Service area mortality rates now tabulated from ZCTA-level data (instead of county-level data) to provide more accurate small-area estimates. Service area race/ethnicity mortality rates removed. Affected indicators: Cancer Mortality (CA Only); Heart Disease Mortality (CA Only); Stroke Mortality (CA Only); … Continued

Changed data source (from CDPH Death Profiles by ZIP Code) to the CDPH Death Statistical Master File (2008-2010). Data now reported using age-adjusted rates for comparison with HP2020 objectives. Race and ethnicity summaries added by county for areas with 10 … Continued

Indicator description and report field text corrected. Previous text incorrectly represented the data as estimates for inadequate social/emotional support.

New data are available for 2016 (replacing data for 2015). Time series data are updated to include 2004 through 2016. Data by gender (male/female) are also available for this indicator. Diabetes Prevalence

New 5-year mortality rates for 2013-2017 are now available (replacing data for 2012-2016). Affected indicators: Health Outcomes Mortality – Cancer Mortality – Heart Disease Mortality – Homicide Mortality – Coronary Heart Disease Mortality – Lung Disease Mortality – Motor Vehicle … Continued

Data have been updated to the most recent 3-year period (2015-2017). Trend-over-time data is now available with this indicator!Affected Indicators: Health Outcomes Premature Death

New data about physical inactivity, diabetes, and obesity are available for 2015 (replacing data for 2013). Time series data are updated to include 2004 through 2015. Affected indicators: Health Behaviors Physical Inactivity (Adult) Health Outcomes Diabetes Prevalence Obesity (Adult)

An issue was identified affecting state-level values for five mortality indicators using 2012-2016 National Vital Statistics System data. Report data tables were displaying estimates for the Hispanic population rather than the Total population. The issue has been corrected. Affected indicators: … Continued

New 5-year mortality rates for 2012-2016 are now available (replacing data for 2011-2015). Affected indicators: Health Outcomes Mortality – Cancer Mortality – Heart Disease Mortality – Homicide Mortality – Coronary Heart Disease Mortality – Lung Disease Mortality – Motor Vehicle … Continued

New 5-year mortality rates for 2011-2015 are now available (replacing data for 2010-2014). Affected indicators: Health Outcomes Mortality – Cancer Mortality – Heart Disease Mortality – Homicide Mortality – Coronary Heart Disease Mortality – Lung Disease Mortality – Motor Vehicle … Continued

An error was identified in which total population figures for service areas and regions in California were reported as an aggregate over the three-year data collection period (2010-2012) rather than as a point-in-time figure. Population figures have been updated to … Continued

A data inconsistency error was identified and corrected. The error was present only in the “Preliminary Health Needs Identification Tool” for the race/ethnicity disparity EXCEL data export. Specifically, the data in the “Native American/Alaskan Native Alone” and “Asian Alone” columns … Continued

A calculation error causing the numerator and denominator values for US to be doubled was identified and corrected. Affected indicators: Health Behaviors Physical Inactivity Health Outcomes Diabetes (Adult) Obesity

New data about physical inactivity, diabetes, and obesity are available for 2013 (replacing data for 2012). Time series data are now available for years 2004 through 2013. Affected indicators: Health Behaviors Physical Inactivity (Adult) Health Outcomes Diabetes Prevalence Obesity (Adult)

Indicator name and description have been updated to reflect changes in the 2014 American Community Survey documentation. Specifically, the terminology has changed from “Linguistically Isolated households” to “Limited English speaking households”. The characteristics used to identify these households are unchanged.

A calculation error was identified and corrected. Affected indicators: Health Behaviors Alcohol Expenditures Cigarette Expenditures Fruit/Vegetable Expenditures Soft Drink Expenditures

New 5-year mortality rates for 2009-2013 are now available (replacing data for 2007-2011). Breakouts available by gender and by combined race/ethnicity. Single-year mortality rates for 2002 through 2013 have been added to display trends over time for states and the … Continued

New 5-year mortality rates for 2009-2013 are now available (replacing data for 2007-2011). Breakouts available by gender and by combined race/ethnicity. Single-year mortality rates for 2002 through 2013 have been added to display trends over time for states and the … Continued

Detailed tables have been added to the Population with Limited English Proficiency indicator. Five breakout tables are now available which display the proportion of the LEP population speaking each of 38 different languages at home.

New data about physical inactivity, diabetes, and obesity are available for 2011 (replacing data for 2010). Time series data are now available for years 2004 through 2011. Affected indicators: Health Behaviors Physical Inactivity Health Outcomes Diabetes (Adult) Obesity

New data about physical inactivity, diabetes, and obesity are available for 2011 (replacing data for 2010). Time series data are now available for years 2004 through 2011. Affected indicators: Health Behaviors Physical Inactivity (Adult) Health Outcomes Diabetes Prevalence Obesity (Adult)

New 5-year mortality rates for 2007-2011 are now available (replacing data for 2006-2010). Breakouts available by gender and by combined race/ethnicity. Single-year mortality rates for 2002 through 2011 have been added to display trends over time for states and the … Continued

New 5-year mortality rates for 2007-2011 are now available (replacing data for 2006-2010). Breakouts available by gender and by combined race/ethnicity. Single-year mortality rates for 2002 through 2011 have been added to display trends over time for states and the … Continued

One new indicator has been added to the CHNA platform from the 2011-2012 Behavioral Risk Factor Surveillance System. Indicator reports the proportion of the adult population (age 18+) who self-report that they have been diagnosed with high cholesterol. New Indicators: … Continued

Maps and data for heart disease mortality (all) from the Centers for Disease Control and Prevention (CDC) National Vital Statistics System (NVSS) has been added to the CHNA platform. Heart disease mortality is defined by the following ICD-10 codes: I00–I09, … Continued

New maps and data now available for High School Graduation Rate indicator. New estimates for the 2016-2017 school year were acquired from the US Department of Education (ED), replacing estimates from the previous school year. Trend-over-time is now available for … Continued

American Community Survey data for the 2013-17 five-year period has been processed and released! These updates replace previous indicator data from the 2012-2016 five-year period.

New maps and data now available for High School Graduation Rate indicator. New estimates for the 2015-2016 school year were acquired from the US Department of Education (ED).

Data for school year 2015-2016 released from NCES (replacing data for school year 2014-2015). Affected indicators: Social & Economic Factors Free and Reduced Price Lunch Student Eligibility

American Community Survey data for the 2012-16 five-year period has been processed and released! These updates replace previous indicator data from the 2011-2015 five-year period. Data from previous years is accessible via saved “static” reports, or by searching the Community … Continued

American Community Survey data for the 2012-16 five-year period has been processed and released! These updates replace previous indicator data from the 2011-2015 five-year period. Data from previous years is accessible via saved “static” reports, or by searching the Community … Continued

An error was identified in which the numerator (number of primary care physicians) and denominator (total population) values for custom geographic areas were reported as a multi-year aggregate rather than for a single year. Numerator and denominator values have been … Continued

An error was identified in the query used to generate the figure for national high school graduation rates. For this dataset, the national figure is generated by summing the county-level components within the original dataset. Some of the underlying geographies … Continued

New estimates for the 2014-2015 school year were acquired from the California Department of Education (replacing estimates from the 2013-14 school year). Additionally, indicator breakouts now display trends in graduation rates between 2011-12 and 2014-15. Affected indicators: Social & Economic … Continued

American Community Survey data for the 2011-15 five-year period has been processed and released! These updates replace previous indicator data from the 2010-2014 five-year period.

American Community Survey data for the 2011-15 five-year period has been processed and released! These updates replace previous indicator data from the 2010-2014 five-year period. Data from previous years is accessible via saved “static” reports, or by searching the Community … Continued

New data for 2014 acquired from the 2015-16 Area Health Resources File (AHRF) (replacing data for 2013). Affected indicators: Clinical Care Access to Primary Care

New data on high school graduation for the 2014-15 school year are available from the US Department of Education. Affected indicators: Social & Economic Factors High School Graduation Rate (EdFacts)

New data on the number of percentage of food insecure population are available from Feeding America’s Map the Meal Gap 2016. Affected indicators: Social & Economic Factors Food Insecurity Rate

Correction made to area values (square miles) for some custom report areas, affecting the population density values for the Total Population indicator. This issue affected the following geographies only: State Senate District, Congressional District, and School District.

New data for 2013 acquired from the 2014-15 Area Health Resources File (AHRF) (replacing data for 2012). Affected indicators: Clinical Care Access to Primary Care

New indicator data and maps are now available from the 2016 County Health Rankings (CHR) (replacing data from the 2014 CHR). Affected indicators: Clinical Care Access to Mental Health Providers, 2015 Health Outcomes Premature Death, 2011-13

American Community Survey data for the 2010-14 five-year period has been processed and released! These updates replace previous indicator data from the 2009-2013 five-year period.

American Community Survey data for the 2010-14 five-year period has been processed and released! These updates replace previous indicator data from the 2009-2013 five-year period. Data from previous years is accessible via saved “static” reports, or by searching the Community … Continued

New food insecurity rate data for 2013 are now available (replacing data for 2012). Food insecurity refers to USDA’s measure of lack of access, at times, to enough food for an active, healthy life for all household members and limited … Continued

CHNA indicators have been reformatted to eliminate discrepancies between service area and county values due to rounding. Figures for all indicators generated from county-level data now round to 1 decimal place. Figures for all indicators generated from ZIP codes, census … Continued

Data for school year 2013-2014 released from NCES (replacing data for school year 2012-2013). Affected indicators: Social & Economic Factors Free and Reduced Price Lunch Student Eligibility

Data for school year 2012-2013 released from NCES (replacing data for school year 2011-2012). Trends over time are now available. Affected indicators: Social & Economic Factors Free and Reduced Price Lunch Student Eligibility

New estimates for the 2011-2012 school year were acquired from the US Department of Education (ED) EdFacts program (replacing estimates from the 2010-11 school year). Affected indicators: Social & Economic Factors High School Graduation Rate

New 5-year estimates for 2006-2010 acquired from the HRSA Area Health Resources File (AHRF) (replacing estimates from the CDC for 2003-2009). Indicator data now available for all counties with over 10 births during the report period. Data available broken out … Continued

New maps and data now available for 2 indicators from the 2012 US Census Bureau’s SAHIE program (replacing data for 2011). Annual data depicting trends over time is now available for counties, states, and the US for 2007 through 2012. … Continued

A new indicator for high school graduation rate from the US Department of Education (ED) has been added to the CHNA platform. This indicator is a supplement to the existing high school graduation rate indicator from the National Center for … Continued

When selecting multiple report areas, county-level data for race/ethnicity breakouts of the Infant Mortality indicator were incorrect. The error has been corrected. Race/ethnicity figures for states, the US, and aggregated county-level areas are correct and remain unchanged.

New data for 2011 acquired from the 2013 Area Health Resources File (AHRF) (replacing data for 2010). Affected indicators: Clinical Care Access to Primary Care

New facility data acquired using the Kaiser Permanente Interchange Location API.

Data for 2011 acquired from the US Census Bureau’s Small Area Health Insurance Estimates (SAHIE) data tables (replacing data for 2010). Affected indicators: Social and Economic Factors Uninsured Population (Adult) Uninsured Population (Youth) Data breakouts by race / ethnicity now … Continued

American Community Survey data for the 2007-11 five-year period has been processed and released! These updates replace previous indicator data from the 2006-2010 five-year period. Affected Indicators: Demographics Total Population Male Population Female Population Population Under Age 18 Population Age … Continued

American Community Survey data for the 2007-11 five-year period has been processed and released! These updates replace previous indicator data from the 2006-2010 five-year period. Affected Indicators: Demographics Total Population Male Population Female Population Population Under Age 18 Population Age … Continued

New data from the American Community Survey data for the 2007-11 five-year period has been processed and released! New Indicators: Demographics Linguistically Isolated Households Population Geographic Mobility Foreign-Born Population Hispanic Population Urban and Rural Population Social & Economic Factors Income … Continued

New data from the Census Bureau’s SAHIE program has been processed and released. New estimates compliment state and PUMA-level health insurance coverage estimates from the ACS (Indicator: Uninsured Population (Total). The county-level SAHIE data covers the entire US, but lacks … Continued

New unemployment statistics represent the month of December, 2012. This information will now be continuously updated as new data is released from the BLS. Affected indicators: Social and Economic Factors Unemployment Rate

Data for school year 2010-2011 released from NCES (replacing data for school year 2009-2010). County-level estimates now available. Affected indicators: Social & Economic Factors Free and Reduced Price Lunch Student Eligibility

Changed data source (from CDC NVSS 2003-2006) to the CDC National Vital Statistics System 2003-2009. Death counts were downloaded from the CDC WONDER query system; birth counts were acquried from the Health Indicator Warehouse. Rates now reported for over 2,000 … Continued

Changed data source (from 2010 Decennial Census) to ACS 2006-2010. Indicator is now comparable with other reported demographic statistics. Affected indicators: Total Population.

Separated ethnicity (Hispanic or Latino) origin from race tabulations. Tabulations added for non-Hispanic population. Affected indicators: Total Male Population; Total Female Population; Total Population Age 0-4; Total Population Age 5-17; Total Population Age 18-24; Total Population Age 24-34; Total Population … Continued

New data are available for 2016 (replacing data for 2015). Time series data are updated to include 2004 through 2016. Data by gender (male/female) are also available for this indicator. Physical Inactivity (Adult)