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

2. IMPROVE HEALTH STATUS AND REDUCE HEALTH DISPARITIES
PRIORITY AREA
NYS
QUAR-TILE
PA 2018
Percentage of premature death (before age 65 years) Q3 
Ratio of Black non-Hispanics to White non-Hispanics Q4
Ratio of Hispanics to White non-Hispanics
Age-adjusted preventable hospitalizations rate per 10,000 - Ages 18+ years   Q1
Percentage of adults with health insurance - Ages years
Q3/Q4
Age-adjusted percentage of adults who have a regular health care provider - Ages 18+ years Q2
SOURCE: NYSDOH, Broome County Indicators for Tracking Public Health Priorities, [~ data]

3. Percentage of premature death (before age 65 years)
Data Year(s)
Percentage
PA 2018
2008
20.6
21.8
2009
20.2
2010
2011
21.3
2012
22.4
2013
22.6
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
Data Year(s)
Ratio of percentages
PA 2018
3.09
1.87
2.93
2.68
2.75
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
Data Year(s)
Ratio of percentages
PA 2018
2.40
1.86
2.65
2.69
2.57
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
Data Year(s)
Age-adjusted rate
PA 2018
2008
146.7
122
2009
150.5
2010
135.5
2011
142.4
2012
135.2
2013
132.2
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. Ratio of age-adjusted rates
Preventable hospitalizations: Ratio of Black non-Hispanics to White non-Hispanics
Data Year(s)
Ratio of age-adjusted rates
PA 2018
1.79
1.85
1.68
1.70
1.74
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. Ratio of age-adjusted rates
Preventable hospitalizations: Ratio of Hispanics to White non-Hispanics
Data Year(s)
Ratio of age-adjusted rates
PA 2018
0.44
1.38
0.46
0.68
0.72
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
Data Year(s)
Percentage (CI)
PA 2018
2008
85.9 ( )
100
2009
86.4 ( )
2010
86.0 ( )
2011
85.8 ( )
2012
87.1 ( )
2013
88.2 ( )
The percentage of adults (aged 18-64) who reported that they had health insurance coverage.

10. Age-adjusted percentage (CI)
Age-adjusted percentage of adults who have a regular health care provider - Aged 18+ years
Data Year(s)
Age-adjusted percentage (CI)
PA 2018
86.3 ( )
90.8
83.4 ( )
Age-adjusted percentage of adults who have a regular health care provider - Aged 18+ years 

11. PROMOTE A HEALTHY AND SAFE ENVIRONMENT
PRIORITY AREA
NYS
QUAR-TILE
PA 2018
Rate of hospitalizations due to falls per 10,000 - Ages 65+ years  Q4
Rate of emergency department visits due to falls per 10,000 – Ages 1-4 years Q3
Assault-related hospitalization rate per 10,000
Ratio of Black non-Hispanics to White non-Hispanics
Ratio of Hispanics to White non-Hispanics
Ratio of low income ZIP codes to non-low income ZIP codes
Q1/Q2
Rate of occupational injuries treated in ED per 10,000 adolescents – Ages years  
Percentage of population that lives in a jurisdiction that adopted the Climate Smart Communities pledge
Q3/Q4
Percentage of commuters who use alternate modes of transportation to work or work from home
Percentage of population with low-income and low access to a supermarket or large grocery store
Percentage of homes in Healthy Neighborhood Program that have fewer asthma triggers during the home revisits
Percentage of residents served by community water systems with optimally fluoridated water
Data suppressed
Data not available
SOURCE: NYSDOH, Broome County Indicators for Tracking Public Health Priorities, [~ data]

12. Rate of hospitalizations due to falls per 10,000 - Aged 65+ years
Data Year(s)
Hospitalization rate
PA 2018
2008
254.2
204.6
2009
241.2
2010
237.2
2011
244.5
2012
248.8
2013
221.1
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
Data Year(s)
ED visit rate
PA 2018
2008
617.0
429.1
2009
582.3
2010
576.3
2011
571.3
2012
527.0
2013
496.8
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
Data Year(s)
Hospitalization rate
PA 2018
2.7
4.3
2.6
2.4
2.5
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
Data Year(s)
Ratio of rates
PA 2018
6.84
6.69
8.45
9.13
7.26
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 
Data Year(s)
Ratio of rates
PA 2018
1.31
2.92
1.51
2.04
3.06
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
Data Year(s)
Rate
PA 2018
2008
43.6 33
2009
38.4
2010
27.3
2011
46.6
2012
30.4
2013
30.8
The number of emergency department visits with primary payer coded as workers' compensation per 10,000 adolescents - aged years.

18. Percentage of population that lives in a jurisdiction that adopted the Climate Smart Communities pledge
Data Year(s)
Percentage
PA 2018
2012
23.6 32
2013
2014
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
Data Year(s)
Percentage
PA 2018
19.6
49.2
20.0
20.5
20.8
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
Data Year(s)
Percentage
PA 2018
2010
4.76
2.24
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.
Data Year(s)
Percentage
PA 2018
2012
75.5
78.5
2013
75.6
2014
75.8

22. PREVENT CHRONIC DISEASE
PRIORITY AREA
NYS
QUAR-TILE
PA 2018
Age-adjusted percentage of adults who are obese  Q3
Percentage of children and adolescents who are obese
Age-adjusted percentage of cigarette smoking among adults
Percentage of adults who receive a colorectal cancer screening based on the most recent guidelines - Ages years   Q2
Asthma emergency department visit rate per 10,000
Asthma emergency department visit rate per 10,000 - Ages 0-4 years
Q1/Q2
Age-adjusted heart attack hospitalization rate per 10,000 Q4
Rate of hospitalizations for short-term complications of diabetes per 10,000 - Ages 6-17 years
Rate of hospitalizations for short-term complications of diabetes per 10,000 – Ages 18+ years
SOURCE: NYSDOH, Broome County Indicators for Tracking Public Health Priorities, [~ data]

23. Percentage of adults who are obese
Data Year(s)
Percentage (CI)
PA 2018
24.5 ( )
23.2
30.4 ( )
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
Data Year(s)
Percentage
PA 2018
18.6
16.7
19.4
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
Data Year(s)
Percentage (CI)
PA 2018
20.3 ( )
12.3
22.3 ( )
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 years
Data Year(s)
Percentage (CI)
PA 2018
69.0 ( ) 80
65.5 ( )
The percentage of adults (aged 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
Data Year(s)
ED visit rate
PA 2018
2008
49.0
75.1
2009
45.2
2010
41.7
2011
50.6
2012
53.3
2013
47.9
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
Data Year(s)
ED visit rate
PA 2018
2008
82.8
196.5
2009
68.8
2010
75.4
2011
82.0
2012
87.3
2013
75.9
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
Data Year(s)
Age-adjusted rate
PA 2018
2008
20.5 14
2009
18.6
2010
19.6
2011
22.3
2012
21.1
2013
18.8
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
Data Year(s)
Hospitalization rate
PA 2018
5.8
3.06
5.9
6.6
7.5
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, per 10,000 population aged 6-17 years.

31. Rate of hospitalizations for short-term complications of diabetes per 10,000 - Aged 18+ years
Data Year(s)
Hospitalization rate
PA 2018
5.1
4.86
5.2
5.6
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, per 10,000 population aged 18 years and older.

32. Data not available for meaningful distribution
PREVENT HIV/STDS, VACCINE PREVENTABLE DISEASES, AND HEALTHCARE ASSOCIATED INFECTIONS
PRIORITY AREA
NYS
QUAR-TILE
PA 2018
Percentage of children with 4:3:1:3:3:1:4 immunization series - Ages months
 No data
(Q3/Q4) 
Percentage of adolescent females with 3-dose HPV immunization - Ages years
Age-adjusted percentage of adults with flu immunization - Ages 65+ years   Q1
Newly diagnosed HIV case rate per 100,000 Q3
Difference in rates (Black and White) of new HIV diagnoses +
Difference in rates (Hispanic and White) of new HIV diagnoses +
Q1/2
Gonorrhea case rate per 100,000 women - Ages years Q4
Gonorrhea case rate per 100,000 men - Ages years
Chlamydia case rate per 100,000 women - Ages years
Primary and secondary syphilis case rate per 100,000 males *
Primary and secondary syphilis case rate per 100,000 females
 Data not available for meaningful distribution
+ 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, [~ data]

33. Percentage of children with 4:3:1:3:3:1:4 immunization series - Aged 19-35 months
Data Year(s)
Percentage (CI)
PA 2018
2009
48.9 80
2010
57.1
2011
57.5
2012
57.6
2013
64.5
The percentage of children (aged 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
Data Year(s)
Percentage (CI)
PA 2018
2009
25.4 50
2010
28.7
2011
28.9
2012
29.7
2013
The percentage of females (aged years) who received their 3 or more doses of Human Papillomavirus (HPV) immunization vaccine.

35. Percentage of adults with flu immunization - Aged 65+ years
Data Year(s)
Percentage (CI)
PA 2018
76.1 ( ) 70
68.0 ( )
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
Data Year(s)
Newly diagnosed case rate
PA 2018
5.6
16.1
5.5
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.
Data Year(s)
Difference in rates
PA 2018
21.2+
46.8
25.3+
+ 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
Data Year(s)
Difference in rates
PA 2018
48.9+
26.6
10.9+
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
Data Year(s)
Case rate
PA 2018
2008
127.7
183.4
2009
94.1
2010
49.2
2011
60.4
2012
191.1
2013
134.4
The number of women (aged years) diagnosed with gonorrhea per 100,000 women (aged years).

40. Gonorrhea case rate per 100,000 men - Aged 15-44 years
Data Year(s)
Case rate
PA 2018
2008
112.6
199.5
2009
83.7
2010
22.3*
2011
50.6
2012
150.5
2013
129.8
The number of men (aged years) diagnosed with gonorrhea per 100,000 men (aged years).

41. Chlamydia case rate per 100,000 women - Aged 15-44 years
Data Year(s)
Case rate
PA 2018
2008
738.6
1,458
2009
864.8
2010
1,007.9
2011
1,094.9
2012
1,255.6
2013
1,196.5
The number of women (aged years) diagnosed with chlamydia per 100,000 women (aged years).

42. Primary and secondary syphilis case rate per 100,000 men
Data Year(s)
Case rate
PA 2018
2008
2.1*
10.1
2009
2010
3.0*
2011
1.0*
2012
0.0*
2013
5.2*
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
PRIORITY AREA
NYS
QUAR-TILE
PA 2018
Percentage of preterm births
Q1/Q2
Ratio of Black non-Hispanics to White non-Hispanics 
Ratio of Hispanics to White non-Hispanics
Ratio of Medicaid births to non-Medicaid births
Percentage of infants exclusively breastfed in the hospital
Q3/Q4 Q2
Maternal mortality rate per 100,000 births * Q1
* Fewer than 10 events in the numerator, therefore the rate is unstable.
SOURCE: NYSDOH, Broome County Indicators for Tracking Public Health Priorities, [~ data]

44. PROMOTE HEALTHY WOMEN, INFANTS, AND CHILDREN
PRIORITY AREA
NYS
QUAR-TILE
PA 2018
Percentage of children who have had the recommended number of well child visits in government sponsored insurance programs  Q1
Percentage of children ages 0-15 months who have had the recommended number of well child visits in government sponsored insurance programs
Percentage of children ages 3-6 years who have had the recommended number of well child visits in government sponsored insurance programs
Percentage of children ages years who have had the recommended number of well child visits in government sponsored insurance programs
Percentage of children with any kind of health insurance - Ages 0-19 years
Q3/Q4
SOURCE: NYSDOH, Broome County Indicators for Tracking Public Health Priorities, [~ data]

45. PROMOTE HEALTHY WOMEN, INFANTS, AND CHILDREN
PRIORITY AREA
NYS
QUAR-TILE
PA 2018
Percentage of third-grade children with evidence of untreated tooth decay  Q4
Ratio of low-income children to non-low income children ~ Q3
Adolescent pregnancy rate per 1,000 females - Ages years
Ratio of Black non-Hispanics to White non-Hispanics
Q1/Q2
Ratio of Hispanics to White non-Hispanics
Percentage of unintended pregnancy among live births  
Ratio of Medicaid births to non-Medicaid births
Percentage of women with health coverage - Ages years
Q3/Q4
Percentage of live births that occur within 24 months of a previous pregnancy
~ 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, [~ data]

46. Percentage of preterm births
Data Year(s)
Percentage
PA 2018
2008
10.1
10.2
2009
11.2
2010
11.4
2011
9.7
2012
10.4
2013
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
Data Year(s)
Ratio of percentages
PA 2018
1.44
1.42
1.34
1.41
1.50
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
Data Year(s)
Percentage
PA 2018
2008
65.7
48.1
2009
64.1
2010
68.6
2011
67.7
2012
67.6
2013
69.8
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
Data Year(s)
Mortality rate
PA 2018
16.2* 21
0.0*
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
Data Year(s)
Percentage
PA 2018
2010
57.4
76.9
2011
56.4
2012
53.7
2013
54.8
The percentage of children aged 0-15 months, 3-6 years and years in the Medicaid and Child Health Plus programs who have had the recommended number of well-child visits.

51. Percentage of children aged 0-15 months who have had the recommended number of well child visits in government sponsored insurance programs
Data Year(s)
Percentage
PA 2018
2010
77.7
91.3
2011
87.9
2012
87.6
2013
84.2
The percentage of children, in the Medicaid and Child Health Plus programs, who had five or more well-child visits with a primary care provider in their first 15 months of life.

52. Percentage of children aged 3-6 years who have had the recommended number of well child visits in government sponsored insurance programs
Data Year(s)
Percentage
PA 2018
2010
73.1
91.3
2011
71.1
2012
67.7
2013
70.1
The percentage of children aged 3-6 years, in the Medicaid and Child Health Plus programs, who had one or more well-child visits with a primary care provider during the measurement year.

53. Percentage of children aged years who have had the recommended number of well child visits in government sponsored insurance programs
Data Year(s)
Percentage
PA 2018
2010
44.6
67.1
2011
42.7
2012
40.8
2013
42.1
The percentage of children aged years, in the Medicaid and Child Health Plus programs, who had at least one comprehensive well-care visit with a primary care provider during the measurement year.

54. Percentage of children (aged under 19 years) with health insurance
Data Year(s)
Percentage (CI)
PA 2018
2008
94.5 ( )
100
2009
95.6 ( )
2010
94.4 ( )
2011
95.4 ( )
2012
96.0 ( )
2013
95.8 ( )
The percentage of children (aged under 19 years) with health insurance coverage.

55. Percentage of third-grade children with evidence of untreated tooth decay
Data Year(s)
Percentage (CI)
PA 2018
42.3 ( )
21.6
The percentage of third-grade children with evidence of untreated dental caries.

56. Tooth decay: Ratio of low-income children to non-low income children
The percentage of untreated tooth decay is calculated separately for low and non-low income children. Then, the ratio is the low income percentage divided by the non-low income percentage.
Data Year(s)
Ratio of percentages
PA 2018
2.02+
2.21
+ At least one of the percentages has margin of error greater than 10%, therefore the ratio is unstable.

57. Adolescent pregnancy rate per 1,000 females - Aged 15-17 years
Data Year(s)
Pregnancy rate
PA 2018
2008
27.0
25.6
2009
27.4
2010
22.2
2011
22.6
2012
20.2
2013
19.3
Pregnancies are the sum of the number of live births, induced terminations of pregnancies, and all fetal deaths. Pregnancy rates are the number of pregnancies per 1,000 females aged years. NOTE: pregnancy data for Essex and Hamilton counties were combined for confidentiality purposes.

58. Adolescent pregnancy: Ratio of Black non-Hispanics to White non-Hispanics
Data Year(s)
Ratio of rates
PA 2018
2.91
4.9
3.29
3.03
2.94
The pregnancy rate is calculated for both Black and White non-Hispanics aged Then, the ratio is the Black non-Hispanic rate divided by the White non-Hispanic rate.

59. Adolescent pregnancy: Ratio of Hispanics to White non-Hispanics
Data Year(s)
Ratio of rates
PA 2018
4.19
4.1
3.06
2.12
1.73
The pregnancy rate is calculated for both Hispanics and White non-Hispanics aged years. Then, the ratio is the Hispanic rate divided by the White non-Hispanic rate.

60. Percentage of unintended pregnancy among live births
Data Year(s)
Percentage
PA 2018
2008
38.5
23.8
2009
39.4
2010
36.1
2011
36.2
2012
32.5
2013
34.7
The number of unintended pregnancies (current pregnancy indicated as 'Wanted Later' or 'Wanted Never') among live births with known pregnancy intendedness.

61. Unintended pregnancy: Ratio of Black non-Hispanic to White non-Hispanic
Data Year(s)
Ratio of percentages
PA 2018
2008
1.44
1.9
2009
1.30
2010
1.47
2011
1.43
2012
1.67
2013
1.57
The percentage of unintended pregnancy 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.

62. Unintended pregnancy: Ratio of Hispanics to White non-Hispanics
Data Year(s)
Ratio of percentages
PA 2018
2008
1.52
1.43
2009
1.47
2010
2011
1.40
2012
1.67
2013
The percentage of unintended pregnancy is calculated for Hispanics and White non-Hispanics. Then, the ratio is the Hispanic percentage divided by the White non-Hispanic percentage.

63. Unintended pregnancy: Ratio of Medicaid births to non-Medicaid births
Data Year(s)
Ratio of percentages
PA 2018
2008
1.58
1.54
2009
1.56
2010
1.59
2011
2012
1.63
2013
1.40
The percentage of unintended pregnancy is calculated for Medicaid and non-Medicaid births. Then, the ratio is the non-Medicaid percentage divided by the Medicaid percentage.

64. Percentage of women (aged 18-64) with health insurance
Data Year(s)
Percentage (CI)
PA 2018
2008
87.3 ( )
100
2009
88.8 ( )
2010
88.5 ( )
2011
87.6 ( )
2012
89.4 ( )
2013
90.2 ( )
The percentage of women (aged 18-64) who reported that they had health insurance coverage.

65. Percentage of live births that occur within 24 months of a previous pregnancy
Data Year(s)
Percentage
PA 2018
2008
26.1 17
2009
23.7
2010
24.7
2011
23.4
2012
26.3
2013
26.6
 The number of live births that occur within 24 months of a previous pregnancy among all live births.

66. PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE
PRIORITY AREA
NYS
QUAR-TILE
PA 2018
Age-adjusted percentage of adults with poor mental health for 14 or more days in the last month 
Q1/Q2
Age-adjusted percentage of adult binge drinking during the past month Q4
Age-adjusted suicide death rate per 100,000 Q3
SOURCE: NYSDOH, Broome County Indicators for Tracking Public Health Priorities, [~ data]

67. Age-adjusted percentage (CI)
Age-adjusted percentage of adults with poor mental health for 14 or more days in the last month
Data Year(s)
Age-adjusted percentage (CI)
PA 2018
12.9 ( )
10.1
11.7 ( )
The percentage of survey respondents (aged 18 years and older) who reported experiencing poor mental health for 14 or more days in the last month. The percentage is adjusted for age.

68. Age-adjusted percentage of adult binge drinking during the past month
Data Year(s)
Age-adjusted percentage (CI)
PA 2018
19.5 ( )
18.4
20.3 ( )
The percentage of respondents (aged 18 years and older) reporting binge drinking on one or more occasions in the past 30 days. Binge drinking is defined as men having 5 or more drinks or women having 4 or more drinks on one occasion. The percentage is adjusted for age.

69. Age-adjusted suicide death rate per 100,000
Data Year(s)
Age-adjusted rate
PA 2018
8.3
5.9
11.3
12.4
12.9
The number of deaths with an ICD-10 primary cause of death code: X60-X84 or Y87.0 per 100,000 population. The rate is adjusted for age.

70. Survey Results: Revisions to CHA Priority Setting Tool

71. Use of Tool 13 9
The majority of respondents (59% of 13 total) felt that the priority-setting tool should be used as is- unchanged from when it was used for setting priorities. 41% felt that the existing tool should be used, but modifications should be made to it for setting priorities.

72. Use of Existing Rating Factors2 1 2 3 2 1 2 2
Of the nine participants who felt that changes should be made to the tool, two did not complete the survey. The following questions regarding revisions that should be made thus reflect the responses of seven participants.
The existing factor that participants had the most consensus on omitting for the priority-setting process were “Work Time Lost or Disability”. Three respondents indicated that this factor should be omitted. However, the same number of participants felt that all factors should be kept. 2 2 3

73. Use of PHIP Priorities as Rating Factors5 4
Five respondents felt that transportation should be added to the existing rating factors and four felt that mental health should be added. One respondent added an explanation of why he or she did not think we should use PHIP priorities as rating factors:
“I don't think the PHIP items are applicable. MH should be labeled Behavioral Health as that is more broad and as an indicator should stand on it's own as a health status issue. Transportation is a social determinant that should be addressed in an intervention. By asking this question, it presupposes that PHIP's priorities "drive" our decision tool for community priorities. The PHIP priorities (of which transportation is not a health status issue, but a social determinant) should be considered as a data input.” 1

74. Use of DSRIP Goals as Rating Factors4 3
Four respondents felt that we should add “Addresses Medicaid Health Disparity” and three felt that we should add “Benefited by Population Health Management”. One respondent felt that we should not add DSRIP goals and one elaborated on why he/ she felt that we should not add DSRIP goals:
“See above. DSRIP is a data input, not part of a decision matrix. Medicaid would already be included under socioeconomic” 1 1

75. Use of Existing Rating Weighting System5
Five respondents felt that we should use the same weighting method as was used in the process. One said we should not use this method and one said we should use it, but with modifications. The modifications that the latter proposed were:
“Need dialogue with group and to run through examples relative to rating as people interpreted the ratings differently. Suggest ratings be done at a meeting.” 1 1