Healthy Montgomery Core Measures Data Summary Healthy ... › healthy...9 Healthy Montgomery Core...

1

Healthy Montgomery Core Measures Data Summary

Healthy Montgomery Core Measures:

Maternal and Infant Health Late/No Prenatal Care Infant Mortality

Preterm Births

Behavioral health

Mental Health Related ER Visit Suicide Mortality Drug-Induced Mortality Substance Abuse ER Visit

Chronic Disease

Obesity: Adults who are Overweight or Obese Diabetes: Diabetes ER Visit Diabetes Mortality Cardiovascular health: Heart Disease Mortality High Blood Pressure Prevalence Heart disease ER Visit Chronic Lower Respiratory Disease Mortality Chronic Lower Respiratory Disease ER Visit

Infectious Disease

Incidence of TB Incidence of Chlamydia Incidence of Gonorrhea Incidence of Syphilis Incidence of HIV

Injury

Firearm Hospitalization Fall Mortality Fall Hospitalization Fall ER Visit Motor Vehicle ER Visit

2


Maternal and Infant Health LATE OR NO PRENATAL CARE

Percent Births with Late/No Prenatal Care, Montgomery County, 2013-2017

Percent Births with Late/No Prenatal Care by Race/Ethnicity, Montgomery County, 2013-2017

7.4

7.98.2

7.7

7.1

0

1

2

3

4

5

6

7

8

9

2013 2014 2015 2016 2017

% B

irth

s

7.6

6.1

9.1

12.0

4.5

0 2 4 6 8 10 12 14

All Births

Asian/PI

Hispanic

NH-Black

NH-White

% Births

HP2020 MD SHIP 2017

22.1 33.1

3


INFANT MORTALITY

Infant Mortality Rates, Montgomery County, 2008-2017

Infant Mortality Rates by Race/Ethnicity, Montgomery County, 2013-2017

5.65.5

4.3

5.35.1

4.7 4.8

5.35.6

4.6

0

1

2

3

4

5

6

2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Ra

te/1

,00

0

5

4.9

8.3

3.1

0 2 4 6 8 10

Overall

Hispanic

NH-Black

NH-White

Rate/1,000 Births

HP2020 MD SHIP 2017

6.0 6.3

4


PRETERM BIRTHS

Preterm Birth Percentage, Montgomery County, 2013-2017

Preterm Birth Percentage by Race/Ethnicity, Montgomery County, 2013-2017

9.1

9.4

8.9 8.99

7

7.5

8

8.5

9

9.5

10

2013 2014 2015 2016 2017

9.1

8.4

9.3

10.4

8.3

0 2 4 6 8 10 12

All Births

Asian/PI

Hispanic

NH-Black

NH-White

% Births

HP2020

9.5

5


Behavioral Health MENTAL HEALTH RELATED ER VISIT

Mental Health Related ER Visit Age-Adjusted Rates, Montgomery County, 2008-2017

Mental Health Related ER Visit Age-Adjusted Rates by Race/Ethnicity and Sex, Montgomery County, 2015-2017

598.5

683.4727.4

798.3 836.3872.7

934.8

1,094.01,305.2

1,332.7

0

200

400

600

800

1000

1200

1400

2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

AA

R/1

00

.00

0

1086.6

987.7

1220.9

292.4

907.4

1583.1

1107.3

0 200 400 600 800 1000 1200 1400 1600 1800

Overall

Male

Female

Asian/PI

Hispanic

NH-Black

NH-White

Rate/100,000

MD SHIP 2017

3,152.6

6


Mental Health Related ER Visit Rates by Age, Montgomery County, 2015-2017

285.6

1263.8

2111.7

1077.7

719.3

0

300

600

900

1200

1500

1800

2100

2400

7


SUICIDE MORTALITY

Suicide Mortality Age-Adjusted Rates, Montgomery County, 2008-2017

Suicide Mortality Age-Adjusted Rates by Race/Ethnicity and Sex, Montgomery County, 2015-2017

7.0

10.8

3.3

4.5

3.1

4.9

10.4

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14

Overall

Male

Female

Asian/PI

Hispanic

NH-Black

NH-White

Rate/100,000

HP2020 MD SHIP 2017

10.2 9.0

7.7

6.8 6.8

8.8

5.9

7.78.0

6.8

7.7

6.2

0

1

2

3

4

5

6

7

8

9

10

2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

AA

R/1

00

.00

0

8


Suicide Mortality Rates by Age, Montgomery County, 2015-2017

0

2.4

8.5 8.5

9.2

0

1

2

3

4

5

6

7

8

9

10

9


DRUG-INDUCED MORTALITY

Drug-Induced Mortality Age-Adjusted Rates, Montgomery County, 2008-2017

Drug-Induced Mortality Age-Adjusted Rates by Race/Ethnicity and Sex, Montgomery County, 2015-2017

6.0 5.9

3.9

4.85.8 5.4

7.5

8.9

11.712.0

0

2

4

6

8

10

12

14

2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

AA

R/1

00

.00

0

10.9

15.5

6.5

4.1

4.5

9.1

17.7

0 2 4 6 8 10 12 14 16 18 20 22

Overall

Male

Female

Asian/PI

Hispanic

NH-Black

NH-White

Rate/100,000

HP2020 MD SHIP 2017

11.3 12.6

10


Drug-Induced Mortality Rates by Age, Montgomery County, 2015-2017

00.8

20.0

14.2

5.0

0

2

4

6

8

10

12

14

16

18

20

22

11


SUBSTANCE ABUSE ER

Substance Abuse ER Visit Age-Adjusted Rates, Montgomery County, 2008-2017

Substance Abuse ER Visit Age-Adjusted Rates by Race/Ethnicity and Sex, Montgomery County, 2015-2017

486.2

545.0578.5

685.5760.7

796.7

967.3

920.2

652.2

803.3

0

200

400

600

800

1000

1200

2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

AA

R/1

00

.00

0

779.4

984.5

612.2

133.5

871.4

1152.8

717.8

0 200 400 600 800 1000 1200 1400

Overall

Male

Female

Asian/PI

Hispanic

NH-Black

NH-White

Rate/100,000

12


Substance Abuse ER Visit Rates by Age, Montgomery County, 2015-2017

40.7

263.8

1637.2

859.1

243.0

0

200

400

600

800

1000

1200

1400

1600

1800

13


Chronic Disease ADULTS WHO ARE OVERWEIGHT OR OBESE

Percentage of Adults Overweight or Obese, Montgomery County, 2011-2016

HIGH BLOOD PRESSURE PREVALENCE

Percentage of Adults with High Blood Pressure, Montgomery County, 2011-2016

56.1

55.255.8

57.4

52.9

58.7

50

51

52

53

54

55

56

57

58

59

60

2011 2012 2013 2014 2015 2016

% O

verw

eigh

t o

r O

bes

e

21.6

27.7

24.7

36

0

5

10

15

20

25

30

35

40

2011 2013 2015 2016

% H

igh

t B

loo

d P

ress

ure

MD SHIP 2017

63.4

14


DIABETES ER VISITS

Diabetes ER Visit Age-Adjusted Rates, Montgomery County, 2008-2017

* Different methodology may have been used.

Diabetes ER Visit Age-Adjusted Rates by Race/Ethnicity and Sex, Montgomery County, 2015-2017

192.4

280.5302.1

354.9385.2

331.5

385.2

446.9 445.8 443.5

0

50

100

150

200

250

300

350

400

450

500

2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

AA

R/

10

0,0

00

477.0

445.2

447.4

162.4

640.2

1021.6

271.0

0 100 200 300 400 500 600 700 800 900 1000 1100

Overall

Male

Female

Asian/PI

Hispanic

NH-Black

NH-White

Rate/100,000

MD SHIP 2017*

186.3

15


Diabetes ER Visit Rates by Age, Montgomery County, 2015-2017

8.459.0

227.6

629.9

1,099.0

0

200

400

600

800

1000

1200

16


DIABETES MORTALITY

Diabetes Mortality Age-Adjusted Rates, Montgomery County, 2008-2017

Diabetes Mortality Age-Adjusted Rates by Race/Ethnicity and Sex, Montgomery County, 2015-2017

13.6

11.0

13.5

15.7

13.7

14.7

12.2 12.4 11.911.1

0

2

4

6

8

10

12

14

16

18

2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

AA

R/1

00

,00

0

13.3

14.3

9.7

7.8

11.1

25.9

11.6

0 5 10 15 20 25 30 35

Overall

Male

Female

Asian/PI

Hispanic

NH-Black

NH-White

Rate/100,000

HP2020

66.6

17


Diabetes Mortality Rates by Age, Montgomery County, 2015-2017

3.50.8 0.2

7.3

68.6

0

10

20

30

40

50

60

70

80

18


HEART DISEASE MORTALITY

Heart Disease Mortality Age-Adjusted Rates, Montgomery County, 2008-2017

Heart Disease Mortality Age-Adjusted Rates by Race/Ethnicity and Sex, Montgomery County, 2015-2017

146.1 145.3149.8

139.2137.4

128.6122.6

122.3114.0

105.3

0

20

40

60

80

100

120

140

160

2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

AA

R/1

00

.00

0

129.3

132.2

98.7

66.2

64.6

150.0

140.5

0 20 40 60 80 100 120 140 160 180

Overall

Male

Female

Asian/PI

Hispanic

NH-Black

NH-White

Rate/100,000

HP2020 MD SHIP 2017

103.4 166.3

19


Heart Disease Mortality Rates by Age, Montgomery County, 2015-2017

53.6

1.3 4.347.2

726.1

0

100

200

300

400

500

600

700

800

20


HEART DISEASE ER VISIT

Heart Disease ER Visit Age-Adjusted Rates, Montgomery County, 2008-2017

Heart Disease ER Visit Age-Adjusted Rates by Race/Ethnicity and Sex, Montgomery County, 2015-2017

760.6

1,013.1

1,043.41,202.6

1,367.91,330.7

1,457.1

1,741.1

1,794.3

1,801.7

0

200

400

600

800

1000

1200

1400

1600

1800

2000

2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

AA

R/

10

0,0

00

1943.9

1751.6

1798.3

622.3

1750.0

3618.4

1408.4

0 500 1000 1500 2000 2500 3000 3500 4000

Overall

Male

Female

Asian/PI

Hispanic

NH-Black

NH-White

Rate/100,000

21


Heart Disease ER Visit Rates by Age, Montgomery County, 2015-2017

43.1 65.2

500.7

2,245.7

6,207.8

0

1000

2000

3000

4000

5000

6000

7000

22


CHRONIC LOWER RESPIRATORY DISEASE ER VISIT

Chronic Lower Respiratory Disease ER Visit Age-Adjusted Rates, Montgomery County, 2008-2017

Chronic Lower Respiratory Disease ER Visit Age-Adjusted Rates by Race/Ethnicity and Sex,

Montgomery County, 2015-2017

491.6

706.2 634.4

724.1779.8

730.4

804.5860.1 855.4

766.0

0

100

200

300

400

500

600

700

800

900

1000

2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

AA

R/

10

0,0

00

829.7

765.6

872.4

196.9

892.4

1651.1

544.1

0 200 400 600 800 1000 1200 1400 1600 1800

Overall

Male

Female

Asian/PI

Hispanic

NH-Black

NH-White

Rate/100,000

23


Chronic Lower Respiratory Disease ER Visit Rates by Age, Montgomery County, 2015-2017

1,379.51,310.2

886.9

566.3

708.1

0

200

400

600

800

1000

1200

1400

1600

24


CHRONIC LOWER RESPIRATORY DISEASE MORTALTY

Chronic Lower Respiratory Disease Mortality Age-Adjusted Rates, Montgomery County, 2008-2017

Chronic Lower Respiratory Disease Mortality Age-Adjusted Rates by Race/Ethnicity and Sex,

Montgomery County, 2015-2017

21.622.3

19.1

22.8

18.4

20.1

17.5 17.7

16.1

13.5

0

3

6

9

12

15

18

21

24

2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

AA

R/1

00

.00

0

17.9

14.9

16.3

5.4

5.1

16.0

21.5

0 5 10 15 20 25 30

Overall

Male

Female

Asian/PI

Hispanic

NH-Black

NH-White

Rate/100,000

25


Chronic Lower Respiratory Disease Mortality Rates by Age, Montgomery County, 2015-2017

2.0 0.2 0.5 3.0

113.4

0

20

40

60

80

100

120

26


Infectious Disease INCIDENCE OF TUBERCULOSIS

Tuberculosis Incidence Rates, Montgomery County, 2013-2017

Tuberculosis Incidence Rates by Race/Ethnicity and Sex, Montgomery County, 2013-2017

5.1

5.7

4.8

7.1

6

0

1

2

3

4

5

6

7

8

20

13

20

14

20

15

20

16

20

17

Rat

e/1

00

,00

0

5.9

6.1

5.4

14.2

5.8

12.5

0.6

0 2 4 6 8 10 12 14 16

Overall

Male

Female

Asian

Hispanic

NH-Black

NH-White

Rate/100,000

27


Tuberculosis Incidence Rates by Age, Montgomery County, 2013-2017

1.1

3.2

7.3

8.2

6.5

0

1

2

3

4

5

6

7

8

9

28


INCIDENCE OF CHLAMYDIA

Chlamydia Incidence Rates, Montgomery County, 2013-2017

Chlamydia Incidence Rates by Race/Ethnicity and Sex, Montgomery County, 2013-2017

235.5

266.1290.5

328.3

380.5

0

50

100

150

200

250

300

350

400

2013 2014 2015 2016 2017

Rat

e/1

00

,00

0

306.5

192.6

399.3

29.3

124.7

222.0

36.3

0 50 100 150 200 250 300 350 400 450

Overall

Male

Female

Asian

Hispanic

NH-Black

NH-White

Rate/100,000

MD SHIP 2017

431.0

29


Chlamydia Incidence Rates by Age, Montgomery County, 2013-2017

12.7

1,509.8

2,617.5

561.7

30.2

0

500

1,000

1,500

2,000

2,500

3,000

30


INCIDENCE OF GONORRHEA

Gonorrhea Incidence Rates, Montgomery County, 2013-2017

Gonorrhea Incidence Rates by Race/Ethnicity and Sex, Montgomery County, 2013-2017

46.1

40.537.2

53.9

68.6

0

10

20

30

40

50

60

70

80

20

13

20

14

20

15

20

16

20

17

Rat

e/1

00

,00

0

50.4

67.4

32.4

6.7

16.8

78.0

7.8

0 10 20 30 40 50 60 70 80 90

Overall

Male

Female

Asian

Hispanic

NH-Black

NH-White

Rate/100,000

31


Gonorrhea Incidence Rates by Age, Montgomery County, 2013-2017

2.2

171.7

354.4

102.1

13.5

0

50

100

150

200

250

300

350

400

32


INCIDIENCE OF SYPHILIS

Syphilis Incidence Rates, Montgomery County, 2012-2017

Syphilis Incidence Rates by Race/Ethnicity and Sex, Montgomery County, 2013-2017

2.0

3.0

3.7

3.2

5.0

0

1

2

3

4

5

6

2013 2014 2015 2016 2017

Rat

e/1

00

,00

0

3.1

6.8

0.2

1.9

2.6

7.3

1.8

0 1 2 3 4 5 6 7 8

Overall

Male

Female

Asian

Hispanic

NH-Black

NH-White

Rate/100,000

33


Syphilis Incidence Rates by Age, Montgomery County, 2013-2017

0

2.8

9.3

10.7

2.7

0

2

4

6

8

10

12

34


INCIDENCE OF HIV RATE

HIV Incidence Rates, Montgomery County, 2012-2017

HIV Incidence Rates by Race/Ethnicity and Sex, Montgomery County, 2013-2017

18.4

16.5

18.2

14.9 14.515.5

0

2

4

6

8

10

12

14

16

18

20

2012 2013 2014 2015 2016 2017

Rat

e/1

00

,00

0

16.4

21.1

11.4

16.0

55.7

4.7

0 10 20 30 40 50 60

Overall

Male

Female

Hispanic

NH-Black

NH-White

Rate/100,000

MD SHIP 2017

26.7

35


Injury FIREARM HOSPITALIZATION

Firearm Hospitalization Age-Adjusted Rates, Montgomery County, 2008-2017

Firearm Hospitalization Age-Adjusted Rates by Race/Ethnicity and Sex, Montgomery County, 2015-2017

1.81

2.24

2.57

1.311.34

1.94

0.41

0.79

3.5

2.81

0

0.5

1

1.5

2

2.5

3

3.5

4

2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

AA

R/1

00

.00

0

2.3

3.8

1.0

0.2

1.9

6.7

1.1

0 1 2 3 4 5 6 7 8 9 10

Overall

Male

Female

Asian/PI

Hispanic

NH-Black

NH-White

Rate/100,000

36


Firearm Hospitalization Rates by Age, Montgomery County, 2015-2017

-

0.8

5.9

2.0

0.7

0

1

2

3

4

5

6

7

37


FALL MORTALITY

Fall Mortality Age-Adjusted Rates, Montgomery County, 2008-2017

Fall Mortality Age-Adjusted Rates by Race/Ethnicity and Sex, Montgomery County, 2015-2017

7.2

5.8

9.1 9.0

6.6

7.7 7.7 8.0

5.9

9.5

0

2

4

6

8

10

12

2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

AA

R/1

00

.00

0

8.8

8.3

7.3

4.8

6.4

6.9

9.6

0 2 4 6 8 10 12 14

Overall

Male

Female

Asian/PI

Hispanic

NH-Black

NH-White

Rate/100,000

HP2020 MD SHIP 2017

7.2 7.7

38


Fall Mortality Rates by Age, Montgomery County, 2015-2017

2.50 0.6

2.7

51.3

0

5

10

15

20

25

30

35

40

45

50

55

39


FALL HOSPITALIZATION

Fall Hospitalization Age-Adjusted Rates, Montgomery County, 2008-2017

Fall Hospitalization Age-Adjusted Rates by Race/Ethnicity and Sex, Montgomery County, 2015-2017

327.9

347.8337.1

319.7

293.2272.7

286.8

252.7

201.7216.5

0

50

100

150

200

250

300

350

400

2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

AA

R/1

00

.00

0

251.0

193.3

245.3

94.0

164.0

179.1

272.4

0 50 100 150 200 250 300

Overall

Male

Female

Asian/PI

Hispanic

NH-Black

NH-White

Rate/100,000

40


Fall Hospitalization Rates by Age, Montgomery County, 2015-2017

4.5 5.6 33.1108.0

1367.2

0

200

400

600

800

1000

1200

1400

1600

41


FALL ER

Fall ER Visit Age-Adjusted Rates, Montgomery County, 2008-2017

Fall ER Visit Age-Adjusted Rates by Race/Ethnicity and Sex, Montgomery County, 2015-2017

1,011.6

1,521.1

1,631.6

1,714.2

1,277.0

1,271.3

1,247.9

1,267.8

1,122.2

976.2

0

200

400

600

800

1000

1200

1400

1600

1800

2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

AA

R/1

00

.00

0

1186.1

1029.9

1185.7

246.7

1117.2

1148.1

1219.9

0 200 400 600 800 1000 1200 1400

Overall

Male

Female

Asian/PI

Hispanic

NH-Black

NH-White

Rate/100,000

42


Fall ER Visit Rates by Age, Montgomery County, 2015-2017

1876.3

1265.5

624.8756.1

2819.0

0

500

1000

1500

2000

2500

3000

43


MOTOR VEHICLE ER VISIT

Motor Vehicle ER Visit Age-Adjusted Rates, Montgomery County, 2008-2017

Motor Vehicle ER Visit Age-Adjusted Rates by Race/Ethnicity and Sex, Montgomery County, 2015-2017

651.1

839.8 837.7 833.5

584.6594.3

563.0639.3

878.3843.4

0

100

200

300

400

500

600

700

800

900

1000

2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

AA

R/1

00

.00

0

784.7

732.5

838.7

252.2

1081.4

1419.8

447.3

0 200 400 600 800 1000 1200 1400 1600

Overall

Male

Female

Asian/PI

Hispanic

NH-Black

NH-White

Rate/100,000

44


Motor Vehicle ER Visit Rates by Age, Montgomery County, 2015-2017

257.4

440.7

1363.6

840.2

427.4

0

200

400

600

800

1000

1200

1400

1600

Date post:	28-Jan-2021
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