Indicators For Tracking Public Health Priority Areas Technical Notes - New York State

Indicator Technical Notes
Access To Quality Health Care
% of adults with
health care coverage 1		 The percent of survey respondents (18+ years of age) with any kind of health care coverage, including health insurance, prepaid plans such as HMOs, or government plans such as Medicare.
% of adults with a regular
health care provider 1		 The percent of survey respondents (18+ years of age) with a personal doctor or doctors or health care professional.
% of adults who have seen a dentist in the past year 1 The percent of survey respondents (18+ years of age) who visited a dentist or a dental clinic for any reason in the past 12 months.
Percent of cancer cases with an early stage diagnosis 2 – (breast, cervical and colorectal) Stage at diagnosis data are based on reports from hospitals and other health facilities that diagnose and treat cancer patients. Early stage is defined as invasive cancers that are limited to the tissue of origin. Patients for whom stage at diagnosis is unknown are not included in the calculation of percent of cancers diagnosed at an early stage.
Tobacco Use
% of cigarette smoking in adolescents 3 The percent of student (grades 9-12) survey respondents who reported smoking at least one cigarette in the past 30 days.
% of cigarette smoking in adults 1 The percent of survey respondents (18+ years of age) who have smoked 100 cigarettes in their lifetime and reported smoking every day or some days.
COPD hospitalizations among adults 18+ years 4 (per 10,000 pop) The number of hospitalizations per 10,000 adults aged 18 and over with a primary diagnosis of ICD-9 codes 490-494,496. This is a Prevention Quality Indicator (PQI) (condition for which good outpatient care can potentially prevent the need for hospitalization or for which early intervention can prevent complications or more severe disease)
Lung Cancer incidence 2 (per 100,000)
(age-adjusted)*		 Incidence data are based on reports from hospitals and other health facilities that diagnose and treat cancer patients. All primary tumors receive a ICD-O-3 code indicating the anatomic site of origin. Standard Site Analysis categories for cancer data analysis are available on the SEER Incidence Site Recode web page. These data include only invasive malignant tumors. Data are presented for a five-year time period.
Healthy Mothers/ Healthy Babies/ Healthy Children
% of births with early prenatal care (1st trimester) 5 The percent of births to women who began prenatal care within the first three months of pregnancy (first trimester). Only births to women with a known prenatal care start date are included in the calculation of the percent.
% low birthweight births (<2500 grams) 5 The percentage of births with a known birthweight that resulted in infants weighing less than 2500 grams.
Infant mortality per 1,000 live births 6 The number of deaths less than 1 year of age per 1,000 live births
% of 2 year old children who receive recommended vaccines 7 The % of survey respondents with children 19-35 months of age who reported their children were fully immunized. Fully immunized includes 4 DPT, 3 polio, 1 MMR, 3 Hib and 3 HepB.
% of children with at least two lead screenings by
age 36 months 8		 The percent of children who have been screened at least twice for lead by age 36 months. (Birth cohort screening rate)
Prevalence of tooth decay in
3rd grade children 9		 The percentage of 3rd grade children surveyed who had tooth decay.
Pregnancy rate among females aged 15-17 years 10 (per 1,000) 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 to females 15-17 years of age per 1,000 females 15-17 years of age.
Physical Activity/Nutrition
% of obese children aged 2-4 participating
in WIC 11		 The percent of children participating in the WIC program who are obese. Obese is defined as at or above the 95th percentile based on body mass index (BMI) for age. BMI is defined as weight in kilograms divided by height in meters squared w/h 2.
% of obese children by grade level 12: (BMI for age>95th percentile) The percent of school children (by grade level) with body mass index at or above the 95th percentile. BMI is defined as weight in kilograms divided by height in meters squared w/h2.
% of adults who are obese (BMI>30) 1 The percent of survey respondents (18+ years of age) with body mass index (BMI) greater than 30. BMI is defined as weight in kilograms divided by height in meters squared w/h2.
% of adults engaged in some type of physical activity 1 The percent of survey respondents (18+ years of age) who report they participated in some type of physical activity during their leisure time at least one in the last 30 days
% of adults eating 5 or more fruits or vegetables per day 1 The percent of survey respondents (18+ years of age) that reported they ate at least five or more servings of fruits and vegetables in the past day.
% of WIC mothers breastfeeding
at 6 months 11		 The percent of mothers with children participating in the WIC program who were breastfeeding their infants at 6 months of age.
Unintentional Injury
Unintentional injury mortality 13 (per 100,000)(age-adjusted)* The number of deaths per 100,000 population with a primary diagnosis ICD 10 code of V01-X59, Y85-Y86.
Unintentional injury hospitalizations 14 (per 10,000)
(age-adjusted)*		 The number of hospitalizations per 10,000 with a primary diagnosis ICD 9 code of E800-E928, (excluding E870-E879).
Motor vehicle related mortality 13 (per 100,000)
(age-adjusted)*		 The number of deaths per 100,000 population with a primary diagnosis ICD 10 code of V02-V04, V09.0, V09.2, V12-V14, V19.0-V19.2, V19.4-V19.6, V20-V79, V80.3-V80.5, V81.0-V81.1, V82.0-V82.1, V83-V86, V87.0-V87.8, V88.0-V888,V89.0,V89.2
Pedestrian injury hospitalizations 15 (per 10,000)
(age-adjusted)*		 The number of hospitalizations per 10,000 with a primary diagnosis ICD 9 code of E810.7, E811.7, E812.7,E813.7, E814.7, E815.7, E816.7, E 817.7, E818.7, E818.7, E819.7, E820.7, E821.7, E822.7, E823.7, E824.7, E825.7
Fall related hospitalizations age 65+ years 15 (per 10,000 persons aged 65+) The number of hospitalizations among persons aged 65+ per 10,000 persons aged 65+ with a primary diagnosis ICD 9 code of E880-E888, (excluding E887).
Healthy Environment
Incidence of children <72 months with confirmed blood lead level >= 10 ug/dl 14 (per 100 children tested) The proportion of children newly identified with a confirmed elevated blood lead level of 10µg/dL or greater per 100 children screened in the given time frame.
Asthma-related hospitalizations among the total population (per 10,000) and among ages 0-17 (per 10,000 ages 0-17) 16 The total asthma hospitalization rate is the number of hospitalizations per 10,000 with a primary diagnosis ICD 9 code of 493. The ages 0-17 asthma hospitalization rate is the number of hospitalizations among 0-17 year olds (per 10,000 0-17 year olds) with a primary diagnosis ICD 9 code of 493.
Work-related hospitalizations 14 (per 10,000 employed persons aged 16+ years) The number of hospital discharges with primary payor coded as workers’ compensation for persons age 16 years or older. The hospitalization rates are per 100,000 employed persons age 16 years or older, based on U.S. Department of Labor, Bureau of Labor Statistics, Current Population Statistics.
Elevated blood lead levels (>25 ug/dl) 14 per 100,000 employed persons age 16+ years The number of New York State residents, age 16 years or older, with a blood lead level of >= 25 µg/dL. The prevalence rates are per 100,000 employed persons age 16 years or older, based on U.S. Department of Labor, Bureau of Labor Statistics, Current Population Statistics.
Chronic Disease
Diabetes prevalence in adults 1 The percent of survey respondents (18+ years of age) who reported they have been told by a health professional that they have diabetes.
Diabetes short-term complication hospitalization rate, ages 6-17 and 18+ years 17 The number of hospitalizations among age group of interest per 10,000 in age group of interest with a primary diagnosis ICD 9 code of ICD 9 250.1- 250.3. This is a Prevention Quality Indicator (PQI) (condition for which good outpatient care can potentially prevent the need for hospitalization or for which early intervention can prevent complications or more severe disease)
Coronary heart disease hospitalizations 14 (per 10,000) (age-adjusted)* The number of hospitalizations per 10,000 population with a primary diagnosis ICD-9 code of 402, 410-414, and 429.
Congestive heart failure hospitalization rate per 10,000 17 (ages 18+) The number of hospitalizations per 10,000 adults aged 18 and over with a primary diagnosis of ICD-9 code 428. This is a Prevention Quality Indicator (PQI) (condition for which good outpatient care can potentially prevent the need for hospitalization or for which early intervention can prevent complications or more severe disease)
Cerebrovascular (stroke) disease
mortality 13 ( per 100,000) (age-adjusted)*		 The number of deaths per 100,000 with a primary diagnosis of ICD 10 code I60-I69.
Breast cancer mortality 2 (per 100,000) (age-adjusted)* The number of deaths per 100,000 with a primary diagnosis of ICD 10 code C50.
Cervical cancer mortality 2 (per 100,000) (age-adjusted)* The number of deaths per 100,000 with a primary diagnosis of ICD 10 code.
Colorectal cancer mortality 2 (per 100,000) (age-adjusted)* The number of deaths per 100,000 with a primary diagnosis of ICD 10 code.
Infectious Disease
Newly diagnosed HIV case rate 18 (per 100,000) The HIV case rate includes all newly diagnosed HIV, regardless of concurrent or subsequent AIDS diagnosis. HIV case rates are presented as rates per 100,000 population. Data are based on year of diagnosis and exclude prison inmates.
Gonorrhea case rate 19 (per 100,000) The number of reported gonorrhea cases per 100,000 population.
Tuberculosis case rate 20 (per 100,000) The number of reported cases of tuberculosis per 100,000 population. Excludes prison inmates.
% of adults 65+ years with flu shot in
past year 1		 The percent of survey respondents age 65 or older who indicated they had had a flu shot in the past 12 months.
% of adults 65+ years who ever had a pneumonia vaccine 1 The percent of survey respondents age 65 or older who indicated they had a pneumococcal pneumonia vaccination in their lifetime.
Community Preparedness
% population living within jurisdiction with state –approved emergency preparedness plans 21 The percent of the population living in a county with an approved preparedness plan.
Mental Health/ Substance Abuse
Suicide mortality rate 13 (per 100,000) (age-adjusted)* The number of deaths per 100,000 with a primary diagnosis of ICD 10 code of X60-X84, Y87.0
% adults reporting 14 or more days with poor mental health in last month 1 The percent of survey respondents (18+ years of age) who report having 14 or more days with poor mental health in the past 30 days.
% binge drinking past 30 days (5+ drinks in a row) in adults 1 The percent of survey respondents (18+ years of age) who report having five or more drinks on an occasion, one or more times in the past 30 days.
Drug-related hospitalizations 22 (per 10,000) (age-adjusted)* The number of hospitalizations per 10,000 population with a primary diagnosis ICD-9 code of 292, 304, 305.1-305.9,648.3, 655.5, 763.5, 779.4, 779.5,965.0, 967.0, 968.5, 969.6,969.7, 760.70, 760.72,760.73,760.75, 760.79, E850-E858, E950.0-E950.2, E962.0, E980.0-E980.2.

* Rate age-adjusted to the 2000 US population

Data Sources

  1. NYS (statewide) and US Data Source: Centers for Disease Control, Behavioral Risk Factor Surveillance System, http://apps.nccd.cdc.gov/brfss/index.asp and http://www.cdc.gov/brfss/technical_infodata/surveydata/2006.htm, NYS (county level) Data Source: NYS Department of Health, Expanded Behavioral Risk Factor Surveillance System (Expanded BRFSS), http://www.nyhealth.gov/ststistics/brfss/expanded/2003/index.htm. Note: the Expanded BRFSS survey 38 localities (including individual counties and county groupings. For a list of counties and county groupings, http://www.nyhealth.gov/statistics/brfss/expanded/2003/docs/rptstlocreg.pdf
  2. NYS (statewide and county level) Data Source: NYS Cancer Registry, http://www.nyhealth.gov/statistics/cancer/registry/ , US Data Source: National Cancer Institute, SEER Fast Stats, http://seer.cancer.gov/data/
  3. NYS (statewide) Data Source: New York State Department of Health, Youth Tobacco Surveillance New York State 2006, http://www.nyhealth.gov/prevention/tobacco_control/youth_tobacco_survey.htm; US Data Source: Centers for Disease Control, Youth Risk Behavior Survey, http://www.cdc.gov/HealthyYouth/yrbs/
  4. NYS (statewide and county level) Data Source: New York State Department of Health, statewide Planning and Research System (SPARCS); US Data Source: AHRQ Quality Indicators, http://www.qualityindicators.ahrq.gov
  5. NYS (statewide and county level) Data Source: NYS Department of Health – Vital Statistics, NYS Community Health Data Set, http://www.nyhealth.gov/statistics/chac/chds.htm; US Data Source: Centers for Disease Control, National Vital Statistics Reports, Volume 56, Number 6 Births: Final Data for 2005 http://www.cdc.gov/nchs/data/nvsr/nvsr56/nvsr56_06.pdf
  6. NYS (statewide and county level) Data Source: NYS Department of Health – Vital Statistics, NYS Community Health Data Set, http://www.nyhealth.gov/statistics/chac/chds.htm; US Data Source: Centers for Disease Control, National Vital Statistics Reports, Volume 56, Number 10 Deaths: Final Data for 2005, http://www.cdc.gov/nchs/data/nvsr/nvsr56/nvsr56_10.pdf
  7. NYS (statewide ) and US Data Source: Centers for Disease Control, National Immunization Survey (NIS), http://www.cdc.gov/vaccines/stats-surv/nis/data/tables_2006.htm
  8. NYS (statewide and county level) Data Source: NYS Department of Health, NYS Childhood Lead Program
  9. NYS (statewide and county level) Data Source: NY State Oral Health Surveillance System, http://www.nyhealth.gov/prevention/dental/docs/child_oral_health_surveillance.pdf; US Data Source: Healthy People Data 2010, Oral Health, http://wonder.cdc.gov/data2010/focus.htm
  10. NYS (statewide and county level) Data Source: NYS Department of Health –Vital Statistics, NYS Community Health Data Set, http://www.nyhealth.gov/statistics/chac/chds.htm; US Data Source: Centers for Disease Control, National Center for Health Statistics, Recent Trends in Teenage Pregnancy in the US, 1990 – 2002, http://www.cdc.gov/nchs/products/pubs/pubd/hestats/teenpreg1990-2002/teenpreg1990-2002.htm
  11. NYS (statewide and county level) and US Data Source: NYS Department of Health, The Pediatric Nutrition Surveillance System, http://www.nyhealth.gov/statistics/prevention/nutrition/pednss/index.htm
  12. NYS (statewide and county level) Data Source: NYS Department of Health, Division of Chronic Disease Prevention and Adult Health, Program Data.
  13. NYS (statewide and county level) Data Source: NYS Department of Health – Vital Statistics, NYS County Health Assessment Indicators, http://www.nyhealth.gov/statistics/chac/chai/; US Data Source: Centers for Disease Control, National Vital Statistics Reports, Volume 56, Number 10 Deaths: Final Data for 2005, http://www.cdc.gov/nchs/data/nvsr/nvsr56/nvsr56_10.pdf
  14. NYS (statewide and county level) Data Source: NYS Department of Health, NYS County Health Assessment Indicators, http://www.nyhealth.gov/statistics/chac/chai/
  15. NYS (statewide and county level) Data Source: New York State Department of Health, statewide Planning and Research System (SPARCS)
  16. NYS (statewide and county level) and US Data Source: NYS Department of Health, NYS Asthma Surveillance Summary Report, http://www.nyhealth.gov/statistics/ny_asthma; US Data Source: National Hospital Discharge Survey 2005, http://www.cdc.gov/nchs/data/series/sr_13/sr13_165.pdf
  17. NYS (statewide and county level) Data Source: New York Department of Health, State Planning and Research System (SPARCS); US Data Source: AHRQ Quality Indicators, http://www.qualityindicators.ahrq.gov
  18. NYS (statewide and county level) Data Source: NYS Department of Health, NYS County Health Assessment Indicators, http://www.nyhealth.gov/statistics/chac/chai/; US Data Source: Centers for Disease Control, HIV/AIDS Surveillance, http://www.cdc.gov/hiv/topics/surveillance/resources/factsheets/us_media.pdf
  19. NYS (statewide and county level) Data Source: New York Department of Health, Communicable Disease Annual Reports, http://www.nyhealth.gov/statistics/diseases/communicable/2006/; US Data Source: Centers for Disease Control, STD Surveillance, http://www.cdc.gov/STD/stats/tables/table1.htm
  20. NYS (statewide and county level) Data Source: NYS Department of Health, NYS County Health Assessment Indicators, http://www.nyhealth.gov/statistics/chac/chai/; US Data Source: Centers for Disease Control, MMWR Weekly, March 21, 2008, Trends in Tuberculosis – United States 2007, http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5711a2
  21. NYS (statewide and county level) Data Source: NYS Department of Health, Emergency Preparedness Program data
  22. NYS (statewide and county level) Data Source: NYS Department of Health, NYS Community Health Data Set, http://www.nyhealth.gov/statistics/chac/chds.htm