dallas county community health dashboard

8/3/2019 Dallas County Community Health Dashboard

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Dallas County Community Health DashboardsParkland Health & Hospital System


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Available Dashboards

Community Health Dashboard

Disparities Dashboard

Social Health Dashboard

Service Area Dashboards


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3

Health Outcomes

Mortality

Years of Potential LifeLost

Infant Mortality

Low Birth Weight Births

Morbidity

Mental Health Status

Health Factors

Health Risk Behaviors

Cancer Screening

Mammogram

Pap Test

Colon Cancer Screening

VaccinationsFlu Shots for Adults 65+

Child ages 19-35 months

Violence and Injury PreventionMortality

Ed Visits fro Injury

High Risk Sexual BehaviorHIV/STD Rates

Teen Birth Rate

Tobacco Use

Alcohol Use

Diet and Exercise

Access to Clinical Care

Percent Uninsured

Percent with Personal Physician

Physician-to-Population Ratio

Non-Emergent EmergencyDepartment Use

Quality of Clinical Care Prevention Quality Indicators

Model for Determining

Community Health

Dashboard


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Access: Percent Without Health Insurance

age 0-64, 2006 to 2009Other Peer Counties include:Maricopa, Los Angeles,Miami-

Dade, Cook

2008 and 2009 data is from: US Census American Community Survey , 2008 and 2009

2005 and 2006 data is from: US Census Small Area Health Insurance Estimates 2005-6 , accessed from the

following web site http://www.census.gov/did/www/sahie/data/2006/tables.html

Healthy People 2020 Objective AHS 1.1

http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicId=1

City of Dallas, EBRI, Special run by KenM

cDonnell, EBRI and ASEC Program Director, 2004-2009202-775-6367, 2009 data is from : US Census American Community Survey, 2009

Dallas County Trend, PercentUninsured, Ages 0-64, 2005, 2006, 2008

and 2009

17.2

%

17.9

%

23.0

%

24.6

%

29.1

%

33.4

%

25.0

%

25.9

%

26.3

%

27.6

%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

2009 % Uninsured under 65 2006 % Uninsured under 65

U.S. Bexar County Harris County Tarrant County Dallas County Texas

18.8% - 33.8%

Other Peer Counties

Range, 2009

Percent with no health insurance

trend, City of Dallas, all ages

Healthy People 2020 goal is to decrease the

portion of persons without health insurance

to 0% (target based on total coverage )PercentPercent

Percent

29.1%

30.8%

33.2%

32.9%

0.0% 10. 0% 20. 0% 30.0% 40. 0%

2005

2006

2008

2009

Dallas Co.

28.7%

31.0%

39.9%

42.5%

34.0%

36.1%

0.0% 20.0% 40.0% 60.0%

2004

2005

2006

2007

2008

2009

City of Dallas


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5

Access to care

Access toClinical Care

PercentUninsured

Percent withPersonalPhysician

Physician-to-Population Ratio

Non-emergentEmergency

Department Use

Dallas County

Compared to

HealthyPeople 2020

Goal

Dallas

County

Comparedto 8 Peer

Counties

(Quartiles)

Dallas

County

Comparedto Past

Years Data

(CI)

N/A

N/A N/A

Doing better than the benchmark

Same as/not significantly different from the benchmark Worse than the benchmark


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6

Access: Percent Without Health

Insurance Ages 18+, 2009-10Disparity Ratios for 2009-2010

Combined Dallas County Percent

Without Health Insurance

11.5

27.0

53.9

21.8

28.7

64.6

37.2

20.7

5.6

25.2

12.1

25.2

47.3

12.9

24.0 24.3

55.7

33.0

20.4

8.5

24.1

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

W

hite

AfricanAmerican

Hisp

anic

Male

Female

Lessthan

HS

HSdiploma

somecollege

collegegrad

DallasCo

unty

W

hite

AfricanAmerican

Hisp

anic

O

ther

Male

Female

Lessthan

HS

HSdiploma

Somecollege

Collegegrad

Texas

Percent

Dallas County,

2009-2010 Combined

Source: Rates from Texas Department of State Health Services, Behavioral Risk Factor Surveillance Program.

Healthy People 2020 Goal 0.0

State of Texas,

2009-2010 Combined

DisparityRatio

LetterGrade*

White Reference

AfricanAmerican

2.35 D

Hispanic 4.69 F

OtherNot

Enough

Data

Male Reference

Female 1.32 A

< High

School

11.54 F

High SchoolGrad

6.64 F

SomeCollege

3.70 F

CollegeGrad

Reference

*Letter grade based on New Mexico Department

of Health Guidelines, see slide 4 for legend.

Better than the benchmark

Same as/not significantly different

from the benchmark

Worse than the benchmark

Dallas County

Compared to Healthy

People 2020 Goal

Dallas County Compared

to 8 Peer Counties

(Quartiles)

Dallas County

Compared to Past

Years Data (CI)


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7

Letter

Grade

Disparity

Ratio

Interpretation

A 1.0-1.4 Little or no disparity.

B 1.5-1.9 A disparity exists and should be monitored, and may require intervention.

C 2.0-2.4 The disparity requires intervention.

D 2.5-2.9 Major interventions are needed.

F 3.0 Urgent interventions are needed.

ReferenceGroup

The group with the best rates (and 20 or more cases). It is the group to which all othergroups are compared and therefore will not receive a rating.

Not Enough

Data

Groups with less than 20 cases or events during time period. Disparity ratios and

ratings are not calculated for populations with less than 20 cases pr events during thecomparison time period.

Legend for Disparity Ratios and

Letter Grades

Source: New Mexico Department of Health, 2010 Racial and Ethnic Health Disparities Report Card,

http://www.health.state.nm.us/dpp/DPPR.htm accessed 9-15-11

The Disparities Ratio is the score for the disparate group over the reference group. The referencegroup is the group with the best rates. For example, if Hispanics have the best rate for a

measure, with 150 cases per 1000 (making them the reference group), and Whites have a rate of

300 per 1000,300/150=2.0, so the disparity ratio for Whites would be 2.0, meaning their rate is

twice as high as the lowest rate.


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Access to Care

Access ToClinicalCare

Percent Without

HealthInsuranceCoverage

Percent ofAdults With a

PersonalDoctor

Non-Emergent

Use ofEmergency

Departments

White African

Amer-

ican

His-

panic

Other

Race

Male Fe-

male

< HS HS

Grad

Some

Col-

lege

Col-

lege

Grad

Refer-ence D F

Not

EnoughData

Refer-ence A F F F Refer-ence

Refer-ence

A BNot

Enough

Data

ARefer-ence

B ARefer-ence

Refer-ence

Refer-ence

A A A N/A N/A N/A N/A N/A N/A


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Quality of care

Qualityof

ClinicalCare

PreventionQuality

Indicators

PreventableHospitalizations

Diabetes PQIs

Diabetes ShortTerm Comp

Diabetes LongTerm Comp

Diabetes LowerExtremity

Amputations

Uncontrolled

Diabetes

PreventableHospitalizations Cardiovascular

PQIs

Hypertension

CongestiveHeart Failure

Angina w/oProcedure


ChronicPulmonary PQIs

Adult Asthma

COPD

PreventableHospitalizations Acute/Infectious

Disease PQIs

Urinary TractInfection

BacterialPneumonia

Dehydration

PerforatedAppendix

Dallas County

Compared to Four Peer

Counties (Quartiles)

Dallas County

Compared to

Past Years Data Doing better than the benchmark

Same as/not significantly different from the benchmark Worse than the benchmark


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Quality of Care

Qualityof

ClinicalCare

Preven-tion

QualityIndicators


Diabetes PQIs

Diabetes Short

Term Comp

Diabetes LongTerm Comp

Diabetes LowerExtremity

Amputations

UncontrolledDiabetes


CardiovascularPQIs

Hypertension

CongestiveHeart Failure

Angina w/oProcedure


ChronicPulmonary PQIs

Adult Asthma

COPD

PreventableHospitalizations Acute/Infectious

Disease PQIs

Urinary TractInfection

BacterialPneumonia

Dehydration

PerforatedAppendix

White African

Amer-

ican

His-

panic

Other

Race

Male Female

B F A

Refer-

ence

Refer-

ence A

Refer-ence

F C A ARefer-ence

Refer-ence

F FRefer-ence

BRefer-ence

Refer-ence

F B CRefer-ence

A

Refer-ence

F A B Refer-ence

A

Refer-ence

D A A ARefer-ence

Refer-ence

A A

Not

Enough

Data

Refer-ence

A

B DRefer-ence

ARefer-ence

D

F F ARefer-ence

Refer-ence

A

A A ARefer-ence

Refer-ence

B

A ARefer-ence

ARefer-ence

A

B CRefer-ence

ARefer-ence

A

A A Refer-ence

A Refer-ence

A


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Quality of Care

Qualityof

ClinicalCare

Preven-tion

QualityIndicators


Pediatric PQIs

PediatricAsthma

Pediatric

Diabetes ShortTerm Comp

PediatricGastroenteritis

PediatricPerforatedAppendixPercentage

Pediatric UrinaryTract Infection

White African

American

Hispanic Other

Race

Reference F A C

D C ReferenceNot Enough

Data

Reference A ANot Enough

Data

A Reference A B

Reference A ANot Enough

Data


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Cancer Screening

CancerScreening

Mammogram

Pap Test

Colon CancerScreening

Dallas County

Compared to

Healthy People

2020 Goal

Dallas County

Compared to 8

Peer Counties

(Quartiles)

Dallas County

Compared to

Past Years Data

(CI)


Same as/not significantly different from thebenchmark



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Cancer Screening

CancerScreening

Mammo-gram

Pap Test

Colon CancerScreening

White African

Amer-

ican

His-

panic

Other Male Female < HS HS

Grad

Some

College

College

Grad

Refer-ence

ANot

Enough

Data

NotEnough

Data

N/A N/ANot

Enough

Data

A A Reference

Refer-ence

A ANot

Enough

Data

N/A N/A A A A Reference

Refer-ence

A

Not

Enough

Data

Not

Enough

DataA Reference C A A Reference


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Vaccinations

Vaccinations

Adult

Child age 19-35 months

Dallas County

Compared to

Healthy People

2020 Goal

Dallas County

Compared to 8

Peer Counties

(Quartiles)

Dallas County

Compared to

Past Years Data

(CI)


Same as/not significantly different from thebenchmark



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ViolenceMortality and EDVisits for Injury

All Unintentional InjuriesDeath Rate

Motor Vehicle Crash

Death Rate

Falls Death Rate

Falls Death Rate Age 65+

Unintentional PoisoningDeath Rate

Suicide Death Rate

Homicide Death Rate

ED Visits for Injuries

Health Risk Behaviors Violence

and Injury PreventionDallas County

Compared to

Healthy People

2020 Goal

Dallas County

Compared to

8 Peer

Counties

Dallas County

Compared to

Past Years

Data (CI)

N/A N/A

Doing better than the benchmark Same as/not significantly different from the benchmark



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Violenceand InjuryPrevention

Mortalityand Injury

All Unintentional InjuriesDeath Rate

Motor Vehicle CrashDeath Rate

Falls Death Rate

Falls Death Rate Age 65+

Unintentional Poisoning

Death Rate

Suicide Death Rate

Homicide Death Rate

ED Visits for Injuries

Health Risk Behaviors Violence and

Injury Prevention

White AfricanAmerican

Hispanic Other

A Reference A

Not

Enough

Data

B Reference ANot

Enough

Data

Reference

Not

Enough

Data

Not

Enough

Data

Not

Enough

Data

Reference

Not

Enough

Data

Not

Enough

Data

Not

Enough

Data

Reference

Not

Enough

Data

Not

Enough

Data

Not

Enough

Data

F A Reference

Not

EnoughData

Reference F C

Not

Enough

Data

A B Reference A


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Health Risk Behaviors High

Risk Sexual Behaviors

High RiskSexual

Behavior

HIV/STD Rates

HIV Incidence

ChlamydiaIncidence

GonorrheaIncidence

Primary/Secondary

Syphilis

Teen Birth Rates

DallasCounty

Compared

to Healthy

People

2020 Goal

DallasCounty

Compared

to 8 Peer

Counties

(Quartiles)

DallasCounty

Compared

to Past

Years

Data (CI)

N/A

N/A

N/A

N/A

N/A

17




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High RiskSexual

Behavior

HIV/STDRates

New HIV Cases

Chlamydia Incidence Rates

Gonorrhea Incidence Rates

Primary and SecondarySyphilis Incidence Rates

Teen Birth Rates

Health Risk Behaviors High-

Risk Sexual Behavior

White African

American

Hispanic Other

F F C Reference

C F F Reference

F F D Reference

B F Reference A

B F F Reference


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Other High Risk Behaviors

HealthRisks

Alcohol Use Binge Drinking

Diet and

Exercise

Overweightand Obese

Recommended

PhysicalActivity

Frequency ofFive Fruits/

Vegetables perDay

Tobacco UseCurrent

Smokers

DallasCounty

Compared to

Healthy

People 2020

Goal

DallasCounty

Compared

to 8 Peer

Counties

(Quartiles)

DallasCounty

Compared

to Past

Years Data

(CI)

N/A

19




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High Other Risk Behaviors

Health RiskBehaviors

Physical

Activity

Five Fruits/Vegetables

a Day

CurrentSmoker

White African

Amer-

ican

His-

panic

Other Male Fe-

male

< HS HS

Grad

Some

Col-

lege

Col-

lege

Grad

Refer-

ence A A A

Refer-

ence A B

Refer-

ence A A

A ARefer-

enceA

Refer-

enceA

Refer-

enceA A A

A ARefer-

ence

Not

Enough

Data

CRefer-

enceB B B

Refer-

ence


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HealthOutcomes

Mortality

Heart DiseaseDeath Rate

Cancer DeathRate

Stroke DeathRate

COPD DeathRate

Diabetes DeathRate

Health Outcomes

MortalityDallas CountyCompared to

Healthy

People 2020

Goal

Dallas CountyCompared to

8 Peer

Counties

(Quartiles)

DallasCounty

Compared to

Past Years

Data (CI)

N/A




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Out-comes

Mortality

Heart Disease

Cancer

Stroke andCerebrovascular

Disease

Chronic ObstructivePulmonary Disease

Diabetes

Infant Mortality Rate

Years of PotentialLife Lost Rate

Outcomes Age-Adjusted

Mortality Rates

White African

Amer-

ican

His-

panic

Other Male Female

B CRefer-

enceA A

Refer-

ence

C D ARefer-

enceA

Refer-

ence

A BRefer-

enceA

Refer-

enceA

F CRefer-

ence

Not

Enough

Data

ARefer-

ence

Refer-

ence C B

Not

EnoughData

ARefer-

ence

A BRefer-

ence

Not

Enough

Data

N/A N/A

D F ARefer-

enceB

Refer-

ence


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HealthOutcomes

Years of PotentialLife Lost

Infant Mortality

Very Low BirthWeight Births

NotifiableCommunicableDiseases

Campylobacteriosis

AsepticMeningitis

Pertussis

Salmonellosis

General HealthStatus

Mental HealthStatus

Health Outcomes Other

OutcomesDallasCounty

Compared to

Healthy

People 2020

Goal

DallasCounty

Compared

to 8 Peer

Counties

(Quartiles)

DallasCounty

Compared to

Past Years

Data (CI)

N/A

N/A

N/A

N/A

N/A

N/A




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Out-comes

DiseaseInci-

dence

Very LowBirth Weight

Births

AsepticMeningitisIncidence

Rate

Campylo-bacteriosisIncidence

Rate

PertussisIncidence

Rate

Salmonel-losis

IncidenceRate

HealthStatus

MentalHealth

GeneralHealth

Outcomes Health Status and Disease

Incidence RatesWhite African

Amer-

ican

His-

panic

Other Male Fe-

male

< HS HS

Grad

Some

Col-

lege

Col-

lege

Grad

A D ARefer-

enceN/A N/A N/A N/A N/A N/A

F FRefer-

ence

Not

Enough

Data

N/A N/A N/A N/A N/A N/A

C

Not

EnoughData

Refer-

ence

Not

EnoughData


A

Not

Enough

Data

Refer-

ence

Not

Enough

Data


C ARefer-

ence

Not

Enough

Data


Refer-

enceA A

Not

EnoughData

Refer-

enceA

Refer-

enceB A A

Refer-

ence B B

Not

EnoughData

Refer-

ence A F F D

Refer-

ence


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HealthFactors

HealthBehaviors

Diet andExercise

Adult Fruit and VegetableConsumption

Adult Overweight and ObesityRate

Sufficient Physical Activity

Current Smokers

Binge Drinkers

Socialand

EconomicFactors

Education

Literacy

Health Literacy

High School Diploma

EmploymentUnemployment Rate

Weekly Wages

Income

Children in Poverty

Income Inequality

Per Capita Income

Median Household Income

Householdsand Social

Support

Social and Emotional Support

Single Parent Households

HousingAffordability

& Supply

Minimum W age Work Hours toAfford a 2-Bedroom Apartment

Renters Spending 30% or More ofHousehold Income on Rent

Community

Safety

Pedestrian Death Rate

All Injury Fatalities

Motor Vehicle Accident FatalitiesSuicide Rate

Homicide Rate

Poverty

People 65+ Living Below PovertyLevel

People Living Below 200% ofPoverty Level

People Living Below Poverty Level

Physical

Environment

Built

Environment

Convenience Store Density

Food Desert

SNAP Participants

Grocery Store Density

Model for Determining

Social/Community Dashboard


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Percent of the children under the age of 6

living below the poverty level 2005-2009

Percent of Children

Under the Age of 6

Living Below the Poverty

Level, 2005-2009 data

Source: American Community Survey,

2005-2009 data download


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Social and Economic Factors

Education

Literacy Rates

High School

Diploma

Dallas County

Compared to 8

Peer Counties

(Quartiles)

Dallas County

Compared to

Past Years

Data (CI)




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Employment

UnemploymentRate

Weekly Wages

Dallas County

Compared to 8

Peer Counties

(Quartiles)

Dallas County

Compared to

Past Years

Data (CI)




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Income

Children in Poverty

Income Inequality

Per Capita Income

Median HouseholdIncome

Dallas County

Compared to 8

Peer Counties

(Quartiles)

Dallas County

Compared to

Past Years

Data (CI)




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Householdsand Social

Support

Social andEmotionalSupport

Single Parent

Households

Dallas County

Compared to 4

Peer Counties

(Quartiles)

Dallas County

Compared to

Past Years

Data (CI)




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HousingAffordability

and Supply

Minimum WageHours Worked toAfford the Median

Rent for a Two-BedroomDwelling

Percentage ofRenters That PayMore Than 30%

of Income in Rent

Dallas County

Compared to 8

Peer Counties

(Quartiles)

Dallas County

Compared to

Past Years

Data (CI)




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Poverty

People Over 65 LivingBelow the PovertyLevel

People Living Below200% of the Federal

Poverty Level

People Living Belowthe Poverty Level

Dallas County

Compared to 8

Peer Counties

(Quartiles)

Dallas County

Compared to

Past Years

Data (CI)




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USDA Food Deserts

The Healthy Food Financing Initiative (HFFI) Working

Group defines a food desert as a low-income census tractwhere a substantial number or share of residents has lowaccess to a supermarket or large grocery store. To qualify

as low-income, census tracts must meet the TreasuryDepartment's New Markets Tax Credit (NMTC) program

eligibility criteria. Furthermore, to qualify as a food deserttract, at least 33 percent of the tract's population or a

minimum of 500 people in the tract must have low accessto a supermarket or large grocery store.

The NMTC program defines a low-income census tractas:

any census tract where (1) the poverty rate for that tract isat least 20 percent, or (2) for tracts located within a

metropolitan area, the median family income for the tractdoes not exceed 80 percent of the greater of statewide

median family income or the metropolitan area medianfamily income.

Low access to a healthy food retail outlet is defined as

more than 1 mile from a supermarket or large grocerystore in urban areas. The distance to supermarkets and

large grocery stores is measured by the distance betweenthe geographic center of the 1-km square grid that

contains information on the population (number of peopleand other characteristics) and the nearest supermarket or

large grocery store. Once the distance to the nearestsupermarket or large grocery store is calculated for each

grid cell, the number of people or housing units morethan one mile from a supermarket or large grocery store

in urban tracts is aggregated to the census tract level. Ifthe aggregate number of people in the census tract with

low access is at least 500 or the percentage of people inthe census tract with low access is at least 33 percent,

then the census tract is considered a food desert.Source: http://www.ers.usda.gov/data/fooddesert/


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Community Health AssessmentSouth Dallas Service Area


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Access to Healthcare: Percent Without

Healthcare InsuranceSouth Dallas Service Area

35

11%

19%21%

24%

21%

26%

11%

12%

47%

32%36%

25%21%

30%

24%

8%

15%18%

18%17%

19%

9% 9%

44%

27%

31%

20%17%

31%28%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

CedarHill

DeSotoLanc

GrandPrairie

Irving

NorthDallas

NEDallas

NWD

allas

OuterNE

SouthDallas

SEDallas

SWD

allas

StemmonsCorr

Wilmer/Hutch/Seag

DallasCounty09

Texas09

CedarHill

DeSotoLanc

GrandPrairie

Irving

NorthDallas

NEDallas

NWD

allas

OuterNE

SouthDallas

SEDallas

SWD

allas

StemmonsCorr

Wilmer/Hutch/Seag

DallasCounty

Texas

Percent Uninsured

2010 2006

Source: 2006 Solucient, Inc.; 2010Market Planner Plus; Denominator population data from Claritas, Inc.; except 2010

from Nielson/Claritas, Inc. Pop-Facts mid 2010 version; Dallas County and Texas rates from US Census Bureaus

American Community Survey 2009

Healthy People 2020 Goal 0% uninsured

43.1%

43.9%

44.0%

41.1%

42.7%

47.3%

47.4%

0 .0 % 2 0. 0% 4 0. 0% 60.0%

2004

2005

2006

2007

2008

2009

2010

Percent Without Health

Insurance, South Dallas

Service Area


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36

Deviations from the Dallas County

mean

Outer Northeast

North Dallas

Grand Prairie

Northeast Dallas

Irving

Northwest Dallas

Cedar Hill

DeSoto Lancaster

Stemmons Corridor

Southeast Dallas

Southwest Dallas

Wilmer Hutchins Seagoville

South Dallas

Mortality Years of Potential Life Lost Infant MortalityVery Low Birth Weight Morbidity Violence and Injury

High Risk Sexual Behavior Access to Clinical Care Preventable HospitalizationsSocioeconomic

Percent Difference from the Dallas County Average

More Unfavorable More FavorableNOTE: All data are from the

years 2007-2010, years available

varies by topic.

Each vertical linerepresents 100%

difference from theDallas County

average.


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37

Demographics:The demographic composition of Dallas taken in the context of the state andthe nation, profoundly influences the service size, scope and priorities forParkland Health & Hospital System. This section examines the significantdemographic drivers outlined below:

Market Demographic Characteristics

Population size and growth trends

Population age distribution and trends

Population ethnic composition and trends

Per capita income and trends

Poverty and unemployment trends

Population educational attainment and trends


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General Dallas County Demographic

Trends

2010 Population by Age and

Sex Female %* Male %**

0-4 97,726 7.8% 102,409 8.4%

5-14 182,640 14.7% 190,073 15.6%

15-1753,191 4.3% 55,977 4.6%

18-24 120,636 9.7% 125,897 10.3%

25-44 378,296 30.3% 379,219 31.1%

45-64 289,348 23.2% 275,602 22.6%

65 years and up 124,699 10.0% 89,791 7.4%

Total 1,246,536 100.0% 1,218,968 100.0%

*: % of female population in Dallas County

**: % of male population in Dallas County

Population Trend by Age 1990 2000 2010

% change

2000-2010

0-4 156,059 181,951 200,135 10.0%

5-14 266,095 340,788 372,713 9.4%

15-44 968,906 1,098,009 1,113,216 1.4%

45-64 309,236 419,279 564,950 34.7%

65 and up 152,514 178,872 214,490 19.9%

Total 1,852,810 2,218,899 2,465,504 11.1%

Ethnicity 2010 Population

% of the

Total

Population

White 831,272 33.7%

African American 538,767 21.9%Asian 124,555 5.1%

American Indians 7,705 0.3%

Two or More 31,068 1.3%

Other 4,441 0.2%

Hispanic 927,696 37.6%

Total 2,465,504 100.0%

Household Income 2010 County

less than $25,000 25.5%

$25,000 to $74,999 45.4%

$75,000 to $99,999 10.9%

$100,000 and over 18.3%

Totals 100.0%

The Texas population has grown at a rate substantially outpacing that of the United States. Also growing at a very fast pace,Dallas County has expanded by over20%, or more than 500,000 thousand people, from 1990 to 2010.

The Dallas-Fort Worth area is one of the largest in the nation. Dallas-Fort Worth, the fourth largest metro area in the country,grew by 23.4% in the past decade. Dallas County is the 9th largest county in the country, growing by over20% from 2000 to2010. The city of Dallas is the 9th largest city in the country, but only grew by a modest 0.8% in the 2000s.

Sources: U.S. Census, PO11 Age Data Set, 1990 Summary Tape File 1 (STF 1) 100 Percent data; U.S. Department of Commerce, Economics and

Statistics Administration. W.s. CENSUS BUREAU Population Distribution and Change; 2000 to2010. Income 2010 American Community Survey 1-year est


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Community Health Needs

Assessment

Dallas County Health & Human Services and Parkland

Community Health Institute

Community Coalition

Other hospitals

Other social service providers Federally Qualified Health Centers

Community Coalitions and Organizations such as the Health Industry

Council and the Dallas Fort Worth Hospital Council

Baseline Data for the work being done from DCHHS


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Assumptions

Green Doing better than the benchmark

Yellow Same as/not significantly different from the benchmark

Red Worse than the benchmark

Healthy People 2010 benchmark higher, lower or same

Peer County Comparison benchmark if Dallas County is in first or second

quartile, green; third quartile, yellow; fourth quartile, red (method used for

county rankings by Health Matters).

Dallas County Trend benchmark if only 1-3 years of previous Dallas County data

are available, calculate percent difference from earliest years data to most

recent, assign red/yellow/green for worse/same/better; if4 or more years of

previous Dallas County data are available, calculate 95% Confidence Interval

(see next page for notes about this procedure) and assign green for statisticallysignificantly better, red for statistically significantly worse, or yellow for no

significant difference.


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Assumptions

Confidence Intervals

For common events (such as ED visits for Injuries, non-emergent ED visits, percent

of population under 200% FPL) 95% Confidence Intervals were calculated on

previous years data using a binomial approach.

For uncommon events (rates less than 5%), which includes many of these

measures, 95% Confidence Intervals were calculated on previous years datausing a Poisson formula. This approach does not use population size.

For survey data, such as BRFSS data, where possible the 95% Confidence Interval

of the most recent years survey was compared with the 95% Confidence

Interval of the previous years survey, to determine whether there was

significant change. Because BRFSS surveys include a fairly small percentage

of the Dallas County population, these 95% CIs are fairly wide, and few show

statistically significant improvement from one year to the next for Dallas Countydata.

dallas county community health dashboard

Documents