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Broome County Indicators for Tracking Public Health Priority Areas, 2016-2018

This report presents indicators for tracking public health priority areas in Broome County, highlighting health disparities and strategies to improve health status. Data includes premature death rates, preventable hospitalizations, health insurance coverage, and more.

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Broome County Indicators for Tracking Public Health Priority Areas, 2016-2018

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  1. Broome County Indicators for Tracking Public Health Priority Areas, 2016-2018 Yvonne Johnston, DrPH, MPH, MS, RN, FNPBroome County CHA Coordinator CHA Steering CommitteeBroome County Health Department May 12, 2016 . With Special Thanks to Chelsea Reome

  2. IMPROVE HEALTH STATUS AND REDUCE HEALTH DISPARITIES SOURCE: NYSDOH, Broome County Indicators for Tracking Public Health Priorities, 2013-2018 [~ 2008-2013 data]

  3. Percentage of premature death (before age 65 years) The number of deaths occurring before age 65 per 100 total deaths in the time period.

  4. Premature death: Ratio of Black non-Hispanics to White non-Hispanics The percentage of premature deaths before age 65 is calculated for both Black and White non-Hispanics. Then, the ratio is the Black non-Hispanic rate divided by the White non-Hispanic rate.

  5. Premature death: Ratio of Hispanics to White non-Hispanics The percentage of premature deaths before age 65 is calculated for Hispanics and White non-Hispanics. Then the ratio is the Hispanic rate divided by the White non-Hispanic rate.

  6. Age-adjusted preventable hospitalizations rate per 10,000 - Aged 18+ years The number of preventable hospitalizations per 10,000 population aged 18+ years. The Prevention Quality Indicators (PQIs) are a set of measures developed by the federal Agency for Healthcare Research and Quality (AHRQ) for use in assessing the quality of outpatient care for "ambulatory care sensitive conditions" (ACSCs). This indicator is defined as the combination of the 12 PQIs that pertain to adults: (1)Short-term complication of diabetes (2)Long-term complication of diabetes (3)Uncontrolled diabetes (4)Lower-extremity amputation among patients with diabetes (5)Hypertension (6)Congestive heart failure (7)Angina (8)Chronic obstructive pulmonary disease (9)Asthma (10)Dehydration (11)Bacterial pneumonia (12)Urinary tract infection. Because the PQIs estimate the number of potentially avoidable hospital admissions, a lower rate is desirable.

  7. Preventable hospitalizations: Ratio of Black non-Hispanics to White non-Hispanics The rate of preventable hospitalization is calculated for both Black and White non-Hispanics. Then, the ratio is the Black non-Hispanic rate divided by the White non-Hispanic rate.

  8. Preventable hospitalizations: Ratio of Hispanics to White non-Hispanics The rate of preventable hospitalization is calculated for both Hispanics and White non-Hispanics. Then, the ratio is the Hispanic rate divided by the White non-Hispanic rate.

  9. Percentage of adults (aged 18-64) with health insurance The percentage of adults (aged 18-64) who reported that they had health insurance coverage.

  10. Age-adjusted percentage of adults who have a regular health care provider - Aged 18+ years Age-adjusted percentage of adults who have a regular health care provider - Aged 18+ years 

  11. PROMOTE A HEALTHY AND SAFE ENVIRONMENT Data suppressed Data not available SOURCE: NYSDOH, Broome County Indicators for Tracking Public Health Priorities, 2013-2018 [~ 2008-2013 data]

  12. Rate of hospitalizations due to falls per 10,000 - Aged 65+ years The number of hospitalizations (inpatient, aged 65 years and older) with primary diagnosis ICD-9CM external cause of injury codes E880-E888 (excluding E887) per 10,000 population aged 65 and older.

  13. Rate of emergency department visits due to falls per 10,000 - Aged 1-4 years The number of emergency department visits (aged 1-4 years) with primary diagnosis ICD-9CM external cause of injury codes E880-E888 (excluding E887) per 10,000 population aged 1 to 4 years.

  14. Assault-related hospitalization rate per 10,000 The number of hospitalizations with primary diagnosis ICD-9CM external cause of injury codes E960-E968 per 10,000 population.

  15. Assault-related hospitalization: Ratio of Black non-Hispanics to White non-Hispanics The rate of assault hospitalization is calculated for both Black and White non-Hispanics. Then, the ratio is the Black non-Hispanic rate divided by the White non-Hispanic rate.

  16. Assault-related hospitalization: Ratio of low income ZIP codes to non-low income ZIP codes  The rate of assault hospitalization is calculated for residents of low-income and non-low-income ZIP code areas. Then, the ratio is the low-income ZIP code rate divided by the non-low-income ZIP code rate.

  17. Rate of occupational injuries treated in ED per 10,000 adolescents - Aged 15-19 years The number of emergency department visits with primary payer coded as workers' compensation per 10,000 adolescents - aged 15-19 years.

  18. Percentage of population that lives in a jurisdiction that adopted the Climate Smart Communities pledge Climate Smart Communities is a state-local partnership to reduce greenhouse gas emissions, save taxpayer dollars, and advance community goals for health and safety, economic vitality, energy independence and quality of life.

  19. Percentage of employed civilian workers age 16 and over who use alternate modes of transportation to work or work from home Alternate modes of transportation include public transportation, carpool, bike, walk, and telecommute.

  20. Percentage of population with low-income and low access to a supermarket or large grocery store Low access is defined as greater than one mile from a supermarket or large grocery store in urban areas or greater than ten miles from a supermarket or large grocery store in rural areas.

  21. Percentage of residents served by community water systems with optimally fluoridated water The Water Fluoridation Reporting System (WFRS) is an online tool that helps states manage the quality of their water fluoridation programs. WFRS information is also the basis for national surveillance reports that describe the percentage of the U.S. population on community water systems who receive optimally fluoridated drinking water.

  22. PREVENT CHRONIC DISEASE SOURCE: NYSDOH, Broome County Indicators for Tracking Public Health Priorities, 2013-2018 [~ 2008-2013 data]

  23. Percentage of adults who are obese The percentage of survey respondents (18 years and older) who are obese. Obesity is defined as having a body mass index (BMI) of 30.0 or greater. BMI is calculated as weight in kilograms divided by the square of height in meters (w/h2).

  24. Percentage of children and adolescents who are obese The percentage of public school children who are obese. Obesity is defined as weight category greater than or equal to 95th percentile. Counties outside NYC: Grades Pre-K, K, 2nd, 4th, 7th, 10th; NYC boroughs: Grades K-8th.

  25. Percentage of cigarette smoking among adults The percentage of adults who report currently smoking cigarettes.

  26. Percentage of adults who received a colorectal cancer screening based on the most recent guidelines - Aged 50-75 years The percentage of adults (aged 50-75 years) who received a colorectal cancer screening exam (used a blood stool test at home in the past year; and/or, sigmoidoscopy in the past 5 years and blood stool test in the past 3 years; and/or, had a colonoscopy in the past 10 years).

  27. Asthma emergency department visit rate per 10,000 population The number of emergency department visits with primary diagnosis ICD-9CM code 493 per 10,000 population.

  28. Asthma emergency department visit rate per 10,000 - Aged 0-4 years The number of emergency department visits with primary diagnosis ICD-9CM code 493 per 10,000 population aged 0-4 years.

  29. Age-adjusted heart attack hospitalization rate per 10,000 The number of hospitalizations (inpatient) with a principal diagnosis ICD-9CM code 410 per 10,000 population. The rate is adjusted for age.

  30. Rate of hospitalizations for short-term complications of diabetes per 10,000 - Aged 6-17 years The number of hospitalizations (inpatient, aged 6-17 years) with a principal diagnosis ICD-9CM code: 25010, 25011, 25012, 25013, 25020, 25021, 25022, 25023, 25030, 25031, 25032, 25033 per 10,000 population aged 6-17 years.

  31. Rate of hospitalizations for short-term complications of diabetes per 10,000 - Aged 18+ years The number of hospitalizations (inpatient, aged 18 years and older) with a principal diagnosis ICD-9CM code: 25010, 25011, 25012, 25013, 25020, 25021, 25022, 25023, 25030, 25031, 25032, 25033 per 10,000 population aged 18 years and older.

  32. PREVENT HIV/STDS, VACCINE PREVENTABLE DISEASES, AND HEALTHCARE ASSOCIATED INFECTIONS + Fewer than 10 events in at least one of the numerators of the rates, therefore the rate difference is unstable. * Fewer than 10 events in the numerator, therefore the rate is unstable. SOURCE: NYSDOH, Broome County Indicators for Tracking Public Health Priorities, 2013-2018 [~ 2008-2013 data]

  33. Percentage of children with 4:3:1:3:3:1:4 immunization series - Aged 19-35 months The percentage of children (aged 19-35 months) who received their 4:3:1:3:3:1:4 immunization series (4 DTaP, 3 polio, 1 MMR, 3 hep B, 3 Hib, 1 varicella, 4 PCV13).

  34. Percentage of adolescent females with 3 or more doses of HPV immunization - Aged 13-17 years The percentage of females (aged 13-17 years) who received their 3 or more doses of Human Papillomavirus (HPV) immunization vaccine.

  35. Percentage of adults with flu immunization - Aged 65+ years The percentage of survey respondents (aged 65+ years) who received their influenza immunization (flu shot) in the past year.

  36. Newly diagnosed HIV case rate per 100,000 The number of people newly diagnosed with human immunodeficiency virus (HIV), regardless of concurrent or subsequent AIDS diagnosis, per 100,000 population. The discrepancy in totals is due to the exclusion of prisoner cases for counties outside NYC, but not for NYC or for the NYS total.

  37. Difference in rates (Black and White) of newly diagnosed HIV cases The newly diagnosed HIV case rate is calculated for both Black and White non-Hispanics. Then, the difference is the Black non-Hispanic rate minus the White non-Hispanic rate. + Fewer than 10 events in at least one of the numerators of the rates, therefore the rate difference is unstable.

  38. Difference in rates (Hispanic and White) of newly diagnosed HIV cases The newly diagnosed HIV case rate is calculated for Hispanics and White non-Hispanics. Then, the difference is the Hispanic rate minus the White non-Hispanic rate. + Fewer than 10 events in at least one of the numerators of the rates, therefore the rate difference is unstable.

  39. Gonorrhea case rate per 100,000 women - Aged 15-44 years The number of women (aged 15-44 years) diagnosed with gonorrhea per 100,000 women (aged 15-44 years).

  40. Gonorrhea case rate per 100,000 men - Aged 15-44 years The number of men (aged 15-44 years) diagnosed with gonorrhea per 100,000 men (aged 15-44 years).

  41. Chlamydia case rate per 100,000 women - Aged 15-44 years The number of women (aged 15-44 years) diagnosed with chlamydia per 100,000 women (aged 15-44 years).

  42. Primary and secondary syphilis case rate per 100,000 men The number of men diagnosed with primary or secondary syphilis per 100,000 men. * Fewer than 10 events in the numerator, therefore the rate is unstable.

  43. PROMOTE HEALTHY WOMEN, INFANTS, AND CHILDREN * Fewer than 10 events in the numerator, therefore the rate is unstable. SOURCE: NYSDOH, Broome County Indicators for Tracking Public Health Priorities, 2013-2018 [~ 2008-2013 data]

  44. PROMOTE HEALTHY WOMEN, INFANTS, AND CHILDREN SOURCE: NYSDOH, Broome County Indicators for Tracking Public Health Priorities, 2013-2018 [~ 2008-2013 data]

  45. PROMOTE HEALTHY WOMEN, INFANTS, AND CHILDREN ~ At least one of the percentages has margin of error greater than 10%, therefore the ratio is unstable. SOURCE: NYSDOH, Broome County Indicators for Tracking Public Health Priorities, 2013-2018 [~ 2008-2013 data]

  46. Percentage of preterm births The number of infants born at less than 37 weeks gestation among infants with known gestational age.

  47. Premature births: Ratio of Black non-Hispanics to White non-Hispanics The percentage of preterm births is calculated for both Black and White non-Hispanics. Then, the ratio is the Black non-Hispanic percentage divided by the White non-Hispanic percentage.

  48. Percentage of infants exclusively breastfed in the hospital The number of infants exclusively fed breast milk in the hospital divided by the number of infants with known breastfeeding status.

  49. Maternal mortality rate per 100,000 births The number of deaths to women from any causes related to or aggravated by pregnancy or its management that occurred while pregnant or within 42 days of termination of pregnancy (ICD-10 codes O00-95, O98-O99, and A34 (obstetrical tetanus)) per 100,000 live births. * Fewer than 10 events in the numerator, therefore the rate is unstable.

  50. Percentage of children who have had the recommended number of well child visits in government sponsored insurance programs The percentage of children aged 0-15 months, 3-6 years and 12-21 years in the Medicaid and Child Health Plus programs who have had the recommended number of well-child visits.

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