New York State Community Health Indicator Reports (CHIRS)

New York State Community Health Indicator Reports (CHIRS) were developed in 2012, and annually updated to consolidate and improve data linkage for the provided health indicators in the County Health Assessment Indicators (CHAI) for all communities in New York. The CHIRS provide data for over 300 health indicators, organized by 15 health topic and data tables with links to trend graphs and maps.

  • Health indicator data for all counties, regions and state by health topics
  • Health indicator data by counties
  • Data sources, methodology and data presentation

To obtain data for an individual health indicator for New York State and all counties and regions, click on a topic area.

Health Indicator Grouping About the Indicators
Cancer Indicators About Cancer Indicators
Cardiovascular Disease Indicators About Cardiovascular Disease Indicators
Child and Adolescent Health Indicators About Child and Adolescent Health Indicators
Cirrhosis/Diabetes Indicators About Cirrhosis/Diabetes Indicators
Communicable Disease Indicators About Communicable Disease Indicators
Family Planning/Natality Indicators About Family Planning/Natality Indicators
HIV/AIDS and STDs Indicators About HIV/AIDS and STDs Indicators
Injury Indicators About Injury Indicators
Maternal and Infant Health Indicators About Maternal and Infant Health Indicators
Obesity and Related Indicators About Obesity and Related Indicators
Occupational Health Indicators About Occupational Health Indicators
Oral Health Indicators About Oral Health Indicators
Respiratory Disease Indicators About Respiratory Disease Indicators
Socio-Economic Status and General Health Indicators About Socio-Economic Status and General Health Indicators
Tobacco, Alcohol and Other Substance Abuse Indicators About Tobacco, Alcohol and Other Substance Abuse Indicators

County Health Assessment Indicators (CHAI)

To obtain data for a specific county, select a county from the map below, or from a list of counties in New York State

New York State Map
Albany County Allegany County Broome County Cattaragus County Cayuga County Chautauqua County Chemung County Chenango County Clinton County Columbia County Cortland County Delaware County Dutchess County Erie County Essex County Franklin County Fulton County Genesee County Greene County Hamilton County Herkimer County Jefferson County Lewis County Livingston County Madison County Monroe County Montgomery County Nassau County Niagara County Oneida County Onondaga County Ontario County Orange County Orleans County Oswego County Otsego County Putnam County Rensselaer County Rockland County St. Lawrence County Saratoga County Schenectady County Schoharie County Schuyler County Seneca County Steuben County Suffolk County Sullivan County Tioga County Tompkins County Ulster County Warren County Washington County Wayne County Westchester County Wyoming County Yates County Bronx County Kings County (Brooklyn) New York County (Manhattan) Queens County Richmond County (Staten Island) Bronx New York (Manhattan) Queens Kings (Brooklyn) Richmond (Staten Island)

Data Sources, Methodology and Data Presentation

Methodology and limitations

New York State Community Health Indicator Reports (CHIRS) - Methodology and Limitations
A discussion of the limitations of the data reports, the maintainance of confidentiallity and statistical testing methods.

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, rabies, tuberculosis and sexually transmitted disease
  • 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), Oral Health Survey of 3rd Grade Children, Medicaid, New York State Governor's Traffic Safety Committee
  • National survey data: U.S. Census Bureau

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. Each topic contains a series of indicators and an "About" page 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) presents 15 thealth topics that include over 300 health indicator tables with links to trend graphs and maps. 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. Indicator data are presented in several different formats. The following is a description of each data format.

  • (Table + Trend): Indicators are presented in a table with the most recent data available for the numerator for the time period, and the annual average denominator, as well as the county and state rates. By clicking on a county name, a trend plot and a table with 10 years of data, for most indicators, will be displayed for the county. Clicking on the New York State link will display a plot and table with 10 years of data for New York State, New York State (excluding NYC) and New York City.
  • (Map): Indicators are presented in a New York State map with counties shaded based on the quartile distribution of the indicator of interest. The map for each indicator presents crude rates. There is also a corresponding graph displaying rates for each New York State county.
  • (Multiple Maps): Indicators are presented in two New York State maps with counties shaded based on the quartile distribution of the indicator of interest. The first map for each indicator presents crude rates and the second, age-adjusted rates. Scroll or arrow down to see the second map. There are also corresponding graphs displaying both crude and age-adjusted rates for each New York State county.

The second option is the County Health Assessment Indicators (CHAI).

  • The CHAI presents fifteen different health-related profiles of each county
  • Each CHAI health topic profile includes a list of multiple indicators along with data for the county, New York State, New York City or the State excluding New York City. Significant differences are indicated for comparisons made between the county rate and state or respective regional rates.
  • County ranking groups for individual indicators are displayed.
  • Each profile provides links to indicator trend graphs and maps.

Indicators are presented in a table with the most recent data available for the numerator for the specified time period. County rates were compared to New York State, New York State excluding New York City for "upstate" counties, or New York City for "city" counties/boroughs, and tested to see whether the two rates were "significantly" different at the 95% confidence level. The county ranking groups include four levels: 1 - most favorable to 4 - least favorable. These county ranking groups are categorized based on the quartile distribution of all county rates. Note: for indicators where it is more desirable to have a higher rate (e.g., percentage of people with health insurance), the 1st category for the county ranking group includes counties with rates in the fourth quartile; while the 4th category for the county ranking group includes counties with rates in the first quartile.

The tables can be saved as HTML, Excel spreadsheets (when using Internet Explorer) or text for users who wish to work with these data using other software.
If you have any questions or comments regarding the New York State Community Health Indicator Reports, please email the Public Health Information Group or contact us by phone at (518) 474-2543. For information about county health initiatives, please contact the respective local health department.