2005-2010 CHA Summary Form - Part I

Part I: Have the following CHA Core Indicators been reviewed?

The "Section " column contains HP2010 categories and Article 6 in parenthesis. ' Indicators' lists data statements for for which county-level data is available currently, or will be available within the next two years, are listed with comments.
Avail
Population breakdown by age, race and ethnicity        
Proportion of special populations (migrant, homeless, non-English speaking, single-parent less than high school education)          
%of population at or below poverty level          
Median family income          
% of unemployed          
high school drop out rate or school attendance rate          
% of children in poverty          
OTHER — Please specify:          
% Medicaid or self pay at delivery        
% of adults who could not see doctor due to cost          
% of children uninsured (less than18 years)          
OTHER — Please specify:          
% of women with PAP in last 2- 3 years        
% of women age 40 years and older who had a mammogram in past 2 years          
Lung        
Breast          
Cervical          
Colorectal          
Oral (45-74)          
Lung        
Breast          
Cervical          
Colorectal          
Oral (45-74 years)          
Lung      
Breast          
Cervical          
Colorectal          
Oral (45-74 years)          
OTHER — Please specify:          
Rates of diabetes hospitalizations/1000 diabetics        
Diabetes mortality          
Uncontrolled diabetes hospitalizations (18-64 years)          
Diabetes prevalence in adults          
OTHER — Please specify:          
% children in birth year cohort screened for lead by age 2      
Children ages 1-6 with blood lead levels >=10 : g/dl          
% of persons living in pre-1950 housing          
% of public water supplies in compliance        
% of populations served by acceptable water systems          
OTHER — Please specify:          
Births to teen mothers (<18 years) as % of total births        
Pregnancy rate (total)          
Adolescent pregnancy rate, 10-14 years          
Adolescent pregnancy rate, 15 — 17 years          
Adolescent pregnancy rate, 15 — 19 years          
Induced abortion to pregnancy ratio          
OTHER — Please specify:          
E.coli        
Salmonella          
Shigella          
# and rate of foodborne outbreaks in regulated facilities          
OTHER — Please specify:          
Cardiovascular disease mortality (ICD 10 100-199)        
Disease of the heart mortality (ICD 10 100-109, 113, 113, 120-151)          
Coronary heart disease mortality ((ICD)          
Cerebrovascular disease mortality (ICD-10 160-169)          
BP Check in last two years          
Cholesterol checked in last two years          
% of adults with high blood pressure          
% of adults with high cholesterol          
OTHER — Please specify:          
       
AIDS Mortality Rate          
% of HIV positive newborns          
OTHER — Please specify:          
% of 65+ with flu vaccine in last year        
% of 65+ ever had pneumonia vaccine          
Pneumonia/flu hospitalizations (65+ years)          
Measles incidence          
Rubella incidence          
Pertussis incidence          
HIB incidence          
Hep A incidence          
Hep B incidence          
Number of TB cases per 100,000 population          
OTHER — Please specify:          
Suicide mortality (15-19 years)        
Homicide mortality          
Self-inflicted injury hospitalizations          
Assault hospitalizations          
Unintentional injury mortality          
Unintentional injury hospitalizations, <10 years          
10-14 years          
15-24 years          
25-64 years          
65+ years          
Traumatic brain injury hospitalizations          
Indicated abuse and neglect cases (<18 years)          
Work related injury mortality/10,0000 workers          
Alcohol related motor vehicle injuries and deaths          
Drug related mortality          
OTHER — Please specify:          
% early prenatal care        
% late or no prenatal care          
Infant mortality rates          
Post-neonatal mortality          
Perinatal mortality (28 weeks to 7 days)          
Spontaneous fetal deaths (20+ weeks)          
% infants with gestational age < 37 weeks          
Maternal Mortality          
SIDS mortality          
Spina bifida or other NTD's          
% VLBW (<1.5K)          
% of LBW (<2.5K)          
% pregnant women with anemia (low SES)          
OTHER — Please specify:          
% of adults eating 5 or more servings of fruit or vegetables/day        
% of adults overweight and obese          
% children underweight (0-4 years, low SES)          
% of children overweight (2-4 years, low SES)          
OTHER — Please specify:          
Oral health status in 3rd graders, caries experience        
Oral health status in 3rd graders, untreated caries          
Oral health status in 3rd graders, dental sealants          
Oral health status in 3rd graders, last dental visit          
Oral health status in 3rd graders, insurance coverage          
Oral health status in 3rd graders, regular source of dental care          
OTHER — Please specify:          
% of adults with regular and sustained physical activity        
% of adults with no leisure time physical activity          
OTHER — Please specify:          
Pediatric (0-4 years) asthma hospitalizations        
Asthma hospitalizations (0-17 years)          
Asthma hospitalizations (5-64 years)          
Asthma hospitalizations (65+ years)          
Asthma hospitalizations (total)          
% of adults ever have asthma          
% of adults now have asthma          
Asthma mortality          
COPD mortality          
COPD hospitalizations          
OTHER — Please specify:          
Rates of Early syphilis (15-19 years)        
Gonorrhea (15-19 years)          
Chlamydia (15-24 years, male and female )          
OTHER — Please specify:          
Cirrhosis mortality        
Adult binge drinking          
Teen binge drinking          
OTHER — Please specify:          
% of adults smoking cigarettes        
Youth smoking          
OTHER — Please specify:          
Pediatric (0-4 years) otitis media hospitalizations        
OTHER — Please specify