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2018

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Data Summary:

National — 2018

Available Outputs

Please review the Community FAQs for information about the data sources for these measures.

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Part 1: Community Characteristics, 2018

CAHMPAS-Community-Part-1:-Community-Characteristics,-2018
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Measure Category Measure DescriptionNational
(N = 1340)*
Socioeconomic factorsHigh school graduation % of ninth-grade cohort that graduates in four years95.0%
Socioeconomic factorsUnemployment % of population age 16 and older unemployed but seeking work3.2%
Socioeconomic factorsChildren in poverty % of children under age 18 in poverty12.0%
Socioeconomic factorsMedian household income Income where half of households in a county earn more and half of households earn less$65,100
Socioeconomic factorsIncome inequality Ratio of household income at the 80th percentile to income at the 20th percentile3.7
Socioeconomic factorsPopulation under 18 years of age % of population below 18 years of age22.8%
Socioeconomic factorsPopulation age 65 and older % of population age 65 and older15.2%
Health outcomesPremature death Years of potential life lost before age 75 per 100,000 population (age-adjusted)5,300
Health outcomesChild mortality # of deaths among children under age 18 per 100,000 population40.0
Health outcomesInfant mortality # of deaths among children less than one year of age per 1,000 live births4.0
Health outcomesDiabetes prevalence % of adults diagnosed with diabetes8.0%
Health outcomesPoor or fair health % of adults reporting poor or fair health (age-adjusted)12.0%
Health outcomesLow birth weight % of live births with low birthweight, < 2500 grams6.0%
Health outcomesPhysically unhealthy days Average # of physically unhealthy days reported in past 30 days (age-adjusted)3.0
Health outcomesMentally unhealthy days Average # of mentally unhealthy days reported in past 30 days (age-adjusted)3.1
Health behaviorsAdult smoking % of adults who are current smokers14.0%
Health behaviorsAdult obesity % of adults that report BMI >= 3026.0%
Health behaviorsPhysical inactivity % of adults ages 20 and over reporting no leisure time physical activity20.0%
Health behaviorsSexually transmitted infections # of newly diagnosed chlamydia cases per 100,000 population145.1
Health behaviorsTeen births # of births per 1,000 female population ages 15-1915.0
Health behaviorsExcessive drinking % of adults reporting binge or heavy drinking13.0%
Health behaviorsMotor vehicle crash death rate # of motor vehicle crash deaths per 100,000 population9.0
Health behaviorsAlcohol-impaired driving deaths % of driving deaths with alcohol involvement13.0%
Health behaviorsInjury deaths # of deaths due to injury per 100,000 population55.0
Health behaviorsDrug overdose mortality rate # of deaths due to drug poisoning per 100,000 population10.0
Health behaviorsHomicides # of deaths from assaults, defined as ICD-10 codes X85-Y09 per 100,000 population2.0
Health behaviorsFirearm fatalities # of deaths due to firearms, defined as ICD-10 codes W32-W34, X72-X74, X93-X95, Y22-Y24, and Y35.0 per 100,000 population7.0
Health behaviorsViolent crime rate # of reported violent crime offenses per 100,000 population62.0
Provider supply and access to carePrimary care physicians Ratio of population to primary care physicians1,030:1
Provider supply and access to careOther primary care providers Ratio of population to other primary care providers including nurse practitioners, physician assistants, and clinical nurse specialists782:1
Provider supply and access to careMental health providers Ratio of population to mental health providers330:1
Provider supply and access to careDentists Ratio of population to dentists1,280:1
Provider supply and access to careUninsured % of population under age 65 without health insurance6.0%
Provider supply and access to careMammography screening % of female Medicare enrollees ages 67-69 that receive mammography screening71.0%
Provider supply and access to careDiabetes monitoring % of diabetic Medicare enrollees ages 65-75 that receive HbA1c monitoring91.0%
Provider supply and access to carePreventable hospital stays # of hospital stays for ambulatory-care sensitive conditions per 100,000 Medicare enrollees3,500
Environmental issuesExercise opportunities % of population with adequate access to locations for physical activity91.0%
Environmental issuesLimited access to healthy foods % of population who are low-income and do not live close to a grocery store2.0%
Environmental issuesFood environment index Index of factors that contribute to a healthy food environment, 0 (worst) to 10 (best)8.6
Environmental issuesSevere housing problems % of households with at least 1 of 4 housing problems: overcrowding, high housing costs, or lack of kitchen or plumbing facilities9.0%

Part 2: CAH Service Mix, 2018

Data are not available for these measures at the county level.

CAHMPAS-Community-Part-2:-CAH-Service-Mix,-2018
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Measure Category Order Measure DescriptionNational
(1010 of 1340)*
Wellness and Prevention 1 Immunization programs
Wellness and Prevention
% of CAHs with immunization programs49.4%
Wellness and Prevention 2 Tobacco treatment/cessation programs
Wellness and Prevention
% of CAHs with tobacco treatment/cessation programs42.5%
Wellness and Prevention 3 Enrollment assistance programs
Wellness and Prevention
% of CAHs with enrollment assistance programs52.7%
Primary Care 1 Indigent care clinics
Primary Care
% of CAHs with indigent care clinics10.1%
Primary Care 2 Rural Health Clinics
Primary Care
% of CAHs with Rural Health Clinics60.4%
Primary Care 3 Urgent care clinics
Primary Care
% of CAHs with urgent care clinics21.3%
Obstetrics 1 Obstetrics care
Obstetrics
% of CAHs with obstetrics care34.5%
Dentistry 1 Dental services
Dentistry
% of CAHs with dental services5.6%
Behavioral Health 5 Outpatient alcoholism/chemical dependency services
Behavioral Health
% of CAHs with outpatient alcoholism/chemical dependency services4.8%
Behavioral Health 2 Outpatient psychiatric services
Behavioral Health
% of CAHs with outpatient psychiatric services28.4%
Emergency Medical Services 1 Ambulance services
Emergency Medical Services
% of CAHs with ambulance services22.4%
Emergency Medical Services 2 Certified trauma centers
Emergency Medical Services
% of CAHs with certified trauma centers45.0%
Long Term Services and Supports 1 Skilled nursing care
Long Term Services and Supports
% of CAHs with skilled nursing care38.4%
Long Term Services and Supports 2 Intermediate nursing care
Long Term Services and Supports
% of CAHs with intermediate nursing care12.9%
Long Term Services and Supports 3 Other long term care
Long Term Services and Supports
% of CAHs providing long term care other than skilled nursing or intermediate care. This can include residential care-elderly housing services for those who do not require daily medical or nursing services but may require assistance in the activities of daily living, or sheltered care facilities for the developmentally disabled.7.6%
Long Term Services and Supports 4 Adult day care programs
Long Term Services and Supports
% of CAHs with adult day care programs5.0%
Long Term Services and Supports 5 Home health services
Long Term Services and Supports
% of CAHs with home health services22.4%
Long Term Services and Supports 7 Hospice programs
Long Term Services and Supports
% of CAHs with hospice programs15.8%
Behavioral Health 1 Inpatient psychiatric services
Behavioral Health
% of CAHs with inpatient psychiatric services10.5%
Behavioral Health 6 Integrated behavioral health services
Behavioral Health
% of CAHs with integrated behavioral health services50.7%
Telehealth 1 Telehealth services
Telehealth
% of CAHs with telehealth services45.4%
Behavioral Health 4 Inpatient alcoholism/chemical dependency services
Behavioral Health
% of CAHs with inpatient alcoholism/chemical dependency services1.8%
Long Term Services and Supports 6 Palliative care
Long Term Services and Supports
% of CAHs with palliative care through an inpatient unit or hospital program18.6%
Wellness and Prevention 4 Diabetes prevention program
Wellness and Prevention
% of CAHs with diabetes prevention38.5%
Behavioral Health 3 Other psychiatric services
Behavioral Health
% of CAHs with other psychiatric services13.2%

Part 3: CAH Charity Care and Bad Debt, 2018

Data are not available for these measures at the county level.

CAHMPAS-Community-Part-3:-CAH-Charity-Care-and-Bad-Debt,-2018
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Measure DescriptionNational
(1259 of 1340)*
Charity care CAH reported cost of charity care as % of adjusted revenue2.6%
Bad debt CAH reported cost of non-Medicare and non-reimbursable Medicare bad debt as % of adjusted revenue3.7%
Uncompensated care CAH reported cost of uncompensated care as % of adjusted revenue6.3%
Unreimbursed cost of means tested government programs CAH reported unreimbursed cost of Medicaid, CHIP, and state and local indigent care programs as % of adjusted revenue3.4%