Improving Community Health through Planning and Partnerships Nelson

Improving Community Health through Planning and Partnerships Nelson Community Health Council

Things to keep in mind… • Feel free to ask questions as we go along • We are presenting the most recent data we have • (From the past 4 – 5 years) • This is Section 1 data • In the next 2 sections we will cover: • Section 2: Strengths & Risks in Our Community • Section 3: What is our Health Status?

Section One: Who are we and what do we bring to the table? 1. 1 Demographic Indicators 1. 2 Socioeconomic Indicators 1. 3 Health Resource Availability

Demographic Indicators

Population Change Nelson, 2010 -14 15, 020 14, 850 Nelson (-1%) 2010 2014 Source: U. S. Census Bureau and the Weldon Cooper Center for Public Service Demographics Research Group

Age and Sex Distribution, 2014 Nelson Population by Age and Gender, 2014. . . . 0 1, 000 500 Male 0 500 Female 1, 000 Source: Virginia Department of Health, Division of Health Statistics, 2014

Racial Composition, 2014 Nelson 0. 04% 2%0. 5% 0. 6% White Black or African American 13% Asian Two or More Races American Indian and Alaska Native 84% Native Hawaiian and Other Pacific Islander Source: US Census Bureau

Change in Hispanic Population Nelson, 2010 -2014 12% increase 514 459 Nelson 2010 2014 Source: U. S. Census Bureau

Limited English Proficient Students 2015 -2016 School Year Nelson (3%) Virginia (10%) Data source: Virginia Department of Education

Persons with Disabilities, 2013 -14 Nelson (6%) Children (8%) Virginia (4%) Children (8%) Sources: Social Security Administration (All Ages, 2013) and the Virginia Department of Education Special Education Child Count Reports (Children, 2014 -15 School Year)

On-time Graduation Rate 2015 Nelson (84%) Virginia (90%) Economically Disadvantaged (83%) (84%) Source: Virginia Department of Education

Educational Attainment, 2014 90% 80% 70% 83% 88% Nelson Virginia 60% 50% 40% 29% 36% 30% 20% 10% 0% 13% 15% High School Bachelor's Degree. Advanced Degree Type Data Source: U. S. Census Bureau. American Community Survey 5 Year Estimates. 2014

Adult Literacy, 2003 Literate 87% 88% 13% 12% Nelson County VA Not Literate (2003 is the most recent data available from the National Assessment of Adult Literacy survey) Source: US Dept of Education, National Center for Education Statistics

School Readiness, Kindergarteners Whose PALS-K Scores Were Below Kindergarten Readiness Levels 2014 -15 School Year 16% 13% Nelson Virginia 20% 10% 0% 2010 -11 2011 -12 Nelson 2012 -13 2013 -14 2014 -15 Virginia Source: Kids Count

Socioeconomic Indicators

Median Household Income, 2014 $48, 076 $64, 923 $70, 000 $60, 000 $50, 000 $40, 000 $30, 000 $20, 000 $10, 000 $0 2010 Nelson 2011 2012 Virginia 2013 2014 U. S. Source: U. S. Census Bureau, Small Area Income and Poverty Estimates

Federal Poverty Guidelines 2015 # of Persons in Household Federal Poverty Guideline 1 $11, 770 2 $15, 930 3 $20, 090 4 $24, 250 Data source: U. S. Department of Health and Human Services

Persons in Poverty, 2014 Nelson (13%) Virginia (12%) Children (22%) (16%) Source: U. S. Census Bureau, Small Area Income and Poverty Estimates 2014

Persons in Poverty, 2010 -14 Nelson Virginia (Increased 0. 3%) (Increased 1%) 20% 15% 10% 5% 13% 14% 11% 12% 16% 12% 13% 12% Nelson 14 20 13 20 12 20 11 20 20 10 0% Virginia Source: U. S. Census Bureau, Small Area Income and Poverty Estimates 2014

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Households Receiving Supplemental Nutrition Assistance Program (SNAP) Benefits 2010 -2014 Virginia (1% decrease) (5% increase) 453, 213 Virginia, 413, 867 454, 235 Percent Change from 2012 -14 Nelson: -11% VA: -9% 1, 105 14 Nelson, 980 20 20 13 12 1, 097 20 1, 099 11 10 987 435, 978 20 395, 247 20 450, 000 400, 000 350, 000 300, 000 250, 000 200, 000 150, 000 100, 000 50, 000 0 Nelson Data Source: Virginia Department of Social Services, SNAP Participation Report.

Students Eligible for Free/Reduced Lunch 2014 -2015 School Year Nelson Virginia (53%) (42%) Data Source: Virginia Department of Education, Free and Reduced. Price Lunch Program Eligibility—Public School Divisions

Unemployment Rate, 2014 Nelson Virginia (5%) Source: Bureau of Labor Statistics

Health Resource Availability

Estimated Uninsured Children (Under Age 19 Years) 2013 Nelson Virginia (8%) (6%) Source: Small Area Health Insurance Estimates, U. S. Census Bureau.

Estimated Percent of Uninsured Children by Poverty Level, 2013 16% 14% 12% 10% 6. 0% 8% 6% 4. 1% 4. 9% 3. 4% 4% 2% 3. 2% 2. 2% Nelson VA 0% < = 138% FPL < = 200% FPL < = 250% FPL Source: The Virginia Atlas of Community Health

Percent of Uninsured Children from Low Income Households (below 200% of FPL) 2014 Virginia (9%) U. S. (8%) Source: Kaiser Family Foundation

Estimated Uninsured Adults, 18 -64 Years 2013 Nelson Virginia (20%) (17%) Source: Small Area Health Insurance Estimates, U. S. Census Bureau.

Health Insurance Coverage by Age Virginia, 2009 95. 2% 71. 8% 70. 1% 59. 9% 31. 2% 17. 5% 0. 7% < 18 yrs Private 18 -64 Government 65+ yrs Not Covered Source: Current Population Survey, 2009 Annual Social and Economic Supplement, U. S. Census Bureau.

Health Insurance Coverage by Type For Adults Age 19 -64 Years, 2014 63% 59% VA similar to the U. S. Except for the % insured by Medicaid 9% 8% Employer Non-Group 14% 9% 6% Medicaid Virginia 13%14% 5% Other Public Uninsured U. S. Data Source: Kaiser Family Foundation

Medicaid What is it? Who is eligible for it? • Health insurance for those requiring financial assistance Virginia Medicaid Coverage 12% Medicaid Other • Children, pregnant women, elderly, and persons with disabilities • Household income ≤ 143% of the Federal Poverty Level – $34, 678 for a household of 4 persons Data source: Centers for Medicare & Medicaid Services

Medicaid Coverage Details in VA, Federal Fiscal Year 2011 Spending Enrollment Aged; 11% Children; 55% Disabled; 17% Adult; 17% Children; 24% Aged; 19% Adult; 12% Disabled; 45% Source: Kaiser Family Foundation

Medicaid/FAMIS Enrollees <19 Years Receiving Dental Services FY 2007 -FY 2010 60% 50% 40% 30% 20% 10% 0% 2006 -2007 -2008 Nelson 2008 -2009 TJHD 2009 -2010 Source: Virginia Smiles for Children – Pediatric Dental Participation Report

Number of Primary Care Physicians TJHD by Locality, 2011 Internal Family Pediatrics OB/GYN Geriatrics Medicine Albemarle/Charlottesville 65 39 67 27 8 Fluvanna 3 1 4 - 1 Greene - - 4 - - Louisa 1 1 8 - - Nelson - - 9 - - TJHD 69 41 92 27 9 Source: UVA Physician Directory, Sentara Martha Jefferson Hospital Physician directory, other

Number of Primary Care Physicians 2012 There is 1 Primary Care Physician for every: Nelson 1, 483 Individuals Virginia 1, 334 Individuals Data source: U. S. County Health Rankings

Number of Other Primary Care Providers (Nurse Practitioners, Physician Assistants, & Clinical Nurse Specialists who provide primary care) 2014 There is 1 Other Primary Care Provider for every: Nelson Virginia 2, 958 Individuals 1, 649 Individuals Data source: U. S. County Health Rankings

Number of Mental Health Providers Thomas Jefferson Health District, 2011 Clinicians Practices Licensed Psychiatrists Therapists Total Practices Serving Youth Practices Accepting Medicaid Albemarle/ Charlottesville 24 115 66 7 35 Fluvanna 0 2 2 1 1 Greene 0 1 1 Louisa 2 15 3 1 1 Nelson 0 3 2 2 2 TJHD 26 136 74 12 40 Source: Mental Health America

Number of Mental Health Providers 2014 There is 1 Mental Health Provider for every: Nelson 1, 344 Individuals Virginia 724 Individuals Nelson Virginia 11 11, 407 Mental Health Providers Data source: U. S. County Health Rankings

Questions ? Contact Info: Jillian Regan, MPH Jillian. Regan@vdh. virginia. gov