County Data

County Data             chr             HP 2020 Target
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Chronic Disease and Conditions

• Average total hierarchical condition category score for Medicare beneficiaries (mean) green

Arthritis

• Arthritis Medicare beneficiaries (number) lightgreen
• Arthritis Medicare beneficiaries (percent) orange

Cancer

• Age-adjusted Cancer Death Rate; All causes (National Cancer Institute) yellow
• Age-Adjusted Death Rate due to Breast Cancer yellow
• Age-Adjusted Death Rate due to Breast Cancer (National Cancer Institute) HP 2020 Target yellow
• Age-Adjusted Death Rate due to Colorectal Cancer lightgreen
• Age-Adjusted Death Rate due to Colorectal Cancer (National Cancer Institute) HP 2020 Target lightgreen
• Age-Adjusted Death Rate due to Lung Cancer yellow
• Age-Adjusted Death Rate due to Lung Cancer (National Cancer Institute) HP 2020 Target yellow
• Age-Adjusted Death Rate due to Prostate Cancer lightgreen
• Age-Adjusted Death Rate due to Prostate Cancer (National Cancer Institute) HP 2020 Target lightgreen
• Breast cancer deaths HP 2020 Target lightgreen
• Breast cancer incidence rate yellow
• Breast Cancer Incidence Rate (National Cancer Institute) orange
• Breast cancer Medicare beneficiaries (number) lightgreen
• Breast cancer Medicare beneficiaries (percent) yellow
• Cancer deaths, total HP 2020 Target lightgreen
• Cancer Incidence Rate; All causes (National Cancer Institute) orange
• Cervical Cancer Incidence Rate (National Cancer Institute) green
• Colon/Rectum cancer incidence rate lightgreen
• Colonoscopy/sigmoidoscopy: adults 50+ (percent) orange
• Colorectal cancer deaths (per 100,000) lightgreen
• Colorectal Cancer Incidence Rate (National Cancer Institute) HP 2020 Target lightgreen
• Colorectal cancer Medicare beneficiaries (number) lightgreen
• Colorectal cancer Medicare beneficiaries (percent) green
• Lung Cancer Incidence Rate (National Cancer Institute) orange
• Lung cancer Medicare beneficiaries (number) lightgreen
• Lung cancer Medicare beneficiaries (percent) yellow
• Lung, trachea, and bronchus cancer deaths (per 100,000) green
• Lung/Bronchus cancer incidence rate orange
• Mammogram: women 50+ (percent) (Source: BRFSS) orange
• Pap test: women 18+ (percent) yellow
• Prostate cancer incidence rate yellow
• Prostate Cancer Incidence Rate (National Cancer Institute) yellow
• Prostate cancer Medicare beneficiaries (number) green
• Prostate cancer Medicare beneficiaries (percent) yellow

Diabetes

• % of diabetic Medicare enrollees age 65-75 that receive HbAc monitoring red
• Age-Adjusted Death Rate due to Diabetes lightgreen
• Diabetes deaths (per 100,000) green
• Diabetes Medicare beneficiaries (number) lightgreen
• Diabetes Medicare beneficiaries (percent) yellow
• Diabetes: adults (percent) yellow
• HbA1c test: diabetic Medicare beneficiaries (percent) chr red
• Hospital dsicharges due to diabetes lightgreen
• Incidence of Diabetes among Adults (CDC) green
• Prevalence of Diabetes among Adults (CDC) lightgreen

Heart Disease and Stroke

Heart Disease

• Atrial fibrillation Medicare beneficiaries (number) lightgreen
• Atrial fibrillation Medicare beneficiaries (percent) orange
• Coronary heart disease deaths HP 2020 Target green
• Heart attack Medicare beneficiaries (number) lightgreen
• Heart attack Medicare beneficiaries (percent) green
• Heart disease deaths (per 100,000) green
• Heart failure Medicare beneficiaries (number) lightgreen
• Heart failure Medicare beneficiaries (percent) lightgreen
• Hospital dsicharges due to heart disease lightgreen
• Ischemic heart disease Medicare beneficiaries (number) lightgreen
• Ischemic heart disease Medicare beneficiaries (percent) lightgreen

Stroke

• Age-Adjusted Death Rate due to Cerebrovascular Disease (Stroke) lightgreen
• Stroke deaths HP 2020 Target green
• Stroke Medicare beneficiaries (number) lightgreen
• Stroke Medicare beneficiaries (percent) yellow

Kidney Disease

• Chronic kidney disease Medicare beneficiaries (number) lightgreen
• Chronic kidney disease Medicare beneficiaries (percent) yellow
• Kidney diseases deaths (per 100,000) lightgreen

Osteoporosis

• Osteoporosis Medicare beneficiaries (number) lightgreen
• Osteoporosis Medicare beneficiaries (percent) orange

Respiratory Disease

• Asthma Medicare beneficiaries (number) lightgreen
• Asthma Medicare beneficiaries (percent) lightgreen
• Chronic lower respiratory disease deaths (per 100,000) lightgreen
• Chronic obstructive pulmonary disease (COPD) Medicare beneficiaries (number) lightgreen
• Chronic obstructive pulmonary disease (COPD) Medicare beneficiaries (percent) orange
• Hospital dsicharges due to Chronic Obstructive Pulmonary Disease (COPD) lightgreen

Health Behaviors

Healthy Food and Nutrition

Nutrition

• Few fruits/vegetables: adults (percent) yellow

Physical Activity

• Adults who are physically inactive (CDC) chr lightgreen
• Fair or poor health: adults (percent) (Source: BRFSS) chr green
• No exercise: adults (percent) (Source: BRFSS) lightgreen
• Physically unhealthy days: adults (per person) chr lightgreen
• Recreation & Fitness Facilities Density yellow

Health Care

Access

• Dentist rate (per 100,000) green
• Primary care providers (per 100,000) chr lightgreen

Insurance Coverage

• Adults with Private Health Insurance yellow
• Adults without Health Insurance (American Community Survey) lightgreen
• Children without Health Insurance (American Community Survey) green
• Disabled Persons without Health Insurance (American Community Survey) lightgreen

Medicaid

• Medicare beneficiaries who are also eligible for Medicaid (percent) lightgreen

Medicare

• % of diabetic Medicare enrollees age 65-75 that receive HbAc monitoring red
• Acute hospital readmissions (number) lightgreen
• Acute hospital readmissions (percent) yellow
• African American Medicare beneficiaries (percent) green
• Alzheimer's Disease, Related Disorders, or Senile Dementia Medicare beneficiaries (number) lightgreen
• Alzheimer's Disease, Related Disorders, or Senile Dementia Medicare beneficiaries (percent) orange
• Ambulatory surgery center Medicare users (number) lightgreen
• Ambulatory surgery center Medicare utilization (percent) orange
• Ambulatory surgical center Medicare service events (per 1,000 beneficiaries) orange
• Arthritis Medicare beneficiaries (number) lightgreen
• Arthritis Medicare beneficiaries (percent) orange
• Asthma Medicare beneficiaries (number) lightgreen
• Asthma Medicare beneficiaries (percent) lightgreen
• Atrial fibrillation Medicare beneficiaries (number) lightgreen
• Atrial fibrillation Medicare beneficiaries (percent) orange
• Average age of Medicare beneficiaries (mean) yellow
• Average total hierarchical condition category score for Medicare beneficiaries (mean) green
• Breast cancer Medicare beneficiaries (number) lightgreen
• Breast cancer Medicare beneficiaries (percent) yellow
• Cancer incidence rate orange
• Chronic kidney disease Medicare beneficiaries (number) lightgreen
• Chronic kidney disease Medicare beneficiaries (percent) yellow
• Chronic obstructive pulmonary disease (COPD) Medicare beneficiaries (number) lightgreen
• Chronic obstructive pulmonary disease (COPD) Medicare beneficiaries (percent) orange
• Colorectal cancer Medicare beneficiaries (number) lightgreen
• Colorectal cancer Medicare beneficiaries (percent) green
• Depression Medicare beneficiaries (number) lightgreen
• Depression Medicare beneficiaries (percent) orange
• Diabetes Medicare beneficiaries (number) lightgreen
• Diabetes Medicare beneficiaries (percent) yellow
• Dialysis Medicare users (number) green
• Dialysis Medicare visits (per 1,000 beneficiaries) lightgreen
• Durable medical equipment Medicare service events (per 1,000 beneficiaries) orange
• Durable medical equipment Medicare users (number) lightgreen
• Durable medical equipment Medicare utilization (percent) orange
• Emergency department visit rate (per 1,000 beneficiaries) yellow
• Emergency department visits (number) lightgreen
• Federally Qualified Health Center and Rural Health Clinic Medicare users (number) green
• Federally Qualified Health Center and Rural Health Clinic Medicare utilization (percent) green
• Federally Qualified Health Center and Rural Health Clinic visits (per 1,000 beneficiaries) green
• Female Medicare beneficiaries (percent) orange
• Heart attack Medicare beneficiaries (number) lightgreen
• Heart attack Medicare beneficiaries (percent) green
• Heart failure Medicare beneficiaries (number) lightgreen
• Heart failure Medicare beneficiaries (percent) lightgreen
• High cholesterol Medicare beneficiaries (number) lightgreen
• High cholesterol Medicare beneficiaries (percent) yellow
• Hispanic Medicare beneficiaries (percent) green
• Home health Medicare episodes (per 1,000 beneficiaries) red
• Home health Medicare users (number) lightgreen
• Home health Medicare utilization (percent) red
• Home health Medicare visits (per 1,000 beneficiaries) red
• Hospice Medicare admissions (per 1,000 beneficiaries) orange
• Hospice Medicare days (per 1,000 beneficiaries) lightgreen
• Hospice Medicare users (number) lightgreen
• Hospice Medicare utilization (percent) orange
• Hospital dsicharges due to heart disease lightgreen
• Hospital dsicharges due to Injuries & Poisoning yellow
• Hospital inpatient Medicare admissions (per 1,000 beneficiaries) yellow
• Hospital inpatient Medicare days (per 1,000 beneficiaries) yellow
• Hospital inpatient Medicare users (number) lightgreen
• Hospital inpatient Medicare utilization (percent) yellow
• Hospital outpatient Medicare users (number) lightgreen
• Hospital outpatient Medicare utilization (percent) orange
• Hospital outpatient Medicare visits (per 1,000 beneficiaries) yellow
• Hypertension Medicare beneficiaries (number) lightgreen
• Hypertension Medicare beneficiaries (percent) lightgreen
• Imaging Medicare service events (per 1,000 beneficiaries) lightgreen
• Imaging Medicare users (number) lightgreen
• Imaging Medicare utilization (percent) yellow
• Inpatient rehab Medicare users (number) lightgreen
• Inpatient rehabilitation facility Medicare admissions (per 1,000 beneficiaries) yellow
• Inpatient rehabilitation facility Medicare days (per 1,000 beneficiaries) yellow
• Ischemic heart disease Medicare beneficiaries (number) lightgreen
• Ischemic heart disease Medicare beneficiaries (percent) lightgreen
• Long term care hospital Medicare admissions (per 1,000 beneficiaries) green
• Long term care hospital Medicare days (per 1,000 beneficiaries) lightgreen
• Long term care hospital Medicare users (number) lightgreen
• Lung cancer Medicare beneficiaries (number) lightgreen
• Lung cancer Medicare beneficiaries (percent) yellow
• Male Medicare beneficiaries (percent) lightgreen
• Medicaid eligible children receiving dental services orange
• Medicare beneficiaries who are also eligible for Medicaid (percent) lightgreen
• Medicare beneficiaries (number) lightgreen
• Non-Hispanic White Medicare beneficiaries (percent) orange
• Osteoporosis Medicare beneficiaries (number) lightgreen
• Osteoporosis Medicare beneficiaries (percent) orange
• Other or Unknown race Medicare beneficiaries (percent) green
• Part B drug Medicare users (number) lightgreen
• Part B drugs Medicare utilization (percent) orange
• Physician evaluation and management Medicare service events (per 1,000 beneficiaries) orange
• Physician evaluation and management Medicare users (number) lightgreen
• Physician evaluation and management Medicare utilization (percent) orange
• Physician procedures Medicare service events (per 1,000 beneficiaries) yellow
• Physician procedures Medicare users (number) lightgreen
• Physician procedures Medicare utilization (percent) orange
• Prostate cancer Medicare beneficiaries (number) green
• Prostate cancer Medicare beneficiaries (percent) yellow
• Skilled nursing facility Medicare admissions (per 1,000 beneficiaries) orange
• Skilled nursing facility Medicare days (per 1,000 beneficiaries) orange
• Skilled nursing facility Medicare users (number) lightgreen
• Skilled nursing facility Medicare utilization (percent) yellow
• Stroke Medicare beneficiaries (number) lightgreen
• Stroke Medicare beneficiaries (percent) yellow
• Test Medicare service events (per 1,000 beneficiaries) green
• Test Medicare users (number) lightgreen
• Test Medicare utilization (percent) yellow

Uninsured

• Health insurance, none: <65 years (percent) (Source: SAHIE) chr green

Unmet Needs

• Physician use delayed due to cost (percent) (Source: BRFSS) chr lightgreen

Quality

• Acute hospital readmissions (number) lightgreen
• Acute hospital readmissions (percent) yellow
• Colonoscopy/sigmoidoscopy: adults 50+ (percent) orange
• HbA1c test: diabetic Medicare beneficiaries (percent) chr red
• Hospital dsicharges due to heart disease lightgreen
• Mammogram: women 50+ (percent) (Source: BRFSS) orange
• Pap test: women 18+ (percent) yellow
• Preventable hospitalizations: Medicare beneficiaries (per 1,000) chr yellow

Utilization

• Ambulatory surgery center Medicare users (number) lightgreen
• Ambulatory surgery center Medicare utilization (percent) orange
• Ambulatory surgical center Medicare service events (per 1,000 beneficiaries) orange
• Dialysis Medicare users (number) green
• Dialysis Medicare visits (per 1,000 beneficiaries) lightgreen
• Durable medical equipment Medicare service events (per 1,000 beneficiaries) orange
• Durable medical equipment Medicare users (number) lightgreen
• Durable medical equipment Medicare utilization (percent) orange
• Federally Qualified Health Center and Rural Health Clinic Medicare users (number) green
• Federally Qualified Health Center and Rural Health Clinic Medicare utilization (percent) green
• Federally Qualified Health Center and Rural Health Clinic visits (per 1,000 beneficiaries) green
• Home health Medicare episodes (per 1,000 beneficiaries) red
• Home health Medicare users (number) lightgreen
• Home health Medicare utilization (percent) red
• Home health Medicare visits (per 1,000 beneficiaries) red
• Hospice Medicare admissions (per 1,000 beneficiaries) orange
• Hospice Medicare days (per 1,000 beneficiaries) lightgreen
• Hospice Medicare users (number) lightgreen
• Hospice Medicare utilization (percent) orange
• Hospital outpatient Medicare users (number) lightgreen
• Hospital outpatient Medicare utilization (percent) orange
• Hospital outpatient Medicare visits (per 1,000 beneficiaries) yellow
• Imaging Medicare service events (per 1,000 beneficiaries) lightgreen
• Imaging Medicare users (number) lightgreen
• Imaging Medicare utilization (percent) yellow
• Medicaid eligible children receiving dental services orange
• Part B drug Medicare users (number) lightgreen
• Part B drugs Medicare utilization (percent) orange
• Physician procedures Medicare service events (per 1,000 beneficiaries) yellow
• Test Medicare service events (per 1,000 beneficiaries) green
• Test Medicare users (number) lightgreen
• Test Medicare utilization (percent) yellow

Emergency Care

• Cancer incidence rate orange
• Emergency department visit rate (per 1,000 beneficiaries) yellow
• Emergency department visits (number) lightgreen
• Hospital dsicharges due to Injuries & Poisoning yellow

Inpatient Care

• Acute hospital readmissions (number) lightgreen
• Acute hospital readmissions (percent) yellow
• Hospital dsicharges due to Chronic Obstructive Pulmonary Disease (COPD) lightgreen
• Hospital inpatient Medicare admissions (per 1,000 beneficiaries) yellow
• Hospital inpatient Medicare days (per 1,000 beneficiaries) yellow
• Hospital inpatient Medicare users (number) lightgreen
• Hospital inpatient Medicare utilization (percent) yellow
• Inpatient rehabilitation facility Medicare admissions (per 1,000 beneficiaries) yellow
• Inpatient rehabilitation facility Medicare days (per 1,000 beneficiaries) yellow
• Preventable hospital stays for ambulatory care sensitive conditions lightgreen

Long Term Care

• Inpatient rehab Medicare users (number) lightgreen
• Long term care hospital Medicare admissions (per 1,000 beneficiaries) green
• Long term care hospital Medicare days (per 1,000 beneficiaries) lightgreen
• Long term care hospital Medicare users (number) lightgreen

Nursing Home and Long Term Care

• Skilled nursing facility Medicare admissions (per 1,000 beneficiaries) orange
• Skilled nursing facility Medicare days (per 1,000 beneficiaries) orange
• Skilled nursing facility Medicare users (number) lightgreen
• Skilled nursing facility Medicare utilization (percent) yellow

Provider Utilization

• Physician evaluation and management Medicare service events (per 1,000 beneficiaries) orange
• Physician evaluation and management Medicare users (number) lightgreen
• Physician evaluation and management Medicare utilization (percent) orange
• Physician procedures Medicare users (number) lightgreen
• Physician procedures Medicare utilization (percent) orange

Health Risk Factors

• Adults who are physically inactive (CDC) chr lightgreen

Alcohol

• Alcohol related traffic crashes green
• Binge drinking: adults (percent) chr yellow
• Excessive drinking: adults (percent) (Source: BRFSS) chr yellow

Diabetes

• Diabetes: adults (percent) yellow
• Hospital dsicharges due to diabetes lightgreen
• Incidence of Diabetes among Adults (CDC) green
• Prevalence of Diabetes among Adults (CDC) lightgreen

High Cholesterol

• High cholesterol Medicare beneficiaries (percent) yellow

Hypertension

• High blood pressure: adults 18+ (percent) (Source: BRFSS) lightgreen
• Hypertension Medicare beneficiaries (number) lightgreen
• Hypertension Medicare beneficiaries (percent) lightgreen

Obesity and BMI

• Adults who are Obese (CDC) HP 2020 Target lightgreen
• Obesity: adults (percent) (Source: BRFSS) chr lightgreen

Tobacco

• Cigarette smoking: adults (percent) (Source: BRFSS) chr lightgreen
• Pregnant women who smoke lightgreen

Infectious Disease

• Pneumococcal vaccination: adults 65+ (percent) (Source: BRFSS) yellow

Food and Waterborne Diseases

• Salmonellosis (number) lightgreen

HIV and AIDS

• HIV deaths HP 2020 Target green
• HIV prevalence (per 100,000) green

Influenza

• Flu vaccination: adults 65+ (percent) (Source: BRFSS) orange

Notifiable Diseases

• Shigellosis (number) green
• Spotted Fever Rickettsiosis (number) green

Sexually Transmitted Diseases

• Chlamydia (per 100,000) chr lightgreen
• Chlamydia Incidence Rate lightgreen
• Chlamydia Incidence Rate (CDC) lightgreen
• Gonorrhea rate (per 100,000) green
• Gonorrhoea Incidence Rate lightgreen
• Gonorrhoea Incidence Rate (CDC) green
• Syphilis Incidence Rate (CDC) green
• Syphillis Incidence Rate lightgreen

Tuberculosis

• Tuberculosis Incidence Rate green

Injury and Violence

• Injury deaths HP 2020 Target lightgreen
• Injury deaths, unintentional HP 2020 Target lightgreen
• Preventable hospital stays for ambulatory care sensitive conditions lightgreen
• Unintentional Injury deaths: No MVA (per 100,000) lightgreen

Falls, Suffocations, and Poisonings

• Fall deaths, unintentional HP 2020 Target lightgreen
• Poisoning deaths HP 2020 Target green

Interpersonal Violence

• Child abuse and neglect green
• Hospital dsicharges for all causes yellow

Homicide

• Age-Adjusted Death Rate due to Homicide lightgreen
• Firearm-related deaths HP 2020 Target lightgreen
• Homicide deaths chr HP 2020 Target green

Weapons and Firearms

• Firearm-related deaths HP 2020 Target lightgreen

Motor Vehicle, Pedestrian, and Bicycle Safety

• Age-Adjusted Death Rate due to Motor Vehicle Collisions  green
• Motor vehicle traffic deaths HP 2020 Target green
• Pedestrian Deaths green

Suicide

• Age-Adjusted Death Rate due to Suicide yellow
• Suicide deaths HP 2020 Target lightgreen

Surveillance

• Violent Crime Rate (FBI Bureau of Investigation) green

Maternal and Infant Health

• Infant deaths between 28 days-1 year HP 2020 Target green

Births

Birth Outcomes

Infant Mortality

• Infant deaths within first 28 days of life HP 2020 Target green
• Infant deaths, all HP 2020 Target green
• Infant Mortality Rate lightgreen
• Life expectancy at birth; African American lightgreen
• Life expectancy at birth; Females yellow
• Life expectancy at birth; Males orange
• Life expectancy at birth; White yellow

Low Birthweight

• Babies with Very Low Birth Weight lightgreen
• Low birth weight deliveries chr HP 2020 Target lightgreen

Preterm Births

• Preterm Births yellow
• Preterm births, <32 weeks of gestation HP 2020 Target green
• Preterm births, 32-33 weeks of gestation HP 2020 Target green
• Preterm births, 32-36 weeks of gestation (percent) green
• Preterm births, 34-36 weeks of gestation HP 2020 Target green
• Preterm births, total HP 2020 Target lightgreen

Very Low Birthweight

• Babies with Low Birth Weight lightgreen
• Very low birth weight deliveries HP 2020 Target lightgreen

Natality

• Births: females 15-19 years (per 1,000) chr lightgreen
• Births: unmarried women 18-54 years (percent) lightgreen
• Births: women 40-54 years (percent) lightgreen
• Births: women under 18 years (percent) lightgreen
• Teen Birth Rate lightgreen
• Teen Pregnancies (15-19 years) yellow

Preconception and Prenatal Health

Prenatal Care and Education

• Mothers who Received Early Prenatal Care lightgreen

Mental Health and Substance Abuse

• Mentally unhealthy days: adults (per person) chr lightgreen

Mental Health

• Alzheimer's Disease, Related Disorders, or Senile Dementia Medicare beneficiaries (number) lightgreen
• Depression Medicare beneficiaries (number) lightgreen
• Depression Medicare beneficiaries (percent) orange
• Physically or mentally unhealthy days: adults (days) yellow

Disorders and Conditions

• Age-Adjusted Death Rate due to Alzheimer's Disease orange

Services, Screening, and Treatment

• Age-Adjusted Death Rate due to Alzheimer's Disease orange

Social Support

• Single-parent households (percent) chr lightgreen
• Social-emotional support lacking: Adults (percent) chr lightgreen

Suicide

• Age-Adjusted Death Rate due to Suicide yellow
• Suicide deaths HP 2020 Target lightgreen

Substance Abuse

Alcohol

• Alcohol related traffic crashes green
• Binge drinking: adults (percent) chr yellow
• Excessive drinking: adults (percent) (Source: BRFSS) chr yellow

Occupational Health and Safety

Work-related Illness

• Age-Adjusted Death Rate due to Influenza and Pneumonia lightgreen
• Hospital dsicharges due to pneumonia/influenza green

Oral Health

• Dentist rate (per 100,000) green

Diseases and Conditions

Oral and Pharyngeal Cancers

• Age-Adjusted Death Rate due to Oral Cancer (National Cancer Institute) yellow
• Oral Cancer Incidence Rate (National Cancer Institute) green

Physical Environment

• Toxic chemicals (pounds) green

Air quality

• Ozone days (number) chr orange
• Particulate matter days (percent) chr green
• PBT Released green
• Recognized Carcinogens Released into Air green

Built Environment

• % of households lacking complete kitchen or plumbing facilities lightgreen
• % of households with at least 1 of 4 housing problems: overcrowding, high housing costs, lack of kitchen, lack of plumbing lightgreen
• % of households with overcrowding yellow
• Farmers Market Density green
• Fast-food Restaurants Density yellow
• Grocery Store Density lightgreen
• Healthy food outlets (percent) chr red

Water quality

• Percentage of the population getting water from a public water system with at least one health-based violation. green

Population

• Arts Businessess per 10,000 people red
• Commutes to work by walking or riding a bicycle green
• Homeownership Rate yellow
• Life expectancy at birth yellow
• Long travel time to work yellow
• Mean Travel Time to Work yellow
• Median Household Income orange
• Percent of grandparent responsible for own grandchildren under 18 years lightgreen
• Population density (per square mile) lightgreen
• Population distributions (percent) red
• Population estimates (number) green
• RWJF County Health Ranking for our county chr red
• Unemployed Workers in Civilian Labor Force green
• Workers who Commute to Work: Public Transportation green
• Workers who Drive Alone to Work orange

Prevention Through Healthcare

Immunizations

• Flu vaccination: adults 65+ (percent) (Source: BRFSS) orange
• Pneumococcal vaccination: adults 65+ (percent) (Source: BRFSS) yellow

Screening

• Cervical Cancer Incidence Rate (National Cancer Institute) green
• Colonoscopy/sigmoidoscopy: adults 50+ (percent) orange
• Mammogram: women 50+ (percent) (Source: BRFSS) orange
• Pap test: women 18+ (percent) yellow

Social Determinants of Health

Community Safety

• Age-Adjusted Death Rate due to Homicide lightgreen
• Homicide deaths chr HP 2020 Target green

Education

• 4th Grade Students Proficient in Maths orange
• 4th Grade Students Proficient in Reading orange
• 8th Grade Students Proficient in Maths orange
• 8th Grade Students Proficient in Reading orange
• School expenditures per student green

Educational Attainment

• % of registered library users red
• College degree: adults 25+ (percent) chr lightgreen
• People 25+ with a Bachelors Degree or Higher (Census) lightgreen
• Students Eligible for the Free Lunch Program yellow
• Student-to-Teacher Ratio orange

Employment

• Gini coefficient (ratio) chr lightgreen
• Unemployed: persons 16+ (percent) chr green

Poverty

• Children Living Below Poverty Level green
• Estimated Poverty (percent) (Source: SAIPE) green
• Families Living Below Poverty Level green
• Free school lunch eligibility (percent) chr lightgreen
• Homelessness point-in time count lightgreen
• Households with Public Assistance lightgreen
• Households without a Car and > 1 Mile from a Grocery Store green
• Low-Income and >1 Mile from a Grocery Store lightgreen
• Low-Income Persons who are SNAP Participants na
• Median Household Income (dollars) orange
• Numbe of students experiencing homelessness green
• People 65+ Living Below Poverty Level green
• People Living 150% Above Poverty Level (American Community Survey) red
• People Living Below Poverty Level green
• Per Capita Income yellow
• Poverty: children < 18 years (percent) chr green
• Ratio of household income at the 80th percentile to income at the 20th percentile green
• Renters Spending 30% or More of Household Income on Rent lightgreen