1. Improving Community Health through Planning and Partnerships Nelson Community Health Council

2. Things to keep in mind… Feel free to ask questions as we go along We are presenting the most recent data we have (From the past 4 – 5 years) This is Section 1 data In the next 2 sections we will cover: Section 2: Strengths & Risks in Our Community Section 3: What is our Health Status?

3. Section One: Who are we and what do we bring to the table? 1.1 Demographic Indicators 1.2 Socioeconomic Indicators 1.3 Health Resource Availability

4. Demographic Indicators

5. Population Change Nelson, 2010-14 Source: U.S. Census Bureau and the Weldon Cooper Center for Public Service Demographics Research Group

6. Decennial Percent Change in Population Albemarle, Charlottesville, TJHD, and Virginia 1990-2000, 2000-2010 Source: US Census Bureau and the Thomas Jefferson Planning District Commission 199020002010 % Change 1990-2000 %Change 2000-2010 Nelson 12,77814,44515,02018%4% TJHD 164,458199,648234,71221%18% Virginia 6,187,3587,078,5158,001,02414%13%

7. Age and Sex Distribution, 2014 Source: Virginia Department of Health, Division of Health Statistics, 2014

8. Age Distribution Albemarle and Charlottesville, 2000,2010 Source: US Census Bureau, Population Estimates by Selected Age Groups and Sex, County Level

9. Racial Composition, 2014 Source: US Census Bureau Nelson

10. Change in Hispanic Population Nelson, 2010-2014 Source: U.S. Census Bureau

11. Limited English Proficient Students 2015-2016 School Year Data source: Virginia Department of Education Nelson (3%) Virginia (10%)

12. Persons with Disabilities, 2013-14 Sources: Social Security Administration (All Ages, 2013) and the Virginia Department of Education Special Education Child Count Reports (Children, 2014-15 School Year) Nelson (6%) Virginia (4%) Children (8%)

13. On-time Graduation Rate 2015 Source: Virginia Department of Education Nelson (84%) Virginia (90%) Economically Disadvantaged (83%) Economically Disadvantaged (84%)

14. Educational Attainment, 2014 Data Source: U.S. Census Bureau. American Community Survey 5 Year Estimates. 2014

15. Adult Literacy, 2003 Source: US Dept of Education, National Center for Education Statistics ( 2003 is the most recent data available from the National Assessment of Adult Literacy survey)

16. Source: Kids Count School Readiness, Kindergarteners Whose PALS-K Scores Were Below Kindergarten Readiness Levels 2014-15 School Year 16% Nelson 13% Virginia

17. Socioeconomic Indicators

18. Median Household Income, 2014 Source: U.S. Census Bureau, Small Area Income and Poverty Estimates $48,076 $64,923

19. Federal Poverty Guidelines Data source: U.S. Department of Health and Human Services # of Persons in Household Federal Poverty Guideline 1 $11,770 2 $15,930 3 $20,090 4 $24,250 2015

20. Poverty Thresholds Size of family unit Weighted average thresholds Related children under 18 years NoneOneTwoThreeFourFiveSixSeven Eight or more One person (unrelated individual)......12,071 Under 65 years..............................12,316 65 years and over...........................11,354 Two people.....................................15,379 Householder under 65 years...........15,93415,85316,317 Householder 65 years and over........14,32614,30916,256 Three people....................................18,85018,51819,05519,073 Four people................................24,23024,41824,81724,00824,091 Five people......................................28,69529,44729,87528,96028,25227,820 Six people.....................................32,47333,86934,00433,30332,63131,63331,041 Seven people...................................36,92738,97139,21438,37537,79136,70135,43134,036 Eight people....................................40,96843,58643,97043,17942,48541,50140,25238,95338,622 Nine people or more..........................49,02152,43052,68551,98451,39650,43049,10147,89947,60145,768 Source: U.S. Census Bureau. Data source: U.S. Census Bureau

21. Persons in Poverty, 2014 Source: U.S. Census Bureau, Small Area Income and Poverty Estimates 2014 Nelson (13%) Virginia (12%) Children (22%) Children (16%)

22. Source: U.S. Census Bureau, Small Area Income and Poverty Estimates 2014 Persons in Poverty, 2010-14 Nelson (Increased 0.3%) Virginia (Increased 1%)

23. Image from ClipArt in MS PowerPoint 2010

24. Households Receiving Supplemental Nutrition Assistance Program (SNAP) Benefits 2010-2014 Data Source: Virginia Department of Social Services, SNAP Participation Report. Nelson (1% decrease) Virginia (5% increase)

25. Students Eligible for Free/Reduced Lunch 2014-2015 School Year Data Source: Virginia Department of Education, Free and Reduced-Price Lunch Program Eligibility—Public School Divisions Nelson (53%) Virginia (42%)

26. Unemployment Rate, 2014 Source: Bureau of Labor Statistics Nelson (5%) Virginia (5%)

27. Health Resource Availability

28. Estimated Uninsured Children (Under Age 19 Years) 2013 Source: Small Area Health Insurance Estimates, U.S. Census Bureau. Nelson (8%) Virginia (6%)

29. Estimated Percent of Uninsured Children by Poverty Level, 2013 Source: The Virginia Atlas of Community Health

30. Percent of Uninsured Children from Low Income Households (below 200% of FPL) 2014 Virginia (9%) U.S. (8%) Source: Kaiser Family Foundation

31. Estimated Number of Uninsured Children by Poverty Level TJHD by Locality, 2010 Source: The Virginia Atlas of Community Health

32. Source: Small Area Health Insurance Estimates, U.S. Census Bureau. Estimated Uninsured Adults, 18-64 Years 2013 Nelson (20%) Virginia (17%)

33. Health Insurance Coverage by Age Virginia, 2009 Source: Current Population Survey, 2009 Annual Social and Economic Supplement, U.S. Census Bureau.

34. Health Insurance Coverage by Type For Adults Age 19-64 Years, 2014 Data Source: Kaiser Family Foundation VA similar to the U.S. Except for the % insured by Medicaid

35. Medicaid Health insurance for those requiring financial assistance What is it? Who is eligible for it? Data source: Centers for Medicare & Medicaid Services Children, pregnant women, elderly, and persons with disabilities Household income ≤ 143% of the Federal Poverty Level – $34,678 for a household of 4 persons

36. Medicaid Coverage Details in VA, Federal Fiscal Year 2011 Source: Kaiser Family Foundation

37. Increase in Medicaid/FAMIS Enrollment TJHD by Locality, March 2007 – February 2009 Source: Virginia Department of Social Services

38. Increase in Medicaid/FAMIS Enrollment Year Albemarle (__%) Charlottesville (__%)

39. Medicaid/FAMIS Enrollees <19 Years Receiving Dental Services FY 2007-FY 2010 Source: Virginia Smiles for Children – Pediatric Dental Participation Report

40. Number of Primary Care Physicians TJHD by Locality, 2011 Source: UVA Physician Directory, Sentara Martha Jefferson Hospital Physician directory, other Internal Medicine Pediatrics Family Medicine OB/GYNGeriatrics Albemarle/Charlottesville 653967278 Fluvanna314 -1 Greene -- 4 -- Louisa118 -- Nelson --9 -- TJHD694192279

41. Number of Primary Care Physicians 2012 There is 1 Primary Care Physician for every: Data source: U.S. County Health Rankings Nelson 1,483 Individuals Virginia 1,334 Individuals

42. Number of Other Primary Care Providers (Nurse Practitioners, Physician Assistants, & Clinical Nurse Specialists who provide primary care) 2014 There is 1 Other Primary Care Provider for every: Data source: U.S. County Health Rankings Nelson 2,958 Individuals Virginia 1,649 Individuals

43. Number of Mental Health Providers Thomas Jefferson Health District, 2011 Source: Mental Health America CliniciansPractices Psychiatrists Licensed Therapists Total Practices Practices Serving Youth Practices Accepting Medicaid Albemarle/ Charlottesville 2411566735 Fluvanna 0221 1 Greene 0 111 1 Louisa 21531 1 Nelson 0322 2 TJHD 26136741240

44. Number of Mental Health Providers 2014 There is 1 Mental Health Provider for every: Data source: U.S. County Health Rankings Nelson 1,344 Individuals Virginia 724 Individuals Nelson 11 Mental Health Providers Virginia 11,407 Mental Health Providers

45. Questions ? Contact Info: Jillian Regan, MPH Jillian.Regan@vdh.virginia.gov