area






County Rate



(Better, Worse or

Same)

Better, Worse, or

Same as NYS

PA Goal Met


Age-adjusted chronic lower respiratory disease hospitalization rate per 10,000

CHIRS and CHIRE


2016 (County) 2012-2014 (Race/ Ethnicity)


No trend data available (ICD-10 from ICD-9 previous data)

Worse N/A

Age-adjusted percentage of adults with current asthma

CHIRS County 2016 9.0 Better Worse N/A

Age-adjusted all cancer incidence rate per 100,000


Age-adjusted all cancer mortality rate per 100,000


Age-adjusted female breast cancer mortality rate per 100,000

CHIRS and CHIRE


2013-2015


Same Worse N/A

Age-adjusted female breast cancer late stage incidence rate per 100,000

CHIRS and CHIRE


2013-2015


Same Worse N/A


Page | 10


Area






County Rate



(Better, Worse or

Same)

Better, Worse, or

Same as NYS

PA Goal Met


Age-adjusted colon and rectum cancer mortality rate per 100,000

CHIRS and CHIRE


2013-2015

14.5 (County rate) similar across all races/ ethnicity)

Same Worse N/A

Age-adjusted colon and rectum cancer incidence rate per 100,000


Age-adjusted lung and bronchus cancer incidence rate per 100,000

CHIRS and CHIRE


2013-2015

63.9 (County rate) higher in White population)

Same Worse N/A

Age-adjusted chronic kidney disease emergency department visit rate per 10,000 (any diagnosis)


Worse N/A


Page | 11


Area






County Rate



(Better, Worse or

Same)

Better, Worse, or

Same as NYS

PA Goal Met

Promote a Safe and Healthy Environment

Age-adjusted unintentional injury hospitalization rate per 10,000

CHIRS County and Race/Ethnicity

2016 (County) 2012-2014 (Race Ethnicity)

60.4 (County rate) higher in White populations

Same Worse N/A

Rate of hospitalizations due to falls per 10,000 - Aged 65+ years

PA-DASH County 2014 189.2 Same Worse No

Rate of homicide deaths CHIRS County 2013-2015 2.6 Better Better Yes

Assault-related hospitalization rate per 10,000 population

PA-DASH County 2012-2014 2.5 Same Better Yes

Assault-related hospitalization: Ratio of Black non-Hispanics to White non-Hispanics

PA-DASH County 2012-2014 6.06 Worse Better No

Assault-related hospitalization: Ratio of Hispanics to White non-Hispanics

PA-DASH County 2012-2014 1.86 Better Better Yes

Percentage of employed civilian workers age 16 and over who use alternate modes of transportation to work or work from home

PA-DASH County 2012-2016 23.9 Worse Worse No


Page | 12







County Rate



(Better, Worse or

Same)

Better, Worse, or

Same as NYS

PA Goal Met


Percentage of population with low-income and low access to a supermarket or large grocery store


Percentage of residents served by community water systems with optimally fluoridated water


Elevated blood lead levels (greater than or equal to 10 micrograms per deciliter) per 100,000 employed persons aged ≥ 16 years

CHIRS County 2014-2016 56.7 Better Worse No

Percentage of children born in 2013 with a lead screening - aged 9-17 months

CHIRS County 2013-2016 68.7 Better Worse N/A

Percentage of children born in 2013 with a lead screening - aged 18-35 months


Percentage of children born in 2013 with at least two lead screenings by 36 months



Page | 13







County Rate



(Better, Worse or

Same)

Better, Worse, or

Same as NYS

PA Goal Met


Incidence of confirmed high blood lead level (10 micrograms or higher per deciliter) - rate per 1,000 tested children aged <72 months


Promote Well-Being and Prevent

Mental Health and Substance Use Disorders

Orange County Opportunity Index

Opportunity Index

County 2017 56.8/100 Better Better N/A

Percentage of adults that report 14 or more days with poor mental health in the last month

PA-DASH County 2016 11.8% Same Worse No

Percentage of youth in 8th, 10th and 12th grades who report feeling depressed most days in the past year

OCYDS County 2017 30.8% Better No comparison data available

N/A

Percentage of youth in 8th, 10th and 12th grades reporting current alcohol use

OCYDS County 2017 30.9% Worse No comparison data available

N/A

Age-adjusted percentage of adults binge drinking during the past month

PA-DASH County 2016 15.7% Same Better Yes

https://opportunityindex.org/detail/36071?y1=2016&y2=2017



Page | 14


Area






County Rate



(Better, Worse or

Same)

Better, Worse, or

Same as NYS

PA Goal Met



Percentage of youth in 8th, 10th and 12th grades binge drinking at least once in the past two weeks

OCYDS County 2017 19.0% Same No comparison data available

N/A

Age-adjusted overdose deaths involving any opioids per 100,000 population

Opioid DASH County 2016 17.9 Same Worse No

Age-adjusted Buprenorphine prescribing rate for substance use disorder per 1,000 population

Opioid DASH County 2017 59.8 Better Better Yes

Age-adjusted opioid analgesics prescription for pain rate per 1,000 population

Opioid DASH County 2017 470.9 Better Worse No

Age-adjusted emergency department visits including outpatient and admitted patients involving any opioid overdose rate per 100,000 population

Opioid DASH County 2016 98.8 No trend data available (ICD-10 from ICD-9 previous data)

Worse No

https://webbi1.health.ny.gov/SASStoredProcess/guest?_program=%2FEBI%2FPHIG%2Fapps%2Fopioid_dashboard%2Fop_dashboard&p=ch&cos=33


Page | 15


Area






County Rate



(Better, Worse or

Same)

Better, Worse, or

Same as NYS

PA Goal Met



Age-adjusted all emergency department visits (including outpatients and admitted patients) involving any drug overdose, rate per 100,000 population

Opioid DASH County 2016 239.3 No trend data available (ICD-10 from ICD-9 previous data)

Worse N/A

Crude opioid burden (including outpatient ED visits and hospital discharges for non-fatal opioid overdose, abuse, dependence, and unspecified use; and opioid overdose deaths), rate per 100,000 population

Opioid DASH County 2016 413 No trend data available (ICD-10 from ICD-9 previous data)

Worse N/A

Age-adjusted suicide death rate per 100,000 population

PA-DASH County 2014-2016 7.2 Better Better No

Suicide mortality rate per 100,000 – Aged 15-19 years



Page | 16


Area






County Rate



(Better, Worse or

Same)

Better, Worse, or

Same as NYS

PA Goal Met



Age-adjusted self-inflicted injury hospitalization rate per 10,000


Worse N/A

Self-inflicted injury hospitalization rate per 10,000 – Aged 15-19 years


Better N/A

Prevent Communicable

Diseases

Percentage of children with 4:3:1:3:3:1:4 immunization series - Aged 19-35 months

PA-DASH County 2016 50.7% Better Worse No

Age adjusted pneumococcal vaccination rate adults aged 65 years and older

BRFSS County 2016 74.8% Worse Better No

Increase flu immunization rates among adults

BRFSS County 2016 37.4% Worse No comparison data available

No

Percentage of adults with flu immunization - Aged 65+ years

BFRSS and PA-DASH

County 2016 59.7 Worse Better No

Age-adjusted newly diagnosed HIV case rate per 100,000 population

CHIRS County 2014-2016 5.5 Worse Better No


Page | 17


Area






County Rate



(Better, Worse or

Same)

Better, Worse, or

Same as NYS

PA Goal Met


Diseases

Difference in rates (Black and White) of newly diagnosed HIV cases


Difference in rates (Hispanic and White) of newly diagnosed HIV cases


Early syphilis case rate per 100,000


Primary and secondary syphilis case rate per 100,000 men


Gonorrhea case rate per 100,000 males - Aged 15-44 years

CHIRS County 2014-2016 135.2 Worse Better Yes

Gonorrhea case rate per 100,000 females - Aged 15-44 years

CHIRS County 2014-2016 123.6 Better Better Yes

Gonorrhea case rate per 100,000 - Aged 15-19 years


Chlamydia case rate per 100,000 males - Aged 15-44 years



Page | 18


Area






County Rate



(Better, Worse or

Same)

Better, Worse, or

Same as NYS

PA Goal Met


Disease


CHIRS County 2014-2016 488.3 Same Better N/A



Chlamydia case rate per 100,000 females - Aged 15-44 years

CHIRS County 2014-2016 1333.5 Worse Better Yes




CHIRS County 2014-2016 2806.8 Same Better N/A

Newly reported Hepatitis C cases <30 years of age with drug use

Communicable Disease Electronic Surveillance System (CDESS)

County 2016 (58.9%) 33/56 where information was available

Worse No comparison data available

N/A


Page | 19


Area






County Rate



(Better, Worse or

Same)

Better, Worse, or

Same as NYS

PA Goal Met

Promoting Healthy Women,

Infants and Children

Percentage of women ages 18-64 with a past preventative medical visit

BRFSS County 2016 71.4% No trend data available

Worse No

Maternal Mortality rate per 100,000 live births

PA-DASH County 2014-2016 Data not available due to unstable rate

N/A N/A Yes

Percentage of women (aged 18-64) with health insurance

CHIRS County 2016 94.2% Same Better No

Mortality rate per 1,000 live births - Infant (<1 year)

CHIRS County 2014-2016 4.9 Same Worse No

Percentage of preterm births <37 weeks gestation

PA-DASH County, Civil Division and Race/Ethnicity

2016 (County) 2013-2016 (Civil division) 2014-2016 (Race/ Ethnicity)

10% (County rate) higher in minority groups and 3 cities and surrounding areas

Worse Better Yes

Percentage of premature births with 32 - <37 weeks gestation



Page | 20


Area






County Rate



(Better, Worse or

Same)

Better, Worse, or

Same as NYS

PA Goal Met



Percentage of premature births with <32 weeks gestation


Percentage of live births that occur within 24 months of a previous pregnancy

PA-DASH County and Civil Division

2016 (County) 2013-2016 (Civil Division)

25.2 (County rate) higher in Newburgh and Town of Monroe

Same Worse No

Percentage low birthweight (<2.5 kg) births

CHIRS County 2014-2016 6.9% Same Better N/A

Premature births: Ratio of Black non-Hispanics to White non-Hispanics

PA-DASH County 2014-2016 1.91 Better Worse No

Premature births: Ratio of Hispanics to White non-Hispanics

PA-DASH County 2014-2016 1.26 Better Better No

Percentage of births to women aged 25 years and older without a high school education


Percentage of births with early (1st trimester) prenatal care



Page | 21


Area






County Rate



(Better, Worse or

Same)

Better, Worse, or

Same as NYS

PA Goal Met



Percentage of births with adequate prenatal care

CHIRS County 2014-2016 65.5 Worse Worse No

Percentage of births delivered by cesarean section


Infants born with neonatal abstinence syndrome per 1,000 delivery hospitalizations

Maternal and Child Health Dashboard

County 2014 7.2 Same Worse No

Sudden Unexpected Infant Death (SIDS) rate per 1,000 births

Orange County Child Fatality Review Board

County 2016-2018 (County) 2015 (NYS)

0 Same Better Yes

Percentage of WIC infants breastfeeding at least 6 months

CHIRS County 2014-2016 49.8 Better Better Yes

Percentage of infants fed exclusively breast milk in delivery hospital

CHIRS County 2014-2016 48.1 Worse Better No

Adolescent pregnancy rate per 1,000 females - Aged 15-17 years

PA-DASH, Perinatal Data Profile and CHIRE

County, Zip Code, and Race/Ethnicity

2014-2016 8.9 (County rate) higher in minority groups, in three cities and surrounding areas

Same Better Yes

https://webbi1.health.ny.gov/SASStoredProcess/guest?_program=%2FEBI%2FPHIG%2Fapps%2Fmch_dashboard%2Fmch_dashboard&p=ch&cos=33



https://www.health.ny.gov/statistics/chac/perinatal/county/2014-2016/orange.htm



Page | 22


Area






County Rate



(Better, Worse or

Same)

Better, Worse, or

Same as NYS

PA Goal Met



Teen pregnancy rate per 1,000 females aged 15-19 years


Percentage of unintended pregnancy among live births

PA-Dash County and Civil Division

2016 (County) 2013-2016 (Civil Division)

20.8 (County rate) higher in three cities and surrounding areas

Same Better Yes

Unintended pregnancy: Ratio of Black non-Hispanic to White non-Hispanic


Unintended pregnancy: Ratio of Hispanics to White non-Hispanics


Child and adolescent mortality rate ages 10-19 years per 100,000 population

Maternal and Child Health Dashboard

County 2013-2015 22.5 Worse Worse No

Suicide mortality rate ages 15-19 years per 100,000 population

CHIRS County 2014-2016 Unstable rate due to small #s

Worse Worse N/A


Page | 23


Area






County Rate



(Better, Worse or

Same)

Better, Worse, or

Same as NYS

PA Goal Met



Self-inflicted injury hospitalization rate per 10,000 - Aged 15-19 years


Better N/A

8th, 10th and 12th graders reporting feeling depressed most days in the past year

OCYDS County 2016 30.8% Better No trend data available

N/A

Prevalence of high ACEs score (3+more)

BRFSS DSRIP Region (Hudson Valley)

2016 23% No trend data available

Worse N/A

Percentage of children ages 9-35 months who received a developmental screening using a parent-completed screening tool

Orange County Early Intervention Internal Data

County 2018 38.9% No trend data available

Better Yes

Percentage of infants who fail their initial hearing screening who have a documented follow-up

Early Intervention Internal Data

County 2018 100% No trend data available

Better Yes


Page | 24

Data Sources Links:

1. Prevention Agenda Dashboard County Level:

https://webbi1.health.ny.gov/SASStoredProcess/guest?_program=%2FEBI%2FPHIG%2Fapps%2Fdashboard%2Fpa_dashboard&p=ch&cos

=33#HIV

2. Community Health Indicator Reports: Orange County:

https://webbi1.health.ny.gov/SASStoredProcess/guest?_program=%2FEBI%2FPHIG%2Fapps%2Fchir_dashboard%2Fchir_dashboard&p=c

h&cos=33#

3. Community Health Indicators by Race and Ethnicity: Orange County:


4. New York State Education Department County Level reports: https://data.nysed.gov/lists.php?type=county

5. Orange County Youth Development Survey: Electronic version available upon request (please email: [email protected])

6. Behavioral Risk Factor Surveillance Survey Data (BRFSS) Full State Data: https://health.data.ny.gov/Health/Behavioral-Risk-Factor-

Surveillance-System-BRFSS-H/jsy7-eb4n

7. The Opportunity Index: Orange County: https://opportunityindex.org/detail/36071?y1=2016&y2=2017

8. New York State Opioid Data Dashboard: Orange County:

https://webbi1.health.ny.gov/SASStoredProcess/guest?_program=%2FEBI%2FPHIG%2Fapps%2Fopioid_dashboard%2Fop_dashboard&p

=ch&cos=33

9. New York State Maternal and Child Health Dashboard: Orange County:

https://webbi1.health.ny.gov/SASStoredProcess/guest?_program=%2FEBI%2FPHIG%2Fapps%2Fmch_dashboard%2Fmch_dashboard&p

=ch&cos=33

10. New York State County/Zip Code Perinatal Data Profile: Orange County:







https://data.nysed.gov/lists.php?type=county

mailto:[email protected]









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2019-2022 Community Health Assessment Data Review Guide ...

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