Appendix II. NYS DSRIP Region Tables - New York State ...omh.ny.gov/omhweb/special-projects/dsrip/docs/... · 2010-2014 Est. Population Population Density per Square Mile OMB Urban/Rural

Appendix II. NYS DSRIP Region Tables

New York State Level Community Needs Assessment

APPENDIX II. NYS DSRIP Region Tables Section I. Description of Communities to be Served

Table 1. New York State DSRIP Regions: Population Size, Density and Urban/Rural County Designations

DSRIP Region US Census ACS 2010-2014 Est.

Population

Population Density per Square Mile

OMB Urban/Rural Designation1

Adirondacks 306,899 39 67% Capital 948,699 273 33% Central 1,024,262 214 33% Finger Lakes 1,276,293 240 22% Long Island 2,823,774 2,359 0% Mid-Hudson 2,284,760 504 14% Mohawk Valley 264,718 67 60% New York City 8,158,817 26,958 0% Southern Tier 451,221 112 40% Tug Hill Seaway 255,310 49 67% Western NY 1,544,999 240 63% Data is from the U.S. Department of Health and Human Services, Health Resources Services Administration Data Warehouse. Retrieved April 14, 2016 from http://datawarehouse.hrsa.gov/ tools/analyzers/geo/Rural.aspx

Table 2. New York State DSRIP Regions: Gender, Race/Ethnicity and Age


Population

American Community Survey Data 2010-2014 Gender Race/Ethnicity Age

Male Female White African American Asian Other*

Hispanic or Latino

Ethnicity

19 and Under

65 and Over

Adirondacks 306,899 52% 48% 92% 3% 1% 4% 2% 23% 15% Capital 948,699 49% 51% 85% 7% 3% 4% 4% 25% 14% Central 1,024,262 49% 51% 87% 7% 2% 4% 4% 26% 14% Finger Lakes 1,276,293 49% 51% 84% 10% 2% 4% 5% 26% 14% Long Island 2,823,774 49% 51% 78% 9% 6% 8% 16% 26% 14% Mid-Hudson 2,284,760 49% 51% 74% 11% 4% 10% 17% 27% 13% Mohawk Valley 264,718 49% 51% 95% 2% 1% 3% 4% 25% 16% New York City 8,158,817 48% 53% 44% 25% 13% 18% 29% 24% 12% Southern Tier 451,221 49% 51% 90% 3% 4% 3% 3% 25% 15% Tug Hill Seaway 255,310 51% 49% 91% 3% 1% 4% 4% 27% 12% Western NY 1,544,999 49% 51% 85% 10% 2% 4% 4% 25% 15% *Other includes American Indian and Alaska Native, Native Hawaiian and other Pacific Islander, some other race, and two or more races

New York State Level Community Needs Assessment - December 2016 1


Table 3. New York State DSRIP Regions: Income, Education, Unemployment and Poverty


Population

American Community Survey Data 2010-2014

Median Household Income

Educational Attainment1 Unemployment and Indicators of Poverty Less Than

High School Bachelor's

Degree or Higher Unemployed2 Below Poverty Level

On Cash Public Assistance

On Food Stamps/ SNAP Benefits

Adirondacks 306,899 49,751 13% 22% 6% 14% 3% 12% Capital 948,699 57,554 11% 32% 5% 12% 2% 9% Central 1,024,262 49,880 12% 23% 5% 15% 3% 13% Finger Lakes 1,276,293 50,317 12% 24% 5% 15% 4% 12% Long Island 2,823,774 91,813 10% 38% 5% 7% 2% 5% Mid-Hudson 2,284,760 72,658 12% 34% 5% 11% 2% 8% Mohawk Valley 264,718 46,085 14% 20% 6% 16% 2% 14% New York City 8,158,817 55,476 21% 33% 6% 21% 4% 18% Southern Tier 451,221 47,795 11% 27% 5% 17% 3% 12% Tug Hill Seaway 255,310 44,953 13% 18% 7% 17% 3% 14% Western NY 1,544,999 46,771 11% 20% 6% 15% 3% 14% 1 Educational attainment are calculated based on population 25 years and older. 2 Unemployment data is the average for 2015 and is from the NYS Department of Labor.

Table 4. New York State DSRIP Regions: Health Insurance Status


Population

American Community Survey Data 2010-2014

Public Health Insurance Coverage

No Health Insurance Coverage

Unemployed w/Public Health

Insurance

Unemployed w/No Health Insurance

Adirondacks 306,899 35% 9% 33% 34% Capital 948,699 29% 7% 29% 31% Central 1,024,262 34% 8% 33% 31% Finger Lakes 1,276,293 32% 8% 33% 27% Long Island 2,823,774 24% 9% 34% 32% Mid-Hudson 2,284,760 28% 10% 21% 28% Mohawk Valley 264,718 38% 10% 37% 32% New York City 8,158,817 39% 12% 39% 33% Southern Tier 451,221 33% 8% 32% 29% Tug Hill Seaway 255,310 35% 10% 31% 35% Western NY 1,544,999 35% 8% 33% 27% 1 Public coverage includes Medicare, Medicaid and other federal medical assistance programs; VA Health Care; the Children’s Health Insurance Program (CHIP); and individual state health plans.



Table 5. New York State DSRIP Regions: Medicaid Beneficiaries as Percentage of Total Population

DSRIP Region US Census ACS

2010-2014 Est. Population

Total # Medicaid Beneficiaries

% Est. Population Receiving Medicaid

Adirondacks 306,899 66,032 22% Capital 948,699 184,026 19% Central 1,022,196 250,338 24% Finger Lakes 1,276,293 287,570 23% Long Island 2,823,774 435,217 15% Mid-Hudson 2,284,760 437,816 19% Mohawk Valley 264,718 67,222 25% New York City 8,158,817 3,588,107 44% Southern Tier 451,221 102,118 23% Tug Hill Seaway 255,310 58,577 23% Western NY 1,544,999 358,771 23% Data is from the NYS Department of Health’s Medicaid Beneficiaries Inpatient Admissions and Emergency Room Visits data base; 2012 data. Retrieved May 12, 2016 from https://health.data.ny.gov/ Health/Medicaid-Beneficiaries-Inpatient-Admissions-and-Em/m2wt-pje4#About

Table 6. New York State DSRIP Regions: Medicaid Beneficiaries by Population and Eligibility Type

DSRIP Region All Medicaid Beneficiaries

Medicaid Population Eligibility Type

Adults Children Medicaid Only Dual Medicaid and Medicare

# # % # % # % # %

Adirondacks 66,032 45,049 68% 20,983 32% 52,055 79% 13,977 21% Capital 184,026 120,218 65% 63,808 35% 151,327 82% 32,699 18% Central 250,338 160,404 64% 89,934 36% 209,709 84% 40,629 16% Finger Lakes 287,570 185,427 64% 102,143 36% 238,299 83% 49,271 17% Long Island 435,217 288,383 66% 146,834 34% 358,997 82% 76,220 18% Mid-Hudson 437,816 265,796 61% 172,020 39% 369,778 84% 68,038 16% Mohawk Valley 67,222 44,835 67% 22,387 33% 53,873 80% 13,349 20% New York City 3,588,107 2,407,124 67% 1,180,983 33% 3,120,358 87% 467,749 13% Southern Tier 102,118 67,180 66% 34,938 34% 84,058 82% 18,060 18% Tug Hill Seaway 58,577 38,771 66% 19,806 34% 47,928 82% 10,649 18% Western NY 358,771 233,568 65% 125,203 35% 295,546 82% 63,225 18%

State Totals 5,835,794 3,856,755 66% 1,979,039 34% 4,981,928 85% 853,866 15% Data is from the NYS Department of Health’s Medicaid Beneficiaries Inpatient Admissions and Emergency Room Visits data base; 2012 data. Retrieved May 12, 2016 from https://health.data.ny.gov/ Health/Medicaid-Beneficiaries-Inpatient-Admissions-and-Em/m2wt-pje4#About



Table 7. New York State DSRIP Regions: Special Populations and Foreign Born


Population

American Community Survey Data 2010-2014 Special Populations

Foreign BornDisabled Veterans

In Foster Care1 In Jail2

Adirondacks 306,899 14% 11% 339 651 4% Capital 948,699 12% 10% 735 1,833 7% Central 1,024,262 13% 10% 837 2,085 5% Finger Lakes 1,276,293 13% 9% 808 2,295 6% Long Island 2,823,774 9% 7% 884 2,627 18% Mid-Hudson 2,284,760 10% 7% 1,471 2,867 18% Mohawk Valley 264,718 15% 11% 227 338 3% New York City 8,158,817 10% 3% 10,866 ─ 37% Southern Tier 451,221 13% 9% 536 835 6% Tug Hill Seaway 255,310 14% 12% 257 312 4% Western NY 1,544,999 13% 10% 1,497 2,345 5% 1 Foster care data includes individuals 19 and under during the 2014 calendar year and is from the NYS Office of Children and Families. 2Jail data is for 2014 calendar year and is from the NYS Division of Criminal Justice Services.

Table 8. New York State DSRIP Regions: Primary Language Spoken at Home

DSRIP Region

US Census ACS 2010-2014 Est. Population 5

Years and Older

American Community Survey Data 2010-2014 Language Spoken at Home Speak

English less than

"very well" English Spanish Other Indo-

European

Asian and Pacific

Islander Other

Adirondacks 291,385 94% 2% 3% 1% 1% 2% Capital 899,819 91% 3% 4% 2% 1% 3% Central 966,561 91% 3% 4% 2% 1% 5% Finger Lakes 1,205,322 90% 4% 4% 2% 1% 3% Long Island 2,671,395 76% 12% 8% 3% 1% 10% Mid-Hudson 2,151,086 74% 14% 9% 3% 1% 10% Mohawk Valley 250,743 93% 3% 3% 0% 0% 2% New York City 7,676,284 51% 25% 13% 8% 2% 23% Southern Tier 428,233 91% 2% 4% 3% 0% 3% Tug Hill Seaway 238,292 93% 2% 3% 1% 0% 2% Western NY 1,460,969 92% 3% 3% 1% 1% 3%


APPENDIX II. NYS DSRIP Region Tables Section II. Physical and Behavioral Health Care Resources

Table 1. New York State DSRIP Regions: Inpatient Physical Health Care by Certified Beds

DSRIP Region

Hospitals Nursing Homes

# Hospitals

# Certified Beds # Nursing

Homes

# Certified Beds Total # All Bed Types

Chemical Dependence

Rehab

Chemical Dependence

Detox Psychiatric Total Beds

BH Intervention

Beds Adirondacks 4 881 0 0 78 17 1,646 0 Capital 13 2,705 60 43 179 42 5,072 0 Central 13 2,899 40 4 195 48 6,517 0 Finger Lakes 16 3,101 90 0 222 71 7,466 35 Long Island 22 7,368 90 40 468 89 11,262 0 Mid-Hudson 31 6,453 255 126 760 100 9,987 20 Mohawk Valley 6 484 14 0 40 15 1,617 0 New York City 59 24,337 140 417 2,889 215 31,959 72 Southern Tier 6 1,016 20 0 82 26 2,530 0 Tug Hill Seaway 4 564 17 7 60 10 1,377 0 Western NY 25 4,095 91 24 332 80 8,863 16

State Totals 199 53,903 817 661 5,305 713 88,296 143 Acute care hospital data is from the NYS Open Data Health Facility General Information dataset. Retrieved April 12, 2016 from https://health.data.ny.gov/Health/Health-Facility-General-Information/vn5v-hh5r . Nursing home data is from the NYS Open Data Nursing Home Profile dataset. Retrieved April 12, 2016 from https://health.data.ny.gov/Health/Nursing-Home-Profile/dypu-nabu

Table 2. New York State DSRIP Regions: Outpatient Physical Health Care

DSRIP Region

Home Health Care Ambulatory

Surgical Centers

Primary Health Care

Certified Home Health

Long-term Home Health

School Based Health

Centers

Diagnostic and

Treatment Centers

Federally Qualified

Health Centers

# Facilities Adirondacks 7 4 2 3 14 18 Capital 7 3 12 6 25 5

Central 11 4 20 23 40 25

Finger Lakes 7 6 10 16 32 16

Long Island 20 8 25 4 49 13

Mid-Hudson 24 11 25 20 62 55 Mohawk Valley 4 2 5 12 15 0 New York City 38 18 59 179 217 118 Southern Tier 5 4 1 13 20 2 Tug Hill Seaway 5 2 2 9 11 4 Western NY 9 6 13 16 46 19

State Totals 137 68 174 301 531 275 All data (except nursing home data) is from the NYS Open Data Health Facility General Information dataset. Retrieved April 12, 2016 from https://health.data.ny.gov/Health/ Health-Facility-General-Information/vn5v-hh5r . Ambulatory surgical center data is from the NYS HCRA Provider List dataset. Retrieved April 12, 2016 from https://www.health.ny.gov/regulations/hcra/provider/provamb.htm



Table 3. New York State DSRIP Regions: Primary Care Providers


Population Family Medicine Internal Medicine Pediatrics Total

Total per 10,000

populationMD/DO NP/PA MD/DO NP/PA MD/DO NP/PA

Adirondacks 306,899 262 251 221 181 121 26 1,062 35 Capital 948,699 641 385 851 268 427 98 2,670 28 Central 1,024,262 775 509 612 175 408 92 2,571 25 Finger Lakes 1,276,293 726 442 1,122 589 688 308 3,875 30 Long Island 2,823,774 1,177 126 3,563 172 2,706 114 7,858 28 Mid-Hudson 2,284,760 1,050 425 3,188 275 2,151 161 7,250 32 Mohawk Valley 264,718 156 142 195 90 101 40 724 27 New York City 8,158,817 3,616 1,091 14,440 626 9,059 485 29,317 36 Southern Tier 451,221 343 253 295 85 93 44 1,113 25 Tug Hill Seaway 255,310 141 179 85 49 67 31 552 22 Western NY 1,544,999 898 702 997 473 883 413 4,366 28

State Totals 19,339,751 9,785 4,505 25,569 2,983 16,704 1,812 61,358 32MD=medical doctor; DO=doctor of osterpathy; NP=nurse practitioner; PA=physician assistant. Data is from the DSRIP Managed Care Provider Network Database. Retrieved April 21, 2016 from https://www.health.ny.gov/health_care/medicaid/redesign/providernetwork/

Table 4. New York State DSRIP Regions: Physical Medical Specialists


Population

Allergy and Immunology

Cardiology and Other Cardiology Specialties

Endocrinology and Other Endocrinology Related Specialties

Obstetrics and Gynecology General Surgery Total

Total per 10,000

populationMD/DO NP/PA MD/DO NP/PA MD/DO NP/PA MD/DO NP/PA MD/DO NP/PA

Adirondacks 306,899 4 5 62 10 4 0 58 49 65 17 274 9 Capital 948,699 45 16 254 79 41 9 277 119 395 121 1,356 14 Central 1,024,262 25 13 385 127 40 23 304 125 309 109 1,460 14 Finger Lakes 1,276,293 97 41 395 77 43 9 529 232 253 150 1,826 14 Long Island 2,823,774 264 0 1,957 21 200 1 1,598 65 1,044 28 5,178 18 Mid-Hudson 2,284,760 140 3 1,282 50 165 2 1,091 80 897 124 3,834 17 Mohawk Valley 264,718 4 1 61 20 5 4 54 40 102 30 321 12 New York City 8,158,817 610 1 4,753 18 594 3 5,186 154 3,761 49 15,129 19 Southern Tier 451,221 16 9 68 10 5 11 63 30 82 21 315 7 Tug Hill Seaway 255,310 3 2 52 12 1 5 58 28 53 11 225 9 Western NY 1,544,999 53 28 655 123 77 26 612 262 480 146 2,462 16

State Totals 19,339,751 1,261 119 9,924 547 1,175 93 9,830 1,184 7,441 806 32,380 17 PCP=primary care provider; MD=Medical doctor; DO=doctor of osterpathy; NP=nurse practitioner; PA=physician assistant. Data is from the DSRIP Managed Care Provider Network Database. Retrieved April 21, 2016 from https://www.health.ny.gov/health_care/medicaid/redesign/providernetwork/



Table 5. New York State DSRIP Regions: Dentists

DSRIP Region

US Census ACS 2010-2014 Est.

Population

Number of Dentists Per 10,000 PopulationGeneral

Dentist Specialist Dentist Total

Adirondacks 306,899 55 33 88 3 Capital 948,699 340 115 455 5 Central 1,024,262 294 38 332 3 Finger Lakes 1,276,293 472 133 605 5 Long Island 2,823,774 1,189 580 1,769 6 Mid-Hudson 2,284,760 1,059 400 1,459 6 Mohawk Valley 264,718 82 9 91 3 New York City 8,158,817 5,650 2,328 7,978 10 Southern Tier 451,221 97 15 112 2 Tug Hill Seaway 255,310 74 15 89 3 Western NY 1,544,999 584 238 822 5

State Totals 19,339,751 9,896 3,904 13,800 7 Data is from the DSRIP Managed Care Provider Network Database. Retrieved April 21, 2016

from https://www.health.ny.gov/health_care/medicaid/redesign/providernetwork/

Table 6. New York State DSRIP Regions: Rehabilitation Specialists


Population

Occupational Therapy

Physical Therapy

Speech Therapy Total

Total per 10,000

population Adirondacks 306,899 28 135 38 201 7 Capital 948,699 184 1,299 94 1,577 17 Central 1,024,262 169 1,276 71 1,516 15 Finger Lakes 1,276,293 75 739 70 884 7 Long Island 2,823,774 230 2,438 176 2,844 10 Mid-Hudson 2,284,760 160 1,744 160 2,064 9 Mohawk Valley 264,718 8 135 2 145 5 New York City 8,158,817 633 5,978 417 7,028 9 Southern Tier 451,221 25 298 12 335 7 Tug Hill Seaway 255,310 8 91 3 102 4 Western NY 1,544,999 131 919 383 1,433 9

State Totals 19,339,751 1,651 15,052 1,426 18,129 9 Data is from the DSRIP Managed Care Provider Network Database. Retrieved April 21, 2016 from

https://www.health.ny.gov/health_care/medicaid/redesign/providernetwork/



Table 7. New York State DSRIP Regions: Total Psychiatric Inpatient Bed Capacity by Provider County and Average Daily Census by Patient County of Residence

DSRIP Region - Adults - - Children -

Total Inpatient

Beds1

Total Bed Capacity per

100,000

Total Inpatient ADC2,3

Total ADC per 100,000

Total Inpatient

Beds1

Total Bed Capacity per

100,000

Total Inpatient

ADC Total ADC

per 100,000

Adirondacks 64 27 65 28 12 17 28 39 Capital 323 46 287 40 93 40 75 32 Central 312 42 268 36 108 40 76 29 Finger Lakes 371 40 333 36 108 33 107 32 Long Island 977 47 815 39 234 32 185 25 Mid-Hudson 1,059 64 814 49 417 67 186 30 Mohawk Valley 40 20 45 23 0 0 19 29 New York City 3,977 65 3,815 62 491 25 595 30 Southern Tier 152 45 148 44 40 36 40 35 Tug Hill Seaway 117 63 90 49 27 39 34 49 Western NY 470 41 421 37 158 41 120 31

State Totals 7,862 55 7,100 49 1,688 35 1,465 30 Notes: 1. Includes General Hospital, Private Psychiatric Hospital and State Psychiatric Centers’ budgeted capacity for the county of the providers. Children’s capacity includes residential treatment facility (RTF) beds for the county of the providers. 2. Average Daily Census (ADC) covers General, Private Psychiatric, State Psychiatric hospital and RTF (children only). 3. ADC is shown for patient county of residence. 4. The ADC per 100,000 population of adults or children as indicated. Data Sources: Capacity -- General Hospital and Private Psychiatric Hospital current capacity: NYSOMH CONCERTS database, 10/2015. Current capacity includes all beds licensed for operation as of that date. State Psychiatric Center budgeted capacity: NYSOMH MHARS EHR, 10/2015. RTF capacity: NYSOMH CAIRS database, 10/2015. US Census 2014 Est. Populations. Average Daily Census -- General Hospital (Art. 28): SPARCS, CY 2014. Private Psychiatric Hospital (Art. 31): Medicaid, CY 2014. Institutional Cost Report (ICR), CY 2014: county distribution using the 2013 Patient Characteristics Survey (PCS). State Psychiatric Centers: MHARS, CY 2014. RTF: CAIRS, CY 2014. US Census 2014 estimates.



Table 8. New York State DSRIP Regions: Substance Use Disorders Inpatient Program Capacity

DSRIP Region US Census

ACS 2010-2014 Est. Population

Inpatient Programs Crisis Inpatient

Rehabilitation* Residential Total Capacity

Total Capacity

# Programs Capacity Capacity # Programs Capacity per 10,000

Adirondacks 306,899 0 0 2 83 5 93 176 6 Capital 948,699 3 62 3 231 25 525 818 9 Central 1,024,262 4 49 4 190 20 415 654 6 Finger Lakes 1,276,293 6 72 6 180 27 598 850 7 Long Island 2,823,774 9 137 7 295 14 482 914 3 Mid-Hudson 2,284,760 13 193 14 610 28 1,060 1,863 8 Mohawk Valley 264,718 0 0 1 14 3 47 61 2 New York City 8,158,817 31 676 12 379 66 4,812 5,867 7 Southern Tier 451,221 1 20 2 30 4 141 191 4 Tug Hill Seaway 255,310 1 7 2 57 6 111 175 7 Western NY 1,544,999 4 63 7 212 20 568 843 5

State Totals 19,339,751 72 1,279 60 2,281 218 8,852 12,412 6 Notes and Data Sources: *Includes State Addiction Treatment Centers. Data is from the NYS Office of Alcoholism and Substance Abuse Services (OASAS) Provider Directory System. Includes programs that were operational as of April 2, 2016. More information about OASAS inpatient programs is available at http://www.oasas.ny.gov/hps/state/CD_descriptions.cfm

Table 9. New York State DSRIP Regions: Substance Use Disorders Inpatient Program Average Daily Census

DSRIP Region US Census

ACS 2010-2014 Est. Population

Inpatient Programs Total Avg. Crisis Inpatient Residential Total Avg.

Daily Daily

# Programs Avg. Daily Enrollment # Programs Avg. Daily

Enrollment # Programs Avg. Daily Enrollment

Enrollment Enrollment per 10,000

Adirondacks 306,899 0 0 2 80 5 82 162 5 Capital 948,699 3 40 3 200 25 494 734 8 Central 1,024,262 4 42 4 156 20 368 567 6 Finger Lakes 1,276,293 6 59 6 146 27 520 725 6 Long Island 2,823,774 9 109 7 274 14 380 764 3 Mid-Hudson 2,284,760 13 141 14 526 28 910 1,577 7 Mohawk Valley 264,718 0 0 1 12 3 39 50 2 New York City 8,158,817 31 540 12 342 66 3,655 4,537 6 Southern Tier 451,221 1 17 2 15 4 118 149 3 Tug Hill Seaway 255,310 1 6 2 47 6 94 148 6 Western NY 1,544,999 4 50 7 133 20 482 666 4

State Totals 19,339,751 72 1,004 60 1,931 218 7,143 10,079 5 *Includes State Addiction Treatment Centers. Data is from the NYS Office of Alcoholism and Substance Abuse Services (OASAS) Provider Directory System. Includes programs that were operational as of April 2, 2016.



Table 10. New York State DSRIP Regions: Adult Mental Health Outpatient Capacity and Service Use by Provider County

DSRIP Region

Outpatient Programs (PH, IPRT, CDT, PROS, ACT)

Clinics: Total Number of Adults Locally Operated Clinics

Recipients in State-operated

Clinics4

Clinic Treatment per 100,000

Adults5Capacity1

(Slots)

Slots per 100,000

Adults5

Medicaid Recipients2

Non-Medicaid Recipients

(Estimated #)3

Adirondacks 133 57 4,429 1,344 ─ 2,467 Capital 854 120 9,256 2,544 980 1,803 Central 572 76 10,983 3,156 2,705 2,250 Finger Lakes 1,041 111 15,812 8,400 681 2,656 Long Island 2,687 130 8,662 7,852 1,819 886 Mid-Hudson 2,217 134 14,391 7,808 3,829 1,578 Mohawk Valley 243 124 4,542 1,472 892 3,525 New York City 6,839 111 92,452 37,728 8,631 2,254 Southern Tier 138 41 4,745 2,380 811 2,374 Tug Hill Seaway 48 26 2,598 1,036 1,943 3,019 Western NY 1,795 157 15,532 6,468 1,957 2,089

State Totals 16,567 115 183,402 80,188 24,248 2,004 Notes and Data Sources: Clinics are not licensed for specific slot capacities, therefore size is measured by estimated total number of persons served annually. 1. Includes the total capacity for Partial Hospitalization (PH), Intensive Psychiatric Rehabilitative Treatment (IPRT), Continuing Day Treatment (CDT), Personalized Recovery-Oriented Services (PROS) and Assertive Community Treatment (ACT) (Data Source: New York State Office of Mental Health (NYSOMH) CONCERTS database, 10/2015). 2. Includes adults and children enrolled in Medicaid and served annually in non-State clinic programs (Data Source: Medicaid, CY 2014). 3. Includes annual estimate of adults not receiving Medicaid and served in non-State clinics during the NYSOMH 2013 Patient Characteristics Survey (PCS). 4. Includes adults served annually in State-run clinics (Data Source: NYSOMH MHARS database, CY 2014). 5. US Census ACS 2010-2014 Est. Population.



Table 11. New York State DSRIP Regions: Child Mental Health Outpatient Capacity and Service Use by Provider County

DSRIP Region

Outpatient Programs (PH, DT, ACT)

Clinics: Total Number of Children Locally Operated Clinics

Recipients in State-operated

Clinics4

Clinic Treatment per 100,000

Children5Capacity1

(Slots)

Slots per 100,000

Children5

Medicaid Recipients2

Non-Medicaid Recipients

(Estimated #)3

Adirondacks ─ ─ 1,402 708 126 3,183 Capital 167 72 3,859 748 285 2,103 Central 278 104 4,692 1,744 425 2,570 Finger Lakes 448 136 3,470 2,952 123 1,987 Long Island 243 33 2,454 2,984 60 744 Mid-Hudson 666 107 5,060 3,868 253 1,471 Mohawk Valley 16 24 1,783 556 ─ 3,563 New York City 1,552 78 35,282 11,652 518 2,379 Southern Tier 106 94 1,517 692 498 2,411 Tug Hill Seaway 36 52 959 452 589 2,871 Western NY 124 32 7,038 2,784 6 2,567

State Totals 3,636 74 67,516 29,140 2,883 2,037 Notes and Data Sources: Clinics are not licensed for specific slot capacities, therefore size is measured by estimated total number of children served annually. 1. Includes the total capacity for Partial Hospitalizations (PH), Day Treatment (DT) and Children's Assertive Community Treatment (ACT) (Data Source: New York State Office of Mental Health (NYSOMH) CONCERTS database, 10/2015). 2. Includes children enrolled in Medicaid and served annually in locally-operated (non-State) clinic programs (Data Source: Medicaid, CY 2014). 3. Includes annual estimate of children not receiving Medicaid and served in locally-operated (non-State) clinics during the week of the NYSOMH 2013 Patient Characteristics Survey (PCS). 4. Includes children served annually in State-run clinics (Data Source: NYSOMH MHARS database, CY 2014). 5. US Census ACS 2010-2014 Est. Population.



Table 12. New York State DSRIP Regions: Adult Mental Health Emergency Programs and Community Support Programs by Provider County

DSRIP Region Emergency Programs Community Support Programs

# Adults Served # Served per 100,000 Adults # Adults Served # Served per

100,000 Adults Adirondacks 32 14 529 226 Capital 93 13 1,205 170 Central 144 19 1,659 222 Finger Lakes 297 32 1,910 204 Long Island 477 23 2,795 135 Mid-Hudson 197 12 3,702 224 Mohawk Valley 37 19 663 338 New York City 1,807 29 10,094 164 Southern Tier 66 20 881 264 Tug Hill Seaway 2 1 331 179 Western NY 290 25 2,075 181

State Totals 3,442 24 25,844 180 Data Sources: Includes adults receiving emergency services and support services (e.g., vocational, self-help, care coordination) as reported by the New York State Office of Mental Health 2013 Patient Characteristics Survey (PCS). US Census ACS 2010-2014 Est. Population. Service use is reported because there are no licensed capacities for nearly all of these programs.

Table 13. New York State DSRIP Regions: Child Mental Health Emergency Programs and Community Support Programs by Provider County

DSRIP Region Emergency Programs Community Support Programs

# Children Served # Served per 100,000 Children # Children Served # Served per

100,000 Children Adirondacks 7 10 188 268 Capital 42 18 448 193 Central 47 18 306 115 Finger Lakes 128 39 731 222 Long Island 88 12 424 57 Mid-Hudson 67 11 448 72 Mohawk Valley 40 61 184 280 New York City 356 18 1,877 94 Southern Tier 40 36 156 139 Tug Hill Seaway ─ ─ 113 162 Western NY 32 8 765 200

State Totals 847 17 5,640 115

Data Sources: Includes children receiving emergency services and support services (e.g., vocational, home-based family treatment, residential treatment facility transition) as reported by the New York State Office of Mental Health 2013 Patient Characteristics Survey (PCS). US Census ACS 2010-2014 Est. Population. Service use is reported because there are no licensed capacities for nearly all of these programs.



Table 14. New York State DSRIP Regions: Adult Behavioral Health Community-Based Housing Capacity by Provider County

DSRIP Region

Licensed Beds Unlicensed Beds Housing

Family Care

Congregate Treatment

Apartment Treatment

Housing Support

Programs

Supported Housing

Capacity per 100,000

Adults Adirondacks ─ 65 60 ─ 220 147 Capital 21 309 356 33 666 195 Central 26 408 226 ─ 732 186 Finger Lakes 264 587 384 ─ 1,027 241 Long Island 254 1,137 395 ─ 2,447 205 Mid-Hudson 225 560 530 295 1,920 214 Mohawk Valley 20 107 73 ─ 162 185 New York City 520 4,442 2,101 60 15,010 359 Southern Tier 105 151 112 ─ 403 231 Tug Hill Seaway 86 71 49 ─ 217 229 Western NY 141 619 471 111 1,372 237

State Totals 1,662 8,456 4,757 499 24,176 275Data Sources: Licensed and unlicensed beds: New York State Office of Mental Health CONCERTS database; data as of 10/2015. US Census ACS 2010-2014 Est. Population.

Table 15. New York State DSRIP Regions: Child Behavioral Health Housing Capacity and Home & Community-Based Services (HCBS) Slots by Provider County

DSRIP Region

Number of Licensed Housing HCBS Slots

Teaching Family Home

Child & Youth

Community Residence

Capacity per

100,000 Children

Number of Slots

Slots per 100,000 Children

Adirondacks ─ 8 11 72 102 Capital ─ 9 4 114 49 Central ─ 9 3 90 34 Finger Lakes ─ 41 12 164 50 Long Island 20 40 8 252 34 Mid-Hudson ─ 25 4 195 31 Mohawk Valley ─ 18 27 36 55 New York City ─ 120 6 642 32 Southern Tier ─ 8 7 72 64 Tug Hill Seaway ─ 8 11 48 69 Western NY ─ 26 7 160 42

State Totals 20 312 6 1,845 38 Data Sources: New York State Office of Mental Health databases. Licensed housing capacity: CONCERTS, 10/2015. Home & Community-based Services (HCBS): CAIRS, CY 2014. US Census ACS 2010-2014 Est. Population.



Table 16. New York State DSRIP Regions: Substance Use Disorders Outpatient Program Average Daily Enrollment

DSRIP Region US Census ACS 2010-2014 Est. Population

Outpatient Avg. Daily Enrollment Total Per 10,000

Adirondacks 306,899 1,457 47 Capital 948,699 2,689 28 Central 1,024,262 3,412 33 Finger Lakes 1,276,293 5,388 42 Long Island 2,823,774 9,146 32 Mid-Hudson 2,284,760 4,894 21 Mohawk Valley 264,718 655 25 New York City 8,158,817 16,909 21 Southern Tier 451,221 1,144 25 Tug Hill Seaway 255,310 613 24 Western NY 1,544,999 5,382 35

State Totals 19,339,751 51,688 27Notes and Data Sources: Outpatient programs (OP) include Medically Supervised Outpatient, Outpatient Rehabilitation, Specialized OP – Traumatic Brain Injury, Outpatient Chemical Dependency for Youth, Specialized OP – Mobile, and Specialized Services OP Rehabilitation. Data is from the NYS Office of Alcoholism and Substance Abuse Services (OASAS) Provider Directory System. Includes programs that were operational as of April 2, 2016.

Table 17. New York State DSRIP Regions: Substance Use Disorders Outpatient Opioid Treatment Program

DSRIP Region US Census ACS 2010-2014 Est. Population

Number of Programs

Opioid Treatment (Methadone) Capacity Avg. Daily Enrollment

Total Per 10,000 Total Per 10,000 Adirondacks 306,899 1 100 3 62 2 Capital 948,699 3 750 8 425 4 Central 1,024,262 1 1,000 10 590 6 Finger Lakes 1,276,293 3 750 6 618 5 Long Island 2,823,774 6 2,200 8 1,452 5 Mid-Hudson 2,284,760 9 2,935 13 2,558 11 Mohawk Valley 264,718 1 100 4 96 4 New York City 8,158,817 70 31,716 39 29,453 36 Southern Tier 451,221 1 150 3 113 3 Tug Hill Seaway 255,310 – – – – – Western NY 1,544,999 5 1,365 9 1,354 9

State Totals 19,339,751 100 41,066 21 36,721 19 Data is from the NYS Office of Alcoholism and Substance Abuse Services (OASAS) Provider Directory System. Includes programs that were operational as of April 2, 2016.



Table 18. New York State DSRIP Regions: Health Homes Serving Medicaid Enrollees

DSRIP Region Total # Health Homes Serving Region Adirondacks 1 Capital 3 Central 3 Finger Lakes 2 Long Island 2 Mid-Hudson 3 Mohawk Valley 3 New York City 12 Southern Tier 4 Tug Hill Seaway 2 Western NY 6

State Total 32 Note: There are 32 Health Homes in New York State with some serving more than one DSRIP region. Data is from the NYS Department of Health Designated Health Homes Web page. Retrieved May 4, 2016 from https://www.health.ny.gov/health_care/ medicaid/program/medicaid_ health_homes/contact_information/list_by_county.htm#clinton



Table 19. New York State DSRIP Regions: Size of NYS Licensed Mental Health Workforce in 2014


Population Psychiatrists Psychologists LCSWs LMSWs MH

Counseling NP-

Psychiatry Other Total Per 10,000

Adirondacks 306,899 29 69 206 153 125 21 14 617 20 Capital 948,699 182 451 1,192 1,174 381 102 72 3,554 37 Central 1,024,262 193 279 814 1,016 268 91 118 2,779 27 Finger Lakes 1,276,293 263 419 1,052 1,536 436 127 221 4,054 32 Long Island 2,823,774 912 2,092 4,899 4,508 807 364 429 14,011 50 Mid-Hudson 2,284,760 1,020 1,846 4,338 3,380 696 171 404 11,855 52 Mohawk Valley 264,718 14 34 166 124 41 11 10 400 15 New York City 8,158,817 3,691 4,979 10,269 11,180 1,608 288 1,483 33,498 41 Southern Tier 451,221 58 155 583 515 58 34 56 1,459 32 Tug Hill Seaway 255,310 22 41 123 126 104 13 8 437 17 Western NY 1,544,999 196 369 1,069 1,372 553 71 69 3,699 24

State Totals 19,339,751 6,580 10,734 24,711 25,084 5,077 1,293 2,884 76,363 39 Data Sources: Psychiatrist data: American Board of Psychiatry and Neurology, Inc. (ABPN). Retrieved July 15, 2014 from https://application.abpn.com/verifycert/verifycert.asp. All other professions: New York State Education Department Office of the Professions data extract dated June 2, 2014. Includes all professionals both licensed and registered to practice.

Table 20. New York State DSRIP Regions: Certified and Credentialed Substance Use Disorder Professionals


Population

Physicians Counselors

Total Per 10,000 PopulationBoard Certified

Addiction Medicine

Authorized for Buprenorphine

Prescription

Credentialed Alcoholism and

Substance Abuse

Certified Rehabilitation

Adirondacks 306,899 1 36 115 7 158 5 Capital 948,699 15 126 331 61 518 5 Central 1,024,262 18 89 402 78 569 6 Finger Lakes 1,276,293 20 156 487 52 695 5 Long Island 2,823,774 53 521 876 174 1,571 6 Mid-Hudson 2,284,760 34 363 958 95 1,416 6 Mohawk Valley 264,718 2 23 59 13 95 4 New York City 8,158,817 127 1,709 2,238 258 4,205 5 Southern Tier 451,221 4 45 100 16 161 4 Tug Hill Seaway 255,310 1 26 102 6 134 5 Western NY 1,544,999 24 196 497 152 845 5

State Totals 19,339,751 299 3,290 6,165 912 10,666 6 Data is from the NYS Office of Alcoholism and Substance Abuse Services (OASAS) Human Resources Office and is as of May 13, 2016.


APPENDIX II. NYS DSRIP Region Tables Section III. Health Status

Table 1. New York State DSRIP Regional Averages: Prevalence of Chronic Health Conditions Among Adults

DSRIP Region

Age-adjusted Percentage of Adults

With physician diagnosed diabetes

With physician diagnosed angina,

heart attack or stroke

Ever told they have high blood

pressure

Overweight or obese

(BMI 25 or higher)

With current asthma

Adirondacks 10 9 31 67 12 Capital 9 8 29 61 12 Central 9 8 28 61 12 Finger Lakes 9 8 29 65 11 Long Island 7 7 24 56 9 Mid-Hudson 8 7 26 61 9 Mohawk Valley 8 8 29 63 10 New York City 9 * 29 59 6 Southern Tier 10 8 28 63 12 Tug Hill Seaway 11 8 30 68 10 Western NY 10 9 31 64 11

State Average 9 8 28 63 10 *Suppressed due to small sample size. Data Source is the NYS Department of Health Community Health Indicator Reports (CHIRS): Latest Data. Retrieved May 2, 2016 from https://health.data.ny.gov/Health/Community-Health-Indicator-Reports-CHIRS-Latest-Da/54ci-sdfi

Table 2. New York State DSRIP Regions Averages: Rates of HIV, AIDS, and Cancer

DSRIP Region Age-adjusted case rate per 100,000 Age-adjusted all

cancers incidence rate

per 100,000HIV AIDS

Adirondacks 3 3 512 Capital 5 5 508 Central 5 3 519 Finger Lakes 4 3 507 Long Island 8 5 532 Mid-Hudson 6 4 497 Mohawk Valley 4 3 499 New York City 30 24 473 Southern Tier 4 4 512 Tug Hill Seaway 2 2 492 Western NY 5 3 535

State Average 7 5 508 Data Source is the NYS Department of Health Community Health Indicator Reports (CHIRS): Latest Data. Retrieved May 2, 2016 from https://health.data.ny.gov/Health/Community-Health-Indicator-Reports-CHIRS-Latest-Da/54ci-sdfi



Table 3. New York State DSRIP Regions: Adult Self-Reported Health Behaviors and Risk Factors

DSRIP Region Survey Sample Size

Percentage of Adults Who Self-Reported:

Binge drinking during past

month

Food insecurity in past 12 months

Housing insecurity in past 12 months

Poor health Current smoker

Did not receive medical care

because of cost

Poor mental health for 14 or

more days in last month

Cigarette smoking among those who report poor mental

health

Adirondacks 18,836 17% 23% 36% 5% 21% 11% 10% 50% Capital 27,351 18% 23% 35% 5% 20% 10% 13% 37% Central 23,374 17% 23% 37% 5% 23% 10% 13% 51% Finger Lakes 34,665 14% 22% 34% 4% 20% 9% 14% 37% Long Island 7,299 14% 23% 40% 5% 14% 13% 11% 23% Mid-Hudson 24,595 14% 24% 42% 4% 16% 12% 12% 28% Mohawk Valley 16,169 17% 26% 37% 5% 25% 12% 12% 53% New York City 6,369 18% 37% 52% 5% 13% 16% 11% 28% Southern Tier 17,318 17% 23% 34% 5% 20% 9% 10% 38% Tug Hill Seaway 9,741 21% 23% 35% 5% 19% 9% 11% * Western NY 30,211 17% 22% 32% 5% 24% 9% 12% 47%

State Total/Avg. 215,928 17% 24% 38% 5% 20% 11% 12% 39% *Suppressed due to small sample size. Data is from the CDC Expanded Behavioral Risk Factor Surveillance System (BRFSS) 2013-14 Survey. Retrieved April 27, 2016 from https://health.data.ny.gov/Health/Expanded-Behavioral-Risk-Factor-Surveillance-Surve/jsy7-eb4n?_sm_au_=iVVnMrPRnsfs8P5M

Table 4. New York State DSRIP Regions: Hospitalization Rates by Disease or Cause

DSRIP Region

Age-adjusted hospitalization rate per 10,000 Newborn drug-related diagnosis

rate per 10,000 newborn

discharges

Total hospitalizations

Cardiovascular disease

Cerebrovascular disease (stroke)

Diabetes (primary

diagnosis) Asthma

Self-inflicted

injury Drug-related

Adirondacks 1,035 127 20 13 10 12 17 82 Capital 1,067 123 23 12 10 8 21 112 Central 1,135 153 27 14 9 10 15 133 Finger Lakes 1,059 132 23 13 8 8 16 99 Long Island 1,240 165 25 15 14 5 23 63 Mid-Hudson 1,139 136 24 13 11 6 28 57 Mohawk Valley 1,124 142 24 15 10 9 22 131 New York City 1,357 168 24 25 30 4 36 67 Southern Tier 911 111 18 11 7 7 16 121 Tug Hill Seaway 1,154 150 22 14 8 8 23 66 Western NY 1,127 152 25 15 9 7 19 135

State Average 1,123 142 23 15 11 8 22 97 Data Source is the NYS Department of Health Community Health Indicator Reports (CHIRS): Latest Data. Retrieved May 2, 2016 from https://health.data.ny.gov/Health/Community-Health-Indicator-Reports-CHIRS-Latest-Da/54ci-sdfi



Table 5. New York State DSRIP Regions: Average Percentage and Rates of Premature Death and Alcohol Related Motor Vehicle Injuries and Deaths

DSRIP Region Percentage

premature deaths (aged less than 75

years)

Rate per 100,000 Premature Death (aged 35-64 years)

Alcohol related motor vehicle injuries and

deaths Cardiovascular

disease Cerebrovascular disease (stroke)

Adirondacks 42 111 14 72 Capital 38 105 11 49 Central 39 104 13 48 Finger Lakes 38 101 14 53 Long Island 35 79 8 44 Mid-Hudson 41 92 9 46 Mohawk Valley 37 114 8 50 New York City 45 105 10 19 Southern Tier 38 111 9 53 Tug Hill Seaway 41 108 16 54 Western NY 39 130 13 59 Average % or Rate 39 105 11 50 Data Source is the NYS Department of Health Community Health Indicator Reports (CHIRS): Latest Data. Retrieved May 2, 2016 from https://health.data.ny.gov/Health/Community-Health-Indicator-Reports-CHIRS-Latest-Da/54ci-sdfi

Table 6. New York State DSRIP Regions: 2014 Top Ten Causes of Death — Average Rates* per 100,000 Population

DSRIP Region Heart Disease Malignant Neoplasms

Cerebrovascular Disease AIDS Pneumonia

Chronic Lower

Respiratory Disease

Accidents Diabetes Mellitus

Homicide or

Legal Interventio

n

Cirrhosis of Liver Suicide

Adirondacks 161 163 28 0 11 45 32 18 7 8 9 Capital 174 161 29 1 15 39 24 16 3 8 12 Central 160 160 35 1 17 42 35 19 2 9 10 Finger Lakes 159 168 31 1 15 47 31 17 1 8 11 Long Island 180 141 23 1 14 23 29 10 2 5 7 Mid-Hudson 162 137 26 1 17 28 26 13 2 6 9 Mohawk Valley 185 153 28 0 12 51 29 20 0 10 15 New York City 186 141 20 6 23 22 21 19 4 6 6 Southern Tier 170 152 28 1 13 47 43 16 2 7 11 Tug Hill Seaway 180 154 33 0 14 41 33 19 0 12 14 Western NY 189 167 37 1 14 46 30 24 3 8 13

State Average 173 154 29 1 15 39 30 18 2 8 11 Data is from the NYS Department of Health. Retrieved April 26, 2016 from https://www.health.ny.gov/statistics/vital_statistics/2014/table40.htm *Age-Sex adjusted rates are directly standardized using the age-sex distribution for the United States 2000 Census.



Table 7. New York State DSRIP Regions: Chronic Health Conditions Among Those Served in the NYS Public Mental Health System

DSRIP Region Percentage of Patients Served with Chronic Health Conditions

Current Smokers Diabetes Obesity

High Blood

Pressure Hyperlipidemia Had a heart

attack Had a stroke

Adirondacks 27 8 19 11 8 1 1 Capital 33 10 16 15 11 1 1 Central 31 8 17 14 9 1 1 Finger Lakes 29 10 17 17 11 1 1 Long Island 30 12 16 18 16 1 1 Mid-Hudson 25 9 16 15 11 1 1 Mohawk Valley 32 9 17 18 12 1 2 New York City 25 13 13 21 13 1 1 Southern Tier 29 10 17 15 10 1 1 Tug Hill Seaway 33 10 20 20 16 1 1 Western NY 33 10 15 18 11 1 1

State Avg. % 30 10 16 17 12 1 1Data is from the NYS Office of Mental Health 2015 Patient Characteristics Survey. Data retrieved April 28, 2016.

Table 8. New York State DSRIP Regions: Behavioral Health Diagnoses Among Those Served in the NYS Public Mental Health System

DSRIP Region

Percentage of Patients Served by Diagnostic Category

Anxiety Disorder

Bipolar and

Related Disorders

Depressive Disorders

Disruptive Impulse Conduct Disorder

Neurodevelop-mental

Disorders

Schizophrenia Spectrum &

other Psychotic Disorders

Trauma Stress or

Adjustment

Not a Mental Illness

With a Co-Occuring Disorder

Adirondacks 10 16 22 4 7 15 17 3 25 Capital 7 20 25 1 7 23 10 3 25 Central 11 15 24 4 8 18 12 2 21 Finger Lakes 11 16 25 3 6 18 11 2 21 Long Island 6 19 24 2 6 33 5 2 19 Mid-Hudson 8 17 24 3 5 25 9 2 22 Mohawk Valley 10 18 30 2 9 15 11 3 14 New York City 9 13 29 2 7 28 7 3 18 Southern Tier 10 16 24 3 7 18 15 2 18 Tug Hill Seaway 11 14 29 3 9 14 12 2 21 Western NY 8 15 25 3 7 21 12 4 23

State Avg. % 9 16 25 3 7 21 11 3 20 Data is from the NYS Office of Mental Health 2015 Patient Characteristics Survey. Data retrieved April 28, 2016.



Table 7. DSRIP Regions: Chronic Health Conditions by Age Group Among Those Served in the NYS Public Mental Health System

DSRIP Region Percentage of Patients Under 21 Served with Chronic Health Conditions


High Blood


attack Had a stroke


DSRIP Region Percentage of Patients Ages 21-64 Served with Chronic Health Conditions


High Blood


attack Had a stroke


DSRIP Region Percentage of Patients Ages 65 and Older Served with Chronic Health Conditions


High Blood


attack Had a stroke




Table 8. DSRIP Regions: Diagnostic Category by Age Group Among Those Served in the NYS Public Mental Health System

DSRIP Region

Percentage of Patients Under 21 Served by Diagnostic Category

Anxiety Disorder

Bipolar and

Related Disorders



Neurodevel op-mental Disorders



Trauma Stress or

Adjustment




DSRIP Region

Percentage of Patients Ages 21-64 Served by Diagnostic Category

Anxiety Disorder

Bipolar and

Related Disorders






Trauma Stress or

Adjustment




DSRIP Region

Percentage of Patients Ages 65 and Older Served by Diagnostic Category

Anxiety Disorder

Bipolar and

Related Disorders






Trauma Stress or

Adjustment





APPENDIX II. NYS DSRIP Region Tables Section IV. Behavioral Health Care Utilization

Table 1. New York State DSRIP Regions: Number of Medicaid Beneficiaries with Inpatient Hospital Admissions by Mental Health Diagnosis

Region Bi-Polar Disorder Depressive Disorders Schizophrenia Chronic Stress and

Anxiety Diagnoses Post Traumatic Stress

Disorder Other Mental Health

Diagnoses Total Medicaid Beneficiaries

with MH Number/Percentage of Medicaid Beneficiaries Inpatient

N % N % N % N % N % N % AdmissionAdirondacks 432 8% 2,558 44% 592 10% 765 13% 255 4% 1,147 20% 5,749 Capital 1,762 9% 8,118 43% 2,442 13% 2,454 13% 839 4% 3,335 18% 18,950 Central 1,685 8% 9,689 45% 2,711 13% 3,064 14% 760 4% 3,691 17% 21,600 Finger Lakes 2,005 8% 11,607 48% 2,887 12% 3,100 13% 733 3% 3,705 15% 24,037 Long Island 3,741 11% 15,700 46% 5,051 15% 4,859 14% 269 1% 4,163 12% 33,783 Mid-Hudson 3,318 10% 13,988 43% 5,029 15% 4,129 13% 822 3% 5,339 16% 32,625 Mohawk Valley 405 8% 2,391 47% 658 13% 750 15% 110 2% 795 16% 5,109 New York City 23,626 10% 100,535 44% 35,957 16% 23,687 10% 4,528 2% 38,870 17% 227,203 Southern Tier 539 9% 2,962 47% 813 13% 903 14% 155 2% 930 15% 6,302

Tug Hill Seaway 374 8% 2,140 47% 530 12% 577 13% 157 3% 771 17% 4,549 Western NY 2,723 9% 14,031 45% 3,884 12% 4,313 14% 1,035 3% 5,114 16% 31,100

State Totals 40,610 10% 183,719 45% 60,554 15% 48,601 12% 9,663 2% 67,860 17% 411,007Data is from the NYS Department of Health Medicaid Chronic Conditions and Inpatient Admissions data base, 2012 data. Retrieved May 4, 2016 from https://health.data.ny.gov/ Health/Medicaid-Chronic-Conditions-Inpatient-Admissions-a/2yck-xisk#Export

Table 2. New York State DSRIP Regions: Number of Medicaid Inpatient Hospital Admissions by Mental Health Diagnosis

Region Bi-Polar Disorder Depressive Disorders Schizophrenia

Chronic Stress and

Anxiety Diagnoses

Post Traumatic

Stress Disorder

Other Mental Health

Diagnoses

Total Number of MH

Admissions

Number of AdmissionsAdirondacks 818 4,562 1,089 1,370 502 2,157 10,498 Capital 3,450 15,598 4,502 4,838 1,740 6,858 36,986 Central 3,887 19,325 5,609 6,204 1,805 9,014 45,844 Finger Lakes 3,881 21,015 5,350 5,918 1,404 7,704 45,272 Long Island 8,817 33,693 10,559 10,009 701 9,400 73,179 Mid-Hudson 7,345 28,356 10,058 8,068 1,733 11,649 67,209 Mohawk Valley 734 4,129 1,146 1,324 222 1,490 9,045 New York City 67,078 234,085 86,118 51,278 12,699 101,901 553,159 Southern Tier 1,037 5,000 1,395 1,538 271 1,728 10,969

Tug Hill Seaway 705 3,916 973 1,096 360 1,593 8,643 Western NY 5,238 25,941 7,301 7,814 2,075 10,462 58,831

State Totals 102,990 395,620 134,100 99,457 23,512 163,956 919,635 Data is from the NYS Department of Health Medicaid Chronic Conditions and Inpatient Admissions data base, 2012 data. Retrieved May 4, 2016 from https://health.data.ny.gov/ Health/Medicaid-Chronic-Conditions-Inpatient-Admissions-a/2yck-xisk#Export



Table 3. New York State DSRIP Regions: Number of Medicaid Beneficiaries with Emergency Room Visits by Mental Health Diagnosis

Region Bi-Polar Disorder Depressive Disorders Schizophrenia Chronic Stress and

Anxiety Diagnoses Post Traumatic Stress Disorder

Other Mental Health Diagnoses

Total Medicaid

Beneficiaries Number/Percentage of Medicaid Beneficiaries with MH ER

# % # % # % # % # % # % VisitAdirondacks 1,175 8% 5,627 38% 1,508 10% 2,100 14% 780 5% 3,717 25% 14,907 Capital 3,632 9% 14,824 37% 5,042 13% 5,426 14% 1,978 5% 8,731 22% 39,633 Central 3,268 8% 16,840 39% 5,504 13% 6,467 15% 1,782 4% 9,026 21% 42,887 Finger Lakes 4,301 8% 23,371 43% 6,542 12% 7,049 13% 2,034 4% 11,284 21% 54,581 Long Island 5,705 11% 19,216 38% 7,525 15% 8,030 16% 951 2% 8,913 18% 50,340 Mid-Hudson 6,197 10% 23,243 37% 8,823 14% 8,837 14% 2,368 4% 13,127 21% 62,595 Mohawk Valley 979 8% 5,060 40% 1,571 12% 1,992 16% 388 3% 2,813 22% 12,803 New York City 28,207 9% 125,117 41% 47,000 15% 38,518 13% 8,225 3% 58,104 19% 305,171 Southern Tier 1,187 8% 6,144 41% 1,866 12% 2,333 15% 518 3% 3,008 20% 15,056

Tug Hill Seaway 792 7% 4,618 41% 1,255 11% 1,597 14% 438 4% 2,558 23% 11,258 Western NY 5,671 8% 26,427 39% 8,066 12% 10,040 15% 2,790 4% 14,603 22% 67,597

State Totals 61,114 9% 270,487 40% 94,702 14% 92,389 14% 22,252 3% 135,884 20% 676,828Data is from the NYS Department of Health Medicaid Chronic Conditions and Emergency Room Visits database, 2012 data. Retrieved May 4, 2016 from https://health.data.ny.gov/Health/Medicaid-Chronic-Conditions-Inpatient-Admissions-a/wybq-m39t

Table 4. New York State DSRIP Regions: Number of Medicaid Emergency Room Visits by Mental

Region Bi-Polar Disorder

Depressive Disorders Schizophrenia

Chronic Stress and

Anxiety Diagnoses

Post Traumatic

Stress Disorder

Other Mental Health

Diagnoses Total

Number of ER Visits

Number of ER Visits Adirondacks 4,457 18,423 4,867 6,938 2,753 11,860 49,298 Capital 14,891 51,464 17,608 20,167 8,298 32,254 144,682 Central 13,745 57,797 19,122 23,705 7,303 33,416 155,088 Finger Lakes 17,373 78,355 23,671 25,780 8,273 39,703 193,155 Long Island 19,483 56,695 21,779 23,487 3,472 26,775 151,691 Mid-Hudson 23,461 74,609 28,077 28,292 8,650 43,379 206,468 Mohawk Valley 3,518 15,252 4,939 6,791 1,448 8,556 40,504 New York City 101,783 360,822 145,203 103,218 25,508 176,052 912,586 Southern Tier 4,432 19,351 6,194 7,891 1,950 10,136 49,954

Tug Hill Seaway 3,252 15,877 4,461 5,829 1,744 8,699 39,862 Western NY 21,071 83,439 26,917 32,863 10,141 46,622 221,053

State Totals 227,466 832,084 302,838 284,961 79,540 437,452 2,164,341 Data is from the NYS Department of Health Medicaid Chronic Conditions and Emergency Room Visits database, 2012 data. Retrieved May 4, 2016 from https://health.data.ny.gov/Health/Medicaid-Chronic-Conditions-Inpatient-Admissions-a/wybq-m39t



Table 5. New York State DSRIP Regions: Percentage of Medicaid Population with Mental Health Inpatient Hospital Admission or Emergency Room Visit

Region All Medicaid

Medicaid Beneficiaries with MH Inpatient

Admission

Medicaid Beneficiaries with MH ER Visit

Beneficiaries Number/Percentage of Medicaid Beneficiaries N % N %

Adirondacks 66,032 5,749 9% 14,907 23% Capital 184,026 18,950 10% 39,633 22% Central 250,338 21,600 9% 42,887 17% Finger Lakes 287,570 24,037 8% 54,581 19% Long Island 435,217 33,783 8% 50,340 12% Mid-Hudson 437,816 32,625 7% 62,595 14% Mohawk Valley 67,222 5,109 8% 12,803 19% New York City 3,588,107 227,203 6% 305,171 9% Southern Tier 102,118 6,302 6% 15,056 15%

Tug Hill Seaway 58,577 4,549 8% 11,258 19% Western NY 358,771 31,100 9% 67,597 19%

State Totals 5,835,794 411,007 7% 676,828 12% Data is from the NYS Department of Health Medicaid Chronic Conditions and Inpatient Admissions data base, 2012 data. Retrieved May 4, 2016 from https://health.data.ny.gov/ Health/Medicaid-Chronic-Conditions-Inpatient-Admissions-a/2yck-xisk#Export



Table 6. New York State DSRIP Regions: Number of Medicaid Beneficiaries with Inpatient Hospital Admissions by Substance Use Disorder

Region Cocaine Use Disorder Alcohol Use Disorder Opioid Use Disorder Drug Abuse: Cannabis/

NOS/NEC Other SUD Diagnoses Total Medicaid Beneficiaries

with SUD Number/Percentage of Medicaid Beneficiaries Inpatient

# % # % # % # % # % Admission Adirondacks 118 7% 587 33% 392 22% 428 24% 245 14% 1,770 Capital 926 13% 2,550 35% 1,361 19% 1,539 21% 816 11% 7,192 Central 1,257 14% 2,597 28% 1,556 17% 2,291 25% 1,551 17% 9,252 Finger Lakes 1,913 18% 3,475 33% 1,479 14% 2,370 23% 1,266 12% 10,503 Long Island 1,617 11% 4,644 31% 3,874 26% 2,468 17% 2,346 16% 14,949 Mid-Hudson 1,699 14% 3,808 31% 2,628 22% 2,390 20% 1,625 13% 12,150 Mohawk Valley 111 8% 434 32% 307 23% 314 23% 190 14% 1,356 New York City 27,110 19% 42,141 29% 30,349 21% 22,498 16% 22,405 16% 144,503 Southern Tier 237 10% 785 33% 482 20% 551 23% 336 14% 2,391

Tug Hill Seaway 167 8% 542 27% 434 22% 507 26% 338 17% 1,988 Western NY 2,199 15% 3,972 27% 3,175 21% 3,171 21% 2,327 16% 14,844

State Totals 37,354 17% 65,535 30% 46,037 21% 38,527 17% 33,445 15% 220,898Data is from the NYS Department of Health Medicaid Chronic Conditions and Inpatient Admissions data base, 2012 data. Retrieved May 4, 2016 from https://health.data.ny.gov/ Health/Medicaid-Chronic-Conditions-Inpatient-Admissions-a/2yck-xisk#Export

Table 7. New York State DSRIP Regions: Number of Medicaid Inpatient Hospital Admissions by Substance Use Disorder

Region Cocaine Use

Disorder Alcohol Use

Disorder Opioid Use

Disorder

Drug Abuse:

Cannabis/ NOS/NEC

Other SUD Diagnoses

Total Number of SUD

Admissions Number of Admissions

Adirondacks 118 587 392 428 245 3,480 Capital 926 2,550 1,361 1,539 816 15,899 Central 1,257 2,597 1,556 2,291 1,551 21,125 Finger Lakes 1,913 3,475 1,479 2,370 1,266 22,602 Long Island 1,617 4,644 3,874 2,468 2,346 39,598 Mid-Hudson 1,699 3,808 2,628 2,390 1,625 30,354 Mohawk Valley 111 434 307 314 190 2,572 New York City 27,110 42,141 30,349 22,498 22,405 516,891 Southern Tier 237 785 482 551 336 4,429

Tug Hill Seaway 167 542 434 507 338 4,309 Western NY 2,199 3,972 3,175 3,171 2,327 30,864

State Totals 37,354 65,535 46,037 38,527 33,445 692,123 Data is from the NYS Department of Health Medicaid Chronic Conditions and Inpatient Admissions data base, 2012 data. Retrieved May 4, 2016 from https://health.data.ny.gov/ Health/Medicaid-Chronic-Conditions-Inpatient-Admissions-a/2yck-xisk#Export



Table 8. New York State DSRIP Regions: Number of Medicaid Beneficiaries with Emergency Room Visits by Substance Use Disorder

Region Cocaine Use Disorder Alcohol Use Disorder Opioid Use Disorder Drug Abuse: Cannabis/

NOS/NEC Other SUD Diagnoses Total

Medicaid Beneficiaries

Number/Percentage of Medicaid Beneficiaries with SUD ER # % # % # % # % # % Visit

Adirondacks 1,143 31% 248 7% 825 22% 834 22% 689 18% 3,739 Capital 4,158 31% 1,774 13% 2,942 22% 2,708 20% 2,045 15% 13,627 Central 3,634 26% 1,832 13% 3,360 24% 2,480 18% 2,564 18% 13,870 Finger Lakes 5,219 30% 2,614 15% 4,084 24% 2,850 16% 2,536 15% 17,303 Long Island 5,977 28% 2,728 13% 3,705 17% 5,136 24% 4,119 19% 21,665 Mid-Hudson 5,647 27% 2,962 14% 4,112 19% 4,828 23% 3,670 17% 21,219 Mohawk Valley 813 28% 240 8% 634 22% 707 24% 504 17% 2,898 New York City 35,427 26% 23,680 17% 24,477 18% 29,959 22% 23,564 17% 137,107 Southern Tier 1,339 30% 399 9% 971 22% 988 22% 805 18% 4,502

Tug Hill Seaway 887 26% 271 8% 775 23% 727 22% 720 21% 3,380 Western NY 6,565 26% 3,553 14% 5,092 20% 5,745 23% 4,440 17% 25,395

State Totals 70,809 27% 40,301 15% 50,977 19% 56,962 22% 45,656 17% 264,705Data is from the NYS Department of Health Medicaid Chronic Conditions and Emergency Room Visits database, 2012 data. Retrieved May 4, 2016 from https://health.data.ny.gov/Health/Medicaid-Chronic-Conditions-Inpatient-Admissions-a/wybq-m39t

Table 9. New York State DSRIP Regions: Number of Medicaid Emergency Room Visits by Substance Use Disorder

Region Cocaine Use

Disorder

Alcohol Use

Disorder

Opioid Use Disorder

Drug Abuse:

Cannabis/ NOS/NEC

Other SUD Diagnoses Total Number

of ER Visits

Number of ER Visits Adirondacks 3,732 813 2,975 3,138 2,495 13,153 Capital 16,766 7,509 13,166 12,596 9,617 59,654 Central 14,681 8,093 14,188 11,472 12,106 60,540 Finger Lakes 20,578 12,689 16,914 11,981 11,930 74,092 Long Island 21,789 10,104 13,852 18,282 15,397 79,424 Mid-Hudson 21,732 11,994 15,800 18,247 15,518 83,291 Mohawk Valley 2,727 907 2,615 2,867 1,930 11,046 New York City 164,479 104,258 98,950 115,876 111,755 595,318 Southern Tier 4,813 1,692 4,200 4,113 3,163 17,981

Tug Hill Seaway 2,866 980 2,851 2,717 2,624 12,038 Western NY 23,481 14,032 19,139 20,956 17,286 94,894

State Totals 297,644 173,071 204,650 222,245 203,821 1,101,431 p g y , data. Retrieved May 4, 2016 from https://health.data.ny.gov/Health/Medicaid-Chronic-Conditions-Inpatient-Admissions-a/wybq-m39t



Table 10. New York State DSRIP Regions: Percentage of Medicaid Population with Substance Use Disorder Inpatient Hospital Admission or Emergency Room Visit

Region All Medicaid Beneficiaries

Medicaid Beneficiaries with SUD Inpatient

Admission

Medicaid Beneficiaries with SUD ER Visit

Number/Percentage of Medicaid Beneficiaries N % N %

Adirondacks 66,032 1,770 3% 3,739 6% Capital 184,026 7,192 4% 13,627 7% Central 250,338 9,252 4% 13,870 6% Finger Lakes 287,570 10,503 4% 17,303 6% Long Island 435,217 14,949 3% 21,665 5% Mid-Hudson 437,816 12,150 3% 21,219 5% Mohawk Valley 67,222 1,356 2% 2,898 4% New York City 3,588,107 144,503 4% 137,107 4% Southern Tier 102,118 2,391 2% 4,502 4%

Tug Hill Seaway 58,577 1,988 3% 3,380 6% Western NY 358,771 14,844 4% 25,395 7%

State Totals 5,835,794 220,898 4% 264,705 5%Admissions data base, 2012 data. Retrieved May 4, 2016 from https://health.data.ny.gov/ Health/Medicaid-Chronic-Conditions-Inpatient-Admissions-a/2yck-xisk#Export

Table 11. New York State DSRIP Regions: Medicaid Beneficiaries by Eligibility Type

Region US Census ACS 2010-2014 Est.

Population

Total Medicaid Beneficiaries Medicaid Only Dual Medicaid

and Medicare

# % Total Pop #

% Total Medicaid

Bene. #

% Total Medicaid

Bene. Adirondacks 306,899 66,032 22% 52,055 79% 13,977 21% Capital 948,699 184,026 19% 151,327 82% 32,699 18% Central 1,024,262 250,338 24% 209,709 84% 40,629 16% Finger Lakes 1,276,293 287,570 23% 238,299 83% 49,271 17% Long Island 2,823,774 435,217 15% 358,997 82% 76,220 18% Mid-Hudson 2,284,760 437,816 19% 369,778 84% 68,038 16% Mohawk Valley 264,718 67,222 25% 53,873 80% 13,349 20% New York City 8,158,817 3,588,107 44% 3,120,358 87% 467,749 13% Southern Tier 451,221 102,118 23% 84,058 82% 18,060 18% Tug Hill Seaway 255,310 58,577 23% 47,928 82% 10,649 18% Western NY 1,544,999 358,771 23% 295,546 82% 63,225 18%

State Total 19,339,751 5,835,794 30% 4,981,928 85% 853,866 15% Data is from the NYS Department of Health’s Medicaid Beneficiaries Inpatient Admissions and Emergency Room Visits data base; 2012 data. Retrieved May 11, 2016 from https://health.data.ny.gov/Health/Medicaid-Beneficiaries-Inpatient-Admissions-and-Em/m2wt-pje4#About



Table 12. New York State DSRIP Regions: Medicaid Hospital Inpatient Admissions by Beneficiary Type

Region

Number of Beneficiaries Number of Beneficiaries with Inpatient Admissions

Total Inpatient Hospital Admissions

Medicaid Only

Dual Medicaid and Medicare Medicaid Only Dual Medicaid

and Medicare Medicaid

Only Dual Medicaid and Medicare

# # # % # % # # Adirondacks 52,055 13,977 5,294 10% 2,041 15% 7,280 2,759 Capital 151,327 32,699 16,392 11% 5,292 16% 23,230 7,546 Central 209,709 40,629 22,079 11% 6,322 16% 30,858 8,668 Finger Lakes 238,299 49,271 24,057 10% 7,338 15% 33,157 9,949 Long Island 358,997 76,220 42,485 12% 13,292 17% 60,826 18,414 Mid-Hudson 369,778 68,038 41,726 11% 11,656 17% 57,072 16,276 Mohawk Valley 53,873 13,349 4,920 9% 1,954 15% 6,709 2,554 New York City 3,120,358 467,749 315,132 10% 89,093 19% 468,005 125,358 Southern Tier 102,118 84,058 8,023 10% 2,222 12% 10,447 2,799 Tug Hill Seaway 47,928 10,649 5,280 11% 1,543 14% 7,382 2,023 Western NY 295,546 63,225 30,433 10% 8,869 14% 42,030 11,547

State Total 4,999,988 919,864 515,821 10% 149,622 16% 746,996 207,893Data is from the NYS Department of Health’s Medicaid Beneficiaries Inpatient Admissions and Emergency Room Visits data base; 2012 data. Retrieved May 11, 2016 from https://health.data.ny.gov/Health/Medicaid-Beneficiaries-Inpatient-Admissions-and-Em/m2wt-pje4#About

Table 13 New York State DSRIP Regions: Medicaid Emergency Room Visits by Beneficiary Type

Region

Number of Beneficiaries Number of Beneficiaries with ER Visits Total ER Visits

Medicaid Only

Dual Medicaid and Medicare Medicaid Only Dual Medicaid

and Medicare Medicaid

Only Dual Medicaid and Medicare

# # # % # % # #

Adirondacks 52,055 13,977 15,851 30% 2,657 19% 34,533 5,924 Capital 151,327 32,699 50,391 33% 7,324 22% 113,687 18,127 Central 209,709 40,629 57,812 28% 7,546 19% 120,663 18,882 Finger Lakes 238,299 49,271 77,068 32% 10,023 20% 170,032 24,481 Long Island 358,997 76,220 94,441 26% 11,340 15% 175,968 20,712 Mid-Hudson 369,778 68,038 94,926 26% 13,179 19% 184,162 28,645 Mohawk Valley 53,873 13,349 17,572 33% 2,614 20% 35,635 5,611 New York City 3,120,358 467,749 773,479 25% 67,499 14% 1,470,587 117,640 Southern Tier 84,058 18,060 23,674 28% 2,937 16% 49,565 7,034 Tug Hill Seaway 47,928 10,649 17,609 37% 1,767 17% 41,135 3,588 Western NY 295,546 63,225 101,626 34% 12,079 19% 211,951 25,486

State Totals 4,981,928 853,866 1,324,449 27% 138,965 16% 2,607,918 276,130 Data is from the NYS Department of Health’s Medicaid Beneficiaries Inpatient Admissions and Emergency Room Visits data base; 2012 data. Retrieved May 11, 2016 from https://health.data.ny.gov/Health/Medicaid-Beneficiaries-Inpatient-Admissions-and-Em/m2wt-pje4#About


APPENDIX II. NYS DSRIP Region Tables Section V. Unmet Service Needs

Table 1. New York State DSRIP Regions: Mental Health Medication Adherence and Management

DSRIP Region Adherence to Antipsychotic Medications for Individuals

with Schizophrenia

Antidepressant Medication Management

Effective Acute Phase Treatment

Effective Continuation Phase Treatment

Adirondacks 68% 53% 39% Capital Region 58% 52% 36% Central 55% 49% 33% Finger Lakes 59% 49% 35% Long Island 66% 52% 39% Mid-Hudson 70% 53% 38% Mohawk Valley 65% 51% 38% New York City 61% 51% 37% Southern Tier 65% 54% 38% Tug Hill Seaway 60% 55% 37% Western NY 59% 52% 37%

State Avg. % 61% 51% 37%*Sample size too small to report. Notes and Data Sources: Data is from the NYS Department of Health - Medicaid clinical metrics for Clinical Improvement Projects (Domain 3) of the DSRIP Program database, measurement year 2014 data.

Table 2. New York State DSRIP Regions: Mental Health Follow-Up Care

Region

Follow-up After Hospitalization for Mental Illness

Follow-Up Care for Children Prescribed ADHD Medication

Within 7 Days Within 30 Days Initiation Phase Continuation Phase

Adirondacks 53% 66% 54% 55% Capital 54% 71% 53% 58% Central 40% 58% 53% 60% Finger Lakes 51% 69% 44% 52% Long Island 42% 57% 51% 59% Mid-Hudson 46% 62% 61% 68% Mohawk Valley 53% 71% 52% 60% New York City 40% 54% 64% 72% Southern Tier 43% 58% 52% 57% Tug Hill Seaway 32% 46% 59% 61% Western NY 49% 66% 52% 60%

State Avg. % 43% 58% 57% 62% *Sample Size Too Small to Report. Notes and Data Sources: Data is from the NYS Department of Health - Medicaid clinical metrics for Clinical Improvement Projects (Domain 3) of the DSRIP Program database, measurement year 2014 data.



Table 3. New York State DSRIP Regions: Alcohol and Other Drug Dependence Treatment

DSRIP Region Alcohol and Other Drug Dependence Treatment

Initiation Engagement Adirondacks 53% 26% Capital 50% 24% Central 45% 20% Finger Lakes 46% 23% Long Island 47% 24% Mid-Hudson 52% 27% Mohawk Valley 52% 21% New York City 49% 19% Southern Tier 43% 18% Tug Hill Seaway 48% 24% Western NY 52% 21%

State Avg. % 49% 21% Notes and Data Sources: Data is from the NYS Department of Health -Medicaid clinical metrics for Clinical Improvement Projects (Domain 3) of the DSRIP Program database, measurement year 2013 data. Retrieved May 6, 2016 from https://health.data.ny.gov/Health/Medicaid-Delivery-System-Reform-Incentive-Payment-/e2qd-mx59#About.



Table 4a. New York State DSRIP Regions: Diabetes Short and Long-Term Complications Inpatient Prevention Quality Indicators by Medicaid Eligibility

DSRIP Region

Diabetes Short-term Complications Diabetes Long-term Complications

Medicaid Only Dual Medicaid and Medicare Medicaid Only Dual Medicaid

and Medicare Rates per 100,000

Observed Expected Observed Expected Observed Expected Observed Expected

Adirondacks 160 126 129 99 65 113 154 250 Capital 135 127 117 113 81 117 185 283 Central 175 126 166 103 115 107 261 261 Finger Lakes 123 128 147 106 79 111 119 266 Long Island 95 122 85 108 128 143 273 333 Mid-Hudson 83 126 64 110 102 128 201 324 Mohawk Valley 115 121 83 96 54 106 160 249 New York City 115 120 108 107 175 153 465 411 Southern Tier 134 123 69 97 64 109 144 255 Tug Hill Seaway 137 124 78 90 107 102 234 242 Western NY 122 129 119 104 118 116 173 270Data is from the NYS Department of Health Quality Prevention Quality Indicators – Adult (AHRQ PQI) for Medicaid Enrollees database, discharge year 2014 data. Retrieved May 6, 2016 from https://health.data.ny.gov/Health/Medicaid-Inpatient-Prevention-Quality-Indicators-P/6kjt-7svn

Table 4b. New York State DSRIP Regions: Diabetes Chronic Conditions Inpatient Prevention Quality Indicators by Medicaid Eligibility

DSRIP Region

Uncontrolled Diabetes Lower-Extremity Amputation among Patients with Diabetes


and Medicare Rates per 100,000

Observed Expected Observed Expected Observed Expected Observed Expected Adirondacks 3 18 33 35 7 13 48 41 Capital 13 21 11 39 14 12 61 43 Central 16 18 26 36 13 12 45 41 Finger Lakes 18 19 45 37 10 12 31 42 Long Island 34 26 48 47 11 14 42 46 Mid-Hudson 12 23 42 46 7 13 37 47 Mohawk Valley 12 21 10 32 12 12 37 40 New York City 32 29 61 58 15 15 52 53 Southern Tier 11 18 27 35 19 12 15 41 Tug Hill Seaway 27 16 32 34 9 12 26 40 Western NY 22 20 29 38 8 13 17 42 Data is from the NYS Department of Health Quality Prevention Quality Indicators – Adult (AHRQ PQI) for Medicaid Enrollees database, discharge year 2014 data. Retrieved May 6, 2016 from https://health.data.ny.gov/Health/Medicaid-Inpatient-Prevention-Quality-Indicators-P/6kjt-7svn



Table 5a. New York State DSRIP Regions: Cardiac Chronic Conditions Inpatient Prevention Quality Indicators by Medicaid Eligibility

DSRIP Region

Hypertension Heart Failure Angina Without Procedure


and Medicare Medicaid Only Dual Medicaid and Medicare

Rate per 100,000 Observed Expected Observed Expected Observed Expected Observed Expected Observed Expected Observed Expected

Adirondacks 13 42 17 73 111 110 464 579 2 13 10 23 Capital 46 49 68 90 219 211 493 542 5 14 32 25 Central 36 41 86 81 114 106 572 606 8 12 9 24 Finger Lakes 33 42 24 81 144 110 535 599 7 13 20 24 Long Island 93 69 127 134 151 173 625 801 15 18 27 28 Mid-Hudson 44 57 112 120 108 143 518 746 12 15 18 28 Mohawk Valley 22 39 58 78 97 100 684 608 5 12 14 23 New York City 86 78 191 177 199 197 925 901 22 20 35 34 Southern Tier 28 41 67 79 61 108 414 606 1 13 17 23 Tug Hill Seaway 31 37 40 76 85 94 605 614 20 12 0 23 Western NY 23 46 22 81 112 118 477 625 15 13 28 24 Data is from the NYS Department of Health Quality Prevention Quality Indicators – Adult (AHRQ PQI) for Medicaid Enrollees database, discharge year 2014 data. Retrieved May 6, 2016 from https://health.data.ny.gov/Health/Medicaid-Inpatient-Prevention-Quality-Indicators-P/6kjt-7svn

Table 5b. New York State DSRIP Regions: Asthma Chronic Conditions Inpatient Prevention Quality Indicators by Medicaid Eligibility

DSRIP Region

Asthma in Younger Adults

Medicaid Only Dual Medicaid and Medicare

Rate per 100,000 Observed Expected Observed Expected

Adirondacks 149 80 30 116 Capital 97 96 43 176 Central 56 92 65 134 Finger Lakes 39 90 160 138 Long Island 88 124 294 222 Mid-Hudson 77 107 81 204 Mohawk Valley 50 82 0 128 New York City 156 124 444 342 Southern Tier 45 83 33 130 Tug Hill Seaway 55 78 0 117 Western NY 38 89 70 153 Data is from the NYS Department of Health Quality Prevention Quality Indicators – Adult (AHRQ PQI) for Medicaid Enrollees database, discharge year 2014 data. Retrieved May 6, 2016 from



Table 6. New York State DSRIP Regions: Prevention Quality Overall, Acute, and Chronic Composite Indicators by Medicaid Eligibility

DSRIP Region

Overall Composite Acute Composite Chronic Composite Medicaid Only Dual Medicaid

and Medicare Medicaid Only Dual Medicaid and Medicare Medicaid Only Dual Medicaid

and Medicare


Adirondacks 988 1,012 2,927 3,044 234 276 1,158 1,158 754 736 1,769 1,886 Capital 1,097 1,049 3,054 3,182 290 275 1,019 1,153 807 774 2,035 2,029 Central 1,113 977 3,578 3,118 332 267 1,392 1,168 782 710 2,186 1,951 Finger Lakes 1,054 1,005 3,558 3,114 323 272 1,687 1,157 731 733 1,870 1,957 Long Island 1,179 1,252 3,139 3,667 347 318 1,186 1,306 832 933 1,952 2,362 Mid-Hudson 892 1,135 2,787 3,547 259 293 1,061 1,255 633 842 1,727 2,292 Mohawk Valley 810 975 3,595 3,126 276 273 1,539 1,198 534 702 2,057 1,928 New York City 1,393 1,319 4,158 4,032 312 318 1,322 1,308 1,082 1,001 2,837 2,724 Southern Tier 874 1,003 2,496 3,125 258 277 1,055 1,184 616 726 1,441 1,941 Tug Hill Seaway 1,056 943 2,902 3,126 275 265 1,051 1,213 781 678 1,850 1,914 Western NY 881 1,043 2,768 3,180 216 277 1,047 1,179 664 766 1,721 2,001 Data is from the NYS Department of Health Quality Prevention Quality Indicators – Adult (AHRQ PQI) for Medicaid Enrollees database, discharge year 2014 data. Retrieved May 6, 2016 from https://health.data.ny.gov/Health/Medicaid-Inpatient-Prevention-Quality-Indicators-P/6kjt-7svn

Table 7. New York State DSRIP Regions: Prevention Quality All Diabetes, Circulatory, and Respiratory Composite Indicators by Medicaid Eligibility

DSRIP Region

All Diabetes Composite All Circulatory Composite All Respiratory Composite Medicaid Only Dual Medicaid

and Medicare Medicaid Only Dual Medicaid and Medicare Medicaid Only Dual Medicaid

and Medicare


Adirondacks 235 270 363 426 126 166 490 675 393 306 930 801 Capital 244 277 375 478 178 188 686 743 390 314 989 824 Central 319 263 498 441 158 160 668 710 308 293 1,034 816 Finger Lakes 230 269 343 451 184 165 580 703 325 303 951 820 Long Island 267 305 448 534 260 260 779 963 309 375 741 882 Mid-Hudson 204 290 344 526 164 215 649 894 269 343 759 891 Mohawk Valley 194 256 290 420 124 151 755 709 222 300 1,011 815 New York City 337 317 687 629 307 295 1,151 1,112 445 396 1,020 1,003 Southern Tier 228 262 255 428 90 162 498 708 309 307 690 821 Tug Hill Seaway 279 254 371 406 136 143 645 713 371 286 848 811 Western NY 270 278 338 454 150 176 528 735 249 317 867 828 Data is from the NYS Department of Health Quality Prevention Quality Indicators – Adult (AHRQ PQI) for Medicaid Enrollees database, discharge year 2014 data. Retrieved May 6, 2016 from https://health.data.ny.gov/Health/Medicaid-Inpatient-Prevention-Quality-Indicators-P/6kjt-7svn



Table 8. New York State DSRIP Regions: All Payers Potentially Preventable Emergency Room Visits

DSRIP Region ER Discharges 2013

Rate per 100,000 Observed Expected

Adirondacks 19 19 Capital 20 20 Central 25 19 Finger Lakes 25 18 Long Island 18 21 Mid-Hudson 19 21 Mohawk Valley 23 18 New York City 27 26 Southern Tier 26 18 Tug Hill Seaway 27 19 Western NY 19 19 Data is from the NYS Department of Health All Payer Potentially Preventable Emergency Visit (PPV) database. Rates by patient county, SPARCS data 2013. Retrieved May 6, 2016 from https://health.data.ny.gov/Health/All-Payer-Potentially-Preventable-Emergency-Visit-/f8ue-xzy3#About


Documents

Appendix II. NYS DSRIP Region Tables - New York State ...omh.ny.gov/omhweb/special-projects/dsrip/docs/... · 2010-2014 Est. Population Population Density per Square Mile OMB Urban/Rural