Overview of the New York State CHIRS Dashboard

• The New York State Community Health Indicator Reports (CHIRS) were developed in 2012 and are regularly updated to consolidate and provide information regarding health indicators in the County Health Assessment Indicators (CHAI) reports for all communities in New York. Data previously provided in these reports have now been incorporated into the CHIRS Dashboard and are displayed in enhanced, more interactive data views. The CHIRS Dashboard tracks about 350 indicators organized by 15 health topics, and is updated regularly to include the most recent year of data available for these indicators. Additionally, each of 62 counties in NYS has their own dashboard which allows for comparison of each county's data in relationship to that county's region and NYS totals, and includes at-a-glance comparisons of the two most recent data points. Visualizations include tables, maps, charts, and graphs at the state and county levels. This dashboard is a key resource for assessing county trends and can assist in tracking intervention progress.

• CHIRS State Dashboard
• The state dashboard homepage provides a quick view of the most currently available data for 352 tracking indicators. On this page, indicators are grouped by health topic and the most current data are compared to the previous data period to assess the annual progress for each indicator. From here, historical (trend) data for the tracking indicators are easily accessed.

• CHIRS County Dashboard
• The county dashboard homepage includes the most current data available for 354 tracking indicators, again grouped by health topic. Each county in the state has its own dashboard homepage. County maps and graphs and comparison across counties are available. These visualizations and data can be accessed from the county dashboard link above.

New York State Community Health Indicator Reports Data Export Links

• State and County most recent data
• State Trend Data
• County Trend Data

Technical Notes

 Indicator description and data sources

To obtain further information about individual health indicators, click on a topic area.

Cancer Indicators Cardiovascular Disease Indicators Child and Adolescent Health Indicators Cirrhosis, Diabetes, and Kidney Indicators Communicable Disease Indicators Family Planning/Natality Indicators HIV/AIDS and STI Indicators Injury Indicators Maternal and Infant Health Indicators Obesity and Related Indicators Occupational Health Indicators Oral Health Indicators Respiratory Disease Indicators Health Status and Social Determinants of Health Tobacco and Alcohol Use Indicators

Health Indicator	Description and Definition	Data Source and Program Contact Information
Cancer Indicators
All cancer incidence rate per 100,000, crude and age-adjusted **	Incidence rates of cancers 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. 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 three-year time period. For breast and prostate cancers, late stage incidence rates are presented. In previous reports prior to 2014, "late stage" was defined as only cancers with distant spread at the time of diagnosis. In this current report, "late stage" is defined as all cancers that have spread beyond the organ of origin at the time of diagnosis.	New York State Cancer Registry at (518) 474-2255. See also Info for Researchers-Cancer Statistics
All cancer mortality rate per 100,000, crude and age-adjusted **	The number of deaths due to cancer per 100,000 population. The ICD-10 codes used for all cancers reported in this section are C00-C97. Standard Site Analysis categories for mortality data are available on the SEER Cause of Death Recode web page.	New York State Cancer Registry at (518) 474-2255. See also Info for Researchers-Cancer Statistics
Oral cavity and pharynx cancer incidence rate per 100,000, crude and age-adjusted **	Oral cavity and pharynx cancer incidence rate per 100,000.	New York State Cancer Registry at (518) 474-2255. See also Info for Researchers-Cancer Statistics
Oral cavity and pharynx cancer mortality rate per 100,000, crude and age-adjusted **	Oral cavity and pharynx cancer mortality rate per 100,000. The ICD-10 codes used for lip, oral cavity and pharynx cancer are C00-C14.	New York State Cancer Registry at (518) 474-2255. See also Info for Researchers-Cancer Statistics
Colon and rectum cancer incidence rate per 100,000, crude and age-adjusted **	Colon and rectum cancer incidence rate per 100,000.	New York State Cancer Registry at (518) 474-2255. See also Info for Researchers-Cancer Statistics
Colon and rectum cancer mortality rate per 100,000, crude and age-adjusted **	Colon and rectum cancer mortality rate per 100,000. The ICD-10 codes used for this indicator: C18, C19, C20 and C26.0. Standard Site Analysis categories for mortality data are available on the SEER Cause of Death Recode web page.	New York State Cancer Registry at (518) 474-2255. See also Info for Researchers-Cancer Statistics
Lung and bronchus cancer incidence rate per 100,000, crude and age-adjusted **	Lung and bronchus cancer incidence rate per 100,000.	New York State Cancer Registry at (518) 474-2255. See also Info for Researchers-Cancer Statistics
Lung and bronchus cancer mortality rate per 100,000, crude and age-adjusted **	Lung and bronchus cancer mortality rate per 100,000. The ICD-10 code used for lung and bronchus cancer: C34. Standard Site Analysis categories for mortality data are available on the SEER Cause of Death Recode web page.	New York State Cancer Registry at (518) 474-2255. See also Info for Researchers-Cancer Statistics
Female breast cancer incidence rate per 100,000, crude and age-adjusted **	Female breast cancer incidence rate per 100,000.	New York State Cancer Registry at (518) 474-2255. See also Info for Researchers-Cancer Statistics
Female breast cancer mortality rate per 100,000, crude and age-adjusted **	Female breast cancer mortality rate per 100,000. The ICD-10 code used for female breast cancer: C50. Standard Site Analysis categories for mortality data are available on the SEER Cause of Death Recode web page.	New York State Cancer Registry at (518) 474-2255. See also Info for Researchers-Cancer Statistics
Female breast cancer late stage incidence rate per 100,000, crude and age-adjusted **	Female breast cancer late stage incidence rate per 100,000. In previous reports prior to 2014, "late stage" was defined as only cancers with distant spread at the time of diagnosis. In this current report, "late stage" is defined as all cancers that have spread beyond the organ of origin at the time of diagnosis.	New York State Cancer Registry at (518) 474-2255. See also Info for Researchers-Cancer Statistics
Cervix uteri cancer incidence rate per 100,000, crude and age-adjusted **	Cervix uteri cancer incidence rate per 100,000.	New York State Cancer Registry at (518) 474-2255. See also Info for Researchers-Cancer Statistics
Cervix uteri cancer mortality rate per 100,000, crude and age-adjusted **	Cervix uteri cancer mortality rate per 100,000. The ICD-10 codes used for cervix uteri cancer: C53. Standard Site Analysis categories for mortality data are available on the SEER Cause of Death Recode web page.	New York State Cancer Registry at (518) 474-2255. See also Info for Researchers-Cancer Statistics
Ovarian cancer incidence rate per 100,000, crude and age-adjusted **	Ovarian cancer incidence rate per 100,000.	New York State Cancer Registry at (518) 474-2255. See also Info for Researchers-Cancer Statistics
Ovarian cancer mortality rate per 100,000, crude and age-adjusted **	Ovarian cancer mortality rate per 100,000. The ICD-10 codes used for ovarian cancer: C56. Standard Site Analysis categories for mortality data are available on the SEER Cause of Death Recode web page.	New York State Cancer Registry at (518) 474-2255. See also Info for Researchers-Cancer Statistics
Prostate cancer incidence rate per 100,000, crude and age-adjusted **	Prostate cancer incidence rate per 100,000.	New York State Cancer Registry at (518) 474-2255. See also Info for Researchers-Cancer Statistics
Prostate cancer mortality rate per 100,000, crude and age-adjusted **	Prostate cancer mortality rate per 100,000. The ICD-10 codes used for prostate cancer: C61. Standard Site Analysis categories for mortality data are available on the SEER Cause of Death Recode web page.	New York State Cancer Registry at (518) 474-2255. See also Info for Researchers-Cancer Statistics
Prostate cancer late stage incidence rate per 100,000, crude and age-adjusted **	Prostate cancer late stage incidence rate per 100,000. In previous reports prior to 2014, "late stage" was defined as only cancers with distant spread at the time of diagnosis. In this current report, "late stage" is defined as all cancers that have spread beyond the organ of origin at the time of diagnosis.	New York State Cancer Registry at (518) 474-2255. See also Info for Researchers-Cancer Statistics
Melanoma cancer mortality rate per 100,000, crude and age-adjusted **	Melanoma cancer mortality rate per 100,000. The ICD-10 codes used for melanoma cancer: C43. Standard Site Analysis categories for mortality data are available on the SEER Cause of Death Recode web page.	New York State Cancer Registry at (518) 474-2255. See also Info for Researchers-Cancer Statistics
Percentage of women aged 21-65 years receiving cervical cancer screening based on most recent guidelines	Percentage of women aged 21-65 years receiving cervical cancer screening based on 2012 guidelines (Pap test within past three years for women aged 21-65, or Pap test plus HPV test within past five years for women aged 30-65)	New York State Expanded Behavioral Risk Factor Surveillance System 1 Contact: BRFSS Coordinator at (518) 473-0673
Percentage of women aged 50-74 years receiving breast cancer screening based on recent guidelines	Percentage of women aged 50-74 years receiving breast cancer screening based on recent guidelines	New York State Expanded Behavioral Risk Factor Surveillance System 1 Contact: BRFSS Coordinator at (518) 473-0673
Percentage of women (aged 50-74 years) who had a mammogram between October 1, 2018 and December 31, 2020	The percentage of women, aged 50-74 years, in the Medicaid program, who had a mammogram anytime on or between October 1 two years prior to the measurement year and December 31 of the measurement year.	NYSDOH Office of Quality and Patient Safety Contact: Office of Quality and Patient Safety, at (518) 486-9012
Cardiovascular Disease Indicators
Cardiovascular disease mortality rate per 100,000, crude and age-adjusted **	The number of deaths due to cardiovascular disease per 100,000 population. The ICD-10 codes used for cardiovascular disease are: I00-I99.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Cardiovascular disease premature death (aged 35-64 years) rate per 100,000	The number of deaths due to cardiovascular disease among persons aged 35-64 years per 100,000 population aged 35-64 years. The ICD-10 codes used for cardiovascular disease are: I00-I99.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Cardiovascular disease pretransport mortality rate per 100,000	The number of deaths due to cardiovascular disease that occurred any place other than a hospital, clinic, or medical center per 100,000 population. The codes used for cardiovascular disease are: I00-I99.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Cardiovascular disease hospitalization rate per 10,000, crude and age-adjusted **	The number of hospitalizations due to cardiovascular disease per 10,000 population. The ICD-9-CM codes used for cardiovascular disease are: 390-459. The ICD-10-CM codes used for cardiovascular disease are: I00-I99	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Diseases of the heart mortality rate per 100,000, crude and age-adjusted **	The number of deaths due to diseases of the heart per 100,000 population. The ICD-10 codes used for diseases of the heart are: I00-I09, I11, I13, and I20-I51.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Diseases of the heart premature death (aged 35-64 years) mortality rate per 100,000	The number of deaths due to diseases of the heart among persons aged 35-64 years per 100,000 population aged 35-64 years. The ICD-10 codes used for diseases of the heart are: I00-I09, I11, I13, and I20-I51.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Diseases of the heart pretransport mortality rate per 100,000	The number of deaths due to diseases of the heart that occurred any place other than a hospital, clinic, or medical center per 100,000 population. The ICD-10 codes used for diseases of the heart are: I00-I09, I11, I13, and I20-I51.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Diseases of the heart hospitalization rate per 10,000, crude and age-adjusted **	The number of hospitalizations due to diseases of the heart per 10,000 population. The ICD-9-CM codes used for diseases of the heart are: 390-398, 402, 404-429. The ICD-10-CM codes used for diseases of the heart are: I00-I09, I11, I13, I20-I51.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Coronary heart disease mortality rate per 100,000, crude and age-adjusted **	The number of deaths due to coronary heart disease per 100,000 population. The ICD-10 codes used for coronary heart disease are: I11, I20-I25.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Coronary heart disease premature death (aged 35-64 years) rate per 100,000	The number of deaths due to coronary heart disease per 100,000 population aged 35-64. The ICD-10 codes used for coronary heart disease are: I11, I20-I25.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Coronary heart disease pretransport mortality rate per 100,000	The number of deaths due to coronary heart disease that occurred any place other than a hospital, clinic, or medical center per 100,000 population. The ICD-10 codes used for coronary heart disease are: I11, I20-I25.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Coronary heart disease hospitalization rate per 10,000, crude and age-adjusted **	The number of hospitalizations due to coronary heart disease per 10,000 population. The ICD-9-CM codes used for coronary heart disease are: 402, 410-414, and 429. The ICD-10-CM codes used for coronary heart disease are: I20-I25.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Heart attack hospitalization rate per 10,000, crude and age-adjusted **	Heart attack (Acute Myocardial Infarction) hospitalization rates per 10,000. The ICD-9-CM code used for coronary heart disease is: 410. The ICD-10-CM code used for coronary heart disease is: I21.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Heart attack mortality rate per 100,000, crude and age-adjusted **	Heart attack (Acute Myocardial Infarction) mortality rates per 100,000. The ICD-10 code used for coronary heart disease is: I21.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Congestive heart failure mortality rate per 100,000, crude and age-adjusted **	The number of deaths due to congestive heart failure per 100,000 population. The ICD-10 code used for congestive heart failure is: I50	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Congestive heart failure premature death (aged 35-64 years) rate per 100,000	The number of deaths due to congestive heart failure among persons aged 35-64 years per 100,000 population aged 35-64 years. The ICD-10 code used for congestive heart failure is: I50	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Congestive heart failure pretransport mortality rate per 100,000	The number of deaths due to Congestive Heart Failure that occurred anyplace other than a hospital, clinic, or medical center per 100,000 population. The ICD-10 code used for congestive heart failure is: I50	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Potentially preventable heart failure hospitalization rate per 10,000 - Aged 18 years and older	The number of potentially preventable hospitalizations due to heart failure among persons aged 18 years and older per 10,000. The Prevention Quality Indicator (PQI) is developed by the federal Agency for Healthcare Research and Quality (AHRQ). The rates were calculated using SAS QI software v2019. For more information, visit AHRQ PQI resources page.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Cerebrovascular disease (stroke) mortality rate per 100,000, crude and age-adjusted **	The number of deaths due to cerebrovascular disease per 100,000 population. The ICD-10 codes used for cerebrovascular disease are: I60-I69	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Cerebrovascular disease (stroke) premature death (aged 35-64 years) rate per 100,000	The number of deaths due to cerebrovascular disease that occurred any place other than a hospital, clinic, or medical center per 100,000 population. The ICD-10 codes used for cerebrovascular disease are: I60-I69	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Cerebrovascular disease (stroke) pretransport mortality rate per 100,000	The number of deaths due to cerebrovascular disease that occurred anyplace other than a hospital, clinic, or medical center per 100,000 population. The ICD-10 codes used for cerebrovascular disease are: I60-I69	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Cerebrovascular disease (stroke) hospitalization rate per 10,000, crude and age-adjusted **	The number of hospitalizations due to cerebrovascular disease per 10,000 population. The ICD-9-CM codes used for cerebrovascular disease are: 430-438. The ICD-10-CM codes used for cerebrovascular disease are: I60-I69.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Potentially preventable hypertension hospitalization rate per 10,000 - Aged 18 years and older	The number of potentially preventable hospitalizations due to hypertension among persons aged 18 years and older per 10,000. The Prevention Quality Indicator (PQI) is developed by the federal Agency for Healthcare Research and Quality (AHRQ). The rates were calculated using SAS QI software v2019. For more information, visit AHRQ PQI resources page.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov- for data requests Phone: (518) 473-8144
Hypertension without heart failure hospitalization rate per 10,000 (any diagnosis) - Aged 18 years and older	The number of hospitalizations due to hypertension without heart failure (any diagnosis) among persons aged 18 years or older per 10,000 aged 18 years or older population. The ICD-10-CM codes used for hypertension are: I10, I11.9, I12.9, I1310 with the following exclusions: Pregnancy related O00-O9A, Z34 or Z36; Chronic kidney disease, stage 5 or end-stage renal disease N18.5 N18.6, Z49, Z94.0, Z99.2 or Z91.15	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov Phone: (518) 473-8144
Hypertension without heart failure emergency department visit rate per 10,000 - Aged 18 years and older	The number of emergency department visitation due to hypertension without heart failure among persons aged 18 years or older per 10,000 aged 18 years or older population. The ICD-10-CM codes used for hypertension are: I10, I11.9, I12.9, I1310 with the following exclusions: Pregnancy related O00-O9A, Z34 or Z36; Chronic kidney disease, stage 5 or end-stage renal disease N18.5 N18.6, Z49, Z94.0, Z99.2 or Z91.15	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Hypertension without heart failure emergency department visit rate per 10,000 (any diagnosis) - Aged 18 years and older	The number of hospitalizations due to hypertension without heart failure (any diagnosis) among persons aged 18 years or older per 10,000 aged 18 years or older population. The ICD-10-CM codes used for hypertension are: I10, I11.9, I12.9, I1310 with the following exclusions: Pregnancy related O00-O9A, Z34 or Z36; Chronic kidney disease, stage 5 or end-stage renal disease N18.5 N18.6, Z49, Z94.0, Z99.2 or Z91.15	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Chronic kidney disease hospitalization rate per 10,000 (any diagnosis), crude and age-adjusted **	Chronic kidney disease hospitalization rate per 10,000 (any diagnosis). The ICD-9-CM code for chronic kidney disease is 585. The ICD-10-CM code for chronic kidney disease is N18.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Chronic kidney disease emergency department visit rate per 10,000 (any diagnosis), crude and age-adjusted **	Chronic kidney disease emergency department visit rate per 10,000 (any diagnosis). The ICD-9-CM code used for chronic kidney diseases is 585. The ICD-10-CM code used for chronic kidney diseases is N18.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Age-adjusted percentage of adults with cardiovascular disease (heart attack, coronary heart disease, or stroke)	Age adjusted Percentage of adults with cardiovascular disease (heart attack, coronary heart disease, or stroke). The standard population used for age adjustment was the 2000 U.S. population.	New York State Expanded Behavioral Risk Factor Surveillance System 1 Contact: BRFSS Coordinator at (518) 473-0673
Age-adjusted percentage of adults ever had blood cholesterol checked	The age-adjusted percentage of adults who ever had blood cholesterol checked. The standard population used for age adjustment was the 2000 U.S. population.	New York State Expanded Behavioral Risk Factor Surveillance System 1 Contact: BRFSS Coordinator at (518) 473-0673
Age-adjusted percentage of adults with physician diagnosed high blood pressure	The age-adjusted percentage of respondents who reported they had been told by a health professional they had high blood pressure. The standard population used for age adjustment was the 2000 U.S. population.	New York State Expanded Behavioral Risk Factor Surveillance System 1 Contact: BRFSS Coordinator at (518) 473-0673
Child and Adolescent Health Indicators
Mortality rate per 100,000 - Aged 1-4 years	The number of deaths among children aged 1-4 years per 100,000 children aged 1-4 years.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Mortality rate per 100,000 - Aged 5-9 years	The number of deaths among aged 5-9 years per 100,000 children aged 5-9 years.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Mortality rate per 100,000 - Aged 10-14 years	The number of deaths aged 10-14 years per 100,000 children aged 10-14 years.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Mortality rate per 100,000 - Aged 5-14 years	The number of deaths among children aged 5-14 years per 100,000 children aged 5-14 years.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Mortality rate per 100,000 - Aged 15-19 years	The number of deaths among children aged 15-19 years per 100,000 children aged 15-19 years.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Asthma hospitalization rate per 10,000 - Aged 0-4 years	The number of hospitalizations for asthma among children aged 0-4 years per 10,000 children 0-4 years.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Asthma hospitalization rate per 10,000 - Aged 5-14 years	The number of hospitalizations for asthma among children 5-14 years per 10,000 children 5-14 years.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Asthma hospitalization rate per 10,000 - Aged 0-17 years	The number of hospitalizations for asthma among children 0-17 years per 10,000 children 0-17 years.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Gastroenteritis hospitalization rate per 10,000 - Aged 0-4 years	The number of hospitalizations for gastroenteritis among children aged 0-4 years per 10,000 children aged 0-4 years.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Otitis media hospitalization rate per 10,000 - Aged 0-4 years	The number of hospitalizations for otitis media among children aged 0 - 4 years per 10,000 children aged 0-4 years.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Pneumonia hospitalization rate per 10,000 - Aged 0-4 years	The number of hospitalizations for pneumonia- among children aged 0 - 4 years per 10,000 children aged 0-4 years.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Percentage of children born in 2017 with a lead screening aged 0-8 months	The percentage of children in a single birth cohort tested at least once for lead aged 0-8 months.	NYS Child Health Lead Poisoning Prevention Program 4 Data Request Contact: Lead Poisoning Prevention Program, at (518) 402-7600
Percentage of children born in 2017 with a lead screening - aged 9-17 months	The percentage of children in a single birth cohort tested at least once for lead aged 9-17 months.	NYS Child Health Lead Poisoning Prevention Program 4 Data Request Contact: Lead Poisoning Prevention Program, at (518) 402-7600
Percentage of children born in 2017 with a lead screening - aged 18-35 months	The percentage of children in a single birth cohort tested at least once for lead aged 18-35 months.	NYS Child Health Lead Poisoning Prevention Program 4 Data Request Contact: Lead Poisoning Prevention Program, at (518) 402-7600
Percentage of children born in 2017 with at least two lead screenings by 36 months	The percentage of children in a single birth cohort tested at least twice for lead before 36 months of age.	NYS Child Health Lead Poisoning Prevention Program 4 Data Request Contact: Lead Poisoning Prevention Program, at (518) 402-7600
Incidence of confirmed high blood lead level (5 micrograms or higher per deciliter) - rate per 1,000 tested children aged <72 months	The proportion of children newly identified with a confirmed elevated blood lead level of 5 μg/dL or greater per 1,000 children among children less than 72 months tested in the given time frame. The number of children identified for the first time with a confirmed elevated blood lead level before age 72 months (equal or greater than 5 μg/dL) divided by the number of children that had a screening test in that given test year. Only children who did not previously have a confirmed elevated blood lead level are included in the screening denominator. This proportion is then multiplied by 1000 to represent the average number of children newly identified per 1000 children tested in the given time frame.	NYS Child Health Lead Poisoning Prevention Program 4 Data Request Contact: Lead Poisoning Prevention Program, at (518) 402-7600
Incidence of confirmed high blood lead level (10 micrograms or higher per deciliter) - rate per 1,000 tested children aged <72 months	The proportion of children newly identified with a confirmed elevated blood lead level of 10 μg/dL or greater per 1,000 children among children less than 72 months tested in the given time frame. The number of children identified for the first time with a confirmed elevated blood lead level before age 72 months (equal or greater than 10 μg/dL) divided by the number of children that had a screening test in that given test year. Only children who did not previously have a confirmed elevated blood lead level are included in the screening denominator. This proportion is then multiplied by 1000 to represent the average number of children newly identified per 1000 children tested in the given time frame.	NYS Child Health Lead Poisoning Prevention Program 4 Data Request Contact: Lead Poisoning Prevention Program, at (518) 402-7600
Percentage of children (aged 3 - 21 years) who had at least one well-care visit in government sponsored insurance programs	The percentage of members (aged 3 to 21 years) in government sponsored insurance programs who had at least one well-care visit during the measurement year	NYSDOH Office of Quality and Patient Safety Contact: Office of Quality and Patient Safety, at (518) 486-9012
Percentage of children who had 6+ well-child visits in the first 15 months of life in government sponsored insurance programs	The percentage of children in government sponsored insurance programs who turned 15 months old during the measurement year, who had 6+ well-child visits during the last 15 months	NYSDOH Office of Quality and Patient Safety Contact: Office of Quality and Patient Safety, at (518) 486-9012
Percentage of children who had 2+ well-child visits during 15-30 months of life in government sponsored insurance programs	The percentage of children in government sponsored insurance programs who turned 30 months old during the measurement year, who had 2+ well-child visits during the last 15 months	NYSDOH Office of Quality and Patient Safety Contact: Office of Quality and Patient Safety, at (518) 486-9012
Percentage of children (aged 3 - 11 years) who had at least one well-care visit in government sponsored insurance programs	The percentage of children (aged 3 to 11 years) in government sponsored insurance programs who had at least one well-care visit during the measurement year	NYSDOH Office of Quality and Patient Safety Contact: Office of Quality and Patient Safety, at (518) 486-9012
Cirrhosis, Diabetes, and Kidney Indicators
Cirrhosis mortality rate per 100,000, crude and age-adjusted **	The number of deaths due to Cirrhosis per 100,000 population. The codes used for the Cirrhosis mortality are ICD-10 codes: K70, K73-K74.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Cirrhosis hospitalization rate per 10,000, crude and age-adjusted **	The number of hospitalizations due to Cirrhosis per 10,000 population. The ICD-9-CM code for Cirrhosis is: 571. The ICD-10-CM codes used for Cirrhosis is: K73, K74, K70.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Diabetes mortality rate per 100,000, crude and age-adjusted **	The number of deaths due to diabetes per 100,000 population. The ICD-10 codes used for diabetes are: E10-E14.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Diabetes hospitalization rate per 10,000 (primary diagnosis), crude and age-adjusted **	The number of hospitalizations due to diabetes per 10,000 population. Only hospitalizations with diabetes as the primary diagnosis are included. The ICD-9-CM code used for diabetes is: 250. The ICD-10-CM codes for diabetes are: E10-E14.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Diabetes hospitalization rate per 10,000 (any diagnosis), crude and age-adjusted **	The number of hospitalizations due to diabetes per 10,000 population. This indicator includes hospitalizations with diabetes as the primary and/or other diagnosis. The ICD-9-CM code used for diabetes is: 250. The ICD-10-CM codes for diabetes are: E10-E14.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Diabetes short-term complications hospitalization rate per 10,000 - Aged 6-17 Years	The number of hospitalizations of diabetes with short-term complications per 10,000 population among children aged 6-17 years old. The Pediatric Quality Indicator (PDI) is developed by the federal Agency for Healthcare Research and Quality (AHRQ). The rates were calculated using SAS QI software v2019. For more information, visit AHRQ PDI resources	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Potentially preventable diabetes short-term complications hospitalization rate per 10,000 - Aged 18 years and older	The number of potentially preventable hospitalizations of diabetes with short-term complications per 10,000 population among adults aged 18 years and older. The Prevention Quality Indicator (PQI) is developed by the federal Agency for Healthcare Research and Quality (AHRQ). The rates were calculated using SAS QI software v2019. For more information, visit AHRQ PQI resources page.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Chronic kidney disease hospitalization rate per 10,000 (any diagnosis), crude and age-adjusted **	Chronic kidney disease hospitalization rate per 10,000 (any diagnosis). The ICD-9-CM code for chronic kidney disease is 585. The ICD-10-CM code for chronic kidney disease is N18.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Chronic kidney disease emergency department visit rate per 10,000 (any diagnosis), crude and age-adjusted **	Chronic kidney disease emergency department visit rate per 10,000 (any diagnosis). The ICD-9-CM code used for chronic kidney diseases is 585. The ICD-10-CM code used for chronic kidney diseases is N18.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Age-adjusted percentage of adults with physician diagnosed diabetes	The percentage of adults who reported they were told by a health professional that they have diabetes. The standard population used for age adjustment was the 2000 U.S. population.	New York State Expanded Behavioral Risk Factor Surveillance System 1 Contact: BRFSS Coordinator at (518) 473-0673
Communicable Disease Indicators
Pneumonia/flu hospitalization rate per 10,000 - Aged 65 years and older	The number of hospitalizations for pneumonia and flu among persons aged 65 or older per 10,000 population in this age group.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Pertussis incidence per 100,000	The number of reported cases of Pertussis per 100,000 population.	NYSDOH Bureau of Communicable Disease Control 5 Contact: bcdc@health.ny.gov
Mumps incidence per 100,000	The number of reported cases of mumps per 100,000 population.	NYSDOH Bureau of Communicable Disease Control 5 Contact: bcdc@health.ny.gov
Meningococcal incidence per 100,000	The number of reported cases of meningococcal disease per 100,000 population.	NYSDOH Bureau of Communicable Disease Control 5 Contact: bcdc@health.ny.gov
Haemophilus influenza incidence per 100,000	The number of reported cases of Haemophilus Influenzae per 100,000 population.	NYSDOH Bureau of Communicable Disease Control 5 Contact: bcdc@health.ny.gov
Hepatitis A incidence per 100,000	The number of reported cases of Hepatitis A per 100,000 population.	NYSDOH Bureau of Communicable Disease Control 5 Contact: bcdc@health.ny.gov
Acute hepatitis B incidence per 100,000	The number of reported cases of acute hepatitis B per 100,000 population.	NYSDOH Bureau of Communicable Disease Control 5 Contact: bcdc@health.ny.gov
Chronic Hepatitis C cases per 100,000	Chronic Hepatitis C cases per 100,000	NYSDOH Bureau of Communicable Disease Control 5 Contact: bcdc@health.ny.gov
Tuberculosis incidence per 100,000	The number of reported cases of Tuberculosis per 100,000 population. Prison inmates are excluded from this rate.	NYSDOH Bureau of Communicable Disease Control 5 Contact: bcdc@health.ny.gov
E. coli Shiga Toxin incidence per 100,000	The number of reported cases of E. Coli Shiga Toxin per 100,000 population.	NYSDOH Bureau of Communicable Disease Control 5 Contact: bcdc@health.ny.gov
Salmonella incidence per 100,000	The number of reported cases of Salmonella per 100,000 population.	NYSDOH Bureau of Communicable Disease Control 5 Contact: bcdc@health.ny.gov
Shigella incidence per 100,000	The number of reported cases of Shigella per 100,000 population.	NYSDOH Bureau of Communicable Disease Control 5 Contact: bcdc@health.ny.gov
Lyme disease incidence per 100,000	The number of confirmed and probable cases of Lyme disease per 100,000 population.	NYSDOH Bureau of Communicable Disease Control 5 Contact: bcdc@health.ny.gov
Age-adjusted percentage of fee-for-service Medicare enrollees that had an annual flu vaccination	The percentage of fee-for-service Medicare enrollees that had a reimbursed flu vaccination during the year. The percentages are age-adjusted.	County Health Rankings
Percentage of adults aged 65 years and older with pneumococcal immunization	The percentage of adults aged 65 years and older with pneumococcal immunization	New York State Expanded Behavioral Risk Factor Surveillance System 1 Contact: BRFSS Coordinator at (518) 473-0673
Family Planning/Natality Indicators
Percentage of live births conceived within 18 months of a previous live birth	The Percentage is the number of singleton live births conceived within 18 months of a previous live birth, divided by number of singleton live births which were preceded by a previous live birth.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Percentage of births to females aged 15-17 years	The percentage of total births that were to female population aged 15-17 years.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Percentage of births to females aged 15-19 years	The percentage of total births that were to female population aged 15-19 years.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Percentage of births to females aged 35 years and older	The percentage of total births that were to female population aged 35 years or older.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Fertility rate per 1,000 females aged 15-44 years	The number of live births per 1,000 female population aged 15-44.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Teen fertility rate per 1,000 (births to mothers aged 10-14 years/female population aged 10-14 years)	The number of live births to teens aged 10-14 years per 1,000 female population aged 10-14 years.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Teen fertility rate per 1,000 (births to mothers aged 15-17 years/female population aged 15-17 years)	The number of live births to teens aged 15-17 years per 1,000 female population aged 15-17 years.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Teen fertility rate per 1,000 (births to mothers aged 15-19 years/female population aged 15-19 years)	The number of live births to teens aged 15-19 years per 1,000 female population aged 15-19 years.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Teen fertility rate per 1,000 (births to mothers aged 18-19 years/female population aged 18-19 years)	The number of live births to teens aged 18-19 years per 1,000 female population aged 18-19 years.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Pregnancy rate per 1,000 (all pregnancies/female population aged 15-44 years)	Pregnancies are the sum of the number of live births, induced terminations of pregnancies, and all fetal deaths. Pregnancy rate is the total number of pregnancies to women of any age, per 1,000 female population aged 15-44 years. NOTE: pregnancy data for Essex and Hamilton counties were combined for confidentiality purposes.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Teen pregnancy rate per 1,000 females aged <18 years	Pregnancies are the sum of the number of live births, induced terminations of pregnancies, and all fetal deaths. The number of pregnancies among females aged 10-17 years per 1,000 female population aged 10-17 years. NOTE: pregnancy data for Essex and Hamilton counties were combined for confidentiality purposes.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Teen pregnancy rate per 1,000 females aged 15-19 years	Pregnancies are the sum of the number of live births, induced terminations of pregnancies, and all fetal deaths. The number of pregnancies among females aged 15-19 years per 1,000 female population aged 15-19 years. NOTE: pregnancy data for Essex and Hamilton counties were combined for confidentiality purposes.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Teen pregnancy rate per 1,000 females aged 18-19 years	Pregnancies are the sum of the number of live births, induced terminations of pregnancies, and all fetal deaths. The number of pregnancies among females aged 18-19 years per 1,000 female population aged 18-19 years. NOTE: pregnancy data for Essex and Hamilton counties were combined for confidentiality purposes.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Abortion ratio (induced abortions per 1,000 live births) - All ages	The abortion ratio is the number of induced abortions per 1,000 live births. NOTE: abortion data for Essex and Hamilton counties were combined for confidentiality purposes.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
HIV/AIDS and STI Indicators
Newly diagnosed HIV case rate per 100,000, crude and age-adjusted **	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. In 2015 the Bureau of HIV/AIDS Epidemiology changed the method used to count newly diagnosed HIV cases. Previously, newly identified cases whose surveillance records lacked clear dates of initial HIV diagnosis were not included in reports of new diagnoses. Under the new method, such cases diagnosed in 2009 and later are included as new diagnoses. For the period 2009-2013 total annual new HIV diagnoses are on average 330 cases higher under the new method. Even with the higher numbers, the downward trajectory of new HIV diagnoses in NYS over time remains accurate. Data for Essex and Hamilton counties, Schuyler and Yates counties, Lewis and St. Lawrence counties were combined for confidentiality purposes.	New York State AIDS Case Surveillance Registry, Bureau of HIV/AIDS Epidemiology Contact: bhae@health.ny.gov Phone: (518) 474-4284
AIDS mortality rate per 100,000, crude and age-adjusted **	The number of deaths due to AIDS per 100,000 population. The ICD-10 codes for AIDS are: B20-B24.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Early syphilis case rate per 100,000	Early syphilis includes any of the first three stages of syphilis (primary, secondary, or early latent of less than 1 year duration). Rates for early syphilis are rates per 100,000 population.	NYS STI Surveillance System, Office of Sexual Health and Epidemiology Contact: Office of Sexual Health and Epidemiology, Phone: (518) 474-3598
Gonorrhea case rate per 100,000 males - Aged 15-44 years	The number of gonorrhea cases among males aged 15-44 years old per 100,000 male population aged 15-44 years old.	NYS STI Surveillance System, Office of Sexual Health and Epidemiology Contact: Office of Sexual Health and Epidemiology, Phone: (518) 474-3598
Gonorrhea case rate per 100,000 females - Aged 15-44 years	The number of gonorrhea cases among females aged 15-44 years old per 100,000 female population aged 15-44 years old.	NYS STI Surveillance System, Office of Sexual Health and Epidemiology Contact: Office of Sexual Health and Epidemiology, Phone: (518) 474-3598
Gonorrhea case rate per 100,000 - Aged 15-19 years	The number of gonorrhea cases among persons aged 15-19 years old per 100,000 population aged 15-19 years old.	NYS STI Surveillance System, Office of Sexual Health and Epidemiology Contact: Office of Sexual Health and Epidemiology, Phone: (518) 474-3598
Chlamydia case rate per 100,000 males - Aged 15-44 years	The number of chlamydia cases among males aged 15-44 years old per 100,000 male population aged 15-44 years old.	NYS STI Surveillance System, Office of Sexual Health and Epidemiology Contact: Office of Sexual Health and Epidemiology, Phone: (518) 474-3598
Chlamydia case rate per 100,000 males - Aged 15-19 years	The number of chlamydia cases among males aged 15-19 years old per 100,000 male population aged 15-19 years old.	NYS STI Surveillance System, Office of Sexual Health and Epidemiology Contact: Office of Sexual Health and Epidemiology, Phone: (518) 474-3598
Chlamydia case rate per 100,000 males - Aged 20-24 years	The number of chlamydia cases among males aged 20-24 years old per 100,000 male population aged 20-24 years old.	NYS STI Surveillance System, Office of Sexual Health and Epidemiology Contact: Office of Sexual Health and Epidemiology, Phone: (518) 474-3598
Chlamydia case rate per 100,000 females - Aged 15-44 years	The number of chlamydia cases among females aged 15-44 years old per 100,000 female population aged 15-44 years old.	NYS STI Surveillance System, Office of Sexual Health and Epidemiology Contact: Office of Sexual Health and Epidemiology, Phone: (518) 474-3598
Chlamydia case rate per 100,000 females - Aged 15-19 years	The number of chlamydia cases among females aged 15-19 years old per 100,000 female population aged 15-19 years old.	NYS STI Surveillance System, Office of Sexual Health and Epidemiology Contact: Office of Sexual Health and Epidemiology, Phone: (518) 474-3598
Chlamydia case rate per 100,000 females - Aged 20-24 years	The number of chlamydia cases among females aged 20-24 years old per 100,000 female population aged 20-24 years old.	NYS STI Surveillance System, Office of Sexual Health and Epidemiology Contact: Office of Sexual Health and Epidemiology, Phone: (518) 474-3598
Percentage of sexually active young women (aged 16-24) with at least one chlamydia test in Medicaid program	The percentage of sexually active young women aged 16-24 who had at least one test for chlamydia during the measurement year in Medicaid Managed Care	NYSDOH Office of Quality and Patient Safety Contact: Office of Quality and Patient Safety, at (518) 486-9012
Pelvic inflammatory disease (PID) hospitalization rate per 10,000 females - Aged 15-44 years	The number of hospitalizations among women aged 15-44 with a primary diagnosis of pelvic inflammatory disease (PID) per 10,000 women aged 15-44 years.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Injury Indicators
Suicide mortality rate per 100,000, crude and age-adjusted **	The number of deaths due to suicide per 100,000 population. The ICD-10 codes used for suicide are: X60-X84, Y87.0.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Suicide mortality rate per 100,000 - Aged 15-19 years	The number of deaths due to suicide among persons aged 15-19 years per 100,000 population aged 15-19 years. The ICD-10 codes used for suicide are: X60-X84, Y87.0.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Self-inflicted injury hospitalization rate per 10,000, crude and age-adjusted **	The number of hospitalizations related to self-inflicted injury per 10,000 population As of October 1, 2015, medical data coded using the International Classification of Diseases, 10th Revision, Clinic Modification (ICD-10-CM) requires coders to assign unintentional intent when the intent is not stated in the medical record. This may lead to an overcount of unintentional injuries and an undercount of intentional injuries, such as assaults and self-harm. Through data year 2014, the ICD-9-CM codes for self-inflicted injury are: E950-E958. For year 2016-and-forward data, ICD-10-CM codes were used. Also, beginning in data year 2016, the first-mentioned injury diagnosis code or the first-mentioned external cause code in the principal diagnosis field, any of external injury fields, or any of 24 other diagnosis fields was used to define injury types in the SPARCS data. The specific codes for each type of injury are listed in format catalogs https://ftp.cdc.gov/pub/Health_Statistics/NCHS/injury/tools/ on the NCHS site. The catalogs used for this CHIR dashboard are intent_fmt64b.sas7bcat and mechanism_fmt64b.sas7bdat (Accessed in November 2020). Please visit Injury Data and Resources for further ICD-10-CM information.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Self-inflicted injury hospitalization rate per 10,000 - Aged 15-19 years	The number of hospitalizations related to self-inflicted injury among persons aged 15-19 per 10,000 population aged 15-19 years. As of October 1, 2015, medical data coded using the International Classification of Diseases, 10th Revision, Clinic Modification (ICD-10-CM) requires coders to assign unintentional intent when the intent is not stated in the medical record. This may lead to an overcount of unintentional injuries and an undercount of intentional injuries, such as assaults and self-harm. Through data year 2014, the ICD-9-CM codes for self-inflicted injury are: E950-E958. For year 2016-and-forward data, ICD-10-CM codes were used. Also, beginning in data year 2016, the first-mentioned injury diagnosis code or the first-mentioned external cause code in the principal diagnosis field, any of external injury fields, or any of 24 other diagnosis fields was used to define injury types in the SPARCS data. The specific codes for each type of injury are listed in format catalogs https://ftp.cdc.gov/pub/Health_Statistics/NCHS/injury/tools/ on the NCHS site. The catalogs used for this CHIR dashboard are intent_fmt64b.sas7bcat and mechanism_fmt64b.sas7bdat (Accessed in November 2020). For further ICD-10-CM information, visit Injury Data and Resources.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Homicide mortality rate per 100,000, crude and age-adjusted **	The number of deaths due to homicide per 100,000 population. The ICD-10 codes for homicide are: X85-Y09, Y87.1	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Assault hospitalization rate per 10,000, crude and age-adjusted **	The number of hospitalizations related to assault injury per 10,000 population. As of October 1, 2015, medical data coded using the International Classification of Diseases, 10th Revision, Clinic Modification (ICD-10-CM) requires coders to assign unintentional intent when the intent is not stated in the medical record. This may lead to an overcount of unintentional injuries and an undercount of intentional injuries, such as assaults and self-harm. Through data year 2014, the ICD-9-CM codes used for assault related injury are: E960-E968. For year 2016-and-forward data, ICD-10-CM codes were used. Also, beginning in data year 2016, the first-mentioned injury diagnosis code or the first-mentioned external cause code in the principal diagnosis field, any of external injury fields, or any of 24 other diagnosis fields was used to define injury types in the SPARCS data. The specific codes for each type of injury are listed in format catalogs https://ftp.cdc.gov/pub/Health_Statistics/NCHS/injury/tools/ on the NCHS site. The catalogs used for this CHIR dashboard are intent_fmt64b.sas7bcat and mechanism_fmt64b.sas7bdat (Accessed in November 2020). For further ICD-10-CM information, visit Injury Data and Resources.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Unintentional injury mortality rate per 100,000, crude and age-adjusted **	The number of deaths due to unintentional injury per 100,000 population. The ICD-10 codes for unintentional injury are: V01-X59, Y85-Y86.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Unintentional injury hospitalization rate per 10,000, crude and age-adjusted **	The number of hospitalizations related to unintentional injury per 10,000 population. As of October 1, 2015, medical data coded using the International Classification of Diseases, 10th Revision, Clinic Modification (ICD-10-CM) requires coders to assign unintentional intent when the intent is not stated in the medical record. This may lead to an overcount of unintentional injuries and an undercount of intentional injuries, such as assaults and self-harm. Through data year 2014, the ICD-9-CM codes used for unintentional injury hospitalization are: E800-E848, E850-E869, E880-E928 (E929 is excluded). For year 2016-and-forward data, ICD-10-CM codes were used. Also, beginning in data year 2016, the first-mentioned injury diagnosis code or the first-mentioned external cause code in the principal diagnosis field, any of external injury fields, or any of 24 other diagnosis fields was used to define injury types in the SPARCS data. The specific codes for each type of injury are listed in format catalogs https://ftp.cdc.gov/pub/Health_Statistics/NCHS/injury/tools/ on the NCHS site. The catalogs used for this CHIR dashboard are intent_fmt64b.sas7bcat and mechanism_fmt64b.sas7bdat (Accessed in November 2020). For further ICD-10-CM information, visit Injury Data and Resources.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Unintentional injury hospitalization rate per 10,000 - Aged <10 years	The number of hospitalizations related to unintentional injury among persons aged less than 10 years per 10,000 population aged less than 10 years. As of October 1, 2015, medical data coded using the International Classification of Diseases, 10th Revision, Clinic Modification (ICD-10-CM) requires coders to assign unintentional intent when the intent is not stated in the medical record. This may lead to an overcount of unintentional injuries and an undercount of intentional injuries, such as assaults and self-harm. Through data year 2014, the ICD-9-CM codes used for unintentional injury hospitalization are: E800-E848, E850-E869, E880-E928 (E929 is excluded). For year 2016-and-forward data, ICD-10-CM codes were used. Also, beginning in data year 2016, the first-mentioned injury diagnosis code or the first-mentioned external cause code in the principal diagnosis field, any of external injury fields, or any of 24 other diagnosis fields was used to define injury types in the SPARCS data. The specific codes for each type of injury are listed in format catalogs https://ftp.cdc.gov/pub/Health_Statistics/NCHS/injury/tools/ on the NCHS site. The catalogs used for this CHIR dashboard are intent_fmt64b.sas7bcat and mechanism_fmt64b.sas7bdat (Accessed in November 2020). For further ICD-10-CM information, visit Injury Data and Resources.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Unintentional injury hospitalization rate per 10,000 - Aged 10-14 years	The number of hospitalizations related to unintentional injury among persons aged 10-14 years per 10,000 population aged 10-14 years. As of October 1, 2015, medical data coded using the International Classification of Diseases, 10th Revision, Clinic Modification (ICD-10-CM) requires coders to assign unintentional intent when the intent is not stated in the medical record. This may lead to an overcount of unintentional injuries and an undercount of intentional injuries, such as assaults and self-harm. Through data year 2014, the ICD-9-CM codes used for unintentional injury hospitalization are: E800-E848, E850-E869, E880-E928 (E929 is excluded). For year 2016-and-forward data, ICD-10-CM codes were used. Also, beginning in data year 2016, the first-mentioned injury diagnosis code or the first-mentioned external cause code in the principal diagnosis field, any of external injury fields, or any of 24 other diagnosis fields was used to define injury types in the SPARCS data. The specific codes for each type of injury are listed in format catalogs https://ftp.cdc.gov/pub/Health_Statistics/NCHS/injury/tools/ on the NCHS site. The catalogs used for this CHIR dashboard are intent_fmt64b.sas7bcat and mechanism_fmt64b.sas7bdat (Accessed in November 2020). For further ICD-10-CM information, visit Injury Data and Resources.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Unintentional injury hospitalization rate per 10,000 - Aged 15-24 years	The number of hospitalizations related to unintentional injury among persons aged 15-24 years per 10,000 population aged 15-24 years. As of October 1, 2015, medical data coded using the International Classification of Diseases, 10th Revision, Clinic Modification (ICD-10-CM) requires coders to assign unintentional intent when the intent is not stated in the medical record. This may lead to an overcount of unintentional injuries and an undercount of intentional injuries, such as assaults and self-harm. Through data year 2014, the ICD-9-CM codes used for unintentional injury hospitalization are: E800-E848, E850-E869, E880-E928 (E929 is excluded). For year 2016-and-forward data, ICD-10-CM codes were used. Also, beginning in data year 2016, the first-mentioned injury diagnosis code or the first-mentioned external cause code in the principal diagnosis field, any of external injury fields, or any of 24 other diagnosis fields was used to define injury types in the SPARCS data. The specific codes for each type of injury are listed in format catalogs https://ftp.cdc.gov/pub/Health_Statistics/NCHS/injury/tools/ on the NCHS site. The catalogs used for this CHIR dashboard are intent_fmt64b.sas7bcat and mechanism_fmt64b.sas7bdat (Accessed in November 2020). For further ICD-10-CM information, visit Injury Data and Resources.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Unintentional injury hospitalization rate per 10,000 - Aged 25-64 years	The number of hospitalizations related to unintentional injury among persons aged 25-64 years per 10,000 population aged 25-64 years. As of October 1, 2015, medical data coded using the International Classification of Diseases, 10th Revision, Clinic Modification (ICD-10-CM) requires coders to assign unintentional intent when the intent is not stated in the medical record. This may lead to an overcount of unintentional injuries and an undercount of intentional injuries, such as assaults and self-harm. Through data year 2014, the ICD-9-CM codes used for unintentional injury hospitalization are: E800-E848, E850-E869, E880-E928 (E929 is excluded). For year 2016-and-forward data, ICD-10-CM codes were used. Also, beginning in data year 2016, the first-mentioned injury diagnosis code or the first-mentioned external cause code in the principal diagnosis field, any of external injury fields, or any of 24 other diagnosis fields was used to define injury types in the SPARCS data. The specific codes for each type of injury are listed in format catalogs https://ftp.cdc.gov/pub/Health_Statistics/NCHS/injury/tools/ on the NCHS site. The catalogs used for this CHIR dashboard are intent_fmt64b.sas7bcat and mechanism_fmt64b.sas7bdat (Accessed in November 2020). For further ICD-10-CM information, visit Injury Data and Resources.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Unintentional injury hospitalization rate per 10,000 - Aged 65 years and older	The number of hospitalizations related to unintentional injury among persons aged 65 years and older per 10,000 population aged 65 years and older. As of October 1, 2015, medical data coded using the International Classification of Diseases, 10th Revision, Clinic Modification (ICD-10-CM) requires coders to assign unintentional intent when the intent is not stated in the medical record. This may lead to an overcount of unintentional injuries and an undercount of intentional injuries, such as assaults and self-harm. Through data year 2014, the ICD-9-CM codes used for unintentional injury hospitalization are: E800-E848, E850-E869, E880-E928 (E929 is excluded). For year 2016-and-forward data, ICD-10-CM codes were used. Also, beginning in data year 2016, the first-mentioned injury diagnosis code or the first-mentioned external cause code in the principal diagnosis field, any of external injury fields, or any of 24 other diagnosis fields was used to define injury types in the SPARCS data. The specific codes for each type of injury are listed in format catalogs https://ftp.cdc.gov/pub/Health_Statistics/NCHS/injury/tools/ on the NCHS site. The catalogs used for this CHIR dashboard are intent_fmt64b.sas7bcat and mechanism_fmt64b.sas7bdat (Accessed in November 2020). For further ICD-10-CM information, visit Injury Data and Resources.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Falls hospitalization rate per 10,000, crude and age-adjusted **	The number of hospitalizations related to fall injury per 10,000 population. Through data year 2014, the ICD-9-CM codes used for fall-related injury are: E880-E888, (excluding E887), E957, E9681, E987. For year 2016-and-forward data, ICD-10-CM codes were used. Also, beginning in data year 2016, the first-mentioned injury diagnosis code or the first-mentioned external cause code in the principal diagnosis field, any of external injury fields, or any of 24 other diagnosis fields was used to define injury types in the SPARCS data. The specific codes for each type of injury are listed in format catalogs https://ftp.cdc.gov/pub/Health_Statistics/NCHS/injury/tools/ on the NCHS site. The catalogs used for this CHIR dashboard are intent_fmt64b.sas7bcat and mechanism_fmt64b.sas7bdat (Accessed in November 2020). For further ICD-10-CM information, visit Injury Data and Resources.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Falls hospitalization rate per 10,000 - Aged <10 years	The number of hospitalizations related to fall injury among persons aged <10 years per 10,000 population aged <10 years. Through data year 2014, the ICD-9-CM codes used for fall-related injury are: E880-E888, (excluding E887), E957, E9681, E987 For year 2016-and-forward data, ICD-10-CM codes were used. Also, beginning in data year 2016, the first-mentioned injury diagnosis code or the first-mentioned external cause code in the principal diagnosis field, any of external injury fields, or any of 24 other diagnosis fields was used to define injury types in the SPARCS data. The specific codes for each type of injury are listed in format catalogs https://ftp.cdc.gov/pub/Health_Statistics/NCHS/injury/tools/ on the NCHS site. The catalogs used for this CHIR dashboard are intent_fmt64b.sas7bcat and mechanism_fmt64b.sas7bdat (Accessed in November 2020). For further ICD-10-CM information, visit Injury Data and Resources.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Falls hospitalization rate per 10,000 - Aged 10-14 years	The number of hospitalizations related to fall injury among persons aged 10-14 years per 10,000 population aged 10-14 years. Through data year 2014, the ICD-9-CM codes used for fall-related injury are: E880-E888, (excluding E887), E957, E9681, E987. For year 2016-and-forward data, ICD-10-CM codes were used. Also, beginning in data year 2016, the first-mentioned injury diagnosis code or the first-mentioned external cause code in the principal diagnosis field, any of external injury fields, or any of 24 other diagnosis fields was used to define injury types in the SPARCS data. The specific codes for each type of injury are listed in format catalogs https://ftp.cdc.gov/pub/Health_Statistics/NCHS/injury/tools/ on the NCHS site. The catalogs used for this CHIR dashboard are intent_fmt64b.sas7bcat and mechanism_fmt64b.sas7bdat (Accessed in November 2020). For further ICD-10-CM information, visit Injury Data and Resources.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Falls hospitalization rate per 10,000 - Aged 15-24 years	The number of hospitalizations related to fall injury among persons aged 15-24 years per 10,000 population aged 15-24 years. Through data year 2014, the ICD-9-CM codes used for fall-related injury are: E880-E888, (excluding E887), E957, E9681, E987. For year 2016-and-forward data, ICD-10-CM codes were used. Also, beginning in data year 2016, the first-mentioned injury diagnosis code or the first-mentioned external cause code in the principal diagnosis field, any of external injury fields, or any of 24 other diagnosis fields was used to define injury types in the SPARCS data. The specific codes for each type of injury are listed in format catalogs https://ftp.cdc.gov/pub/Health_Statistics/NCHS/injury/tools/ on the NCHS site. The catalogs used for this CHIR dashboard are intent_fmt64b.sas7bcat and mechanism_fmt64b.sas7bdat (Accessed in November 2020). For further ICD-10-CM information, visit Injury Data and Resources.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Falls hospitalization rate per 10,000 - Aged 25-64 years	The number of hospitalizations related to fall injury among persons aged 25-64 years per 10,000 population aged 25-64 years. Through data year 2014, the ICD-9-CM codes used for fall-related injury are: E880-E888, (excluding E887), E957, E9681, E987 For year 2016-and-forward data, ICD-10-CM codes were used. Also, beginning in data year 2016, the first-mentioned injury diagnosis code or the first-mentioned external cause code in the principal diagnosis field, any of external injury fields, or any of 24 other diagnosis fields was used to define injury types in the SPARCS data. The specific codes for each type of injury are listed in format catalogs https://ftp.cdc.gov/pub/Health_Statistics/NCHS/injury/tools/ on the NCHS site. The catalogs used for this CHIR dashboard are intent_fmt64b.sas7bcat and mechanism_fmt64b.sas7bdat (Accessed in November 2020). For further ICD-10-CM information, visit Injury Data and Resources.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Falls hospitalization rate per 10,000 - Aged 65-74 years	The number of hospitalizations related to fall injury among persons aged 65-74 years per 10,000 population aged 65-74 years. Through data year 2014, the ICD-9-CM codes used for fall-related injury are: E880-E888, (excluding E887), E957, E9681, E987. For year 2016-and-forward data, ICD-10-CM codes were used. Also, beginning in data year 2016, the first-mentioned injury diagnosis code or the first-mentioned external cause code in the principal diagnosis field, any of external injury fields, or any of 24 other diagnosis fields was used to define injury types in the SPARCS data. The specific codes for each type of injury are listed in format catalogs https://ftp.cdc.gov/pub/Health_Statistics/NCHS/injury/tools/ on the NCHS site. The catalogs used for this CHIR dashboard are intent_fmt64b.sas7bcat and mechanism_fmt64b.sas7bdat (Accessed in November 2020). For further ICD-10-CM information, visit Injury Data and Resources.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Falls hospitalization rate per 10,000 - Aged 75-84 years	The number of hospitalizations related to fall injury among persons aged 75-84 years per 10,000 population aged 75-84 years. Through data year 2014, the ICD-9-CM codes used for fall-related injury are: E880-E888, (excluding E887), E957, E9681, E987. For year 2016-and-forward data, ICD-10-CM codes were used. Also, beginning in data year 2016, the first-mentioned injury diagnosis code or the first-mentioned external cause code in the principal diagnosis field, any of external injury fields, or any of 24 other diagnosis fields was used to define injury types in the SPARCS data. The specific codes for each type of injury are listed in format catalogs https://ftp.cdc.gov/pub/Health_Statistics/NCHS/injury/tools/ on the NCHS site. The catalogs used for this CHIR dashboard are intent_fmt64b.sas7bcat and mechanism_fmt64b.sas7bdat (Accessed in November 2020). For further ICD-10-CM information, visit Injury Data and Resources.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Falls hospitalization rate per 10,000 - Aged 85 years and older	The number of hospitalizations related to fall injury among persons aged 85 years and older per 10,000 population aged 85 years and older. Through data year 2014, the ICD-9-CM codes used for fall-related injury are: E880-E888, (excluding E887), E957, E9681, E987. For year 2016-and-forward data, ICD-10-CM codes were used. Also, beginning in data year 2016, the first-mentioned injury diagnosis code or the first-mentioned external cause code in the principal diagnosis field, any of external injury fields, or any of 24 other diagnosis fields was used to define injury types in the SPARCS data. The specific codes for each type of injury are listed in format catalogs https://ftp.cdc.gov/pub/Health_Statistics/NCHS/injury/tools/ on the NCHS site. The catalogs used for this CHIR dashboard are intent_fmt64b.sas7bcat and mechanism_fmt64b.sas7bdat (Accessed in November 2020). For further ICD-10-CM information, visit Injury Data and Resources.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Poisoning hospitalization rate per 10,000, crude and age-adjusted **	The number of hospitalizations related to poisoning injury per 10,000 population. Through data year 2014, the ICD-9-CM codes used for poisoning-related injury are: E850-E869,E950-E952, E962, E980-E982. For year 2016-and-forward data, ICD-10-CM codes were used. Also, beginning in data year 2016, the first-mentioned injury diagnosis code or the first-mentioned external cause code in the principal diagnosis field, any of external injury fields, or any of 24 other diagnosis fields was used to define injury types in the SPARCS data. The specific codes for each type of injury are listed in format catalogs https://ftp.cdc.gov/pub/Health_Statistics/NCHS/injury/tools/ on the NCHS site. The catalogs used for this CHIR dashboard are intent_fmt64b.sas7bcat and mechanism_fmt64b.sas7bdat (Accessed in November 2020). For further ICD-10-CM information, visit Injury Data and Resources.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Motor vehicle injury mortality rate per 100,000, crude and age-adjusted **	The number of deaths due to motor vehicle related injury per 100,000 population. The ICD-10 codes for motor vehicle related injuries are: 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-V88.8,V89.0,V89.2	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Non-motor vehicle injury mortality rate per 100,000, crude and age-adjusted **	The number of deaths due to non-motor vehicle related injury per 100,000 population. The ICD-10 codes for non-motor vehicle related injury are: between V01 and V89 (excluding the ICD-10 codes for motor vehicle related injuries - above); V90-V99; W00-X59; Y85 and Y86.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Traumatic brain injury hospitalization rate per 10,000, crude and age-adjusted **	The number of hospitalizations due to traumatic brain injury per 10,000 population. Through data year 2014, the ICD-9-CM codes used for traumatic brain injury are: 800-801.9, 803-804.9, 850-851.9, 852-854.1, 950.1-950.3, 959.01 and 995.55 in any diagnosis. The ICD-10-CM codes used for traumatic brain injury are: S02.0, S02.1, S02.8, and S02.91 with seventh character of "A" or "B", S04.02, S04.03, S04.04, S06, S07.1, and T74.4 with seventh character of "A" in any diagnosis. For more information see Hedegaard H, Johnson RL, Warner M, et al.Proposed framework for presenting injury data using the International Classification of Diseases, Tenth Revision, Clinical Modification diagnosis codes. National health statistics reports; no 89. Hyattsville, MD: National Center for Health Statistics. 2016. The specific codes traumatic brain injury are also available inthe CSTE website (Accessed on October 20, 2020).	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Alcohol related motor vehicle injuries and deaths per 100,000	Data include persons killed or injured in motor vehicle crashes where alcohol was considered to be a factor. It also includes pedestrians, bicyclists and all other non-vehicle involved persons as well as vehicle occupants. These data were gathered from police reports. Crashes are reported by the county where the event occurred. Rate is per 100,000 population.	New York State Governor's Traffic Safety Committee Institute for Traffic Safety Management and Research, New York State Department of Motor Vehicles 6 Contact: Data Service, at (518) 518-473-3959
Maternal and Infant Health Indicators
Percentage of births to women aged 25 years and older without a high school education	The percentage of total births that were born to women aged 25 or older without a high school education.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Percentage of births to out-of-wedlock mothers	The percentage of total births that were born to women who were not married. Because New York State Public Health Law prohibits asking about marital status on NYS birth certificates, the number of out-of-wedlock births is derived from the number of births for which a mother reports that a paternity acknowledgement has been filed or births for which no father information is supplied by the mother.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Percentage of births that were first births	The percentage of total births that were to women giving birth for the first time. (Only the first of multiple births is considered a first time birth.)	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Percentage of births that were multiple births	The percentage of total births that were the result of a multiple gestation pregnancy.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Percentage of births with early (1st trimester) prenatal care	The percentage of births (excluding births without a known prenatal care start date) that began prenatal care within the first three months of pregnancy (1st trimester).	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Percentage of births with late (3rd trimester) or no prenatal care	The percentage of births (excluding births without a known prenatal care start date) that began prenatal care during the last 3 months of pregnancy (3rd trimester) or not at all.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Percentage of births with adequate prenatal care	The percentage is based on Adequate Plus and Adequate groups defined in Adequacy of Prenatal Care Utilization (APNCU) Index. The APNCU Index is an adequacy of prenatal care index that takes into account the number of prenatal care visits received and number of expected by age of gestation at delivery, and incorporates a category that distinguishes women who have had more prenatal visits than would be expected. Reference: Kotelchuck M. An evaluation of the Kessner Adequacy of Prenatal Care Index and a proposed Adequacy of Prenatal Care Utilization Index. Am J Public Health 84(9):1414-20. 1994.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Percentage of pregnant women in WIC with early (1st trimester) prenatal care	The percentage of WIC program enrolled women giving birth who had their first prenatal care visit within the first 3 months of pregnancy.	NYS Pregnancy Nutrition Surveillance System (PNSS) - WIC Program 7 Contact:WICDATA@health.ny.gov
Percentage of pregnant women in WIC who were pre-pregnancy underweight (BMI less than 18.5)	The percentage of pregnant women in the WIC program with a pre-pregnancy body mass index (BMI) less than 18.5. BMI is defined as weight in kilograms divided by height in meters squared w/h2.	NYS Pregnancy Nutrition Surveillance System (PNSS) - WIC Program 7 Contact:WICDATA@health.ny.gov
Percentage of pregnant women in WIC who were pre-pregnancy overweight but not obese (BMI 25 to less than 30)	The percentage of pregnant women in the WIC program with a pre-pregnancy body mass index (BMI) between 25.0 and 29.9. BMI is defined as weight in kilograms divided by height in meters squared w/h2.	NYS Pregnancy Nutrition Surveillance System (PNSS) - WIC Program 7 Contact:WICDATA@health.ny.gov
Percentage of pregnant women in WIC who were pre-pregnancy obese (BMI 30 or higher)	The percentage of pregnant women in the WIC program with a pre-pregnancy body mass index (BMI) 30 or higher. BMI is defined as weight in kilograms divided by height in meters squared w/h2.	NYS Pregnancy Nutrition Surveillance System (PNSS) - WIC Program 7 Contact:WICDATA@health.ny.gov
Percentage of pregnant women in WIC with anemia in 3rd trimester	The percentage of pregnant women in the WIC program who had prenatal hemoglobin or hematocrit values in the 3rd trimester that indicated anemia (based on 1990 MMWR, "Recommendations to Prevent and Control Iron Deficiency in the United States"; adjusted for altitude and smoking).	NYS Pregnancy Nutrition Surveillance System (PNSS) - WIC Program 7 Contact:WICDATA@health.ny.gov
Percentage of pregnant women in WIC with gestational weight gain greater than ideal	The percentage of pregnant women in the WIC program with a weight gain greater than ideal for their pre-pregnancy weight. (Based on 2009 IOM report, "Weight Gain During Pregnancy": underweight during pregnancy (ideal weight gain = 28 to 40 pounds), normal weight pre-pregnancy (ideal weight gain = 25 to 35 pounds), overweight pre-pregnancy (ideal weight gain = 15 to 25 pounds), obese pre-pregnancy (ideal weight gain = 11 to 20 pounds).)	NYS Pregnancy Nutrition Surveillance System (PNSS) - WIC Program 7 Contact:WICDATA@health.ny.gov
Percentage of pregnant women in WIC with gestational diabetes	The percentage of WIC enrolled pregnant women who were diagnosed with gestational diabetes.	NYS Pregnancy Nutrition Surveillance System (PNSS) - WIC Program 7 Contact:WICDATA@health.ny.gov
Percentage of pregnant women in WIC with hypertension during pregnancy	The percentage of WIC enrolled pregnant women who were diagnosed with hypertension during their pregnancy.	NYS Pregnancy Nutrition Surveillance System (PNSS) - WIC Program 7 Contact:WICDATA@health.ny.gov
Percentage of WIC infants breastfeeding at least 6 months	The percentage of infants enrolled in WIC who were breastfed at 6 months. Only infants who turned 6 months of age during the reporting period by/on the date of their WIC visit were included in the breastfed at least 6 months analysis.	NYS Pediatric Nutrition Surveillance System (PedNSS)- WIC Program 8 Contact: WICDATA@health.ny.gov
Percentage of infants fed any breast milk in delivery hospital	The percentage of infants that were fed any breast milk in the delivery hospital (excludes infants admitted to the NICU or transferred in or out of the hospital).	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Percentage of infants fed exclusively breast milk in delivery hospital	The percentage of infants that were fed exclusively breast milk in the delivery hospital (excludes infants admitted to the NICU or transferred in or out of the hospital).	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Percentage of births delivered by cesarean section	The percentage of total births that were delivered by cesarean section.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Percentage of low-risk births delivered by cesarean section	The percentage of live births delivered by cesarean section among low-risk births. Low-risk births are defined as head-first and full-term singleton births to women who have no prior births.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Mortality rate per 1,000 live births - Infant (<1 year)	The number of deaths among infants less than 1 year of age per 1,000 live births.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Mortality rate per 1,000 live births - Neonatal (<28 days)	The number of deaths among infants less than 28 days old per 1,000 live births.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Mortality rate per 1,000 live births - Post-neonatal (1 month to 1 year)	The number of deaths among infants between 28 days and less than 1 year of age per 1,000 live births.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Mortality rate per 1,000 live births - Fetal death (20 weeks gestation or more)	The number of spontaneous fetal deaths (gestation 20 weeks or more) per 1,000 spontaneous fetal deaths (gestation 20 weeks or more) plus live births. NOTE: Fetal death data for Essex and Hamilton counties were combined for confidentiality purposes.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Mortality rate per 1,000 live births - Perinatal (20 weeks gestation - <28 days of life)	The number of neonatal deaths and spontaneous fetal deaths of gestation 20 weeks or more, per 1,000 spontaneous fetal deaths 20 weeks or more plus live births. Note: Perinatal death data for Essex and Hamilton counties were combined for confidentiality purposes.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Mortality rate per 1,000 live births - Perinatal (28 weeks gestation - <7 days of life)	The number of deaths in first 7 days of life and spontaneous fetal deaths of gestation 28 weeks or more, per 1,000 spontaneous fetal deaths 28 weeks of more plus live births. Note: Perinatal death data for Essex and Hamilton counties were combined for confidentiality purposes.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Maternal mortality rate per 100,000 live births	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. Note: The maternal mortality definition has been revised to be consistent with the definition used by the World Health Organization. The previous definition used by NYSDOH (ICD 10 codes: O00-O99) to report maternal mortality included deaths that occurred outside this time period (ICD 10 codes: O96 and O97).	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Percentage very low birthweight (<1.5 kg) births	The percentage of births born weighing less than 1500 grams. (Excludes births with unknown birthweight)	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Percentage very low birthweight (<1.5kg) singleton births	The percentage of single births born weighing less than 1500 grams. (Excludes births with unknown birthweight)	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Percentage low birthweight (<2.5 kg) births	The percentage of births born weighing less than 2500 grams. (Excludes births with unknown birthweight)	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Percentage low birthweight (<2.5kg) singleton births	The percentage of single births born weighing less than 2500 grams. (Excludes births with unknown birthweight)	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Percentage of premature births with <32 weeks gestation	The percentage of infants with known gestation born before 32 weeks gestation (by obstetric estimate of gestation).	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Percentage of premature births with 32 - <37 weeks gestation	The percentage of infants with known gestation born at 32-36 weeks gestation (by obstetric estimate of gestation).	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Percentage of premature births with <37 weeks gestation	The percentage of infants with known gestation born at less than 37 weeks gestation (by obstetric estimate of gestation).	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Percentage of births with a 5 minute APGAR <6	The percentage of total births with an APGAR score of less than 6 after the first 5 minutes of life.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Obesity and Related Indicators
Percentage overweight but not obese (85th-<95th percentile) - Students (with weight status information in SWSCRS) in elementary, middle and high school	The percentage of students attending public schools, with weight status information in the SWSCRS, with a body mass index (BMI) at or above the 85th percentile and less than the 95th percentile - Students in elementary, middle and high school.	Student Weight Status Category Reporting System (SWSCR) 9
Percentage obese (95th percentile or higher) - Students (with weight status information in SWSCRS) in elementary, middle and high school	The percentage of students attending public schools, with weight status information in the SWSCRS, with a body mass index (BMI) at or above the 95th percentile.	Student Weight Status Category Reporting System (SWSCR) 9
Percentage overweight or obese (85th percentile or higher) - Students (with weight status information in SWSCRS) in elementary, middle and high school	The percentage of students attending public schools, with weight status information in the SWSCRS, with a body mass index (BMI) at or above the 85th percentile.	Student Weight Status Category Reporting System (SWSCR) 9
Percentage overweight but not obese (85th-<95th percentile) - Students (with weight status information in SWSCRS) in elementary school	The percentage of elementary school students attending public schools, with weight status information in the SWSCRS, with a body mass index (BMI) at or above the 85th percentile and less than the 95th percentile.	Student Weight Status Category Reporting System (SWSCR) 9
Percentage obese (95th percentile or higher ) - Students (with weight status information in SWSCRS) in elementary school	The percentage of elementary school students attending public schools, with weight status information in the SWSCRS, with a body mass index (BMI) at or above the 95th percentile.	Student Weight Status Category Reporting System (SWSCR) 9
Percentage overweight or obese (85th percentile or higher) - Students (with weight status information in SWSCRS) in elementary school	The percentage of elementary school students attending public schools, with weight status information in the SWSCRS, with a body mass index (BMI) at or above the 85th percentile.	Student Weight Status Category Reporting System (SWSCR) 9
Percentage overweight but not obese (85th-<95th percentile) - Students (with weight status information in SWSCRS) in middle and high school	The percentage of middle and high school students attending public schools, with weight status information in the SWSCRS, with a body mass index (BMI) at or above the 85th percentile and less than the 95th percentile.	Student Weight Status Category Reporting System (SWSCR) 9
Percentage obese (95th percentile or higher ) - Students (with weight status information in SWSCRS) in middle and high school	The percentage of middle and high school students attending public schools, with weight status information in the SWSCRS, with a body mass index (BMI) at or above the 95th percentile.	Student Weight Status Category Reporting System (SWSCR) 9
Percentage overweight or obese (85th percentile or higher) - Students (with weight status information in SWSCRS) in middle and high school	The percentage of middle and high school students attending public schools, with weight status information in the SWSCRS, with a body mass index (BMI) at or above the 85th percentile.	Student Weight Status Category Reporting System (SWSCR) 9
Percentage of pregnant women in WIC who were pre-pregnancy overweight but not obese (BMI 25 to less than 30)	The percentage of pregnant women in the WIC program with a pre-pregnancy body mass index (BMI) between 25.0 and 29.9. BMI is defined as weight in kilograms divided by height in meters squared w/h2.	NYS Pregnancy Nutrition Surveillance System (PNSS) - WIC Program 7 Contact:WICDATA@health.ny.gov
Percentage of pregnant women in WIC who were pre-pregnancy obese (BMI 30 or higher)	The percentage of pregnant women in the WIC program with a pre-pregnancy body mass index (BMI) 30 or higher. BMI is defined as weight in kilograms divided by height in meters squared w/h2.	NYS Pregnancy Nutrition Surveillance System (PNSS) - WIC Program 7 Contact:WICDATA@health.ny.gov
Percentage obese (95th percentile or higher) children (aged 2-4 years) in WIC	Children aged 2-4 participating in the WIC program whose weight was at or above the 95th percentile based on BMI-for-age.	NYS Pediatric Nutrition Surveillance System (PedNSS)- WIC Program 8 Contact: WICDATA@health.ny.gov
Percentage of children (aged 2-4 years) enrolled in WIC watching TV 2 hours or less per day	The percentage of children aged 2-4 enrolled in WIC who watched TV for two hours or less per day.	NYS Pediatric Nutrition Surveillance System (PedNSS)- WIC Program 8 Contact: WICDATA@health.ny.gov
Percentage of WIC infants breastfeeding at least 6 months	The percentage of infants enrolled in WIC who were breastfed at 6 months. Only infants who turned 6 months of age during the reporting period by/on the date of their WIC visit were included in the breastfed at least 6 months analysis.	NYS Pediatric Nutrition Surveillance System (PedNSS)- WIC Program 8 Contact: WICDATA@health.ny.gov
Age-adjusted percentage of adults overweight or obese (BMI 25 or higher)	The percentage of respondents aged 18 years or older with body mass index (BMI) equal to or greater than 25. The standard population used for age adjustment was the 2000 U.S. population.	New York State Expanded Behavioral Risk Factor Surveillance System 1 Contact: BRFSS Coordinator at (518) 473-0673
Age-adjusted percentage of adults with obesity (BMI 30 or higher)	The percentage of respondents aged 18 years or older with body mass index (BMI) of 30 or greater. The standard population used for age adjustment was the 2000 U.S. population.	New York State Expanded Behavioral Risk Factor Surveillance System 1 Contact: BRFSS Coordinator at (518) 473-0673
Age-adjusted percentage of adults who participated in leisure time physical activity in the past 30 days	Age-adjusted percentage of adults who participated in leisure time physical activity in the past 30 days. The standard population used for age adjustment was the 2000 U.S. population.	New York State Expanded Behavioral Risk Factor Surveillance System 1 Contact: BRFSS Coordinator at (518) 473-0673
Age-adjusted percentage of adults who report consuming less than one fruit or vegetable daily (no fruits and vegetables)	Age-adjusted percentage of adults who report consuming less than one fruit or vegetable daily (no fruits and vegetables). The standard population used for age adjustment was the 2000 U.S. population.	New York State Expanded Behavioral Risk Factor Surveillance System 1 Contact: BRFSS Coordinator at (518) 473-0673
Age-adjusted percentage of adults with physician diagnosed diabetes	The percentage of adults who reported they were told by a health professional that they have diabetes. The standard population used for age adjustment was the 2000 U.S. population.	New York State Expanded Behavioral Risk Factor Surveillance System 1 Contact: BRFSS Coordinator at (518) 473-0673
Age-adjusted percentage of adults with cardiovascular disease (heart attack, coronary heart disease, or stroke)	Age adjusted Percentage of adults with cardiovascular disease (heart attack, coronary heart disease, or stroke). The standard population used for age adjustment was the 2000 U.S. population.	New York State Expanded Behavioral Risk Factor Surveillance System 1 Contact: BRFSS Coordinator at (518) 473-0673
Age-adjusted cardiovascular disease mortality rate per 100,000 **	The number of deaths due to cardiovascular disease per 100,000 population. The ICD-10 codes used for cardiovascular disease are: I00-I99.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Age-adjusted cerebrovascular disease (stroke) mortality rate per 100,000 **	The number of deaths due to cerebrovascular disease per 100,000 population. The ICD-10 codes used for cerebrovascular disease are: I60-I69	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Age-adjusted diabetes mortality rate per 100,000 **	The number of deaths due to diabetes per 100,000 population. The ICD-10 codes used for diabetes are: E10-E14.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Age-adjusted cardiovascular disease hospitalization rate per 10,000 **	The number of hospitalizations due to cardiovascular disease per 10,000 population. The ICD-9-CM codes used for cardiovascular disease are: 390-459. The ICD-10-CM codes used for cardiovascular disease are: I00-I99	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Age-adjusted cerebrovascular disease (stroke) hospitalization rate per 10,000 **	The number of hospitalizations due to cerebrovascular disease per 10,000 population. The ICD-9-CM codes used for cerebrovascular disease are: 430-438. The ICD-10-CM codes used for cerebrovascular disease are: I60-I69.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Age-adjusted diabetes hospitalization rate per 10,000 (primary diagnosis) **	The number of hospitalizations due to diabetes per 10,000 population. Only hospitalizations with diabetes as the primary diagnosis are included. The ICD-9-CM code used for diabetes is: 250. The ICD-10-CM codes for diabetes are: E10-E14.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Occupational Health Indicators
Incidence of malignant mesothelioma per 100,000 persons aged 15 years and older	Incident cases of mesothelioma in persons aged 15 years or older. Incidence data are based on reports from hospitals and other health facilities that diagnose and treat cancer patients. Mesothelioma is defined as an ICD-O histology code of 9050-9053. Data are presented for a five-year time period. The mesothelioma incidence rates are per 100,000 persons aged 15 years and older.	New York State Cancer Registry at (518) 474-2255. See also Info for Researchers-Cancer Statistics
Pneumoconiosis hospitalization rate per 100,000 - Aged 15 years and older	The number of hospital discharges for persons aged 15 years or older with a primary or contributing diagnosis of total pneumoconiosis.	Program Contact: Bureau of Occupational Health and Injury Prevention
Asbestosis hospitalization rate per 100,000 - Aged 15 years and older	The number of hospital discharges for persons aged 15 years or older with a primary or contributing diagnosis of Asbestosis. The rates of hospitalizations from these diseases are rates per 100,000 residents.	Program Contact: Bureau of Occupational Health and Injury Prevention
Work-related hospitalizations per 100,000 employed persons aged 16 years and older	The number of hospital discharges with primary payor coded as workers' compensation for persons aged 16 years or older. Data are presented for a three-year time period. The hospitalization rates are per 100,000 employed persons aged 16 years or older, based on U.S. Department of Labor, Bureau of Labor Statistics, Current Population Statistics.	Program Contact: Bureau of Occupational Health and Injury Prevention
Elevated blood lead levels (greater than or equal to 10 micrograms per deciliter) per 100,000 employed persons aged 16 years and older	The number of New York State residents, aged 16 years or older, with a blood lead level of equal or greater than 10 μg/dL. Data are presented for a three-year time period. The prevalence rates are per 100,000 employed persons aged 16 years or older, based on U.S. Department of Labor, Bureau of Labor Statistics, Current Population Statistics.	New York State Department of Health Heavy Metals Registry (HMR) 10 Contact: Bureau of Occupational Health at (518) 402-7900
Fatal work-related injuries per 100,000 employed persons aged 16 years and older	The number of fatal work-related injuries reported to the U.S. Department of Labor, Bureau of Labor Statistics, Census of Fatal Occupational Injuries (CFOI). Data are presented for a three-year time period. The fatality rates are per 100,000 employed persons aged 16 years or older based on U.S. Department of Labor, Bureau of Labor Statistics, Current Population Statistics. The fatality data include employed persons based on the CFOI definition of "at work." Deaths are included in the CFOI categorized under the following event types: Violence and other injuries by persons and animals which include all intentional injuries; injuries involving weapons regardless of intent and injuries involving direct physical contact with persons, animals or insects, regardless of intent. Such injuries may be inflicted by another person, by oneself, or by an animal or insect. Transportation which involves transportation vehicles, animals used for transportation purposes, powered industrial vehicles or powered mobile industrial equipment in which at least one vehicle is in normal operation and the injury was due to a collision or other type of traffic incident or loss of control or a sudden stop, start or jolting of a vehicle regardless of the location where the event occurred. It also includes pedestrians, roadway workers, or other non-passengers involved under the same conditions. Fires and explosions include an injury or illness case in which a worker fell or jumped from a burning building, inhaled a harmful substance or was struck by or struck against an object as a result of a fire or explosion. It also includes incidents in which the worker was injured due to being trapped in a fire or whose respirator had run out of oxygen. Falls, slips, and trips include falls on the same level, falls and jumps to lower levels, falls and jumps curtailed by a personal fall arrest device and slips and trips that do not result in a fall. Exposure to harmful substances or environments include an injury or illness resulting from a condition or substance in the work environment. Contact with objects and equipment include an injury produced by contact between the injured person and the source of the injury such as struck by or caught between an object or equipment. Overexertion and bodily reaction, usually non-impact, include an injury or illness that resulted from free bodily motion, excessive physical effort, repetition of a bodily motion, assumption of an unnatural position, or from remaining in the same position over a period of time. Certain criteria must be met in order for a death to be included in the CFOI. The CFOI uses a variety of state, federal, and independent data sources to identify, verify, and describe fatal work injuries. This ensures counts are as complete and accurate as possible. The decedent must have been employed at the time of the event, and engaged in a work activity or have been present at the site of the incident as a requirement of the job. This broad definition is intended to capture all work-related fatalities that occur while a person is engaged in work. Data must meet certain confidentiality requirements in order to be published; data that is unable to be released will be noted in the cells with a "s". NYC fatality data are available for NYC only as a whole. The data are not published by NYC county or borough. Additional state-level fatality rates by industry are available on the CFOI website. Please note that the denominators for the fatality rates on the CFOI website are the total hours worked by all employees in the state during the calendar year (hour-based employment). The fatality rate on the CFOI website should be interpreted as the number of fatal occupational injuries per 100,000 full-time equivalent workers. (See additional details in the CFOI handbook of methods.) On the CHIRS website, the fatality rates are calculated with employed persons (16+) as the denominator and should be interpreted as the number of work-related injuries per 100,000 employed persons aged 16 years or older.	New York State Census of Fatal Occupational Injuries Program, Bureau of Occupational Health and Injury Prevention Contact: CFOI for NYS excluding New York City (NYC) at (518) 4027943 CFOI for NYC Department of Health and Mental Hygiene at (646) 632 6729 For additional injury prevention resources, please visit: - New York State Fatality Assessment and Control Evaluation (NY FACE) program - All Injuries in New York State
Oral Health Indicators
Age-adjusted percentage of adults who had a dentist visit within the past year	The age-adjusted percentage of adults who reported having visited a dentist or dental clinic for any reason within the past year among those that had or never had visited a dentist in past year. The standard population used for age adjustment was the 2000 U.S. population.	New York State Expanded Behavioral Risk Factor Surveillance System 1 Contact: BRFSS Coordinator at (518) 473-0673
Caries outpatient visit rate per 10,000 - Aged 3-5 years	The number of outpatient visits due to dental caries in children aged 3 to 5 per 10,000 population in that age group. The ICD-10-CM codes used for caries are: K02.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Percentage of Medicaid enrollees with at least one dental visit within the last year	Percentage of Medicaid enrollees with at least one dental visit within the last year.	Bureau of Dental Health Contact: Bureau of Dental Health oralhealth@health.ny.gov
Percentage of Medicaid enrollees with at least one preventive dental visit within the last year	Percentage of Medicaid enrollees with at least one preventive dental visit within the last year.	Bureau of Dental Health Contact: Bureau of Dental Health oralhealth@health.ny.gov
Percentage of Medicaid enrollees (aged 2-20 years) who had at least one dental visit within the last year	Percentage of Medicaid enrollees (aged 2-20 years) who had at least one dental visit within the last year.	Bureau of Dental Health Contact: Bureau of Dental Health oralhealth@health.ny.gov
Percentage of Medicaid enrollees (aged 2-20 years) with at least one preventive dental visit within the last year	Percentage of Medicaid enrollees (aged 2-20 years) with at least one preventive dental visit within the last year.	Bureau of Dental Health Contact: Bureau of Dental Health oralhealth@health.ny.gov
Percentage of children (aged 2-20 years) with at least one dental visit in government sponsored insurance programs	The percentage of children aged 2-20 years in the Medicaid and Child Health Plus programs who have had at least one dental visit.	NYSDOH Office of Quality and Patient Safety Contact: Office of Quality and Patient Safety, at (518) 486-9012
Oral cavity and pharynx cancer incidence rate per 100,000, crude and age-adjusted **	Oral cavity and pharynx cancer incidence rate per 100,000.	New York State Cancer Registry at (518) 474-2255. See also Info for Researchers-Cancer Statistics
Oral cavity and pharynx cancer mortality rate per 100,000, crude and age-adjusted **	Oral cavity and pharynx cancer mortality rate per 100,000. The ICD-10 codes used for lip, oral cavity and pharynx cancer are C00-C14.	New York State Cancer Registry at (518) 474-2255. See also Info for Researchers-Cancer Statistics
Oral cavity and pharynx cancer mortality per 100,000 - Aged 45-74 years	Oral cavity and pharynx cancer mortality rates per 100,000 (aged 45-74 years).	New York State Cancer Registry at (518) 474-2255. See also Info for Researchers-Cancer Statistics
Respiratory Disease Indicators
Chronic lower respiratory disease mortality rate per 100,000, crude and age-adjusted **	The number of deaths due to chronic lower respiratory disease per 100,000 population. The ICD-10 codes used for CLRD are: J40-J47.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Chronic lower respiratory disease hospitalization rate per 10,000, crude and age-adjusted **	The number of hospitalizations due to chronic lower respiratory disease per 10,000. The ICD-9-CM codes used for CLRD are: 490-494,496. The ICD-10-CM codes used for CLRD are: J40-J47.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Asthma hospitalization rate per 10,000, crude and age-adjusted **	The number of hospitalizations due to asthma among persons per 10,000 population. The ICD-9-CM code used for asthma is: 493. The ICD-10-CM code used for asthma is: J45.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Asthma hospitalization rate per 10,000 - Aged 0-4 years	The number of hospitalizations for asthma among children aged 0-4 years per 10,000 children 0-4 years.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Asthma hospitalization rate per 10,000 - Aged 5-14 years	The number of hospitalizations for asthma among children 5-14 years per 10,000 children 5-14 years.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Asthma hospitalization rate per 10,000 - Aged 0-17 years	The number of hospitalizations for asthma among children 0-17 years per 10,000 children 0-17 years.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Asthma hospitalization rate per 10,000 - Aged 5-64 years	The number of hospitalizations due to asthma among persons aged 5-64 years per 10,000 population aged 5-64 years. The ICD-9-CM code used for asthma is: 493. The ICD-10-CM code used for asthma is: J45.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Asthma hospitalization rate per 10,000 - Aged 15-24 years	The number of hospitalizations due to asthma among persons aged 15-24 years per 10,000 population aged 15-24 years. The ICD-9-CM code used for asthma is: 493. The ICD-10-CM code used for asthma is: J45.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Asthma hospitalization rate per 10,000 - Aged 25-44 years	The number of hospitalizations due to asthma among persons aged 25-44 years per 10,000 population aged 25-44 years. The ICD-9-CM code used for asthma is: 493. The ICD-10-CM code used for asthma is: J45.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Asthma hospitalization rate per 10,000 - Aged 45-64 years	The number of hospitalizations due to asthma among persons aged 45-64 years per 10,000 population aged 45-64 years. The ICD-9-CM code used for asthma is: 493. The ICD-10-CM code used for asthma is: J45.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Asthma hospitalization rate per 10,000 - Aged 65 years or older	The number of hospitalizations due to asthma among persons aged 65 years and older per 10,000 population aged 65 years and older. The ICD-9-CM code used for asthma is: 493. The ICD-10-CM code used for asthma is: J45.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Asthma mortality rate per 100,000, crude and age-adjusted **	The number of deaths due to asthma per 100,000 population. The ICD-10 codes used for asthma are: codes J45-J46.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Age-adjusted percentage of adults with current asthma	The prevalence of currently diagnosed asthma was based on answers to two questions: 1. Did a health professional tell you that you had asthma? [if �yes�] 2. Do you still have asthma? 3. Current asthma was defined as adults reporting ever having asthma and still having asthma. The standard population used for age adjustment was the 2000 U.S. population.	New York State Expanded Behavioral Risk Factor Surveillance System 1 Contact: BRFSS Coordinator at (518) 473-0673
Potentially avoidable antibiotic prescribing rates per 100 outpatient acute upper respiratory infection visits in Medicaid population - Aged 18-64 years	Potentially avoidable antibiotic prescribing rates per 100 outpatient acute upper respiratory infection visits in Medicaid population - Aged 18-64 years Rates were based on provider county. For more information, visit Health Data NY.	Health Data NY
Crude and age-adjusted COVID-19 mortality rate per 100,000	The number of deaths per 100,000 population with the coronavirus disease (U07.1) recorded as the underlying cause of death.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Health Status and Social Determinants of Health
Total population	Population estimates	National Center for Health Statistics Vintage 2020 - U.S. Census Populations With Bridged Race Categories 11
Percentage of population aged 65 years and older	Percentage of population aged 65 years or older.	National Center for Health Statistics Vintage 2020 - U.S. Census Populations With Bridged Race Categories 11
Birth rate per 1,000 population	The number of births per 1,000 population.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Total mortality rate per 100,000, crude and age-adjusted **	The number of deaths per 100,000 population.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Percentage premature deaths (aged less than 75 years)	The percentage of all deaths that were among persons aged less than 75 years.	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Years of potential life lost per 100,000	Total years of life lost before age 75 years per 100,000 population (calculated by subtracting the ages of those who died from 75).	Vital Statistics Unit 2 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Data Request Contact: bio-info@health.ny.gov Phone: (518) 473-8144
Percentage of population with disability	Total civilian noninstitutionalized population with a disability divided by total civilian noninstitutionalized population.	U.S. Census, American Community Survey 5-Year Estimates
Percentage of children under 18 years old with disability	Total civilian noninstitutionalized population under 18 with a disability divided by total civilian noninstitutionalized population.	U.S. Census, American Community Survey 5-Year Estimates
Social Vulnerability Index	The Social Vulnerability Index is developed by CDC/ATSDR. Social vulnerability refers to the potential negative effects on communities caused by external stresses on human health. Such stresses include natural or human-caused disasters, or disease outbreaks. Reducing social vulnerability can decrease both human suffering and economic loss. This indicator doesn't have a statewide estimate.	Centers for Disease Control and Prevention/ Agency for Toxic Substances and Disease Registry/ Geospatial Research, Analysis, and Services Program. CDC/ATSDR Social Vulnerability Index 2020 Database New York. https://www.atsdr.cdc.gov/placeandhealth/svi/data_documentation_download.html. Accessed on 10/27/2022.
Percentage of labor force unemployed	"Unemployed" is defined as a person actively seeking employment and available for work. Part-time workers are considered employed. The annual average "Percentage Unemployed" aged 16 years and older was calculated by dividing the number unemployed by the total labor force (employed and unemployed) times 100.	United States Bureau of Labor Statistics: Local Area Unemployment Statistics (LAUS)
Percentage of population in poverty	The percentage of the population who live below the federally determined guidelines for poverty.	U.S. Census Bureau Small Area Income and Poverty Estimates 12
Percentage of children aged <18 years below poverty	The percentage of children aged less than 18 who live below the federally determined guidelines for poverty.	U.S. Census Bureau Small Area Income and Poverty Estimates 12
Annual median household income in US dollars	Annual median household income in US dollars	U.S. Census Bureau Small Area Income and Poverty Estimates 12
Percentage of children aged <19 years with health insurance	The percentage of children aged <19 who were covered by health insurance.	U.S. Census Bureau Small Area Health Insurance Estimates 13
Percentage of adults aged 18-64 years with health insurance	The percentage of adults aged 18-64 who were covered by health insurance.	U.S. Census Bureau Small Area Health Insurance Estimates 13
Percentage of population with Medicaid/means-tested public coverage	Civilian noninstitutionalized population with Medicaid and/or means tested public coverage divided by Civilian noninstitutionalized population.	U.S. Census, American Community Survey 5-Year Estimates
Age-adjusted percentage of adults who did not receive medical care because of cost	The percentage of respondents aged 18 years or older who reported they needed to see a doctor but didn't due to the cost. The standard population used for age adjustment was the 2000 U.S. population.	New York State Expanded Behavioral Risk Factor Surveillance System 1 Contact: BRFSS Coordinator at (518) 473-0673
Age-adjusted percentage of adults who have a regular health care provider	The percentage of respondents aged 18 years or older who reported they have a regular health care provider that they can contact if they have a health problem. The standard population used for age adjustment was the 2000 U.S. population.	New York State Expanded Behavioral Risk Factor Surveillance System 1 Contact: BRFSS Coordinator at (518) 473-0673
Number of primary care physicians per 100,000 population	Number of primary care physicians per 100,000 population	County Health Rankings
Number of mental health providers per 100,000 population	Number of mental health providers per 100,000 population	County Health Rankings
Number of dentists per 100,000 population	Number of dentists per 100,000 population	County Health Rankings
Percentage of enrolled students eligible for free/reduced priced lunch	Percentage of enrolled students eligible for free/reduced priced lunch	New York State Department of Education
Percentage of population who did not have access to a reliable source of food during the past year (Food insecurity)	The USDA states that food security means access by all people at all times to enough food for an active, healthy life. Food insecurity suggests a lack of access. It is measured in a survey and the numerator is made up of respondents that report reduced quality, variety, or desirability of diet, as well as reports of multiple indications of disrupted eating patterns and reduced food intake.	Map the Meal Gap Gundersen, C., Strayer, M., Dewey, A., Hake, M., & Engelhard, E. (2022). Map the Meal Gap 2022: An Analysis of County and Congressional District Food Insecurity and County Food Cost in the United States in 2020. Feeding America. Data Request Contact: research@feedingamerica.org
Percentage of households receiving Food Stamp/SNAP benefits in the past 12 months	The number of households in which one or more current members received SNAP benefits during the past 12 months, divided by the number of occupied households. Group quarters are not included in this count.	U.S. Census, American Community Survey 5-Year Estimates
Percentage of population with low income and low access to supermarket or large grocery store	Percentage of population with low income and low access to supermarket or large grocery store.	USDA, Food Environment Atlas
Percentage of renter occupied units in which gross rent is 30% or more of household income	The number of occupied renter units in which monthly gross rent (including cost of utilities if paid by renter) is 30% or more of household monthly income, divided by the number of occupied renter units. Units for which no rent is paid or which are occupied by households with no income are not included.	U.S. Census, American Community Survey 5-Year Estimates
Monthly median gross rent	Gross rent is the contract rent plus the cost of utilities, if paid by the renter. Units for which no rent is paid are not included.	U.S. Census, American Community Survey 5-Year Estimates
Percentage of population who lived in a different residence one year ago	Population aged one year and over who lived in a different house or apartment one year ago, divided by the population aged one year or over.	U.S. Census, American Community Survey 5-Year Estimates
Percentage of children aged 3 to 4 years old who enrolled in schools among population aged 3 to 4 years old	Percentage of children aged 3 to 4 years old who enrolled in schools (among population aged 3 to 4 years old)	U.S. Census, American Community Survey 5-Year Estimates
Percentage of disconnected youths	Percentage of teens and young adults ages 16-19 who are neither working nor in school.	County Health Rankings
Percentage of high school students who dropped out	The percentage of students in the cohort whose last enrollment record indicated they dropped out of school.	New York State Department of Education
Percentage of high school students who graduated	Percentage of cohort students who earned either a Regents or Local diploma	New York State Department of Education
Percentage of population aged 25 years and older with less than a high school degree	Number of people aged 25 and older with less than high school degree divided by number of people aged 25 and older.	U.S. Census, American Community Survey 5-Year Estimates
Percentage of population aged 25 years and older with at least some college	Number of people aged 25 and older with at least some college, divided by number of people aged 25 and older.	U.S. Census, American Community Survey 5-Year Estimates
Percentage of population aged 5 years and older who speak English very well or English only	The number of people aged 5 and older who speak English only or who speak another language and who speak English very well, divided by the total population aged 5 and older.	U.S. Census, American Community Survey 5-Year Estimates
Index crime rate per 100,000	Index crime is defined as the violent crimes of murder, rape, robbery, and aggravated assault; and the property crimes of burglary, larceny and motor vehicle theft. The FBI created these categories to allow for uniform crime reporting across all 50 states and counties. The data is compiled by the FBI and the Division of Criminal Justice Services. (Number of Crimes / Population) x 100,000 = Crime Rate per 100,000 people	New York State Office of Justice Research and Performance Data from Open Data NY
Violent crime rate per 100,000	Violent crime includes the crimes of murder, rape, robbery, and aggravated assault that have been reported to local police authorities. The data is compiled by the FBI and the Division of Criminal Justice Services. (Number of Crimes / Population) x 100,000 = Crime Rate per 100,000 people	New York State Office of Justice Research and Performance Data from Open Data NY
Mean travel time in minutes to work	Mean travel time in minutes to work	U.S. Census, American Community Survey 5-Year Estimates
Percentage of work population who drove alone (car, truck, and van)	Percentage of population who drove alone (Car, truck, and van)	U.S. Census, American Community Survey 5-Year Estimates
Percentage of work population who used public transportation (excluding taxicab)	Percentage of population who used public transportation (excluding taxicab)	U.S. Census, American Community Survey 5-Year Estimates
Age-adjusted percentage of adults with poor mental health for 14 or more days in the past month	The percentage of respondents (ages 18 or older) who reported having 14 or more days of poor mental health during the past month. The standard population used for age adjustment was the 2000 U.S. population.	New York State Expanded Behavioral Risk Factor Surveillance System 1 Contact: BRFSS Coordinator at (518) 473-0673
Total emergency department visit rate per 10,000, crude and age-adjusted **	The number of emergency department visits (including outpatients and admitted patients) per 10,000 population.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
Total hospitalization rate per 10,000, crude and age-adjusted **	The number of hospitalizations per 10,000 population.	Statewide Planning and Research Cooperative System (SPARCS) 3 Bureau of Health Informatics Division of Information and Statistics Office of Quality and Patient Safety Submission Questions: sparcs.submissions@health.ny.gov - for submission questions Data Request Contact: sparcs.requests@health.ny.gov - for data requests Phone: (518) 473-8144
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Tobacco and Alcohol Use Indicators
Alcohol related motor vehicle injuries and deaths per 100,000	Data include persons killed or injured in motor vehicle crashes where alcohol was considered to be a factor. It also includes pedestrians, bicyclists and all other non-vehicle involved persons as well as vehicle occupants. These data were gathered from police reports. Crashes are reported by the county where the event occurred. Rate is per 100,000 population.	New York State Governor's Traffic Safety Committee Institute for Traffic Safety Management and Research, New York State Department of Motor Vehicles 6 Contact: Data Service, at (518) 518-473-3959
Age-adjusted percentage of adults who are current smokers	Age-adjusted percentage of adults who are current smokers. The standard population used for age adjustment was the 2000 U.S. population.	New York State Expanded Behavioral Risk Factor Surveillance System 1 Contact: BRFSS Coordinator at (518) 473-0673
Age-adjusted percentage of adults living in homes where smoking is prohibited	The percentage of adults reporting they live in a home where smoking is prohibited.	New York State Expanded Behavioral Risk Factor Surveillance System 1 Contact: BRFSS Coordinator at (518) 473-0673
Age-adjusted percentage of adults binge drinking during the past month	The percentage of adults 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 standard population used for age adjustment was the 2000 U.S. population.	New York State Expanded Behavioral Risk Factor Surveillance System 1 Contact: BRFSS Coordinator at (518) 473-0673

** The standard population used for age adjustment was the 2000 U.S. population.

Data Notes:

¹ Expanded BRFSS:

The Expanded BRFSS is a NYS county (regional) adult telephone (landline and cellphone) surveillance system that collects self-reported health conditions and behaviors related to early mortality and morbidity. This system is based on the annual collaborative state based surveillance project administered and supported by the National Center for Chronic Disease Prevention and Health Promotion (CDC), Division of Population Health, Behavioral Risk Factor Surveillance System (BRFSS). Behavioral Risk Factor Surveillance System (BRFSS).

² Vital Records (Vital Statistics):

Vital Event Registration:
New York State consists of two registration areas, New York City and New York State Exclusive of New York City (also referred as Rest of State). New York City (NYC) includes the five counties of Bronx, Kings (Brooklyn), New York (Manhattan), Queens and Richmond (Staten Island); the remaining 57 counties comprise New York State Exclusive of New York City. The Bureau of Vital Records, New York State Department of Health (NYSDOH), processes data from live birth, death, fetal death and marriage certificates recorded in New York State Exclusive of New York City. Through a cooperative agreement, the New York State Department of Health receives data on live births, deaths, fetal deaths and marriages recorded in New York City from the New York City Department of Health and Mental Hygiene (NYCDOHMH) and on live births and deaths recorded outside of New York State to residents of New York State from other states and Canada.
Vital Event indicators for NYC geographical areas reported by NYSDOH and NYCDOHMH may be different since the former may include all NYC residents' events regardless of where they occurred and the latter reports only events to NYC residents that occurred in NYC. The indicators may also differ due to timing and/or completeness of data.
The counts of births and deaths may be influenced by specific reporting issues each year. The specific issues are reported in the technical notes of the Vital Statistics reports, in the Report Measures section.
All the vital statistics presented in this report are based on the county/borough of residence.

³ Statewide Planning and Research Cooperative System (SPARCS):

Information about hospitalizations and emergency department (ED) visits are collected through the hospital data system. Up through the third quarter of 2015, each hospitalization and ED visit received an ICD-9-CM primary diagnosis code, and may have also received additional ICD-9-CM diagnosis codes to further describe the hospitalization or ED visit. CHIRS used the ICD-9-CM primary diagnosis code and up to 14 additional ICD-9-CM diagnosis codes from the hospital data system to generate tables and charts to describe hospitalizations and ED visits up through 2014.
Starting in the fourth quarter of 2015, the hospital data system changed to using the ICD-10-CM for diagnoses. CHIRS used the ICD-10-CM primary diagnosis codes and up to 24 other diagnosis codes from the hospital data system to generate tables and charts to describe hospitalizations and ED visits in 2016 and after. CHIRS does not include hospitalizations and ED visits in 2015, as the ICD codes changed part way through the year.
The SPARCS data do not include visits/discharges by people who sought care from hospitals outside of New York State, which may lower numbers and rates for some counties, especially those which border other states.
County of residence was assigned based on ZIP Code for cases in which patient county of residence was listed as unknown or missing, but a valid NY ZIP Code was present.

⁴ The New York State Lead Poisoning Prevention Program:

This program collects and analyzes statewide data on the extent and severity of childhood lead poisoning.

⁵ The Bureau of Communicable Disease Control:

The Bureau maintains surveillance of all reportable communicable diseases and conditions. Laboratories, hospitals and physicians are required to report cases of these diseases to their local health department. Rates are computed and presented per 100,000 population

⁶ New York State and County Safety Data Reports:

New York State motor vehicle accident data are compiled by the NYS Department of Motor Vehicles from accident reports submitted by police agencies and by motorists. Data are from the alcohol-related accident summary report. For more traffic safety information and data, see the Governor's Traffic Safety Committee - New York State and County Traffic Safety Data Reports

⁷ Pregnancy Nutrition Surveillance System (PNSS) - WIC Program:

This data system maintained by the Division of Nutrition provides nutrition related information on low-income pregnant women enrolled in the WIC Program. Additional indicators and comparable U.S. statistics.

⁸Pediatric Nutrition Surveillance System (PedNSS) - WIC Program:

This data system maintained by the Division of Nutrition provides nutrition related information on low-income infants and children enrolled in the WIC Program. For more WIC data on birth weight, short stature, underweight, overweight, anemia, breastfeeding, smoking in household, and TV viewing, go to: NYS PedNSS reports. Comparable U.S. statistics.

⁹ Student Weight Status Category Reporting System (SWSCR)

The system collects weight status category data (underweight, healthy weight, overweight or obese, based on BMI-for-age percentile) at school entry (pre-kindergarten or kindergarten) and in grades 2, 4, 7 and 10 for students attending all public schools outside of the five boroughs of New York City. Percentages are based on data reported to the Student Weight Status Category Reporting System from the school health certificates and appraisals. County-level estimates reflect data from students attending school within schools assigned a particular county-code by the New York State Education Department (NYSED). County assignment is not based on county of residence.

Estimates reflect the percentage of students with reported weight status information within a specific weight status category. Because of restrictions in reporting due to the Family Educational Rights and Privacy Act (FERPA), parents'/guardians' ability to request that their child's weight status data be excluded from reporting, and other sources of missing data, not all students have data in the data system. The percent of students with reported data varies from county to county. Therefore these estimates do not necessarily represent all school aged-children attending school in that county.
Because school districts report weight status data separately for students in elementary school, middle/high school, and the school district as a whole, the counts of students represented in the district totals for a county will not necessarily equal the counts of students in the elementary and middle/high totals for that county. See more information on Health Data NY.

¹⁰ New York State Department of Health Heavy Metals Registry (HMR):

The HMR was established in 1980 as a tool for the surveillance of adult exposures to lead, mercury, cadmium and arsenic. Information is received from all clinical laboratories that test for any of these four metals in the blood or urine of adults who live or work in New York State. In 1992, legislation (Section 22.6 and 22.7 of the State Sanitary Code) was enacted that required the reporting of all blood lead results, regardless of level.

¹¹ National Center for Health Statistics Bridged Race Population Estimates:

New York State and county population estimates are from the National Center for Health Statistics (NCHS), bridged-race postcensal population estimates. These estimates are prepared under a collaborative arrangement with the U.S. Census Bureau. Each year, the Census Bureau estimates population for the most recent year, and revises estimates for previous years, for the years after the last decennial census. In addition, after each decennial census is complete, the Census Bureau revises estimates for the 10 years prior to that census, published as intercensal estimates. For this dashboard, population estimates for the years 2010 and later are based on the Vintage 2020 postcensal estimates. For the years before 2010, the 2000-2009 revised intercensal estimates are used. The 2018 population estimates are also used to calculate rates for 2019 and 2020.

¹²Small Area Income and Poverty Estimates:

The U.S. Census Bureau's Small Area Income and Poverty Estimates (SAIPE) program provides annual estimates of income and poverty statistics for all school districts, counties, and states. The main objective of this program is to provide updated estimates of income and poverty statistics for the administration of federal programs and the allocation of federal funds to local jurisdictions.

¹³Small Area Health Insurance Estimates:

The U.S. Census Bureau's Small Area Health Insurance Estimates (SAHIE) program was created to develop model-based estimates of health insurance coverage for counties and states. This developmental program builds on the work of the Small Area Income and Poverty Estimates (SAIPE) program. SAHIE is the only source of single-year health insurance coverage estimates

Additional information on data sources and presentation

Numerous data sources were used to develop this information including:

• Mortality and natality data: New York State birth and death files
• Hospitalization and emergency department (ED) visit data: Statewide Planning and Research Cooperative Systems (SPARCS) files, based on hospital discharges and ED visits
• Disease and condition specific data: Department of Health disease registries, including cancer, AIDS/HIV, communicable disease, tuberculosis and sexually transmitted infection
• Program-based data: WIC program, Childhood Lead Poisoning Prevention Program, and Heavy Metals Registry, Student Weight Status Category Reporting System (SWSCR), Expanded Behavioral Risk Factor Surveillance System (BRFSS), Medicaid, New York State Governor's Traffic Safety Committee
• National data: U.S. Census Bureau, Center for Disease Control and Prevention (CDC), U.S. Bureau of Labor Statistics, U.S. Department of Agriculture, Feeding America, Measure of America
• Population data: The 2018 population estimates are also used to calculate rates for 2019 and 2020.

Mortality and hospitalization based indicators are presented as both crude and age-adjusted rates. The standard population that was used for adjustment was the 2000 United States population. Age adjustment allows for the comparison of rates between geographic areas with different age distributions.

These community statistics are grouped into fifteen health-related topics. The dashboard also includes an "About This Site" page which links to "About" indicator pages that provides indicator definitions, data sources and NYSDOH program contact information.

Data for each health topic can be obtained in two different formats. The first option, The New York State Community Health Indicator Reports (CHIRS) dashboard presents 15 health topics that include about 350 health indicators. The dashboard has maps, tables, bar charts, trend graphs, and at-a-glance comparisons of the two most recent data points. Each table contains data for all 62 New York State counties, 11 Delivery System Reform Incentive Payment (DSRIP) regions, New York City, the State excluding New York City, and New York State.

• Delivery System Reform Incentive Payment (DSRIP) Program.

  The DSRIP program aims to promote community-level collaborations and focus on system reform (Medicaid Redesign Team (MRT) reforms), specifically a goal to achieve a 25 percent reduction in avoidable hospital use over five years . DSRIP relevant performance data - DSRIP data reporting and presentation resulted in organizing counties into 11 regions (These regions replaced the historically used HSA regions in CHIRS).

  • Region 1: Long Island
  • Region 2: New York City
  • Region 3: Mid-Hudson
  • Region 4: Capital Region
  • Region 5: Mohawk Valley
  • Region 6: North Country
  • Region 7: Tug Hill Seaway
  • Region 8: Central New York
  • Region 9: Southern Tier
  • Region 10: Finger Lakes
  • Region 11: Western New York

Information can be accessed by selecting one of the health-related topics. After selecting a topic, a list of available indicators will appear. On the Dashboard home page, the green row includes the column header labeled Data Views. There are four or five icons displayed under the Data Views column, depending on the indicator.

• The first blue letter "i" icon displays a text box showing the definition of the indicator.
• Clicking on the map icon will produce a map of the state with each county having a color indicating its status in a quartile distribution. Clicking on a county will bring users to the county specific trend graph of that indicator (if available).
• Clicking on the square white table icon will produce a data table of the entire state with each county's data.
• Clicking on the colored bar chart icon will produce a bar graph of the entire state with each county's data displayed as colored bars in a graph depicting a quartile representation.
• Clicking on the trend graph icon will produce a trend graph of the state indicator.

The state dashboard also includes the at-a-glance comparisons of the two most recent data points, and charts showing the indicator for the state, NYC and the state excluding NYC. The dashboard also includes a "Data Table" option that shows a comprehensive data table of all indicators organized by the health-related topics. This table displays data for the most recent year and for the previous year by indicator.

The second option is the county health topic profiles, or the County Health Assessment Indicators (CHAI).

• The CHAI presents fifteen different health-related profiles, one for each topic, of each county.
• Each county health topic profile presents data for multiple indicators, presented in the same format described above for the data by health-related topic presentation.
• The county profiles also include dials, which indicates where the county's estimate is ranked when compared to all the other counties in New York State. The county estimate is categorized into quartiles. The LIGHT GREEN area of the dial represents the highest performing group, while the dark blue area of the dial represents the lowest performing group. The pointer shows where the selected county's estimate is ranked. The color at the center of the dial represents the category in which the selected county belongs.

Suggested Citation

New York State Community Health Indicator Reports, www.health.ny.gov/CHIRSDashboard (Last revised: February 2023)(Accessed on August 23, 2023)

 Methodology and Limitations

Index

• Types of Estimates
• Population Estimates
• Unstable Estimates
• Direction of Indicator Estimates
• Assessing the Indicator Performance
• Grouping County Estimates Into Three Categories for the County Maps
• Data Suppression Rules for Confidentiality
• References

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Types of Estimates

1. Percentage/age-adjusted percentage: Percentages are calculated per 100 population (e.g., the percentage of infants exclusively breastfed in the hospital represents the number of infants that were fed exclusively with breast milk among 100 live infants born in the hospital).
   In some instances, the percentages were age-adjusted to the U.S. 2000 standard population using appropriate age distributions.¹ Age-adjustment is a process that is performed to allow communities with different age structures to be compared.²
2. Weighted percentage/age-adjusted weighted percentage: Weighted percentages were generated for survey data (e.g., Expanded Behavioral Risk Factor Surveillance System; US Census Bureau's Small Area Estimates) which ensures that the data are as representative of New York's population as possible. Weighted estimates are shown as a percentage (%) and corresponding 90% or 95% confidence intervals (CI) are presented when available.
   The weighted percentages were age-adjusted to the U.S. 2000 standard population using appropriate age distributions.¹ Age-adjustment is a process that is performed to allow communities with different age structures to be compared.²
3. Rate/age-adjusted rate: A rate is a measure of the frequency with which an event occurs in a defined population over a specified period of time. Rates used for the CHIR indicators are per 1,000, 10,000 or 100,000 population.
   The rates were age-adjusted to the U.S. 2000 standard population using appropriate age distributions.¹ Age-adjustment is a process that is performed to allow communities with different age structures to be compared.²

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Population Estimates

Population estimates are developed by the US Census Bureau.

Estimates for 2020 and earlier are from Bridged Race Categories files, developed by the Census Bureau for the National Center for Health Statistics. The 2018 population estimates are used to calculate rates for 2019 and 2020.

Estimates for 2021 and later are from Special Tabulations from the US Census Population and Housing Unit Estimates Program.

See this document for information about why different estimates were used, the differences in these estimates, and why 2018 estimates were used to calculate rates for 2019 and 2020.

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Unstable Estimates

Multiple years of data were combined to generate more stable estimates when the number of events for an indicator was small (i.e., rare conditions).
The relative standard error (RSE) is a tool for assessing reliability of an estimate. A large RSE is produced when estimates are calculated based on a small number of cases.² Estimates with large RSEs are considered less reliable than estimates with small RSEs. The National Center for Health Statistics recommends that estimates with RSEs greater than 30% should be considered unreliable/unstable.³

The RSE is calculated by dividing the standard error of the estimate by the estimate itself, then multiplying that result by 100. The RSE is expressed as a percent of the estimate.

For notation purposes, an asterisk (*) symbol is used to indicate that a percentage, rate, or ratio is unreliable/unstable. This usually occurs when there are less than 10 events in the numerator (RSE is greater than 30%).

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Direction of Indicator Estimates

CHIRS indicators fall into three categories with regard to the direction of their estimates. Higher estimates in some indicators mean poorer health or greater risk of poorer health (e.g., the percentage of premature deaths before age 75 years, or cardiovascular hospitalizations). Lower estimates in some other indicators mean poorer health or greater risk of poorer health (e.g., the percentage of the population with health insurance, or the percentage of infants exclusively breastfed in the hospital). A few indicators do not have a direction (e.g., total population, percent of births which were first birth), and the higher or lower estimates have no meaning in terms of health or heath risk. For these indicators, "Increased" or "Decreased" is used instead to indicate change from the previous data period.

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Grouping County Estimates into Three Categories for the County Maps

Color Categories Defined

For each CHIRS indicator, county estimates are grouped into three categories: LIGHT GREEN, BLUE-GREEN, and DARK BLUE. The three colors represent the quartile distribution of estimates for the counties, ordered from counties with the lowest percent of population with poorer health or at risk of poorer health, to counties with the highest percent of population with poorer health or at risk of poorer health.

For CHIRS indicators where higher estimates mean poorer health or greater risk of poorer health (e.g., percentage of premature deaths before age 75 years or the age-adjusted rate of cardiovascular disease hospitalizations):

• The LIGHT GREEN category includes counties which have a lower percent/rate of population with poorer health or risk of poorer health (i.e., 50% of counties with the lowest estimates; those in quartile 1 and quartile 2)
• The DARK BLUE category includes counties which have a higher percent/rate of population with poorer health or risk of poorer health. (i.e., 25% of counties with the highest estimates; those in quartile 4)
• The BLUE-GREEN category includes counties which have a percent/rate of population in the mid-range. (i.e., 25% of counties or those in quartile 3)

For CHIRS indicators where lower estimates mean poorer health or greater risk of poorer health (e.g., the percentage of the population with health insurance or the percentage of infants exclusively breastfed in the hospital):

• The LIGHT GREEN category includes counties which have a lower percent/rate of population with poorer health or risk of poorer health. (i.e., 50% of counties with the highest estimates; those in quartile 3 and quartile 4)
• The DARK BLUE category includes counties which have a higher percent/rate of population with poorer health or risk of poorer health. (i.e., 25% of counties with the lowest estimates; those in quartile 1)
• The BLUE-GREEN category includes counties which have a percent/rate of population in the mid-range. (i.e., 25% of counties or those with estimates in quartile 2)

Some indicators do not fall into the two types of indicators listed above, such as population, and percent of births which were first birth. The county dial is only a visual representation of where the county is in relation to other counties, e.g. larger or smaller, higher or lower.

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Assessing the Indicator Performance

Three different methods were used to assess indicator performance

1. Conduct significance test (See statistical significance test appendix for details)
   • to assess the change (increase/decrease or improve/worsen) in estimates between the two most recent time periods. The p-value for rejecting the null hypothesis is less than or equal to 0.05 and the critical value for the one-sided test is 1.645.
   • to assess the difference in estimates between a county estimate and a region/statewide estimate. The p-value for rejecting the null hypothesis is less than or equal to 0.05 and the critical value for the test is 1.96.
2. A comparison of confidence intervals of estimates for the two most recent time periods was performed where this method was more appropriate.⁶ A confidence interval is a range around an estimate that conveys how precise the estimate is. Differences between estimates are considered "statistically significant" when the estimates being compared do not have overlapping confidence intervals. For the purposes of this dashboard, in cases where the confidence intervals overlap, the difference is interpreted as not statistically significant at the 95% confidence level.
   NOTE: This method is an approximation of a statistical test and may result in a more conservative finding. In some cases, an appropriate statistical test would indicate a statistically significant difference even though the confidence intervals overlap and falsely imply no significant difference. When two confidence intervals do not overlap, though, a comparable statistical test would always indicate a statistically significant difference.⁴
3. Simple comparison was conducted where the two estimates were directly compared to each other based on their magnitude. This was performed when there was not a sufficient amount of data to conduct significance testing; or if confidence intervals could not be calculated; or if there is some overlap of the two time intervals being compared (e.g., 2012-2014 and 2013-2015 maternal mortality indicators).

Use caution when interpreting significance. For more common conditions (i.e., high incidence rates), there is a higher likelihood that a relatively small change could be detected as statistically significant. Conversely, for rare conditions, the likelihood of detecting a statistically significant change is low even for reasonable changes.

On the State and County dashboards, the categories for the Indicator Performance are as follows:

• Significantly improved
• Significantly worsened
• Significantly increased
• Significantly decreased
• No significant change
• Improved^
• Worsened^
• Increased^
• Decreased^
• No change^
• No trend data
• Data not comparable

The "^" sign indicates that the performance was determined using simple comparison and not with statistical tests.

On the County/Region Comparison table, hover boxes over counties include the following categories:

• For counties outside of New York City:
• Yes: The county rate was statistically different from the rest of state/state rate
• No: The county rate was not statistically different from the rest of state/state rate
• NA: No statistical tests were performed or data were not available


• For counties of New York City:
• Yes: The county rate was statistically different from the New York City/state rate
• No: The county rate was not statistically different from the New York City/state rate
• NA: No statistical tests were performed or data were not available

In May 2019, we have modified the method to compare two age-adjusted rates. When either rate is based on less than 25 cases, simple comparison is used.⁵

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Data Suppression Rules for Confidentiality

Results are not shown (i.e., suppressed) when issues of confidentiality exist. Suppression rules vary depending on the data source and the indicator. An 's' notation indicates that the data did not meet reporting criteria.

Table 1. Summary of Data Suppression Rules

Data Sources	Suppression Criteria
Bureau of Dental Health (BDH)	Margin of error>20% or Denominator <50
Behavioral Risk Factor Surveillance System (BRFSS) and Expanded BRFSS	Denominator <50 or Numerator < 10
Vital Statistics - Death Records	Denominator population <30
Statewide Perinatal Data System (SPDS) - birth records	Denominator population/births <30
AIDS/HIV	Numerator 1-2 cases
Statewide Planning and Research Cooperative System (SPARCS) - ED and hospital records	Numerator 1-5 cases
Office of Quality and Patient Safety (QARR and eQARR)	Denominator <30 and Numerator >0 cases
Cancer Registry	Numerator 1 - 15 cases
Sexually Transmitted Disease Surveillance System	Annual population less than 1,000 and secondary supression
NYS Pregnancy Nutrition Surveillance System (PNSS) - WIC Program	Denominator <100

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References

1. Klein RJ, Schoenborn CA. Age adjustment using the 2000 projected U.S. population. Healthy People Statistical Notes, no. 20. Hyattsville, Maryland: National Center for Health Statistics. January 2001. (see: www.cdc.gov/nchs/data/statnt/statnt20.pdf)
2. About Age Adjusted Rates, 95% Confidence Intervals and Unstable Rates (see: www.health.ny.gov/statistics/cancer/registry/age.htm)
3. Klein RJ, Proctor SE, Boudreault MA, Turczyn KM. Healthy People 2010 criteria for data suppression. Statistical Notes, no 24. Hyattsville, Maryland: National Center for Health Statistics. June 2002. (see: www.cdc.gov/nchs/data/statnt/statnt24.pdf)
4. Knezevic, Andrea. Overlapping Confidence Intervals and Statistical Significance (see: www.cscu.cornell.edu/news/statnews/stnews73.pdf)
5. Curtin, Lester R., and RJ Klein. Direct Standardization (Age-Adjusted Death Rates). National Center for Health Statistics. Healthy People 2000: Statistical notes, no. 6-revised (1995). (see: https://www.cdc.gov/nchs/data/statnt/statnt06rv.pdf)
6. Statistical Significance test (see https://www.health.ny.gov/statistics/chac/chai/docs/statistical_significance.pdf)

User's Guide

• How to Use the Site

This is the user's guide to the Prevention Agenda dashboard. However, most of the directions on using the dashboard also apply to the CHIRS dashboard. Note: The CHIRS dashboard does not have a sub-county section or a socio-demographics section.

Other Dashboards and Useful Links

• New York State Prevention Agenda 2019-2024
• Asthma in New York
• Communicable Disease Annual Reports
• County Health Indicators by Race/Ethnicity (CHIRE)
• County/ZIP Code Perinatal Data Profile
• Environmental Public Health Tracker
• Expanded Behavioral Risk Factor Surveillance System
• Leading Causes of Death
• Maternal and Child Health (MCH) Dashboard
• Minority Health Data and Statistics
• New York State Cancer Registry
• Opioid-related Data in New York State
• Pregnancy Risk Assessment Monitoring System (PRAMS) Dashboard
• Sexually Transmitted Diseases Data and Statistics
• Vital Statistics

Contact Us

If you have questions about the reports, please contact:

Public Health Information Group at: phiginfo@health.ny.gov