1. Improving Community Health through Planning and Partnerships Greene Community Health Council

2. 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?

3. 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

4. Demographic Indicators

5. Population Change Greene, 2010-14 Source: U.S. Census Bureau and the Weldon Cooper Center for Public Service Demographics Research Group

6. Decennial Percent Change in Population Albemarle, Charlottesville, TJHD, and Virginia 1990-2000, 2000-2010 Source: US Census Bureau and the Thomas Jefferson Planning District Commission 199020002010 % Change 1990-2000 %Change 2000-2010 Greene TJHD 164,458199,648234,71221%18% Virginia 6,187,3587,078,5158,001,02414%13%

7. Age and Sex Distribution, 2014 Source: Virginia Department of Health, Division of Health Statistics, 2014

8. Age Distribution Albemarle and Charlottesville, 2000,2010 Source: US Census Bureau, Population Estimates by Selected Age Groups and Sex, County Level

9. Racial Composition, 2014 Source: US Census Bureau Greene

10. Change in Hispanic Population Greene, 2010-2014 Source: U.S. Census Bureau

11. Limited English Proficient Students 2015-2016 School Year Data source: Virginia Department of Education Greene (4%) Virginia (10%)

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

13. Persons with Disabilities, FY 2015 Sources: Region 10 Consumer Service Board FY 2015 Report 733 persons served ( 4% of the population)

14. On-time Graduation Rate 2015 Source: Virginia Department of Education Greene (96%) Virginia (90%) Economically Disadvantaged (89%) Economically Disadvantaged (84%)

15. Educational Attainment, 2014 Data Source: U.S. Census Bureau. American Community Survey 5 Year Estimates. 2014

16. Adult Literacy, 2003 Source: US Dept of Education, National Center for Education Statistics ( 2003 is the most recent data available from the National Assessment of Adult Literacy survey)

17. Source: Kids Count School Readiness, Kindergarteners Whose PALS-K Scores Were Below Kindergarten Readiness Levels 2014-15 School Year 14% Greene 13% Virginia

18. Socioeconomic Indicators

19. Median Household Income, 2014 Source: U.S. Census Bureau, Small Area Income and Poverty Estimates $61,762 $64,923

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

21. Poverty Thresholds Size of family unit Weighted average thresholds Related children under 18 years NoneOneTwoThreeFourFiveSixSeven Eight or more One person (unrelated individual)......12,071 Under 65 years..............................12,316 65 years and over...........................11,354 Two people.....................................15,379 Householder under 65 years...........15,93415,85316,317 Householder 65 years and over........14,32614,30916,256 Three people....................................18,85018,51819,05519,073 Four people................................24,23024,41824,81724,00824,091 Five people......................................28,69529,44729,87528,96028,25227,820 Six people.....................................32,47333,86934,00433,30332,63131,63331,041 Seven people...................................36,92738,97139,21438,37537,79136,70135,43134,036 Eight people....................................40,96843,58643,97043,17942,48541,50140,25238,95338,622 Nine people or more..........................49,02152,43052,68551,98451,39650,43049,10147,89947,60145,768 Source: U.S. Census Bureau. Data source: U.S. Census Bureau

22. Persons in Poverty, 2014 Source: U.S. Census Bureau, Small Area Income and Poverty Estimates 2014 Greene (10%) Virginia (12%) Children (14%) Children (16%)

23. Source: U.S. Census Bureau, Small Area Income and Poverty Estimates 2014 Persons in Poverty, 2010-14 Greene (Slightly decreased 0.1%) Virginia (Increased 1%)

24. Image from ClipArt in MS PowerPoint 2010

25. Households Receiving Supplemental Nutrition Assistance Program (SNAP) Benefits 2010-2014 Data Source: Virginia Department of Social Services, SNAP Participation Report. Greene (9% increase) Virginia (5% increase)

26. Students Eligible for Free/Reduced Lunch 2014-2015 School Year Data Source: Virginia Department of Education, Free and Reduced-Price Lunch Program Eligibility—Public School Divisions Greene (39%) Virginia (42%)

27. Unemployment Rate, 2014 Source: Bureau of Labor Statistics Greene (4%) Virginia (5%)

28. Health Resource Availability

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

30. Estimated Percent of Uninsured Children by Poverty Level, 2013 Source: The Virginia Atlas of Community Health

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

32. Estimated Number of Uninsured Children by Poverty Level TJHD by Locality, 2010 Source: The Virginia Atlas of Community Health

33. Source: Small Area Health Insurance Estimates, U.S. Census Bureau. Estimated Uninsured Adults, 18-64 Years 2013 Greene (21%) Virginia (17%)

34. Health Insurance Coverage by Age Virginia, 2009 Source: Current Population Survey, 2009 Annual Social and Economic Supplement, U.S. Census Bureau.

35. Health Insurance Coverage by Type For Adults Age 19-64 Years, 2014 Data Source: Kaiser Family Foundation VA similar to the U.S. Except for the % insured by Medicaid

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

37. Medicaid Coverage Details in VA, Federal Fiscal Year 2011 Source: Kaiser Family Foundation

38. Medicaid Enrollment, Percent of Population Enrolled, State Fiscal Year 2015

39. Increase in Medicaid/FAMIS Enrollment TJHD by Locality, March 2007 – February 2009 Source: Virginia Department of Social Services

40. Increase in Medicaid/FAMIS Enrollment Year Albemarle (__%) Charlottesville (__%)

41. Medicaid/FAMIS Enrollees <19 Years Receiving Dental Services FY 2007-FY 2010 Source: Virginia Smiles for Children – Pediatric Dental Participation Report

42. Number of Primary Care Physicians TJHD by Locality, 2011 Source: UVA Physician Directory, Sentara Martha Jefferson Hospital Physician directory, other Internal Medicine Pediatrics Family Medicine OB/GYNGeriatrics Albemarle/Charlottesville 653967278 Fluvanna314 -1 Greene -- 4 -- Louisa118 -- Nelson --9 -- TJHD694192279

43. Number of Primary Care Physicians 2012 There is 1 Primary Care Physician for every: Data source: U.S. County Health Rankings Greene 6,257 Individuals Virginia 1,334 Individuals

44. 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: Data source: U.S. County Health Rankings Greene 9,402 Individuals Virginia 1,649 Individuals

45. Number of Mental Health Providers Thomas Jefferson Health District, 2011 Source: Mental Health America CliniciansPractices Psychiatrists Licensed Therapists Total Practices Practices Serving Youth Practices Accepting Medicaid Albemarle/ Charlottesville 2411566735 Fluvanna 0221 1 Greene 0 111 1 Louisa 21531 1 Nelson 0322 2 TJHD 26136741240

46. Number of Mental Health Providers 2014 There is 1 Mental Health Provider for every: Data source: U.S. County Health Rankings Greene 3,134 Individuals Virginia 724 Individuals Greene 6 Mental Health Providers Virginia 11,407 Mental Health Providers

47. Health Resource Availability-Public Health Staff in TJHD, FY 2016 Source: TJHD Number of Full-Time Equivalent Positions Local Health Department Public Health Nurses Environmental Health Specialists Nutritionists Clinicians Public Health Specialists Administration Albemarle/ Charlottesville 11.49.02.90.66.515.0 Fluvanna2.31.60.30.11.34.1 Greene2.31.60.30.11.54.1 Louisa4.73.20.60.33.27.7 Nelson2.31.60.1 1.54.1 Total in TJHD23.017.04.21.414.035.0

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