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Specific Indicator Definitions

Medical Care:

Health Professional Shortage Area (HPSA): The Division of Policy and Shortage Designation (DPSD) in the HRSA, Bureau of Health Wortkforce (BHW) develops shortage designation criteria and uses them to decide whether or not a geographical area or population group is a Health Professional Shortage Area (HPSA), Medically Underserved Area (MUA) or Medically Underserved Population (MUP). MUAs include defined frontier, nonmetropolitan and metropolitan areas. More than 34 federal programs depend upon the shortage designation to determine eligibility or as a funding preference. About 20 percent of the U.S. population resides in primary medical care HPSAs. HPSAs may have shortages of primary medical, dental, or medical care providers; may be in rural or urban areas; population groups; or medical or other public facilities. The purpose of the HPSA data set is to increase transparency into the HRSA shortage designation processes and identify the U.S. HPSAs by making the detailed HPSA information available free to the public. Find more specific definitions here.

Below is a glossary of field names used in the Health Professional Shortage in Civilian System table.

  • Geographic_ID : This attribute represents the Health Professional Shortage Area (HPSA) geography code which identifies the specific geographic area (county, minor civil division (MCD), or Census Tract) associated with the HPSA.
  • State_Name : The state name.
  • Area_Class : This attribute represents the textual description of the Health Professional Shortage Area (HPSA) type.
  • Professional_Shortage_Area_Score : This attribute represents the Health Professional Shortage Area (HPSA) Score developed by the National Health Service Corps (NHSC) in determining priorities for assignment of clinicians. The scores range from 1 to 26 where the higher the score, the greater the priority.
  • Ratio_Population_To_Provider : This attribute represents the ratio of the Health Professional Shortage Area (HPSA) Designation Population to HPSA provider full-time equivalents displayed in ratio format (for example, 3500:1), where the population and the designation share the same discipline class (for example, Primary Care, Dental Care, and Mental Health).
  • Underserved_Population : This attribute represents the estimated underserved population served by the full-time equivalent (FTE) health care practitioners within a Health Professional Shortage Area (HPSA).
  • Provider_Ratio_Goal : This attribute represents the Health Professional Shortage Area (HPSA) Provider Ratio Goal that is the target population per provider (physician) for the HPSA in a Discipline Class. Federal regulations stipulate that, in order to be considered as having a shortage of providers, an area must have a population-to-provider ratio of a certain threshold. For primary medical care, the population to provider ratio must be at least 3,500 to 1 (3,000 to 1 if there are unusually high needs in the community). For dental, the ratio must be at least 5,000 to 1 (4,000 to 1 in high-need communities). For mental health, the area must have a population to psychiatrist ratio of 30,000 to 1 (20,000 to 1 in high-need communities). For further information about Health Professional Shortage Areas (HPSA) refer to the http://www.hrsa.gov/shortage/ website.
  • Discipline_Class_Description : This attribute represents the type of mental health providers used in the full-time equivalent (FTE) calculations for the specified Health Professional Shortage Area (HPSA) designation.
  • Rural_Status_Description : This attribute represents the rural status description for the entity (such as a facility or a geographic area).
Individual Patients: The count of patients is based on the home residence of the patient. The number of patients, along with associated county and Congressional District codes, are provided by the ARC.

Medical Expenditures:Medical expenditures data come from both the Allocation Resource Center (ARC) and FMS. The specific programs reported for this category are: medical care, General Post Fund, medical and prosthetic research, and miscellaneous accounts.

VA Medical Facility Definitions:

  • CBOC: Community-based outreach clinic
  • RO: Regional office
  • VAMC: VA medical center

Financial:

Compensation and Pension: The Compensation and Pension (C&P) category includes expenditures for the following categories: compensation payments, pension payments, Dependency and Indemnity Compensation, and burial allowances. Most expenditures reported in this category reflect monthly payments made to individuals. Retroactive payments and one-time payments are also included. Data is obtained from USASpending.gov.

Education and Vocational Rehabilitation Employment: Education and Vocational Rehabilitation and Employment (E&VRE) are separate programs, but are combined into one category for display purposes in GDX. Expenditures in this category include: automobile and adaptive equipment, specially adapted housing, Survivors’ and Dependents’ Educational Assistance (Chapter 35), Vocational Rehabilitation for Disabled Veterans (Chapter 31), Post-Vietnam Era Veterans’ Educational Assistance (Chapter 32), Montgomery G.I. Bill for Selected Reserves (Chapter 1606), Reserve Educational Assistance Program (Chapter 1607), Montgomery G.I. Bill (Chapter 30), and Post-9/11 Veterans Educational Assistance (Chapter 33). Expenditure data for E&VRE are also obtained from USASpending.gov.

Veteran Population: As of FY 2015, the estimated veteran population data by state and county are based on the VA VetPop2015 model. This model is VA’s source for official estimates and projections of the veteran population.

Behavioral Health:

Mental Health HPSA: The Division of Policy and Shortage Designation (DPSD) in the HRSA, Bureau of Health Wortkforce (BHW) develops shortage designation criteria and uses them to decide whether or not a geographical area or population group is a Health Professional Shortage Area (HPSA), A geographic area will be designated as having a shortage of mental health professionals if the following four criteria are met:
I. The area is a rational area for the delivery of mental health services.
II. One of the following conditions prevails within the area:
A) The area has:
i) a population-to-core-mental-health-professional ratio greater than or equal to 6,000:1 and a population-to-psychiatrist ratio greater than or equal to 20,000:1; or
ii)
a population-to-core-professional ratio greater than or equal to 9,000:1; or
iii)
A population-to-psychiatrist ratio greater than or equal to 30,000:1;

B) The area has unusually high needs for mental health services, and has:
(i) a population-to-core-mental-health-professional ratio greater than or equal to 4,500:1 and a population-to-psychiatrist ratio greater than or equal to 15,000:1; or
(ii)
A population-to-core-professional ratio greater than or equal to 6,000:1, or
(iii) A population-to-psychiatrist ratio greater than or equal to 20,000:1;
III. Mental health professionals in contiguous areas are over-utilized, excessively distant or inaccessible to residents of the area under consideration.

Below is a glossary of field names used in the Behavioral Health Professional Shortage Area table.

  • Geographic_ID : This attribute represents the Health Professional Shortage Area (HPSA) geography code which identifies the specific geographic area (county, minor civil division (MCD), or Census Tract) associated with the HPSA.
  • State_Name : The state name.
  • Area_Class : This attribute represents the textual description of the Health Professional Shortage Area (HPSA) type.
  • Professional_Shortage_Area_Score : This attribute represents the Health Professional Shortage Area (HPSA) Score developed by the National Health Service Corps (NHSC) in determining priorities for assignment of clinicians. The scores range from 1 to 26 where the higher the score, the greater the priority.
  • Ratio_Population_To_Provider : This attribute represents the ratio of the Health Professional Shortage Area (HPSA) Designation Population to HPSA provider full-time equivalents displayed in ratio format (for example, 3500:1), where the population and the designation share the same discipline class (for example, Primary Care, Dental Care, and Mental Health).
  • Underserved_Population: This attribute represents the estimated underserved population served by the full-time equivalent (FTE) health care practitioners within a Health Professional Shortage Area (HPSA).
  • Provider_Ratio_Goal : This attribute represents the Health Professional Shortage Area (HPSA) Provider Ratio Goal that is the target population per provider (physician) for the HPSA in a Discipline Class. Federal regulations stipulate that, in order to be considered as having a shortage of providers, an area must have a population-to-provider ratio of a certain threshold. For primary medical care, the population to provider ratio must be at least 3,500 to 1 (3,000 to 1 if there are unusually high needs in the community). For dental, the ratio must be at least 5,000 to 1 (4,000 to 1 in high-need communities). For mental health, the area must have a population to psychiatrist ratio of 30,000 to 1 (20,000 to 1 in high-need communities). For further information about Health Professional Shortage Areas (HPSA) refer to the http://www.hrsa.gov/shortage/ website.
  • Mental_Health_Provider_Type : This attribute represents the type of mental health providers used in the full-time equivalent (FTE) calculations for the specified Health Professional Shortage Area (HPSA) designation.
  • Rural_Status_Description : This attribute represents the rural status description for the entity (such as a facility or a geographic area).
SAMHSA-identified Mental Health Treatment Programs: The Behavioral Health Treatment Services Locator is a product of SAMHSA's Center for Behavioral Health Statistics and Quality (CBHSQ). SAMHSA iendeavors to keep the Locator current. All Locator information is updated annually from facility responses to SAMHSA's National Survey of Substance Abuse Treatment Services (N-SSATS) and National Mental Health Services Survey (N-MHSS). New facilities that have completed an abbreviated survey and met all the qualifications are added monthly. Updates to facility names, addresses, telephone numbers, and services are made weekly for facilities informing SAMHSA of changes. Facilities may request additions or changes to their information by sending an e-mail to locator@smdi.com, by calling the I-BHS Project Office at 1-888-301-1143 (Mon-Fri 9-5 ET), or by electronic form submission using the Locator online application form (intended for additions of new facilities).
VTCR: Vet Centers provide a broad range of counseling, outreach, and referral services to combat veterans and their families.
Veteran and Non-Veteran Suicide Rates: The Veteran Suicide Data Sheet is based on a collaborative effort among VA, the US Department of Defense (DoD), and the National Center for Health Statistics (NCHS). The resulting report, released in 2016, examined more than 55 million records from 1979 to 2014 in all 50 states, Puerto Rico, and the District of Columbia. The statistics herein are derived from multiple data sources, including the VA Office of Enterprise Integration, the VA Serious Mental Illness Treatment Resources and Evaluation Center, VA Post-Deployment Health Services, the VA Center for Excellence for Suicide Prevention, and the Defense Suicide Prevention Office. Cause of death was identified through the NCHS National Death Index (NDI).

K-12 Education

Junior Reserve Officer Training Corps (JROTC): The Army Junior Reserve Officer Training Corps (JROTC) is a cooperative program between the Department of Army and local high schools.
National Defense Cadet Corps (NDCC): This program is virtually identical to JROTC except it is fully funded by schools that choose to pursue a JROTC unit without financial assistance from the Army. The NDCC unit is an excellent alternative for schools that wish to expedite a program. The school incurs all costs, to include Instructor salaries, uniforms, and daily operational expenses. The Army will supply curriculum material for the Instructors and the students/cadets. The Army will also supply forms and regulations that are required to successfully conduct the program. Schools hosting an NDCC unit must comply with statutory and regulatory guidance as regular JROTC units; specifically, units must employ a minimum of two Instructors certified by HQ USACC. 

Housing

Homeless Veterans' Reintegration Program (HVRP): This program provides services to help reintegrate homeless veterans into meaningful employment. It also stimulates effective service deliverys that help address the complex problems that face homeless veterans.

Legal

USERRA Case Statistics: The source for these stats come from a report presented to US Congress in 2016 by the US Department of Labor.

Post-secondary Education

Office of Post-secondary Education Identification number (OPE ID): This number, assigned by the US Department of Education, identifies schools that have agreements so that its students are eligible to participate in Federal Student Financial Assistance programs under Title IV regulations.The first 6-digits of the OPE ID number relate to the main institution, and are followed by a 2-digit suffix used to identify branches, additional locations, and other entities that are part of the main institution.

Employment

Vocational Rehabilitation & Employment (VR&E): VR&E services to help with job training, employment accommodations, resume development, and job seeking skills coaching. Other services may be provided to assist veterans in starting their own businesses or independent living services for those who are severely disabled and unable to work in traditional employment.

Community

Food Access, 2009-2013 (ERS, USDA): Food access data was obtained from the Food Research Atlas of the Economic Research Service (ERS), USDA. Access to food can be affected by an individual’s or family’s means of transportation, vehicle availability and proximity to a grocery store. ERS developed food access thresholds based on census tracts. The urban area threshold is 1 mile from a store; the rural area threshold is 10 miles. The variable names are self-explanatory. Since the data is based on census tracts, ERS has used the Decennial Census 2010 for the base tract-level data.
  • Percentage of children in an urban tract living 1 mile away from nearest grocery store: Percent children in low access urban tracts.
  • Percentage of children in a rural tract living 10 miles away from nearest grocery store: Percent children in low access rural tracts.
  • Population: Total resident population at the census tract level, 2010 Points of Light is the world's largest organization dedicated to volunteer service.
Military Family Assistance Centers: Services include, but are not limited to, ID cards and Defense Enrollment Eligibility Reporting System (DEERS) enrollment, TRICARE and military medical benefits education, emergency financial services, legal information & referral, crisis intervention and referral, and community information and referral. Each of the 406 Family Assistance Centers (FAC) locations within the 54 states, territories and DC provide immediate outreach, resource and referral for service members and families, regardless of service or component.
National Guard Family Programs: State-level office with responsibility to provide support and education to families in the National Guard.
Points of Light: Points of Light is the world's largest organization dedicated to volunteer service. The Community Blueprint is the cornerstone of the military initiatives being developed by Points of Light.
Poverty Rate, 2014-2015 (ERS, USDA): Data on poverty rates were provided by the Economic Research Service, USDA. These data are found in the 5-year American Community Survey (ACS), 2010-2015 version. Every five years, ACS makes available poverty level data for all 3,140 counties in the United States. Data represent mid-year averages, which are based on a rolling sample survey.
  • Poverty rate: Poverty thresholds are used to calculate official poverty population statistics and are updated each year by the U.S. Census Bureau. An individual or family is considered to be living in poverty if their income falls below the threshold. Poverty rates show the percentage of a population living in poverty.
  • Child poverty rate: Percentage of related children who are in poverty.
  • Extreme poverty rate: A county that has a poverty rate of 40 percent or higher.
Rural Urban Continuum 2013: The 2013 Rural-Urban Continuum Codes form a classification scheme that distinguishes metropolitan counties by the population size of their metro area, and nonmetropolitan counties by degree of urbanization and adjacency to a metro area. The official Office of Management and Budget (OMB) metro and nonmetro categories have been subdivided into three metro and six nonmetro categories. Each county in the U.S. is assigned one of the 9 codes.
Code 1      Metro - Counties in metro areas of 1 million population or more
Code 2      Metro - Counties in metro areas of 250,000 to 1 million population
Code 3      Metro - Counties in metro areas of fewer than 250,000 population
Code 4      Nonmetro - Urban population of 20,000 or more, adjacent to a metro area
Code 5      Nonmetro - Urban population of 20,000 or more, not adjacent to a metro area
Code 6      Nonmetro - Urban population of 2,500 to 19,999, adjacent to a metro area
Code 7      Nonmetro - Urban population of 2,500 to 19,999, not adjacent to a metro area
Code 8      Nonmetro - Completely rural or less than 2,500 urban population, adjacent to a metro area
Code 9      Nonmetro - Completely rural or less than 2,500 urban population, not adjacent to a metro area

Demographics:

No additional definitions.

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