COUNCIL DISTRICT 33

2019 PRIMARY CARE PROFILES A look at adult primary care access in City COUNCIL DISTRICT 33 Includes the , Heights, Brooklyn Navy Yard, , Dumbo, Fulton Ferry, Greenpoint, Vinegar Hill, and Williamsburg neighborhoods.

For comparison purposes, each metric is displayed CD BK NYC at the city (NYC), borough (BK), and Council District (CD) level

PRIMARY CARE ACCESS Primary care access is when a person is able to 84.7% receive the primary care services needed that are 84.6% timely, affordable, and in a geographically proximate location. 19.4% 89.7% 18.6% 19.5%

Primary Care Providers (PCPs) per 10,000 people

00 1010 2020 3030 4040 5050 6060 7070 1st Health Insurance PCMH-Recognition 17.9 (CD) 89.7% of District 18.6% of the District's residents have health Primary Care Access Points insurance coverage are Patient-Centered Medical 9.2 PCPs per 10,000 (NYC) Home (PCMH)-Recognized 7.7 PCPs per 10,000 (CD)

25th 87.3% 5.7 PCPs per 10,000 (BK) 82.3% 81.0% 78.1% City Council District Ranking 13.4 (MAN) 70.1% 74.8% 6.8 (NYC)

50th

Primary Care Provider Availability Medicaid Acceptance Medicare Acceptance Number of PCPs per 10,000 people. This District 70.1% of PCPs in the District 74.8% of PCPs in the District has an estimated 7.7 PCPs per 10,000 residents. accept patients with Medicaid accept patients with Medicare

HEALTH STATUS

Health status indicates factors that impact a population’s overall health, and the level of primary care services needed to address the health needs of a population. Preventable ED Visits Number of Potentially Preventable 11.2% 10.9% 66.5% 66.3% 540.6 534.9 Emergency Department (PPED) Visits per 100 people. This district has an estimated 50 PPED Visits per 100 people 18.0 PPED visits per 100 residents. 7.5% 317.5

60.7% 27.0 PPED Visits per 100 (NYC)

25.1 PPED Visits per 100 (BK)

Diabetes Lack of Heart Disease Prevalence Immunization Mortality 18.0 PPED Visits per 100 (CD) 7.5% of District 66.5% of District 317.5 deaths per 0 1st 25th 50th residents report residents have 100,000 District having diabetes not received the residents result City Council District Ranking influenza vaccine from heart disease CD BK NYC

20.5%20.5% 19.9%19.9% SOCIOECONOMIC POSITION 17.9%17.9% Socioeconomic position refers to the social and economic factors that significantly 11.0% contribute to existing health disparities, and is interdependent with the quality of available 11.0%11.0% 12.2% primary care and level of care continuity provided. 12.2%12.2% 13.0%13.0%

20.5% 4.6% Poverty 20.5% Unemployment 4.6%4.6% 20.5% of District residents live at or 19.9% 4.6% of District residents 7.2% 19.9% 7.2%7.2% below the Federal Poverty Level 17.9% ages 20-64 are unemployed 6.8% 17.9% 6.8%6.8%

11.0% 6.5%6.5% Older Adult Population 11.0% Race & Ethnicity 12.2% 30.9%30.9% 11.0% of District residents are 12.2% 6.5% of District residents 13.0% 22.2% over 64 years of age 13.0% identify as Black, Non-Hispanic 22.2%22.2%

4.6% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 4.6% 0% 0% 5% 5%10%10%15%15%20%20%25%25%30%30%35%35%40%40%45%45%50%50% 7.2% 7.2% 6.8% FACILITIES 6.8% The locations6.5% of key health care facilities within the 6.5% District, including those for specific populations, are 30.9% mapped to display the distribution of sites that deliver22.2% primary care and related services. 22.2% 0% 5% 10% 15% 20% 25% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% COUNCIL DISTRICT ­FACILITY ALL DISTRICTS FACILITY COUNT TYPE AVERAGE

26 Article 28 19

Federally Qualified 5 Health Centers (FQHCs) 3

1 Title X Family 1 Planning Program

Mental Health 7 Treatment Centers 5

Drug and Alcohol 6 11 Treatment Centers

School-Based 4 2 Health Center

Patient-Centered Medical 19 12 Home (PCMH) Access Point APPROACHES & ACTIVITIES TO IMPROVE PRIMARY CARE ACCESS Promoting quality primary care access among all individuals across NYC is critical to ensuring health equity, creating healthy communities, and reducing health care costs. This profile may serve to inform health care planning and future siting of health care facilities. The findings also support advocacy for additional services to encourage equitable access to primary care. • Ensure sufficient amount of PCPs in every district. Take measures such as PCP-to-population ratio into account when • siting and providing capital for primary care facilities.

Work towards primary care access parity for districts with relatively low • socioeconomic position.

Encourage high-quality primary care provision and access through • reimbursement models that reward proven quality programs, such as Patient-Centered Medical Home, and targeted capital grants and loans.

Primary Care Development Corporation Technical Notes

Founded in 1993 in , PCDC is a nationally For more information about data, recognized nonprofit that catalyzes excellence in primary care measures, and methodology, please through strategic community investment, capacity building, refer to the New York City Council and policy initiatives to achieve health equity. In New York District Profiles on our website: State, PCDC has worked with hundreds of primary care pcdc.org organizations to expand access to high-quality primary care.

As a Community Development Financial Institution (CDFI), PCDC provides low-interest capital and expertise to build, renovate, and expand community-based health care facilities, supporting providers in delivering quality care to Contact Information their patients in settings that promote dignity, respect, and wellness. PCDC also provides expert consulting, training, Primary Care Development Corporation and coaching to help primary care practices adopt patient- 45 Broadway, Suite 530 centered models, care coordination, and integrated services; New York, NY 10006 improve operations; incorporate coordinated care; leverage Mary M. Ford, MS health information technology; and boost patient health [email protected] outcomes. 212-437-3900 pcdc.org PCDC works with key policy makers, trade associations, and industry leaders to advance policy initiatives that strengthen, sustain, and expand access to quality primary care. In a rapidly evolving health policy environment, PCDC brings both policy expertise and nearly a quarter century’s experience investing in and strengthening primary care practices in NYS.