Exhibit 2-3: Proposed Indicators for a Community Health Profile
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Sociodemographic Characteristics
- Distribution of
the population by age and race/ethnicity.
- Number and
proportion of persons in groups such as migrants, homeless, or the non-English
speaking, for whom access to community services and resources may be a concern.
- Number and
proportion of persons aged 25 and older with less than a high school education.
- Ratio of the
number of students graduating from high school to the number of students who
entered 9th grade three years previously.
- Median household
income.
- Proportion of
children less than 15 years of age living in families at or below the poverty
level.
- Unemployment
rate.
- Number and
proportion of single-parent families.
- Number and
proportion of persons without health insurance.
Health Status
- Infant mortality
rate by race/ethnicity.
- Numbers of
deaths or age-adjusted death rates for motor vehicle crashes, work-related
injuries, suicide, homicide, lung cancer, breast cancer, cardiovascular
diseases, and all causes, by age, race, and gender as appropriate.
- Reported
incidence of AIDS, measles, tuberculosis, and primary and secondary syphilis,
by age, race, and gender as appropriate.
- Births to
adolescents (ages 10-17) as a proportion of total live births.
- Number and rate
of confirmed abuse and neglect cases among children.
Health Risk Factors
- Proportion of
two-year old children who have received all age-appropriate vaccines, as
recommended by the Advisory Committee on Immunization Practices.
- Proportion of
adults aged 65 and older who have ever been immunized for pneumococcal
pneumonia; proportion who have immunized in the past 12 months for influenza.
- Proportion of
the population who smoke, by age, race, and gender as appropriate.
- Proportion of
the population aged 18 or older who are obese.
- Number and type
of U.S. Environmental Protection Agency air quality standards not met.
- Proportion of
assessed rivers, lakes, and estuaries that support beneficial uses (e.g.,
fishing and swimming approved).
Health Care Resource Consumption
- Per capita
health care spending for Medicare beneficiaries (the Medicare adjusted average
per capita cost [AAPCC]).
Functional Status
- Proportion of
adults reporting that their general health is good to excellent.
- During the past
30 days, average number of days for which adults report that their physical or
mental health was not good.
Quality of Life
- Proportion of
adults satisfied with the health care system in the community.
- Proportion of
persons satisfied with the quality of life in the community.
Source: Reprinted from Institute of Medicine. Using Performance
Monitoring to Improve Community Health: A Role for Performance Monitoring.
Washington DC; National Academy Press; 1997.