Columbia County Community Healthcare Consortium, Inc.
MARCH 2010
This document contains Federal and state goals for multiple medical conditions and lifestyles.For each goal, we show how close or how far each county is to achieving that goal.Whenever possible, we compare our counties’ status to the goals contained in the Federal Healthy People 2010.If HP 2010 does not include a particular goal, then we compare our counties to the goals of the NYS Prevention Agenda.To facilitate your review of the document, we have “color-coded” each goal to quickly identify for you how close or far we are from achieving that goal:
GREEN =best;
BLUE =good;
YELLOW= average;
RED =worst.
Where possible, we also provide the number of people who are affected by a particular condition, disease, or lifestyle, and we provide cost estimates.
The Columbia County Community Healthcare Consortium has received a 2-year grant (March 1, 2009 – February 28, 2011) from the New York State Department of Health to develop recommendations that will improve preventive and primary care in Columbia and Greene Counties.To guide the work of the project, the Consortium created the 13-member Task Force on Improving Preventive and Primary Care, which represents the wide range of interests in both Columbia and Greene Counties.
The main purpose of this document was to help the Task Force better understand the extent of health care problems in our two counties.This understanding will help the Task Force as it develops recommendations that will be submitted to the State Department of Health in February 2011 on ways to improve the entire preventive/primary care system.In addition, this document was used by the Task Force to help it identify five top priorities for which the Task Force will develop special recommendations calling for enriched and enhanced activities.The five priorities reflect some of our most costly conditions and lifestyles, ones that inflict great human suffering and require significant sums of money to treat.The five priorities are:
(1)cardiovascular disease;
(2)obesity;
(3)tobacco use;
(4)substance and alcohol abuse; and
(5)mental health.
The Consortium encourages health-related providers, agencies and organizations to use this document as a reference tool for your planning, policy, and resource development activities.It can also be used by businesses, local governments, and the general public, including consumers, as they seek to better understand and address the health care challenges facing all of us in Columbia and Greene Counties.
Cancer
INDICATOR
GOAL
COL CO
COL Status
GR CO
GR Status
Estimated cost for cancer-related health care
$7.9M
$6.3M
Cervical cancer death rate (5 yr. avg. 2002-2006)
2/
100,000
3/
100,000
3/
100,000
% of adults over 50 receiving fecal occult blood test w/in past 2 years (2009)
33%
16%
11%
Colorectal cancer death rate (5 yr. avg. 2002-2006)
14/
100,000
17/
100,000
22/
100,000
Overall cancer death rate (5 yr. avg. 2002-2006)
159/
100,000
191/
100,000
230/
100,000
% of oral cancers diagnosed at an early stage (5 yr. avg. 2002-2006)
37%
24%
24%
Lung cancer death rate (5 yr. avg. 2002-2006)
43/
100,000
62/
100,000
60/
100,000
% of early breast cancer diagnoses
(5 yr. avg. 2002-2006)
80%
65%
58%
% early colorectal cancer diagnoses
(5 yr. avg. 2002-2006)
50%
39%
31%
% of early lung cancer diagnoses
(5 yr. avg. 2002-2006)
21%
16%
15%
Breast cancer death rate (5 yr. avg. 2002-2006)
21/
100,000
17/
100,000
27/
100,000
Overall cancer incidence (5 yr. avg. 2002-2006)
434/
100,000
431/
100,000
505/
100,000
Prostate cancer death rate (5 yr. avg. 2002-2006)
28/
100,000
24/
100,000
23/
100,000
% of women ever receiving pap test (2009)
97%
98%
96%
% of women receiving pap test in past 3 years (women 18+) (2009)
90%
85%
78%
% of adults over 50 ever receiving sigmoidoscopy/colonoscopy (2009)
50%
51%
51%
% of women over 40 receiving mammogram in past 2 years (2009)
Asthma death rate, entire population(3 yr. avg. 2005-2007)
13/1,000,000
10/1,000,000
24/1,000,000
# adults ever diagnosed with asthma
N/A
6,910
3,919
% of adults with asthma (prevalence) (2009)
10%
8%
8%
% adults ever diagnosed with asthma (2009)
17%
14%
10%
Asthma death rate adults(35-64) (3 yr. avg.2005-2007)
8/1,000,000
10/1,000,000
0/1,000,000
# adults with asthma
N/A
3,949
3,136
Asthma hospitalization rate
(age 0-14) (3 yr. avg. 2005-2007)
34/
10,000
10/
10,000
13/
10,000
Asthma hospitalization rate
(18-64)(3 yr avg. 2005-2007)
15/100,000
5/100,000
7/100,000
Dental Health
INDICATOR
GOAL
COL CO
COL Status
GR CO
GR Status
% children 6-8 with dental caries left untreated (2009)
21%
44%
33%
Number of adults who have had at least one permanent tooth extracted due to caries or periodontal disease (based on Healthy People 2010)
N/A
34,200
27,000
% children 6-8 with dental caries (2009)
42%
61%
45%
Estimated number of children age 6-17 with dental caries (based on age group 6-8)
N/A
5,350
3,105
% of population seeing dentist annually (2009)
56%
71%
76%
Maternal & Infant Health
INDICATOR
GOAL
COL CO
COL Status
GR CO
GR Status
Infant death rate (3 yr. avg. 2005-2007)
5/100,000
10/100,000
8/100,000
% of births to low birth weight baby
(3 yr. avg.)
5%
8%
9%
% cesarean births (3 yr. avg.)
15%
29%
32%
% women breastfeeding at 6 months
(3 yr. avg.)
50%
22%
16%
Post-neonatal death rate (2007)
1/100,000
3/100,000
0/100,000
% of women receiving early prenatal care (1st trimester) (3 yr. avg.)
90%
73%
75%
% premature births (32-36 wks gest)
(3 yr. avg.)
6%
8%
7%
# of women receiving early prenatal care (3 yr. avg.)
N/A
563
419
Number births per year (3 yr. avg.)
N/A
750
555
Neonatal death rate (2007 data)
3/100,000
3/100,000
0/100,000
% of women 10-19 receiving prenatal care (3 yr. avg.)
56%
63%
83%
Mental Health
INDICATOR
GOAL
COL CO
COL Status
GR CO
GR Status
Suicide rate (3 yr. avg. 2005-2007)
5/100,000
7/100,000
11/100,000
Number of adults age 18+ who experienced Serious Psychological Distress in the past year (11%) (extrapolated from Federal Substance Abuse & Mental Health Services Administration)
N/A
5,500
4,300
# of adults reporting 14 or more poor mental health days in past month
N/A
4,922
3,910
% of adults reporting 14 or more poor mental health days in past month (2009)
