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New Mexico State Health Assessment

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New Mexico State Health Assessment NEW MEXICO STATE HEALTH ASSESSMENT 2014 - 2016 New Mexico Department of Health “Promote health and wellness, improve health outcomes, and assure safety net services for all people in New Mexico.” New Mexico Department of Health Mission Statement New Mexico State Health Assessment Table of Contents Introduction 2 New Mexico Demographics 3 The Health System in New Mexico 10 Core Documents with State Health Assessment Information 11 Topic Specific Health Planning Assessments 13 Community Health Councils, Assessments and Health Improvement Plans 14 Community Transformation Grant Assessment 15 Other Assessments Related to System Improvement 15 Community Health Improvement Plan 15 Looking to the Future 16 References 18 Appendices 19 A. The State of Health in New Mexico 2013 B. Adequacy of New Mexico’s Healthcare System’s Workforce C. Engagement Activities D. State-Tribal Collaboration Activities 2012 Page 1 New Mexico State Health Assessment New Mexico State Health Assessment EXECUTIVE SUMMARY INTRODUCTION The New Mexico Department of Health (NMDOH), under the leadership of Cabinet Secretary Retta Ward, is pursuing Public Health Accreditation to measure NMDOH performance using the Public Health Accreditation Board (PHAB) Standards and Measures. The statement of intent was submitted on May 17, 2012. This document summarizes information and processes used by the NMDOH to assess the heath of the state’s population and how the information is used in work with communities to develop priorities and plans of action to improve health. This document has been prepared to obtain advice and consultation from national partner organizations involved in the accreditation process to identify what further actions may be required to meet the community health assessment prerequisite requirement. NMDOH understands the importance of this prerequisite and its relationship to PHAB Domain 1: Conduct assessments focused on population health status and health issues facing the community, Standard 1.1. Participate in or conduct a collaborative process resulting in a comprehensive health assessment, and Measures 1.1.1 Participate in or conduct a state partnership that develops a comprehensive state community health assessment of the population of the state, and 1.1.2 Complete a state level community health assessment. “A process of collecting, analyzing, and using data to educate and mobilize communities, develop priorities, garner resources, and plan actions to improve the public’s health.” Association of State and Territorial Health Officers Page 2 New Mexico State Health Assessment NEW MEXICO DEMOGRAPHICS With an area of 121,593 sq mi (314,926 sq km), New Mexico ranks as the 5th largest of the 50 U.S. states. The state is roughly bisected by the Rio Grande River. Mountain ranges which are a part of the Rocky Mountains run in broken groups north to south through central New Mexico on either side of the Rio Grande. New Mexico's climate ranges from arid to semiarid with a wide range of temperatures. Average January temperatures vary from about 35°F (2°C) in the north to about 55°F (13°C) in the southern and central regions. July temperatures range from about 78°F (26°C) at high elevations to around 92°F (33°C) at lower elevations. Average annual precipitation (1971–2000) was 9.5 in (24 cm) in Albuquerque; at higher elevations, annual precipitation averaged over 20 in (50 cm). Nearly one-half the annual rainfall comes during July and August, and thunderstorms are common in the summer. Snow is much more frequent in the north than in the south. The Rio Grande provides most of the irrigation water for New Mexico’s area of most intensive agriculture. Due to the lack of water resources, most of New Mexico’s arable land is devoted to grazing. Much of the state’s income comes from its considerable mineral wealth which includes uranium ore, potash, salt, perlite, copper ore, natural gas, beryllium and tin concentrates, coal and petroleum. The federal government is the largest employer in the state, accounting for over 25% of New Mexico’s jobs. A large percentage of these jobs are related to the military. New Mexico’s 2011 estimated population was 2,075,056, which is a 0.5% increase from 2010. This is also an increase of 13.5% since 2000. New Mexico’s population is projected to reach 2,540,145 in 2020 and 2,864,796 in 2030. These are projected increases from 2011 of 22.4% and 38.1%, respectively (Figure P-1). Figure 1, Population: Counts and Projections, New Mexico, 1850 to 2030 3,000 2,865 2,800 Projections: 2020 and 2030 only 2,600 2,540 2,400 2,200 2,065 2,000 1,829 1,800 1,600 1,522 1,400 Census Counts 1,303 1,200 1,017 1,000 951 800 681 600 532 Population in thousands 360 423 400 327 160 195 200 62 94 92 120 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1850 1870 1890 1910 1930 1950 1970 1990 2010 2030 Year Note: Total for 1860 is exclusive of area taken to form part of the Colorado Territory in 1861, but it includes population of area organized as part of the Territory of Arizona in 1863. No estimate of population in 1850 is available for territory acquired from Mexico through the Gadsden Purchase in 1853 and annexed to New Mexico in 1854. Sources: (1) U.S. Census Bureau, 1860-2000; (2) University of New Mexico, Geospatial and Populations Study Program (GPS) , 2001-2030. Page 3 New Mexico State Health Assessment With a population density of 17 people per square mile, New Mexico comes in 46th out of the 50 states. As the following population density map illustrates, population density is greatest in Bernalillo County which had a 2010 population density of 571 persons per square mile. AGE In 2011, for the United States, the largest portion of the population was between the ages of 45 and 54. The largest portion for New Mexico was 65 and older. In 1900, both the United States and New Mexico were characterized by low life expectancy and high fertility rates resulting in a high proportion of young people and a low proportion of elderly. After World War II, the percent of the population in the younger age groups declined to produce a more uniform pyramid. At the same time, the national figure becomes more rectangular in shape, indicating a more even distribution of ages in the population. New Mexico’s older population was slower to increase than that of the United States. By 2010, the state population distribution more closely reflected that of the nation (Figure 2). Page 4 New Mexico State Health Assessment Figure 2, Population Pyramids New Mexico and United States, 2010 New Mexico Population, 2010 United States Population, 2010 85+ 2.0% 1.1% 85+ 2.4% 1.2% 75-84 4.6% 3.8% 75-84 4.8% 3.6% 65-74 7.8% 7.2% 65-74 7.4% 6.7% 55-64 12.9% 12.2% 55-64 12.0% 11.6% 45-54 14.3% 14.1% 45-54 14.6% 14.6% 35-44 11.9% 12.1% 35-44 13.1% 13.5% 25-34 12.6% 13.4% 25-34 13.0% 13.6% 15-24 13.7% 14.7% 15-24 13.6% 14.7% 5-14 13.4% 14.2% 5-14 12.8% 13.8% <5 6.8% 7.3% <5 6.3% 6.8% Male Female Male Female RACE AND ETHNICITY The New Mexico Department of Health combines race and ethnicity for reporting purposes. Figure 3, Population Distribution by Race/Ethnicity, New Mexico, 2011 White 41.5% AI or AN 10.7% API 1.9% Hispanic Black or 43.1% AA 2.8% AI=American Indian; AN=Alaska Native; API=Asian or Pacific Islander; and AA=African American. See Technical Appendix for information on race/ethnicity and population sources. Due to rounding percents may not add to 100. Page 5 New Mexico State Health Assessment According to 2011 state population estimates 43.1% of New Mexicans were Hispanic and 41.5 % were White (Figure P-3). The Hispanic category does not include Black, American Indian, or Asian or Pacific Islander populations. The American Indian or Alaska Native population comprised 10.7% of New Mexico’s population; the Black or African American population made up 2.8%; and the Asian or Pacific Islander population constituted another 1.9%. The American Indian or Alaska Native and the Black or African American populations had higher percents of individuals under age 25 years compared to the other racial/ethnic groups. The White population had the highest percent of persons 65 years of age and older (Figure 4). Page 6 New Mexico State Health Assessment Figure 4, Population Distribution by Race/Ethnicity, Age, and Sex New Mexico, 2011 85+ 1.1 2.0 75-84 4.0 4.8 65-74 7.7 8.5 All Races 55-64 12.4 13.1 45-54 13.7 14.0 35-44 12.1 11.9 25-34 13.4 12.6 15-24 14.5 13.5 5-14 13.9 13.1 < 5 7.1 6.6 85+ 0.5 0.9 American Indian 75-84 1.9 2.6 or Alaska Native 65-74 4.2 5.3 55-64 8.1 9.0 45-54 13.6 14.0 35-44 11.7 11.7 25-34 14.1 13.5 15-24 18.4 17.2 5-14 18.0 16.9 < 5 9.5 8.8 85+ 0.4 0.7 75-84 1.8 2.9 Asian or 65-74 4.7 5.5 Pacific 55-64 9.0 11.4 Islander 45-54 13.5 14.1 35-44 13.3 14.2 25-34 17.7 17.3 15-24 17.6 15.2 5-14 14.3 12.5 < 5 7.7 6.2 85+ 0.5 1.0 75-84 1.8 2.9 65-74 4.4 4.7 Black or African 55-64 8.8 8.3 American 45-54 13.9 15.1 35-44 11.7 10.5 25-34 14.7 13.3 15-24 17.7 16.1 5-14 16.8 18.0 < 5 9.8 10.1 85+ 0.7 1.2 75-84 2.8 3.5 65-74 5.5 6.2 Hispanic 55-64 9.3 9.7 45-54 14.7 14.8 35-44 12.0 11.8 25-34 14.3 13.8 15-24 15.5 14.8 5-14 16.5 15.7 < 5 8.7 8.3 85+ 1.8 3.2 75-84 6.0 6.9 White 65-74 11.4 12.0 55-64 17.2 18.0 45-54 12.7 13.0 35-44 12.3 12.0 25-34 11.9 10.8 15-24 12.0 10.8 5-14 10.0 9.2 <5 4.6 4.2 Percent Female Male Page 7 New Mexico State Health Assessment As indicated previously, no single race/ethnic group makes up a majority of the state’s population.
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