COUNTY HEALTH REPORT CARDS Engaging in Communities to Serve the People of New Mexico

JANUARY 2016 Selected Background Data: New Mexico - United States

NEW MEXICO U.S.

Population (2014 estimate) 2,085,287 318,857,056 • Children under 18 years 24.1% 23.1% • 65+ 15.3% 14.5% • American Indian and Alaska Native 10.4% 1.2% • Black 2.5% 13.2% • Hispanic 47.7% 17.4% • White Non-Hispanic 38.9% 62.1% Sources: U.S. Census Bureau State and County QuickFacts

Population distribution by metropolitan status (2013) • Metropolitan 75% 85% • Non-metropolitan 25% 15% Sources: Kaiser Family Foundation and statehealthfacts.org

Persons below Federal Poverty Level (FPL), 2009-2013 21% 15% Sources: U.S. Census Bureau

Median annual household income (2009-2013) $44,927 $53,046 Sources: U.S. Census Bureau, Current Population Survey, Annual Social and Economic Supplements

Unemployment rate - seasonally adjusted • September 2014 6.6% 5.9% • September 2015 6.8% 5.1% Source: Bureau of Labor Statistics

Health insurance coverage of the total population, NM and U.S. (2014) • Employer provided 37% 49% • Individual 5% 6% • Medicaid 28% 19% • Medicare 15% 13% • Other Public 3% 2% • Uninsured 12% 10% Sources: Kaiser Family Foundation and statehealthfacts.org

Selected health and social statistics • Percent of adults who are overweight or obese (2014) 65% 64% • Percent of children who are overweight or obese (2014) 33% 31% • Percent of adults who participate in any physical activity (2014) 77% 76% • Teen birth rate per 1,000 population ages 15-19 (2013) 43.3 26.5 • Percent of children age 19-35 months who are immunized (2013) 66% 70% • Percent of adults who visited the dentist or dental clinic within the past year (2014) 61% 64% • Percent of adults reporting poor mental health (2014) 33% 34%

Sources: Kaiser Family Foundation and statehealthfacts.org Bernalillo County HSC activities in Albuquerque, Cedar Crest, Isleta Pueblo, Sandia Park, Tijeras

QUICK FACTS Bernalillo County NM Licensed Health Professionals 2014 2015 Population, 2013 estimate ...... 675,551 2,085,287 Medical Doctors ...... 2,721 2,701 Median household income, 2009-2013 . $48,801 $44,927 Doctors of Osteopathic Medicine ...... 131 131 Persons below poverty level, 2009-2013 . .18.7% 21.3% Physician Assistants ...... 340 369 Land area in square miles, 2010 ...... 1,161 121,298 Occupational Therapists ...... 379 385 Persons per square mile, 2010 ...... 571 17 Physical Therapists ...... 582 608 Percent unemployed (Sept. 2015) ...... 6.3 6.8 Dentists ...... 345 328 Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics Pharmacists ...... 1,049 1,079 High School Four-Year Cohort Graduation Rates Registered Nurses ...... 8,147 8,376 County average, class of 2014 ...... 51.6% 69.3% Licensed Practical Nurses ...... 895 863 Source: New Mexico Public Education Department Certified Nurse Practitioners ...... 490 530 Legislative Districts Certified Nurse Anesthetists ...... 61 61 House Senate Certified Nurse Specialists ...... 72 70 Dist 10 - G. Andres Romero Dist 9 - John M. Sapien Certified Nurse-Midwives ...... 83 95 Dist 11 - Javier I. Martinez Dist 10 - John C. Ryan Licensed Midwives ...... 12 15 Dist 12 - Patricio R. Ruiloba Dist 11 - Linda M. Lopez Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and Dist 13 - Patricia Roybal Caballero Dist 12 - Gerald Ortiz y Pino Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM Dist 14 - Miguel P. Garcia Dist 13 - Bill B. O’Neill Dept of Health Oct 2014/Oct 2015 Dist 15 - Sara Maestas Barnes Dist 14 - Michael Padilla Dist 16 - Antonio “Moe” Maestas Dist 15 - Daniel A. Ivey-Soto SELECTED UNM HSC ACTIVITIES IN BERNALILLO COUNTY Dist 17 - Deborah A. Armstrong Dist 16 - Cisco McSorley Patient Care Dist 18 - Gail Chasey Dist 17 - Mimi Stewart •• College of Nursing: Clinical rotations Dist 19 - Sheryl Williams Stapleton Dist 18 - Lisa A. Torraco •• College of Pharmacy: Free flu clinics, health fairs, health screenings Dist 20 - James Mitchell Dines Dist 19 - Sue Wilson Beffort Dist 21 - Idalia Lechuga-Tena Dist 20 - William H. Payne •• Dental Medicine: VA Medical Center Dist 22 - James E. Smith Dist 21 - Mark Moores •• Family and Community Medicine: Clinical consultations, Clerkship, Dist 23 - Paul A. Pacheco Dist 22 - Benny Shendo One Hope Centro de Vida clinical services, Mobile clinic at Pajarito Dist 24 - Conrad D. James Dist 23 - Sander Rue Mesa Dist 25 - Christine Trujillo Dist 26 - Jacob R. Candelaria •• Internal Medicine: IHS Rheumatology clinic Dist 26 - Georgene Louis Dist 29 - Michael S. Sanchez •• Office for Community Health: School Kids Influenza Immunization Dist 27 - Larry A. Larrañaga Dist 39 - Ted Barela Project (SKIIP) Dist 28 - Jimmie C. Hall •• Pediatrics: Adolescent medicine, Cardiology, Occupational Therapy, Dist 29 - David Edward Adkins Para los Ninos, Albuquerque School-Based Health Centers Project, Dist 30 - Nate Gentry Children’s Medical Services- Camp Enchantment Dist 31 - William “Bill” R. Rehm Education Dist 50 - Matthew McQueen •• UNM Comprehensive Cancer Center: Native American Cancer Dist 68 - Monica C. Youngblood Education Leadership Institute, Hispanic Cancer Education Dist 69 - W. Ken Martinez Program, Ventanilla de Salud - Diabetes, Substance Abuse, and Tobacco Control Education Programs and Referral to Medical Home Top 10 Causes of Death (2011-2014) Deaths per 100,000 Bernalillo County NM (rank) •• Cardiology: Public presentations, IQ magazine monthly article 1. Cancer ...... 146.7 147.8 (2) •• Cell Biology/Physiology: Public presentations 2. Heart Disease ...... 145.0 151.0 (1) •• Center for Life: Resident and medical student rotation education, 3. Unintentional Injuries ...... 56.9 58.2 (3) Integrative Medicine exhibits and workshops 4. Chronic Lower Respiratory Disease . . . . .43.3 46.3 (4) •• Center for Native American Health/Institute for Indigenous 5. Cerebrovascular Diseases ...... 34.7 31.0 (5) Knowledge and Development: Student support activities 6. Diabetes ...... 25.4 28.0 (6) •• College of Pharmacy: Public presentations 7. Alzheimer’s ...... 22.3 15.8 (9) •• Family and Community Medicine: Community outreach and public 8. Intentional Self-Harm (Suicide) ...... 20.0 20.0 (7) presentations 9. Liver Disease ...... 17.5 19.3 (8) •• Internal Medicine: Community presentations 10. Respiratory, Influenza and Pneumonia . . 13.7 15.2 (10) •• Molecular Genetics/Microbiology: Science on Tap community Total Deaths (2014) ...... 5,418 18,157 presentation, Men’s Multiple Sclerosis Support Group, Parkinson’s Source: NM DOH Indicator-Based Information System Symposium

Office for Community Health | County Health Report Cards 1 •• NM Poison and Drug Information Center: Poison Prevention, •• Clinical & Translational Science Center: Health Leadership High Poisonous Plants, Halloween Safety Tips, Home Safety, Poison School Partnership, New Mexico Center for Advancement of Patrol, Women and Children’s Health, Student Training Research, Engagement, and Science on Health Disparities (NM •• Office of Diversity: Dental Admission Test, Medical College CARES-HD) Admission Test and Pharmacy College Admission Test preparation •• College of Nursing: DOH Youth Development Pathways to Promote courses, DreamMakers Health Careers Program, Health Careers Health in Rural New Mexico, RWJF Nursing and Health Policy Academy, Mental & Behavioral Health Academy, Undergraduate Collaborative, School Nurses’ Perspectives on Culturally Competent Health Sciences Enrichment Program, Health Sciences Career Suicide Prevention for American Indian/Alaska Native Students in Day, Interprofessional Health Outreach Program, STEAM-H Career New Mexico Exploration Extravaganza Weekend •• Health Sciences Library and Informatics Center/Distance Services: •• Office for Community Health: Community Health Worker home “Minimizing Stress and Maximizing Success of Physician Use of visits and care coordination, Mental Health First Aid trainings Health Information and Communications Technologies” •• Pathology: STEM Animal Research Workshop for school teachers, •• Family and Community Medicine: “Culturally Appropriate Options Pathology interest group, Public presentations for Diabetes Prevention and Care for Low-Income Latinos,” •• Pediatrics: Neonatology outreach, Occupational Therapy public “Evaluating Health Equity in New Mexico: Impact of Place Matters presentations and Health Impact Assessments,” “Improving Colorectal Cancer •• Pediatrics/Prevention Research Center: CHILE Plus- Child Health Screening for Latinos in Primary Care,” Understanding and Initiative for Lifelong Eating and Exercise, RAPS- Risk and Resiliency Reducing Health Disparities among Latina Immigrant Women Assessment Project for Students, Sexual Violence Prevention Trainings in Relation to Synergistic Dynamics associated with Social Isolation and Depression,” “Understanding the Role of Culture, •• Psychiatry & Behavioral Sciences: Public presentations Identity, Epistemology and Bi-Cultural Efficacy in American Indian •• Psychiatry & Behavioral Sciences/Community Behavioral Health: Education and Professional Success in STEM” Brain and Behavioral Health Institute, Consortium for Behavioral •• Internal Medicine: Colorectal Disease Prevention Study, Health Training and Research, Native American Suicide Prevention Comprehensive HIV Early Intervention Services in Central/ Clearinghouse, ACTION project, Jewish Community Center, Northwestern NM, Diabetes Prevention Program Outcomes Study, Mescalero Mental Health Prevention and Intervention Project, “Use of the ECHO Model to Disseminate NIDA/CTN Buprenorphine Suicide Prevention Training Blending Trainings” •• Radiology: Central New Mexico Community College Advisory •• Neurology: “Outcome Measures in Oculopharyngeal Muscular Committee on Radiologic Sciences Dystrophy” Health Extension (HEROs) •• Obstetrics and Gynecology: “Nitrous Oxide for Pain Management” •• South Valley Health Extension Office •• Orthopaedics: “Exercise Interventions During Voluntary Weight •• Southeast Heights Health Extension Office Loss in Obese Older Adults” •• Black Health Resource Center •• Pediatrics: “ACTION PAC - Adolescents Committed to Improvement •• Collaborative for Hispanic/Latino Health Equity of Nutrition and Physical Activity,” “ACCESS - Adolescent Continuity •• Native American Collaborative for Community Health and Wellness Clinic for Education on Self Safety,” “Continuum of Care - Mortality Telehealth Review,” “Exome Sequencing to Identify Rare and Novel Candidates •• Internal Medicine: Clinical and educational programs for Causal Variants Associated with Childhood Obesity” •• Neurology: Clinical and educational programs •• Pediatrics/Envision NM: “The Initiative for Child Healthcare Quality” •• Pediatrics/Center for Development and Disability (CDD) clinical and •• Pediatrics/Prevention Research Center: “Low-dose CT Lung Cancer educational programs Screening: Informed Decision Making and Smoking Cessation,” “Sexual Violence Prevention Technical Assistance Program,” •• Pediatrics/Envision NM: Adolescent medicine Statewide Supplemental Nutrition Assistance Program (SNAP-Ed) •• Project ECHO: Child and Youth Epilepsy Clinic, Chronic Pain and Evaluation, NM Youth Risk and Resiliency Survey Headache, Community Addictions Recovery, Complex Care Clinic, •• Psychiatry & Behavioral Sciences: Child Mental Heath Initiative, Diabetes, Hepatitis C, Integrated Addiction/Psychiatry & Behavioral Systems of Care Child Mental Health Initiative Sciences, Palliative Care, Rheumatology, Women’s Health/ Genomics, Family Obesity Prevention, Tuberculosis, Endocrinology, •• Psychiatry & Behavioral Sciences/Community Behavioral Health: iHealth Training, AASTEC Partners in Good Health and Wellness, “ACTION Project, Mescalero Mental Health Prevention and All Hands, Community Health Worker Training, NM Primary Care Intervention Project, Iwakapiya National Institute of Mental Health” Training Consortium, Nurse Practitioner/Certified Nurse Midwives •• Psychiatry & Behavioral Sciences: Clinical and educational Services provided at UNM HSC to Bernalillo County residents (FY15): programs, IHS Center for Telehealth Excellence •• 688,533 total patient visits at UNM Hospitals and Clinics •• Psychiatry & Behavioral Sciences/Community Behavioral Health: –– 100,709 Charity Care Child and Adolescent Health services –– 34,808 Uninsured Community Research –– 553,016 Compensated •• Biochemistry and Molecular Biology: “Exercise Interventions During •• 6,040 county residents served at UNM Comprehensive Cancer Voluntary Weight Loss in Obese Older Adults” Center •• UNM Comprehensive Cancer Center: “Improving Collection of Use of Family History to Promote Risk-Based Cancer Prevention,” Melanoma RAS/BRAF Mutation: Heterogeneity-Risk Prognosis, Native American Cancer Education Project, NCI Community Oncology Research Program

2 Office for Community Health | County Health Report Cards Catron County HSC activities in Glenwood, Omega, Quemado, Reserve

QUICK FACTS Catron County NM SELECTED UNM HSC ACTIVITIES IN CATRON COUNTY Population, 2014 estimate 3,556 2,085,572 Median household income, 2009-2013 . $39,826 $44,927 Education Persons below poverty level, 2009-2013 . .21.7% 21.3% •• NM Poison and Drug Information Center: Poison Control Utilization and Awareness, Poison Prevention Land area in square miles, 2010 ...... 6,924 121,298 Persons per square mile, 2010 ...... 0.5 17 •• Office of Diversity: Health Careers Academy Percent Unemployed (Sept. 2015) ...... 6.6 6.8 Telehealth Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics •• Pediatrics/Center for Development and Disability (CDD): Clinical and educational programs High School Four-Year Cohort Graduation Rates County average, class of 2014 ...... 69.9% 69.3% •• Project ECHO: Hepatitis C Source: New Mexico Public Education Department Community Research •• Pediatrics/Prevention Research Center: NM Youth Risk and Legislative Districts Resiliency Survey House Senate Dist 49 - Don L. Tripp Dist. 28 - Howie C. Morales Services provided at UNM HSC to Catron County residents (FY15) Top 10 Causes of Death (2011-2014) •• 523 total patient visits at UNM Hospitals and Clinics Deaths per 100,000 Catron County NM (rank) –– 37 Charity Care 1. Cancer ...... 163.6 147.8 (2) –– 5 Uninsured 2. Unintentional Injuries ...... 149.1 58.2 (3) –– 481 Compensated 3. Heart Disease ...... 141.1 151.0 (1) •• 18 county residents served at UNM Comprehensive Cancer Center 4. Intentional Self-Harm (Suicide) ...... 68.9 20.0 (7) 5. Chronic Lower Respiratory Disease . . . . .45.3 46.3 (4) 6. Diabetes ...... 22.3 28.0 (6) 7. Alzheimer’s ...... 10.6 15.8 (9) 8. Cerebrovascular Diseases ...... 7.5 31.0 (5) 9. Respiratory, Influenza and Pneumonia . . . 3.7 15.2 (10) 10. Liver Disease ...... 2.3 19.3 (8) Total Deaths (2014) ...... 34 18,157 Source: NM DOH Indicator-Based Information System

Licensed Health Professionals 2014 2015 Medical Doctors ...... 4 3 Doctors of Osteopathic Medicine ...... 0 0 Physician Assistants ...... 0 0 Occupational Therapists ...... 0 0 Physical Therapists ...... 1 1 Dentists ...... 0 0 Pharmacists ...... 0 0 Registered Nurses ...... 22 22 Licensed Practical Nurses ...... 1 1 Certified Nurse Practitioners ...... 0 0 Certified Nurse Anesthetists ...... 0 0 Certified Nurse Specialists ...... 0 0 Certified Nurse-Midwives ...... 0 0 Licensed Midwives ...... 0 0 Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM Dept of Health Oct 2014/Oct 2015

Office for Community Health | County Health Report Cards 3 Chaves County HSC activities in Dexter, Hagerman, Lake Arthur, Roswell

QUICK FACTS Chaves County NM SELECTED UNM HSC ACTIVITIES IN CHAVES COUNTY Population, 2014 estimate ...... 65,878 2,085,572 Patient Care Median household income, 2009-2013 . $39,131 $44,927 •• Carrie Tingley Hospital: Outreach clinics Persons below poverty level, 2009-2013 . .21.2% 21.3% •• College of Nursing: Clinical rotations Land area in square miles, 2010 ...... 6,065 121,298 •• Office for Community Health: School Kids Influenza Immunization Persons per square mile, 2010 ...... 11 17 Project (SKIIP) Percent Unemployed (Sept. 2015) ...... 6.9 6.8 •• Pediatrics: Genetics and Metabolic outreach Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics High School Four-Year Cohort Graduation Rates Education •• Office of the Medical Investigator: Grief Services Program County average, class of 2014 ...... 68.9% 69.3% Emotional Support to Survivors of Homicide Source: New Mexico Public Education Department •• Office for Community Health: Community Health Worker home Legislative Districts visits and care coordination House Senate •• Pediatrics/Prevention Research Center: CHILE Plus- Child Health Dist 54 - James G. Townsend Dist 27 - Stuart Ingle Initiative for Lifelong Eating and Exercise Dist 58 - Candy Spence Ezzell Dist 32 - Cliff R. Pirtle •• Undergraduate Medical Education: Circuit riders, Practical Dist 59 - Nora Espinoza Dist 33 - William F. Burt Immersion Experience preceptors Dist 66 - Bob Wooley Dist 42 - Gay G. Kernan Telehealth Top 10 Causes of Death (2011-2014) •• Family and Community Medicine: Clinical consultations •• Neurology: Clinical and educational programs Deaths per 100,000 Chaves County NM (rank) •• Pediatrics: Clinical and educational programs 1. Heart Disease ...... 192.0 151.0 (1) •• Pediatrics/Center for Development and Disability (CDD): Clinical 2. Cancer ...... 157.0 147.8 (2) and educational programs 3. Chronic Lower Respiratory Disease . . . . .74.6 46.3 (4) •• Pediatrics/Envision NM: Adolescent medicine 4. Unintentional Injuries ...... 59.9 58.2 (3) •• Project ECHO: Integrated Addictions/Psychiatry & Behavioral 5. Diabetes ...... 35.8 28.0 (6) Sciences, NM Peer Education Program, Endocrinology, Community 6. Cerebrovascular Diseases ...... 33.1 31.0 (5) Health Worker Training, Family Obesity Prevention, Child and Youth 7. Alzheimer’s ...... 23.5 15.8 (9) Epilepsy, Diabetes 8. Intentional Self-Harm (Suicide) ...... 21.6 20.0 (7) •• Psychiatry & Behavioral Sciences: IHS Center for Telehealth 9. Liver Disease ...... 18.0 19.3(8) Excellence project 10. Respiratory, Influenza and Pneumonia . . 17.1 15.2 (10) Community Research Total Deaths (2014) ...... 645 18,157 •• UNM Comprehensive Cancer Center: NCI Community Oncology Source: NM DOH Indicator-Based Information System Research Program Licensed Health Professionals 2014 2015 •• Family and Community Medicine/Public Health Program: Focus Medical Doctors ...... 118 115 groups Doctors of Osteopathic Medicine ...... 7 12 •• Internal Medicine: “Use of the ECHO Model to Disseminate NIDA/ CTN Buprenorphine Blending” Physician Assistants ...... 9 10 •• Pediatrics: Children’s Medical Services outreach Occupational Therapists ...... 15 17 •• Pediatrics/Prevention Research Center: NM Youth Risk and Physical Therapists ...... 33 36 Resiliency Survey, Statewide Supplemental Nutrition Assistance Dentists ...... 16 16 Program (SNAP-Ed) Evaluation Pharmacists ...... 39 40 Registered Nurses ...... 517 526 Services provided at UNM HSC to Chaves County residents (FY15) Licensed Practical Nurses ...... 53 51 •• 4,575 total patient visits at UNM Hospitals and Clinics Certified Nurse Practitioners ...... 27 32 –– 242 Charity Care Certified Nurse Anesthetists ...... 11 12 –– 122 Uninsured Certified Nurse Specialists ...... 2 2 –– 4,211 Compensated Certified Nurse-Midwives ...... 4 2 •• 119 county residents served at UNM Comprehensive Cancer Center Licensed Midwives ...... 0 0 Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM Dept of Health Oct 2014/Oct 2015

4 Office for Community Health | County Health Report Cards Cibola County HSC activities in Acoma Pueblo, Casa Blanca, Cubero, Grants, Laguna, Laguna Pueblo, New Laguna, Paguate, Pine Hill, Red Mesa, San Fidel, To’Hajiilee

QUICK FACTS Cibola County NM •• Psychiatry & Behavioral Sciences/Community Behavioral Health: Population, 2014 estimate ...... 27,349 2,085,572 Clinical services Median household income, 2009-2013 . $37,237 $44,927 Education Persons below poverty level, 2009-2013 . .32.2% 21.3% •• UNM Comprehensive Cancer Center: Native American Cancer Land area in square miles, 2010 ...... 4,539 121,298 Education project Persons per square mile, 2010 ...... 6 17 •• Center for Native American Health/Institute for Indigenous Knowledge Percent Unemployed (Sept. 2015) ...... 8.7 6.8 and Design: Community resource guide for Pueblo of Laguna Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics •• Family and Community Medicine: Clerkship, community outreach High School Four-Year Cohort Graduation Rates •• Health Sciences Library/Distance Services: American Indian health County average, class of 2014 ...... 74.6% 69.3% information resources, NM Library Association spring conference Source: New Mexico Public Education Department •• NM Poison and Drug Information Center: Poison Prevention Legislative Districts •• Office of Diversity: Dream Makers Health Careers Program, Health House Senate Careers Academy Dist. 6 - Eliseo Lee Alcon Dist. 4 - George K. Muñoz •• Office of the Medical Investigator: Grief Services Program Emotional Dist. 69 - W. Ken Martinez Dist. 30 - Clemente Sanchez Support to Survivors of Homicide Top 10 Causes of Death (2011-2014) •• Office for Comm. Health: Community Health Worker home visits Deaths per 100,000 Cibola County NM (rank) •• Pediatrics/Prevention Research Center: Acoma-Canconcito/To’Hajilee- 1. Heart Disease ...... 167.8 151.0 (1) Laguna (ACL) Teen Centers, CHILE Plus - Child Health Initiative for Lifelong Eating and Exercise 2. Cancer ...... 156.6 147.8 (2) 3. Unintentional Injuries ...... 72.2 58.2 (3) •• Undergraduate Medical Education: Medicine in New Mexico series 4. Diabetes ...... 53.6 28.0 (6) Telehealth •• Pediatrics/Center for Development and Disability (CDD): Clinical and 5. Liver Disease ...... 43.5 19.3 (8) educational programs 6. Chronic Lower Respiratory Disease . . . . .39.5 46.3 (4) •• Pediatrics/Envision NM: Adolescent medicine 7. Cerebrovascular Diseases ...... 32.9 31.0 (5) •• Project ECHO: Clinical and educational programs 8. Respiratory, Influenza and Pneumonia . . .27.5 15.2 (10) •• Psychiatry & Behavioral Sciences/Community Behavioral Health: 9. Intentional Self-Harm (Suicide) ...... 18.2 20.0 (7) Child and adolescent behavioral health teleconference series, IHS 10. Alzheimer’s ...... 14.7 15.8 (9) Telebehavioral Health Center of Excellence Total Deaths (2014) ...... 259.0 18,157 Community Research Source: NM DOH Indicator-Based Information System •• College of Nursing: “School Nurses’ Perspectives on Culturally Licensed Health Professionals 2014 2015 Competent Suicide Prevention for American Indian/Alaska Native Medical Doctors ...... 20 15 Students in New Mexico” Doctors of Osteopathic Medicine ...... 0 2 •• College of Pharmacy: “A Prospective Birth Cohort Study Involving Physician Assistants ...... 5 2 Uranium Exposure in Navajo Nation, Interactive Effect of Occupational Therapists ...... 0 0 Environmental Exposures and Alcohol in the Navajo Birth Cohort” Physical Therapists ...... 0 4 •• Family and Community Medicine: Family Listening Project - Multi-Tribal Dentists ...... 5 5 Implementation and Evaluation, Understanding the Role of Culture, Pharmacists ...... 12 13 Identity, Epistemology and Bi-Cultural Efficacy in American Indian Registered Nurses ...... 154 157 Educational and Professional Success in STEM Licensed Practical Nurses ...... 32 35 •• Internal Medicine: Comprehensive HIV Early Intervention Services in Certified Nurse Practitioners ...... 7 9 Central/Northwestern NM, NM PECOS Study, Use of the ECHO Model to Certified Nurse Anesthetists ...... 3 3 Disseminate NIDA/CTN Buprenorphine Blending Certified Nurse Specialists ...... 0 1 •• Pediatrics: Teen Outreach Program Certified Nurse-Midwives ...... 1 1 •• Pediatrics/Prevention Research Center: NM Youth Risk and Resiliency Licensed Midwives ...... 0 1 Survey, Statewide Supplemental Nutrition Assistance Program (SNAP- Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and Ed) Evaluation Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM •• Psychiatry & Behavioral Sciences: Screening, Brief Intervention & Dept of Health Oct 2014/Oct 2015 Referral to Treatment (SBIRT) SELECTED UNM HSC ACTIVITIES IN CIBOLA COUNTY Services provided at UNM HSC to Cibola County residents (FY15) •• 7,451 total patient visits at UNM Hospitals and Clinics Patient Care •• College of Nursing: Clinical rotations –– 1,101 Charity Care –– 173 Uninsured •• Family and Community Medicine: Clinical consultations –– 6,177 Compensated •• Office for Comm. Health: School Kids Influenza Immunization Project •• 123 county residents served at UNM Comprehensive Cancer Center

Office for Community Health | County Health Report Cards 5 Colfax County HSC activities in Angel Fire, Cimarron, Raton, Springer

QUICK FACTS Colfax County NM Licensed Health Professionals 2014 2015 Population, 2014 estimate ...... 12,680 2,085,572 Medical Doctors ...... 13 14 Median household income, 2009-2013 . $37,734 $44,927 Doctors of Osteopathic Medicine ...... 1 4 Persons below poverty level, 2009-2013 . .20.1% 21.3% Physician Assistants ...... 2 2 Land area in square miles, 2010 ...... 3,758 121,298 Occupational Therapists ...... 5 5 Persons per square mile, 2010 ...... 4 17 Physical Therapists ...... 6 5 Percent Unemployed (Sept. 2015) ...... 5.6 6.8 Dentists ...... 5 5 Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics Pharmacists ...... 10 10 High School Four-Year Cohort Graduation Rates Registered Nurses ...... 93 91 County average, class of 2014 ...... 88.3% 69.3% Licensed Practical Nurses ...... 31 35 Source: New Mexico Public Education Department Certified Nurse Practitioners ...... 7 8 Legislative Districts Certified Nurse Anesthetists ...... 3 2 House Senate Certified Nurse Specialists ...... 1 1 Dist. 40 - Nick L. Salazar Dist. 8 - Pete Campos Certified Nurse-Midwives ...... 0 0 Dist. 67 - Dennis J. Roch Licensed Midwives ...... 0 0 Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and Top 10 Causes of Death (2011-2014) Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM Deaths per 100,000 Colfax County NM (rank) Dept of Health Oct 2014/Oct 2015 1. Heart Disease ...... 169.5 151.0 (1) 2. Cancer ...... 154.1 147.8 (2) SELECTED UNM HSC ACTIVITIES IN COLFAX COUNTY 3. Unintentional Injuries ...... 77.0 58.2 (3) Patient Care 4. Chronic Lower Respiratory Disease . . . . .43.9 46.3 (4) •• Internal Medicine: Black Lung clinic 5. Cerebrovascular Diseases ...... 30.9 31.0 (5) •• Office for Community Health: School Kids Influenza Immunization 6. Diabetes ...... 30.0 28.0 (6) Project (SKIIP) 7. Intentional Self-Harm (Suicide) ...... 18.5 20.0 (7) Education 8. Liver Disease ...... 17.3 19.3 (8) •• Family and Community Medicine: Circuit riders, Practical Immersion 9. Respiratory, Influenza and Pneumonia . . .15.1 15.2 (10) Experience preceptors 10. Alzheimer’s ...... 9.8 15.8 (9) •• Pediatrics/Prevention Research Center: CHILE Plus-Child Health Total Deaths (2014) ...... 153.0 18,157 Initiative for Lifelong Eating and Exercise Source: NM DOH Indicator-Based Information System Telehealth •• Pediatrics/Center for Development and Disability (CDD): Clinical and educational programs •• Project ECHO: Endocrinology Community Research •• UNM Comprehensive Cancer Center: NCI Community Oncology Research Program •• Internal Medicine: Building Capacity for Novel Screening Delivery for Chronic Conditions to Benefit Miners in NM, Use of the ECHO Model to Disseminate NIDA/CTN Buprenorphine Blending

Services provided at UNM HSC to Colfax County residents (FY15) •• 1,166 total patient visits at UNM Hospitals and Clinics –– 68 Charity Care –– 5 Uninsured –– 1,093 Compensated •• 38 county residents served at UNM Comprehensive Cancer Center

6 Office for Community Health | County Health Report Cards Curry County HSC activities in Clovis, Fence Lake, Grady, Melrose, Texico

QUICK FACTS Curry County NM SELECTED UNM HSC ACTIVITIES IN CURRY COUNTY Population, 2014 estimate ...... 50,969 2,085,572 Median household income, 2009-2013 . $39,871 $44,927 Patient Care Persons below poverty level, 2009-2013 . .21.1% 21.3% •• College of Nursing: Clinical rotations Land area in square miles, 2010 ...... 1,405 121,298 •• Family and Community Medicine: Clinical Consultations, Persons per square mile, 2010 ...... 34 17 •• Neurology: Children’s Medical Outreach clinics Percent Unemployed (Sept. 2015) ...... 5.2 6.8 •• Office for Community Health: School Kids Influenza Immunization Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics Project (SKIIP) High School Four-Year Cohort Graduation Rates •• Pediatrics: Pulmonary/Asthma clinic, Genetics outreach County average, class of 2014 ...... 79.9% 69.3% Education Source: New Mexico Public Education Department •• UNM Comprehensive Cancer Center: Ventanilla de Salud mobile education program Legislative Districts •• College of Pharmacy: Generation Rx presentations House Senate •• Family and Community Medicine: Clerkship Dist. 63 - George Dodge, Jr. Dist. 7 - Pat Woods •• Undergraduate Medical Education: Circuit riders, Practical Dist. 64 - Randal S. Crowder Dist. 27 - Stuart Ingle Immersion Experience preceptors Dist. 67 - Dennis J. Roch Telehealth •• Pediatrics/Center for Development and Disability (CDD): Clinical Top 10 Causes of Death (2011-2014) and educational programs Deaths per 100,000 Curry County NM (rank) •• Psychiatry & Behavioral Sciences: IHS Center for Telehealth 1. Heart Disease ...... 182.0 151.0 (1) Excellence project 2. Cancer ...... 147.5 147.8 (2) Community Research 3. Chronic Lower Respiratory Disease . . . . .73.6 46.3 (4) •• UNM Comprehensive Cancer Center: NCI Community Oncology 4. Unintentional Injuries ...... 52.0 58.2 (3) Research Program 5. Diabetes ...... 42.0 28.0 (6) •• Pediatrics: Children’s Medical Services Outreach Clinics project 6. Alzheimer’s ...... 35.4 15.8 (9) •• Pediatrics/Prevention Research Center: NM Youth Risk and 7. Cerebrovascular Diseases ...... 29.5 31.0 (5) Resiliency Survey 8. Respiratory, Influenza and Pneumonia . . .16.1 15.2 (10) •• Psychiatry & Behavioral Sciences: “Managing Patient-Centered 9. Liver Disease ...... 14.2 19.3 (8) Outcomes through Wellness and Recovery” 10. Intentional Self-Harm (Suicide) ...... 11.0 20.0 (7) Total Deaths (2014) ...... 387.0 18,157 Services provided at UNM HSC to Curry County residents (FY 15) Source: NM DOH Indicator-Based Information System •• 1,149 total patient visits at UNM Hospitals and Clinics –– 81 Charity Care Licensed Health Professionals 2014 2015 –– 60 Uninsured Medical Doctors ...... 57 56 –– 1,008 Compensated Doctors of Osteopathic Medicine ...... 8 8 •• 22 county residents served at UNM Comprehensive Cancer Center Physician Assistants ...... 7 6 Occupational Therapists ...... 11 10 Physical Therapists ...... 11 14 Dentists ...... 18 18 Pharmacists ...... 24 25 Registered Nurses ...... 408 423 Licensed Practical Nurses ...... 109 102 Certified Nurse Practitioners ...... 23 23 Certified Nurse Anesthetists ...... 4 8 Certified Nurse Specialists ...... 0 0 Certified Nurse-Midwives ...... 3 5 Licensed Midwives ...... 0 0 Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM Dept of Health Oct 2014/Oct 2015

Office for Community Health | County Health Report Cards 7 De Baca County HSC activities in Ft. Sumner

QUICK FACTS De Baca County NM SELECTED UNM HSC ACTIVITIES IN DE BACA COUNTY Population, 2014 estimate ...... 1,825 2,085,572 Patient Care Median household income, 2009-2013 . $37,660 $44,927 •• Office for Community Health: School Kids Influenza Immunization Persons below poverty level, 2009-2013 . .22.0% 21.3% Project (SKIIP) Land area in square miles, 2010 ...... 2,323 121,298 Persons per square mile, 2010 ...... 0.9 17 Telehealth Percent Unemployed (Sept. 2015) ...... 5.7 6.8 •• Pediatrics/Center for Development and Disability (CDD): Clinical and educational programs Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics •• Pediatrics/Envision NM: Adolescent medicine High School Four-Year Cohort Graduation Rates •• Psychiatry & Behavioral Sciences: IHS Center for Telehealth County average, class of 2014 ...... 87.3% 69.3% Excellence project Source: New Mexico Public Education Department Community Research Legislative Districts •• Internal Medicine: “Reducing Disparities in Child Developmental House Senate and Behavioral Health Service Utilization” Dist. 63 - George Dodge, Jr. Dist. 27 - Stuart Ingle •• Pediatrics/Envision NM: “The Initiative for Child Healthcare Quality” Top 10 Causes of Death (2011-2014) •• Pediatrics/Prevention Research Center: NM Youth Risk and Deaths per 100,000 De Baca County NM (rank) Resiliency Survey 1. Heart Disease ...... 274.8 151.0 (1) Services provided at UNM HSC to De Baca County residents (FY15): 2. Cancer ...... 197.2 147.8 (2) 3. Unintentional Injuries ...... 123.7 58.2 (3) •• 134 total patient visits at UNM Hospitals and Clinics 4. Chronic Lower Respiratory Disease . . . . .54.6 46.3 (4) –– 18 Charity Care –– 0 Uninsured 5. Diabetes ...... 52.1 28.0 (6) –– 116 Compensated 6. Cerebrovascular Diseases ...... 46.8 31.0 (5) •• 4 county residents served at UNM Comprehensive Cancer Center 7. Liver Disease ...... 41.4 19.3 (8) 8. Respiratory, Influenza and Pneumonia . . .31.8 15.2 (10) 9. Intentional Self-Harm (Suicide) ...... 18.1 20.0 (7) 10. Alzheimer’s ...... 6.2 15.8 (9) Total Deaths (2014) ...... 32.0 18,157 Source: NM DOH Indicator-Based Information System

Licensed Health Professionals 2014 2015 Medical Doctors ...... 1 2 Doctors of Osteopathic Medicine ...... 0 0 Physician Assistants ...... 0 0 Occupational Therapists ...... 0 0 Physical Therapists ...... 0 0 Dentists ...... 0 0 Pharmacists ...... 2 2 Registered Nurses ...... 17 17 Licensed Practical Nurses ...... 8 7 Certified Nurse Practitioners ...... 2 4 Certified Nurse Anesthetists ...... 0 0 Certified Nurse Specialists ...... 0 0 Certified Nurse-Midwives ...... 0 0 Licensed Midwives ...... 0 0 Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM Dept of Health Oct 2014/Oct 2015

8 Office for Community Health | County Health Report Cards Doña Ana County HSC activities in Anthony, Berino, Chaparral, Doña Ana, Hatch, La Mesa, Las Cruces, Mesilla Park, Mesquite, Radium Springs, San Miguel, Santa Teresa, Sunland Park, Vado

BACKGROUND DATA Certified Nurse Anesthetists ...... 8 9 Quick Facts Doña Ana County NM Certified Nurse Specialists ...... 20 21 Population, 2014 estimate ...... 213,676 2,085,572 Certified Nurse-Midwives ...... 9 14 Median household income, 2009-2013 . $37,933 $44,927 Licensed Midwives ...... 3 5 Persons below poverty level, 2009-2013 . .27.0% 21.3% Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and Land area in square miles, 2010 ...... 3,808 121,298 Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM Dept of Health Oct 2014/Oct 2015 Persons per square mile, 2010 ...... 55 17 Percent Unemployed (Sept. 2015) ...... 7.5 6.8 SELECTED UNM HSC ACTIVITIES IN DOÑA ANA COUNTY Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics High School Four-Year Cohort Graduation Rates Patient Care County average, class of 2014 ...... 72.4% 69.3% •• Carrie Tingley Hospital Outreach clinics Source: New Mexico Public Education Department •• College of Nursing: Clinical rotations •• Family and Community Medicine: Clinical consultations, Legislative Districts Developmental Disabilities and Mental Illnesses clinic House Senate •• Obstetrics and Gynecology: NM Sonographics High-Risk clinics Dist. 33 - Bill McCamley Dist. 31 - Joseph Cervantes •• Pediatrics: Cardiology, Genetics and Metabolic outreach, Dist. 34 - Bealquin Bill Gomez Dist. 34 - Ron Griggs Dist. 35 - Jeff Steinborn Dist. 35 - John Arthur Smith Pulmonary/Asthma clinic, Children’s Medical Services outreach Dist. 36 - Andrew Nuñez Dist. 36 - Lee S. Cotter Education Dist. 37 - Terry H. McMillan Dist. 37 - William Soules •• College of Pharmacy: Generation Rx presentations Dist. 39 - John L. Zimmerman Dist. 38 - Mary Kay Papen •• Center for Life: Integrative Medicine Conference Dist. 52 - Doreen Y. Gallegos •• Family and Community Medicine: Clerkship Dist. 53 - Ricky L. Little •• Family and Community Medicine/Public Health Program: Community outreach Top 10 Causes of Death (2011-2014) •• NM Poison and Drug Information Center: Poison Patrol, Poison Deaths per 100,000 Doña Ana County NM (rank) Prevention 1. Cancer ...... 137.1 147.8 (2) •• Office for Community Health: Community Health Worker home 2. Heart Disease ...... 116.0 151.0 (1) visits and care coordination 3. Unintentional Injuries ...... 45.1 58.2 (3) •• Office of Diversity: New Mexico Clinical Education Program, Dream 4. Chronic Lower Respiratory Disease . . . . .33.6 46.3 (4) Makers Health Careers Program, Undergraduate Health Sciences 5. Cerebrovascular Diseases ...... 33.6 31.0 (5) Enrichment Program, Interprofessional Health Outreach Program, 6. Diabetes ...... 24.2 28.0 (6) Medical College Admission Test preparation course (MCAT+) 7. Intentional Self-Harm (Suicide) ...... 16.1 20.0 (7) •• Office of the Medical Investigator: Grief Services Program 8. Liver Disease ...... 15.3 19.3 (8) Emotional Support to Survivors of Homicide 9. Respiratory, Influenza and Pneumonia . . .13.8 15.2 (10) •• Pediatrics/Prevention Research Center: Sexual Violence Prevention 10. Alzheimer’s ...... 13.3 15.8 (9) Technical Assistance Total Deaths (2014) ...... 1,502.0 18,157 •• Psychiatry & Behavioral Sciences/Community Behavioral Health: Source: NM DOH Indicator-Based Information System Consortium for Behavioral Health Training and Research, Suicide Prevention Program Licensed Health Professionals 2014 2015 •• Undergraduate Medical Education: Circuit riders, Practical Medical Doctors ...... 356 367 Immersion Experience preceptors Doctors of Osteopathic Medicine ...... 26 25 Physician Assistants ...... 30 32 Health Extension (HEROs) Occupational Therapists ...... 49 52 •• Southern New Mexico Health Extension Office Physical Therapists ...... 97 98 Telehealth Dentists ...... 74 72 •• Pediatrics/Center for Development and Disability (CDD): Clinical Pharmacists ...... 120 123 and educational programs Registered Nurses ...... 1,898 1,960 •• Pediatrics/Envision NM: Adolescent medicine Licensed Practical Nurses ...... 249 269 Certified Nurse Practitioners ...... 117 120

Office for Community Health | County Health Report Cards 9 •• Project ECHO: Chronic Pain and Headache, Complex Care, Extension Rural Office: Translating Research into Localities Hepatitis C, HIV/AIDS, Integrated Addiction/Psychiatry & •• Internal Medicine: “Use of the ECHO Model to Disseminate NIDA/ Behavioral Sciences, NM Peer Education Program, Palliative CTN Buprenorphine Blending” Care, Rheumatology, Women’s Health/Genomics, Diabetes, •• Pediatrics: “ACTION PAC- Adolescents Committed to Improvement Endocrinology, Family Obesity Prevention, TB, Community Health of Nutrition and Physical Activity” Worker training, NM Primary Care Training Consortium •• Pediatrics/Prevention Research Center: NM Youth Risk and •• Psychiatry & Behavioral Sciences: IHS Center for Telehealth Resiliency Survey, Sexual Violence Prevention, Statewide Excellence project Supplemental Nutrition Assistance Program (SNAP-Ed) Evaluation Community Research •• UNM Comprehensive Cancer Center: Cowboys for Cancer, NCI Services provided at UNM HSC to Doña Ana County residents (FY15): Community Oncology Research Program •• 6,414 total patient visits at UNM Hospitals and Clinics •• Clinical & Translational Science Center: Clinical & Translational –– 350 Charity Care Research Infrastructure Network IDeA-CTR, NM Center for –– 154 Uninsured Advancement of Research, Engagement and Science on Health –– 5,910 Compensated Disparities (NM CARES-HD) •• 235 county residents served at UNM Comprehensive Cancer •• Family and Community Medicine: Evaluating Health Equity in NM- Center Impact of Place Matters and Health Impact Assessments, Health

10 Office for Community Health | County Health Report Cards Eddy County HSC activities in Artesia, Carlsbad, Hope, Loving

QUICK FACTS Eddy County NM SELECTED UNM HSC ACTIVITIES IN EDDY COUNTY Population, 2014 estimate ...... 56,395 2,085,572 Patient Care Median household income, 2009-2013 . $49,165 $44,927 •• Family and Community Medicine: Clinical consultations Persons below poverty level, 2009-2013 . .15.1% 21.3% •• Neurology: CMS Children’s Medical outreach Land area in square miles, 2010 ...... 4,176 121,298 •• Office for Community Health: School Kids Influenza Immunization Persons per square mile, 2010 ...... 13 17 Project (SKIIP) Percent Unemployed (Sept. 2015) ...... 5 6.8 •• Pediatrics: Pulmonary/Asthma, Genetics and Neonatology Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics outreach High School Four-Year Cohort Graduation Rates Educational County average, class of 2014 ...... 75.7% 69.3% •• College of Pharmacy: Generation Rx presentations Source: New Mexico Public Education Department •• Office for Community Health: Community Health Worker home Legislative Districts visits and care coordination House Senate •• Office of the Medical Investigator: Grief Services Program Emotional Support to Survivors of Homicide Dist. 54 - James G. Townsend Dist. 32 - Cliff R. Pirtle Dist. 55 - Cathrynn N. Brown Dist. 34 - Ron Griggs •• Pediatrics/Prevention Research Center: Child Health Initiative for Dist. 41 - Carroll H. Leavell Lifelong Eating and Exercise (CHILE) Plus Dist. 42 - Gay G. Kernan •• Undergraduate Medical Education: Circuit riders, Practical Immersion Experience preceptors Top 10 Causes of Death (2011-2014) Telehealth Deaths per 100,000 Eddy County NM (rank) •• Pediatrics/Center for Development and Disability (CDD): Clinical 1. Heart Disease ...... 203.0 151.0 (1) and educational programs 2. Cancer ...... 158.8 147.8 (2) •• Pediatrics/Envision NM: Adolescent medicine 3. Chronic Lower Respiratory Disease . . . . .79.0 46.3 (4) •• Project ECHO: Endocrinology, Family Obesity Prevention, HIV 4. Unintentional Injuries ...... 64.2 58.2 (3) •• Psychiatry & Behavioral Sciences: IHS Center for Telehealth 5. Diabetes ...... 33.2 28.0 (6) Excellence project 6. Cerebrovascular Diseases ...... 28.6 31.0 (5) Community Research 7. Liver Disease ...... 21.4 19.3 (8) •• UNM Comprehensive Cancer Center: NCI Community Oncology 8. Intentional Self-Harm (Suicide) ...... 21.2 20.0 (7) Research Program 9. Respiratory, Influenza and Pneumonia . . .15.0 15.2 (10) •• Internal Medicine: “Use of the ECHO Model to Disseminate NIDA/ 10. Alzheimer’s ...... 13.1 15.8 (9) CTN Buprenorphine Blending” Total Deaths (2014) ...... 567.0 18,157 •• Pediatrics/Prevention Research Center: NM Youth Risk and Source: NM DOH Indicator-Based Information System Resiliency Survey, Statewide Supplemental Nutrition Assistance Licensed Health Professionals 2014 2015 Program (SNAP-Ed) Evaluation Medical Doctors ...... 65 55 •• Psychiatry & Behavioral Sciences: “Crossroads - Supporting Families” Doctors of Osteopathic Medicine ...... 9 14 Physician Assistants ...... 6 8 Services provided at UNM HSC to Eddy County residents (FY15): Occupational Therapists ...... 8 7 •• 2,408 total patient visits at UNM Hospitals and Clinics Physical Therapists ...... 21 27 –– 198 Charity Care Dentists ...... 11 10 –– 68 Uninsured Pharmacists ...... 37 38 –– 2,142 Compensated Registered Nurses ...... 475 484 •• 75 county residents served at UNM Comprehensive Cancer Center Licensed Practical Nurses ...... 126 124 Certified Nurse Practitioners ...... 29 31 Certified Nurse Anesthetists ...... 8 7 Certified Nurse Specialists ...... 3 3 Certified Nurse-Midwives ...... 1 1 Licensed Midwives ...... 1 1 Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM Dept of Health Oct 2014/Oct 2015

Office for Community Health | County Health Report Cards 11 Grant County HSC activities in Bayard, Cliff, Gila, Hanover, Hurley, Red Rocks, Santa Clara Pueblo, Silver City, Tyrone

QUICK FACTS Grant County NM SELECTED UNM HSC ACTIVITIES IN GRANT COUNTY Population, 2014 estimate ...... 29,096 2,085,572 Patient Care Median household income, 2009-2013 . $37,899 $44,927 •• Carrie Tingley Hospital: Outreach clinics Persons below poverty level, 2009-2013 . .22.4% 21.3% •• College of Nursing: Clinical rotations Land area in square miles, 2010 ...... 3,962 121,298 Persons per square mile, 2010 ...... 7 17 •• Neurology: CMS Children’s Medical Outreach Clinics Percent Unemployed (Sept. 2015) ...... 6.8 6.8 •• Obstetrics and Gynecology: Clinical consultations, NM Sonographics High Risk Clinic Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics •• Pediatrics: Neonatology, Genetics and Pulmonary/Asthma outreach High School Four-Year Cohort Graduation Rates •• Psychiatry & Behavioral Sciences/Community Behavioral Health: County average, class of 2014 ...... 80.6% 69.3% Clinical services and consultations Source: New Mexico Public Education Department Educational Legislative Districts •• Family and Community Medicine: Residency program, Clerkship, House Senate Community outreach Dist. 32 - Dona G. Irwin Dist. 28 - Howie C. Morales •• Office for Community Health: Area Health Education Center (AHEC) Dist. 38 - Dianne Miller Hamilton •• Office of Diversity: Dream Makers Health Careers Program, Health Dist. 39 - John L. Zimmerman Careers Academy, Medical College Admissions Test preparation course Top 10 Causes of Death (2011-2014) •• Pediatrics/Prevention Research Center: Child Health Initiative for Deaths per 100,000 Grant County NM (rank) Lifelong Eating and Exercise (CHILE) Plus 1. Heart Disease ...... 160.0 151.0 (1) •• Undergraduate Medical Education: Circuit riders, Practical 2. Cancer ...... 157.4 147.8 (2) Immersion Experience preceptors 3. Unintentional Injuries ...... 60.7 58.2 (3) Health Extension (HEROs) 4. Chronic Lower Respiratory Disease . . . . .38.5 46.3 (4) •• Southwestern New Mexico Health Extension Office 5. Intentional Self-Harm (Suicide) ...... 37.2 20.0 (7) Telehealth 6. Cerebrovascular Diseases ...... 33.5 31.0 (5) •• Pediatrics/Center for Development and Disability (CDD): Clinical 7. Diabetes ...... 21.4 28.0 (6) and educational programs 8. Liver Disease ...... 18.6 19.3 (8) •• Project ECHO: Diabetes, Community Health Worker training, 9. Respiratory, Influenza and Pneumonia . . .18.1 15.2 (10) Endocrinology, Chronic Pain and Headache, Rheumatology, 10. Alzheimer’s ...... 6.8 15.8 (9) Women’s Health/Genomics, Family Obesity Prevention, Tuberculosis, NM Primary Care Training Consortium Total Deaths (2014) ...... 352.0 18,157 Source: NM DOH Indicator-Based Information System •• Psychiatry & Behavioral Sciences: IHS Center for Telehealth Excellence project Licensed Health Professionals 2014 2015 Community Research Medical Doctors ...... 62 63 •• Family and Community Medicine: Health Extension Rural Office - Doctors of Osteopathic Medicine ...... 3 3 Translating Research Into Localities Physician Assistants ...... 14 12 •• Internal Medicine: “Reducing Disparities in Child Developmental Occupational Therapists ...... 16 16 and Behavioral Health Service Utilization,” “Use of the ECHO Model to Disseminate NIDA/CTN Buprenorphine Blending” Physical Therapists ...... 21 20 •• Pediatrics/Envision NM: The Initiative for Child Healthcare Quality Dentists ...... 11 11 •• Pediatrics/Prevention Research Center: NM Youth Risk and Pharmacists ...... 22 20 Resiliency Survey, Sexual Violence Prevention, Statewide Registered Nurses ...... 371 366 Supplemental Nutrition Assistance Program (SNAP-Ed) Evaluation Licensed Practical Nurses ...... 23 22 •• Psychiatry & Behavioral Sciences: Child Mental Health Initiative, Certified Nurse Practitioners ...... 13 14 Screening/Brief Intervention and Referral to Treatment (SBIRT), Certified Nurse Anesthetists ...... 4 4 Systems of Care Certified Nurse Specialists ...... 0 0 Certified Nurse-Midwives ...... 4 4 Services provided at UNM HSC to Grant County residents (FY15): Licensed Midwives ...... 1 1 •• 1,400 total patient visits at UNM Hospitals and Clinics Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and –– 61 Charity Care Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM –– 16 Uninsured Dept of Health Oct 2014/Oct 2015 –– 1,323 Compensated •• 27 county residents served at UNM Comprehensive Cancer Center

12 Office for Community Health | County Health Report Cards Guadalupe County HSC activities in Anton Chico , Santa Rosa

QUICK FACTS Guadalupe County New Mexico SELECTED UNM HSC ACTIVITIES IN GUADALUPE COUNTY Population, 2014 estimate ...... 4,468 2,085,572 Median household income, 2009-2013 . $29,071 $44,927 Patient Care Persons below poverty level, 2009-2013 . .25.8% 21.3% •• Pathology: Guadalupe County Hospital clinical consultations Land area in square miles, 2010 ...... 3,030 121,298 •• Pediatrics/Occupational Therapy: clinical consultations Persons per square mile, 2010 ...... 2 17 Education Percent Unemployed (Sept. 2015) ...... 7.5 6.8 •• Family and Community Medicine: Clerkship, Residency program Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics •• Undergraduate Medical Education: Circuit riders, Practical High School Four-Year Cohort Graduation Rates Immersion Experience preceptors, Medicine in New Mexico County average, class of 2014 ...... 89.0% 69.3% program Source: New Mexico Public Education Department Telehealth •• Pediatrics/Center for Development and Disability (CDD): Clinical Legislative Districts and educational programs House Senate •• Project ECHO: Peer Education Dist. 63 - George Dodge, Jr. Dist. 8 - Pete Campos •• Psychiatry & Behavioral Sciences: IHS Center for Telehealth Excellence project Top 10 Causes of Death (2011-2014) Community Research Deaths per 100,000 Guadalupe County New Mexico •• Internal Medicine: “Reducing Disparities in Child Developmental 1. Cancer ...... 166.2 147.8 (2) and Behavioral Health Service Utilization” 2. Heart Disease ...... 127.5 151.0 (1) •• Pediatrics/Envision NM: “The Initiative for Child Healthcare Quality” 3. Unintentional Injuries ...... 75.8 58.2 (3) •• Pediatrics/Prevention Research Center: NM Youth Risk and 4. Chronic Lower Respiratory Disease . . . . .63.3 46.3 (4) Resiliency Survey 5. Diabetes ...... 39.5 28.0 (6) 6. Liver Disease ...... 36.8 19.3 (8) Services provided at UNM HSC to Guadalupe County residents (FY15): 7. Intentional Self-Harm (Suicide) ...... 26.0 20.0 (7) •• 1,024 total patient visits at UNM Hospitals and Clinics 8. Cerebrovascular Diseases ...... 15.3 31.0 (5) –– 92 Charity Care 9. Respiratory, Influenza and Pneumonia . . . 9.8 15.2 (10) –– 11 Uninsured 10. Alzheimer’s ...... 4.0 15.8 (9) –– 921 Compensated Total Deaths (2014) ...... 49.0 18,157 •• 26 county residents served at UNM Comprehensive Cancer Center Source: NM DOH Indicator-Based Information System

Licensed Health Professionals 2014 2015 Medical Doctors ...... 4 4 Doctors of Osteopathic Medicine ...... 1 1 Physician Assistants ...... 1 1 Occupational Therapists ...... 0 0 Physical Therapists ...... 1 0 Dentists ...... 1 1 Pharmacists ...... 0 0 Registered Nurses ...... 35 36 Licensed Practical Nurses ...... 9 9 Certified Nurse Practitioners ...... 1 1 Certified Nurse Anesthetists ...... 0 0 Certified Nurse Specialists ...... 0 0 Certified Nurse-Midwives ...... 0 0 Licensed Midwives ...... 0 0 Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM Dept of Health Oct 2014/Oct 2015

Office for Community Health | County Health Report Cards 13 Harding County HSC activities in Roy

QUICK FACTS Harding County NM SELECTED UNM HSC ACTIVITIES IN HARDING COUNTY Population, 2014 estimate ...... 683 2,085,572 Median household income, 2009-2013 . $34,063 $44,927 Telehealth •• Pediatrics/Center for Development and Disability (CDD): Clinical Persons below poverty level, 2009-2013 . 15.20% 21.3% and educational programs Land area in square miles, 2010 . . . . .2,125.44 121,298 •• Psychiatry & Behavioral Sciences: IHS Center for Telehealth Persons per square mile, 2010 ...... 0.3 17 Excellence project Percent Unemployed (Sept. 2015) ...... 7.8 6.8 Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics Community Research •• Pediatrics/Prevention Research Center: Youth Risk and Resiliency High School Four-Year Cohort Graduation Rates Survey County average, class of 2014 ...... 98.0% 69.3% Source: New Mexico Public Education Department Services provided at UNM HSC to Harding County residents (FY15) Legislative Districts •• 102 total patient visits at UNM Hospitals and Clinics House Senate –– 10 Charity Care –– 4 Uninsured Dist. 67 - Dennis J. Roch Dist. 8 - Pete Campos –– 35 Compensated •• 1 county resident served at UNM Comprehensive Cancer Center Top 10 Causes of Death (2011-2014)

Deaths per 100,000 Harding County NM (rank) 1. Cancer ...... 103.8 147.8 (2) 2. Heart Disease ...... 56.2 151.0 (1) 3. Diabetes ...... 31.2 28.0 (6) 4. Chronic Lower Respiratory Disease . . . . .27.6 46.3 (4) 5. Cerebrovascular Diseases ...... 17.3 31.0 (5) 6. Unintentional Injuries ...... 13.7 58.2 (3) 7. Alzheimer’s ...... 11.2 15.8 (9) 8. Liver Disease ...... 0.0 19.3 (8) 9. Intentional Self-Harm (Suicide) ...... 0.0 20.0 (7) 10. Respiratory, Influenza and Pneumonia . . .0.0 15.2 (10) Total Deaths (2014) ...... 6.0 18,157 Source: NM DOH Indicator-Based Information System

Licensed Health Professionals 2014 2015 Medical Doctors ...... 0 0 Doctors of Osteopathic Medicine ...... 2 0 Physician Assistants ...... 0 0 Occupational Therapists ...... 0 0 Physical Therapists ...... 0 0 Dentists ...... 0 0 Pharmacists ...... 0 0 Registered Nurses ...... 4 4 Licensed Practical Nurses ...... 1 1 Certified Nurse Practitioners ...... 1 1 Certified Nurse Anesthetists ...... 0 0 Certified Nurse Specialists ...... 0 0 Certified Nurse-Midwives ...... 0 0 Licensed Midwives ...... 0 0 Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM Dept of Health Oct 2014/Oct 2015

14 Office for Community Health | County Health Report Cards Hidalgo County HSC activities in Animas, Lordsburg, Rodeo

QUICK FACTS Hidalgo County NM SELECTED UNM HSC ACTIVITIES IN HIDALGO COUNTY Population, 2014 estimate ...... 4,560 2,085,572 Median household income, 2009-2013 . $34,080 $44,927 Education Persons below poverty level, 2009-2013 . 25.70% 21.3% •• Pediatrics/Prevention Research Center: RAPS - Risk and Resiliency Assessment Project for Student Land area in square miles, 2010 . . . . .2,125.44 121,298 Persons per square mile, 2010 ...... 0.3 17 Telehealth Percent unemployed (Sept. 2014) ...... 5.3 6.1 •• Pediatrics/Center for Development and Disability (CDD): Clinical Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics and educational programs •• Project ECHO: Endocrinology, Diabetes, Community Health Worker High School Four-Year Cohort Graduation Rates training County average, class of 2014 ...... 76.0% 69.3% •• Psychiatry & Behavioral Sciences: IHS Center for Telehealth Source: New Mexico Public Education Department Excellence project Legislative Districts Community Research House Senate •• Family and Community Medicine: Health Extension Rural Office- Dist. 32 - Dona G. Irwin Dist. 35 - John Arthur Smith Translating Research Into Localities Dist. 38 - Dianne Miller Hamilton •• Internal Medicine: “Use of the ECHO Model to Disseminate NIDA/ CTN Buprenorphine Blending” Top 10 Causes of Death (2011-2014) •• Pediatrics/Envision NM: “The Initiative for Child Healthcare Quality” Deaths per 100,000 Hidalgo County NM (rank) •• Pediatrics/Prevention Research Center: Youth Risk and Resiliency 1. Cancer ...... 174.2 147.8 (2) Survey 2. Heart Disease ...... 142.3 151.0 (1) •• Psychiatry & Behavioral Sciences: Child Mental Health Initiative 3. Unintentional Injuries ...... 85.2 58.2 (3) 4. Chronic Lower Respiratory Disease . . . . .55.2 46.3 (4) Services provided at UNM HSC to Hidalgo County residents (FY15): 5. Cerebrovascular Diseases ...... 40.4 31.0 (5) •• 121 total patient visits at UNM Hospitals and Clinics 6. Diabetes ...... 31.9 28.0 (6) –– 7 Charity Care 7. Liver Disease ...... 31.0 19.3 (8) –– 114 Compensated 8. Intentional Self-Harm (Suicide) ...... 29.9 20.0 (7) •• 1 county residents served at UNM Comprehensive Cancer Center 9. Respiratory, Influenza and Pneumonia . . .16.6 15.2 (10) 10. Alzheimer’s ...... 4.2 15.8 (9) Total Deaths (2014) ...... 57.0 18,157 Source: NM DOH Indicator-Based Information System

Licensed Health Professionals 2014 2015 Medical Doctors ...... 1 1 Doctors of Osteopathic Medicine ...... 1 1 Physician Assistants ...... 3 3 Occupational Therapists ...... 0 0 Physical Therapists ...... 0 0 Dentists ...... 0 0 Pharmacists ...... 0 1 Registered Nurses ...... 12 14 Licensed Practical Nurses ...... 2 3 Certified Nurse Practitioners ...... 1 1 Certified Nurse Anesthetists ...... 0 0 Certified Nurse Specialists ...... 0 0 Certified Nurse-Midwives ...... 0 0 Licensed Midwives ...... 0 0 Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM Dept of Health Oct 2014/Oct 2015

Office for Community Health | County Health Report Cards 15 Lea County HSC activities in Eunice, Hobbs, Lovington, Tatum

QUICK FACTS Lea County NM SELECTED UNM HSC ACTIVITIES IN LEA COUNTY Population, 2014 estimate ...... 69,999 2,085,572 Patient Care Median household income, 2009-2013 . $50,694 $44,927 •• Carrie Tingley Hospital: Outreach Persons below poverty level, 2009-2013 . .14.8% 21.3% •• Office for Community Health: School Kids Influenza Immunization Land area in square miles, 2010 ...... 4,391 121,298 Project (SKIIP) Persons per square mile, 2010 ...... 15 17 •• Pediatrics: Neonatology outreach, Pulmonary/asthma, Children’s Percent Unemployed (Sept. 2015) ...... 6.2 6.8 Medical Services Outreach program Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics High School Four-Year Cohort Graduation Rates Education •• Family and Community Medicine: Clerkship County average, class of 2014 ...... 81.4% 69.3% •• Office for Community Health: Community Health Worker home Source: New Mexico Public Education Department visits and care coordination Legislative Districts •• Undergraduate Medical Education: Circuit riders, Practical House Senate Immersion Experience preceptors Dist. 61 - David M. Gallegos Dist. 27 - Stuart Ingle Health Extension (HEROs) Dist 62 - Larry R. Scott Dist. 41 - Carroll H. Leavell •• Southeastern New Mexico Health Extension Office Dist. 66 - Bob Wooley Dist. 42 - Gay G. Kernan Telehealth •• Pediatrics/Center for Development and Disability (CDD): Clinical Top 10 Causes of Death (2011-2014) and educational programs Deaths per 100,000 Lea County NM (rank) •• Pediatrics/Envision NM: Adolescent medicine 1. Heart Disease ...... 207.9 151.0 (1) •• Psychiatry & Behavioral Sciences: IHS Center for Telehealth 2. Cancer ...... 164.5 147.8 (2) Excellence project 3. Unintentional Injuries ...... 68.3 58.2 (3) •• Dermatology: clinical consultations 4. Chronic Lower Respiratory Disease . . . . .64.9 46.3 (4) Community Research 5. Cerebrovascular Diseases ...... 36.8 31.0 (5) •• UNM Comprehensive Cancer Center: NCI Community Oncology 6. Diabetes ...... 23.7 28.0 (6) Research Program 7. Respiratory, Influenza and Pneumonia . . .18.6 15.2 (10) •• Pediatrics/Prevention Research Center: NM Youth Risk and 8. Alzheimer’s ...... 16.6 15.8 (9) Resiliency Survey 9. Intentional Self-Harm (Suicide) ...... 14.5 20.0 (7) 10. Liver Disease ...... 12.2 19.3 (8) Services provided at UNM HSC to Lea County residents (FY 15): Total Deaths (2014) ...... 552.0 18,157 •• 1,122 total patient visits at UNM Hospitals and Clinics Source: NM DOH Indicator-Based Information System –– 54 Charity Care Licensed Health Professionals 2014 2015 –– 51 Uninsured –– 1,017 Compensated Medical Doctors ...... 48 51 •• 32 county residents served at UNM Comprehensive Cancer Center Doctors of Osteopathic Medicine ...... 8 11

Physician Assistants ...... 7 13 Occupational Therapists ...... 6 7 Physical Therapists ...... 18 20 Dentists ...... 13 13 Pharmacists ...... 26 27 Registered Nurses ...... 458 454 Licensed Practical Nurses ...... 149 144 Certified Nurse Practitioners ...... 24 24 Certified Nurse Anesthetists ...... 3 3 Certified Nurse Specialists ...... 1 1 Certified Nurse-Midwives ...... 0 0 Licensed Midwives ...... 0 0 Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM Dept of Health Oct 2014/Oct 2015

16 Office for Community Health | County Health Report Cards Lincoln County HSC activities in Alto, Capitan, Carrizozo, Ruidoso

QUICK FACTS Lincoln County NM SELECTED UNM HSC ACTIVITIES IN LINCOLN COUNTY Population, 2014 estimate ...... 19,706 2,085,572 Median household income, 2009-2013 . $43,014 $44,927 Patient Care •• College of Nursing: Clinical rotations Persons below poverty level, 2009-2013 . .18.8% 21.3% Land area in square miles, 2010 ...... 4,831 121,298 •• Office for Community Health: School Kids Influenza Immunization Program (SKIIP) Persons per square mile, 2010 ...... 4 17 Percent Unemployed (Sept. 2015) ...... 5.4 6.8 Educational Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics •• NM Poison and Drug Information Center: Childhood Safety and Prevention High School Four-Year Cohort Graduation Rates •• Undergraduate Medical Education: Circuit riders, Practical County average, class of 2014 ...... 90.6% 69.3% Immersion Experience preceptors Source: New Mexico Public Education Department Telehealth Legislative Districts •• Pediatrics/Center for Development and Disability (CDD): Clinical House Senate and educational programs Dist. 56 - Zachary J. Cook Dist. 33 - William F. Burt •• Psychiatry & Behavioral Sciences: IHS Center for Telehealth Dist. 59 - Nora Espinoza Dist 39 - Ted Barela Excellence project •• Project ECHO: Endocrinology, Tuberculosis, Rheumotology Top 10 Causes of Death (2011-2014) Community Research Deaths per 100,000 Lincoln County NM (rank) •• Pediatrics/Envision NM: “The Initiative for Child Healthcare Quality” 1. Cancer ...... 132.9 147.8 (2) •• Pediatrics/Prevention Research Center: NM Youth Risk and 2. Heart Disease ...... 124.5 151.0 (1) Resiliency Survey 3. Unintentional Injuries ...... 67.2 58.2 (3) 4. Chronic Lower Respiratory Disease . . . . .51.8 46.3 (4) Services provided at UNM HSC to Lincoln County residents (FY15): 5. Cerebrovascular Diseases ...... 33.0 31.0 (5) •• 1,285 total patient visits at UNM Hospitals and Clinics 6. Alzheimer’s ...... 23.2 15.8 (9) –– 83 Charity Care 7. Intentional Self-Harm (Suicide) ...... 23.0 20.0 (7) –– 45 Uninsured 8. Diabetes ...... 17.7 28.0 (6) –– 1,157 Compensated 9. Liver Disease ...... 16.7 19.3 (8) •• 43 county residents served at UNM Comprehensive Cancer Center 10. Respiratory, Influenza and Pneumonia . . 10.2 15.2 (10) Total Deaths (2014) ...... 202.0 18,157 Source: NM DOH Indicator-Based Information System

Licensed Health Professionals 2014 2015 Medical Doctors ...... 24 20 Doctors of Osteopathic Medicine ...... 6 5 Physician Assistants ...... 3 1 Occupational Therapists ...... 4 5 Physical Therapists ...... 13 15 Dentists ...... 7 7 Pharmacists ...... 19 18 Registered Nurses ...... 161 166 Licensed Practical Nurses ...... 16 20 Certified Nurse Practitioners ...... 11 12 Certified Nurse Anesthetists ...... 3 4 Certified Nurse Specialists ...... 1 1 Certified Nurse-Midwives ...... 1 0 Licensed Midwives ...... 0 0 Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM Dept of Health Oct 2014/Oct 2015

Office for Community Health | County Health Report Cards 17 Los Alamos County HSC activities in Los Alamos

QUICK FACTS Los Alamos County NM Licensed Health Professionals 2014 2015 Population, 2014 estimate ...... 17,682 2,085,572 Medical Doctors ...... 63 62 Median household income, 2009-2013 .$106,686 $44,927 Doctors of Osteopathic Medicine ...... 2 1 Persons below poverty level, 2009-2013 . . 4.0% 21.3% Physician Assistants ...... 8 9 Land area in square miles, 2010 ...... 109 121,298 Occupational Therapists ...... 11 16 Persons per square mile, 2010 ...... 164 17 Physical Therapists ...... 21 22 Percent Unemployed (Sept. 2015) ...... 4.3 6.8 Dentists ...... 14 13 Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics Pharmacists ...... 13 12 High School Four-Year Cohort Graduation Rates Registered Nurses ...... 180 193 County average, class of 2014 ...... 86.5% 69.3% Licensed Practical Nurses ...... 22 20 Source: New Mexico Public Education Department Certified Nurse Practitioners ...... 10 9 Legislative Districts Certified Nurse Anesthetists ...... 1 1 Certified Nurse Specialists ...... 1 1 House Senate Dist. 43 - Stephanie Garcia Richard Dist. 5 - Doreen W. Johnson Certified Nurse-Midwives ...... 1 1 Dist 6 - Carlos R. Cisneros Licensed Midwives ...... 0 0 Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM Top 10 Causes of Death (2011-2014) Dept of Health Oct 2014/Oct 2015 Deaths per 100,000 Los Alamos County NM (rank) 1. Cancer ...... 109.3 147.8 (2) SELECTED UNM HSC ACTIVITIES IN LOS ALAMOS COUNTY 2. Heart Disease ...... 106.8 151.0 (1) 3. Unintentional Injuries ...... 39.7 58.2 (3) Patient Care •• College of Nursing: Clinical rotations 4. Chronic Lower Respiratory Disease . . . . .25.3 46.3 (4) 5. Alzheimer’s ...... 18.0 15.8 (9) •• Family and Community Medicine: Clinical consultations 6. Cerebrovascular Diseases ...... 17.7 31.0 (5) •• Office for Community Health: School Kids Influenza Immunization 7. Respiratory, Influenza and Pneumonia . . .16.5 15.2 (10) Project (SKIIP) 8. Intentional Self-Harm (Suicide) ...... 12.0 20.0 (7) Education 9. Diabetes ...... 8.8 28.0 (6) •• Family and Community Medicine: Clerkship 10. Liver Disease ...... 5.9 19.3 (8) •• Office for Community Health: Community Health Worker home Total Deaths (2014) ...... 115.0 18,157 visits and care coordination Source: NM DOH Indicator-Based Information System •• Undergraduate Medical Education: Circuit riders, Practical Immersion Experience preceptors, Medicine in New Mexico series Telehealth •• Psychiatry & Behavioral Sciences: IHS Center for Telehealth Excellence project Community Research •• Pediatrics/Prevention Research Center: Youth Risk and Resiliency Survey

Services provided at UNM HSC to Los Alamos County residents (FY15): •• 1,804 total patient visits at UNM Hospitals and Clinics –– 44 Charity Care –– 10 Uninsured –– 1,750 Compensated •• 51 county residents served at UNM Comprehensive Cancer Center

18 Office for Community Health | County Health Report Cards Luna County HSC activities in Columbus, Deming, Mimbres

QUICK FACTS Luna County NM SELECTED UNM HSC ACTIVITIES IN LUNA COUNTY Population, 2014 estimate ...... 24,673 2,085,572 Median household income, 2009-2013 . $29,282 $44,927 Patient Care Persons below poverty level, 2009-2013 . .31.2% 21.3% •• College of Nursing: Clinical rotations Land area in square miles, 2010 ...... 2,965 121,298 •• Office for Community Health: School Kids Influenza Immunization Persons per square mile, 2010 ...... 9 17 Project (SKIIP) Percent Unemployed (Sept. 2015) ...... 13.5 6.8 Education Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics •• College of Pharmacy: Poison prevention education High School Four-Year Cohort Graduation Rates •• Family and Community Medicine: Clerkship County average, class of 2014 ...... 40.5% 69.3% •• Office for Community Health: Community Health Worker home Source: New Mexico Public Education Department visits and care coordination, Area Health Education Center (AHEC) site Legislative Districts •• Office of Diversity: Dream Makers Health Careers Program, Health House Senate Careers Academy, Undergraduate Health Sciences Enrichment Dist. 32 - Dona G. Irwin Dist. 35 - John Arthur Smith Program Telehealth Top 10 Causes of Death (2011-2014) •• Pediatrics/Center for Development and Disability (CDD): Clinical Deaths per 100,000 Luna County NM (rank) and educational programs 1. Heart Disease ...... 236.6 151.0 (1) •• Psychiatry & Behavioral Sciences: IHS Center for Telehealth 2. Cancer ...... 181.2 147.8 (2) Excellence project 3. Chronic Lower Respiratory Disease . . . . .54.4 46.3 (4) Community Research 4. Unintentional Injuries ...... 50.1 58.2 (3) •• Family and Community Medicine: Health Extension Rural Office- 5. Cerebrovascular Diseases ...... 39.9 31.0 (5) Translating Research Into Localities 6. Diabetes ...... 23.1 28.0 (6) •• Pediatrics/Prevention Research Center: NM Youth Risk and 7. Respiratory, Influenza and Pneumonia . . .19.2 15.2 (10) Resiliency Survey, “Low Dose CT Lung Cancer Screening- Informed 8. Liver Disease ...... 19.0 19.3 (8) Decision Making and Smoking Cessation” 9. Intentional Self-Harm (Suicide) ...... 15.5 20.0 (7) •• Psychiatry & Behavioral Sciences: Child Mental Health Initiative 10. Alzheimer’s ...... 13.7 15.8 (9) Total Deaths (2014) ...... 307.0 18,157 Source: NM DOH Indicator-Based Information System Services provided at UNM HSC to Luna County residents (FY15): •• 895 total patient visits at UNM Hospitals and Clinics Licensed Health Professionals 2014 2015 –– 43 Charity Care Medical Doctors ...... 21 14 –– 22 Uninsured Doctors of Osteopathic Medicine ...... 2 3 –– 830 Compensated Physician Assistants ...... 4 5 •• 28 county residents served at UNM Comprehensive Cancer Center Occupational Therapists ...... 2 2 Physical Therapists ...... 8 9 Dentists ...... 7 6 Pharmacists ...... 5 6 Registered Nurses ...... 118 122 Licensed Practical Nurses ...... 20 20 Certified Nurse Practitioners ...... 11 10 Certified Nurse Anesthetists ...... 2 2 Certified Nurse Specialists ...... 0 0 Certified Nurse-Midwives ...... 0 0 Licensed Midwives ...... 0 0 Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM Dept of Health Oct 2014/Oct 2015

Office for Community Health | County Health Report Cards 19 McKinley County HSC activities in Becenti, Church Rock, Coyote Canyon, Crownpoint, Fort Wingate, Gallup, Iyanbito, Manuelito, Mexican Springs, Navajo, Ojo Encino, Pinedale, Prewitt, Pueblo Pintado, Ramah, Red Valley, Smith Lake, Standing Rock, Thoreau, Tohatchi, Vanderwagon, White Horse, Zuni Pueblo

QUICK FACTS McKinley County NM SELECTED UNM HSC ACTIVITIES IN MCKINLEY COUNTY Population, 2014 estimate ...... 74,098 2,085,572 Patient Care Median household income, 2009-2013 . $30,458 $44,927 •• College of Nursing: Clinical rotations Persons below poverty level, 2009-2013 . .40.3% 21.3% Land area in square miles, 2010 ...... 5,450 121,298 •• Family and Community Medicine: Clinical consultations Persons per square mile, 2010 ...... 13 17 •• Obstetrics and Gynecology: NM Sonographics High Risk Clinic Percent Unemployed (Sept. 2015) ...... 10.7 6.8 •• Office for Community Health: School Kids Influenza Immunization Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics Project (SKIIP) High School Four-Year Cohort Graduation Rates •• Pathology: Crownpoint Healthcare Facility County average, class of 2014 ...... 64.8% 69.3% •• Pediatrics: Genetics outreach, Children’s Medical Services outreach Source: New Mexico Public Education Department Education Legislative Districts •• Family and Community Medicine: Clerkship, Residency program House Senate Dist. 5 - Doreen W. Johnson Dist. 3 - John Pinto •• NM Poison and Drug Information Center: Poison Prevention Dist. 6 - Eliseo Lee Alcon Dist. 4 - George K. Muñoz •• Office of Diversity: Undergraduate Health Sciences Enrichment Dist. 9 - Patricia A. Lundstrom Dist. 22 - Benny Shendo, Jr. Program, Health Careers Academy, Medical College Admission Test Dist. 69 - W. Ken Martinez Dist. 30 - Clemente Sanchez preparation course (MCAT+) Top 10 Causes of Death (2011-2014) •• Office of the Medical Investigator: Grief Services Program Deaths per 100,000 McKinley County NM (rank) Emotional Support to Survivors of Homicide 1. Heart Disease ...... 130.8 151.0 (1) •• Psychiatry & Behavioral Sciences/Community Behavioral Health: 2. Cancer ...... 128.5 147.8 (2) Suicide Prevention Clearinghouse 3. Unintentional Injuries ...... 111.2 58.2 (3) •• Undergraduate Medical Education: Circuit riders, Practical 4. Diabetes ...... 60.9 28.0 (6) Immersion Experience preceptors, Medicine in New Mexico series 5. Liver Disease ...... 49.4 19.3 (8) 6. Cerebrovascular Diseases ...... 36.3 31.0 (5) 7. Intentional Self-Harm (Suicide) ...... 30.0 20.0 (7) Telehealth 8. Respiratory, Influenza and Pneumonia . . .28.3 15.2 (10) •• Pediatrics/Center for Development and Disability (CDD): Clinical 9. Chronic Lower Respiratory Disease . . . . .23.6 46.3 (4) and educational programs 10. Alzheimer’s ...... 10.5 15.8 (9) •• Pediatrics/Envision NM: Adolescent medicine Total Deaths (2014) ...... 622.0 18,157 Source: NM DOH Indicator-Based Information System •• Project ECHO: Child and Youth Epilepsy Clinic, Endocrinology, Hepatitis C, Integrated Addition/Psychiatry & Behavioral Sciences, Licensed Health Professionals 2014 2015 Chronic Pain and Headache, Complex Care, HIV/AIDS, Palliative Medical Doctors ...... 92 86 Care, Women’s Health/Genomics, Family Obesity Prevention Doctors of Osteopathic Medicine ...... 3 6 •• Psychiatry & Behavioral Sciences: IHS Center for Telehealth Physician Assistants ...... 9 9 Excellence project Occupational Therapists ...... 11 13 Physical Therapists ...... 23 22 Community Research Dentists ...... 16 14 •• Biochemistry and Molecular Biology: “Epigenomic Changes in Pharmacists ...... 26 25 Progression of Pre-DM to T2DM, Zuni Health Initiative” Registered Nurses ...... 544 547 •• College of Pharmacy: “A Prospective Birth Cohort Study Involving Licensed Practical Nurses ...... 38 34 Uranium Exposure in Navajo Nation,” “Interactive Effect of Certified Nurse Practitioners ...... 20 20 Environmental Exposures and Alcohol in the Navajo Birth Cohort” Certified Nurse Anesthetists ...... 3 3 •• Family and Community Medicine: “Evaluating Health Equity in New Certified Nurse Specialists ...... 2 2 Mexico: Impact of Place Matters and Health Impact Assessments” Certified Nurse-Midwives ...... 5 8 Licensed Midwives ...... 0 0 •• Family and Community Medicine/Public Health Program: Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and Community outreach and focus groups Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM Dept of Health Oct 2014/Oct 2015

20 Office for Community Health | County Health Report Cards •• Internal Medicine: ACA- Reducing Health Disparity in Chronic Kidney Disease in Zuni Indians, Comprehensive HIV Early Services provided at UNM HSC to McKinley County residents (FY15): Intervention Services •• 9,663 total patient visits at UNM Hospitals and Clinics –– 1,686 Charity Care •• Pediatrics/Envision NM: The Initiative for Child Healthcare Quality –– 207 Uninsured •• Pediatrics/Prevention Research Center: Youth Risk and Resiliency –– 7,770 Compensated Survey, Pedestrian Safety •• 210 county residents served at UNM Comprehensive Cancer Center

Office for Community Health | County Health Report Cards 21 Mora County HSC activities in Chacon, Mora

QUICK FACTS Mora County NM SELECTED UNM HSC ACTIVITIES IN MORA COUNTY Population, 2014 estimate ...... 4,592 2,085,572 Patient Care Median household income, 2009-2013 . $28,481 $44,927 •• College of Nursing: Clinical rotations Persons below poverty level, 2009-2013 . .23.8% 21.3% •• Office for Community Health: School Kids Influenza Immunization Land area in square miles, 2010 ...... 1,931 121,298 Project (SKIIP) Persons per square mile, 2010 ...... 3 17 Percent Unemployed (Sept. 2015) ...... 9.4 6.8 Educational •• NM Poison and Drug Information Center: Poisonous Plants Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics •• Pediatrics/Prevention Research Center: Child Health Initiative for High School Four-Year Cohort Graduation Rates Lifelong Eating and Exercise (CHILE) Plus County average, class of 2014 ...... 63.3% 69.3% Telehealth Source: New Mexico Public Education Department •• Pediatrics/Center for Development and Disability (CDD): Clinical and Legislative Districts educational programs •• Project ECHO: Endocrinology House Senate •• Psychiatry & Behavioral Sciences: IHS Center for Telehealth Excellence Dist. 40 - Nick L. Salazar Dist. 8 - Pete Campos project Community Research Top 10 Causes of Death (2011-2014) •• Internal Medicine: “Use of the ECHO Model to Disseminate NIDA/CTN Deaths per 100,000 Mora County NM (rank) Buprenorphine Blending” 1. Heart Disease ...... 148.1 151.0 (1) •• Pediatrics/Envision NM: “The Initiative for Child Healthcare Quality” 2. Unintentional Injuries ...... 147.6 58.2 (3) •• Pediatrics/Prevention Research Center: NM Youth Risk and Resliency 3. Cancer ...... 144.8 147.8 (2) Survey 4. Diabetes ...... 55.1 28.0 (6) 5. Cerebrovascular Diseases ...... 35.5 31.0 (5) Services provided at UNM HSC to Mora County residents (FY15): 6. Intentional Self-Harm (Suicide) ...... 26.3 20.0 (7) 7. Chronic Lower Respiratory Disease . . . . .19.4 46.3 (4) •• 533 total patient visits at UNM Hospitals and Clinics 8. Liver Disease ...... 8.1 19.3 (8) –– 0 Charity Care 9. Alzheimer’s ...... 8.0 15.8 (9) –– 11 Uninsured 10. Respiratory, Influenza and Pneumonia . . .7.3 15.2 (10) –– 522 Compensated Total Deaths (2014) ...... 45.0 18,157 •• 19 county residents served at UNM Comprehensive Cancer Center Source: NM DOH Indicator-Based Information System

Licensed Health Professionals 2014 2015 Medical Doctors ...... 1 1 Doctors of Osteopathic Medicine ...... 0 0 Physician Assistants ...... 0 1 Occupational Therapists ...... 0 0 Physical Therapists ...... 0 0 Dentists ...... 0 0 Pharmacists ...... 3 3 Registered Nurses ...... 44 45 Licensed Practical Nurses ...... 16 12 Certified Nurse Practitioners ...... 3 3 Certified Nurse Anesthetists ...... 0 0 Certified Nurse Specialists ...... 0 0 Certified Nurse-Midwives ...... 0 1 Licensed Midwives ...... 1 0 Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM Dept of Health Oct 2014/Oct 2015

22 Office for Community Health | County Health Report Cards Otero County HSC activities in Alamogordo, Mescalero, Tularosa

QUICK FACTS Otero County New Mexico SELECTED UNM HSC ACTIVITIES IN OTERO COUNTY Population, 2014 estimate ...... 65,082 2,085,572 Patient Care Median household income, 2009-2013 . $39,263 $44,927 •• Obstetrics and Gynecology: Clinical consultations Persons below poverty level, 2009-2013 . .21.3% 21.3% •• Office for Community Health: School Kids Influenza Immunization Land area in square miles, 2010 ...... 6,613 121,298 Program (SKIIP) Persons per square mile, 2010 ...... 10 17 •• Pediatrics: Pulmonary/asthma, Neonatology outreach, Children’s Percent Unemployed (Sept. 2015) ...... 6.7 6.8 Medical Services outreach Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics •• Psychiatry & Behavioral Sciences/Community Behavioral Health: High School Four-Year Cohort Graduation Rates Clinical services County average, class of 2014 ...... 64.2% 69.3% Education Source: New Mexico Public Education Department •• UNM Comprehensive Cancer Center: Ventanilla de Salud Diabetes and Tobacco programs Legislative Districts •• Family and Community Medicine: Clerkship House Senate •• Neurology: Grand Rounds Dist. 51 - Yvette Herrell Dist. 32 - Cliff R. Pirtle •• NM Poison and Drug Information Center: Poison Prevention for Dist. 53 - Ricky L. Little Dist. 33 - William F. Burt Middle Schoolers Dist. 54 - James G. Townsend Dist. 34 - Ron Griggs •• Office for Community Health: Community Health Worker home Dist. 56 - Zachary J. Cook visits and care coordination •• Office of Diversity: Dream Makers Health Career Program Top 10 Causes of Death (2011-2014) •• Office of the Medical Investigator: Grief Services Program Deaths per 100,000 Otero County NM (rank) Emotional Support to Survivors of Homicide 1. Cancer ...... 169.4 147.8 (2) •• Undergraduate Medical Education: Practical Immersion Experience 2. Heart Disease ...... 166.2 151.0 (1) Telehealth 3. Unintentional Injuries ...... 54.3 58.2 (3) •• Pediatrics/Center for Development and Disability (CDD): Clinical 4. Chronic Lower Respiratory Disease . . . . .53.8 46.3 (4) and educational programs 5. Diabetes ...... 31.5 28.0 (6) •• Pediatrics/Envision NM: Adolescent medicine 6. Cerebrovascular Diseases ...... 29.7 31.0 (5) •• Project ECHO: Women’s Health/Genomics 7. Intentional Self-Harm (Suicide) ...... 24.1 20.0 (7) •• Psychiatry & Behavioral Sciences: IHS Center for Telehealth 8. Liver Disease ...... 17.8 19.3 (8) Excellence project 9. Alzheimer’s ...... 11.8 15.8 (9) Community Research 10. Respiratory, Influenza and Pneumonia . . .9.6 15.2 (10) •• UNM Comprehensive Cancer Center: NCI Community Oncology Total Deaths (2014) ...... 596.0 18,157 Research Program Source: NM DOH Indicator-Based Information System •• Family and Community Medicine: Family Listening Project - Multi- Tribal Implementation and Evaluation, Health Extension Rural Licensed Health Professionals 2014 2015 Office - Translating Research into Localities Medical Doctors ...... 77 72 •• Family and Community Medicine/Public Health Program: Community outreach and focus groups Doctors of Osteopathic Medicine ...... 6 8 •• Internal Medicine: “Reducing Disparities in Child Development and Physician Assistants ...... 11 10 Behavioral Health Service Utilization,” “Use of the ECHO Model to Occupational Therapists ...... 10 11 Disseminate NIDA/CTN Buprenorphine Blending” Physical Therapists ...... 27 26 •• Pediatrics/Prevention Research Center: NM Youth Risk and Dentists ...... 9 7 Resiliency Survey Pharmacists ...... 21 22 •• Psychiatry & Behavioral Sciences: Systems of Care Child Mental Licensed Practical Nurses ...... 45 52 Health Initiative Certified Nurse Practitioners ...... 15 22 •• Psychiatry & Behavioral Sciences/Community Behavioral Health: Certified Nurse Anesthetists ...... 9 10 “Mescalero Mental Health Prevention and Intervention Project” Certified Nurse Specialists ...... 4 4 Certified Nurse-Midwives ...... 2 0 Services provided at UNM HSC to Otero County residents (FY15): Licensed Midwives ...... 0 1 •• 2,859 total patient visits at UNM Hospitals and Clinics Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and –– 192 Charity Care Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM –– 74 Uninsured Dept of Health Oct 2014/Oct 2015 –– 2,593 Compensated •• 89 county residents served at UNM Comprehensive Cancer Center

Office for Community Health | County Health Report Cards 23 Quay County HSC activities in House, Logan, San Jon, Tucumcari

QUICK FACTS Quay County NM SELECTED UNM HSC ACTIVITIES IN QUAY COUNTY Population, 2014 estimate ...... 8,501 2,085,572 Median household income, 2009-2013 . $30,802 $44,927 Patient Care •• Office for Community Health: School Kids Influenza Immunization Persons below poverty level, 2009-2013 . .25.8% 21.3% Project (SKIIP) Land area in square miles, 2010 ...... 2,874 121,298 •• Pediatrics: Pulmonary/asthma, Children’s Medical Services outreach Persons per square mile, 2010 ...... 3 17 Percent Unemployed (Sept. 2015) ...... 7.5 6.8 Educational Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics •• NM Poison and Drug Information Center: Poison Prevention High School Four-Year Cohort Graduation Rates Telehealth County average, class of 2014 ...... 48.5% 69.3% •• Pediatrics/Center for Development and Disability (CDD): Clinical and educational programs Source: New Mexico Public Education Department •• Psychiatry & Behavioral Sciences: IHS Center for Telehealth Legislative Districts Excellence project House Senate Community Research Dist. 67 - Dennis J. Roch Dist. 7 - Pat Woods •• Internal Medicine: “Reducing Disparities in Child Development and Dist. 8 - Pete Campos Behavioral Health Service Utilization” •• Pediatrics/Envision NM: “The Initiative for Child Healthcare Quality” Top 10 Causes of Death (2011-2014) •• Pediatrics/Prevention Research Center: NM Youth Risk and Deaths per 100,000 Quay County NM (rank) Resiliency Survey 1. Heart Disease ...... 206.4 151.0 (1) •• Psychiatry & Behavioral Sciences: “Managing Patient-Centered 2. Cancer ...... 153.4 147.8 (2) Outcomes Through Wellness and Recovery” 3. Chronic Lower Respiratory Disease . . . . .82.4 46.3 (4) 4. Unintentional Injuries ...... 64.1 58.2 (3) Services provided at UNM HSC to Quay County residents (FY15): 5. Cerebrovascular Diseases ...... 39.8 31.0 (5) 6. Respiratory, Influenza and Pneumonia . . .30.9 15.2 (10) •• 810 total patient visits at UNM Hospitals and Clinics 7. Liver Disease ...... 27.9 19.3 (8) –– 43 Charity Care 8. Intentional Self-Harm (Suicide) ...... 23.8 20.0 (7) –– 16 Uninsured 9. Diabetes ...... 22.8 28.0 (6) –– 751 Compensated 10. Alzheimer’s ...... 18.3 15.8 (9) •• 24 county residents served at UNM Comprehensive Cancer Center

Total Deaths (2014) ...... 103.0 18,157 Source: NM DOH Indicator-Based Information System

Licensed Health Professionals 2014 2015 Medical Doctors ...... 7 6 Doctors of Osteopathic Medicine ...... 0 1 Physician Assistants ...... 0 0 Occupational Therapists ...... 1 2 Physical Therapists ...... 2 1 Dentists ...... 0 0 Pharmacists ...... 6 6 Registered Nurses ...... 47 45 Licensed Practical Nurses ...... 12 11 Certified Nurse Practitioners ...... 5 5 Certified Nurse Anesthetists ...... 0 0 Certified Nurse Specialists ...... 0 0 Certified Nurse-Midwives ...... 0 0 Licensed Midwives ...... 0 0 Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM Dept of Health Oct 2014/Oct 2015

24 Office for Community Health | County Health Report Cards Rio Arriba County HSC activities in Abiquiu, Chama, Cordova, Dulce, El Rito, Embudo, Española, Gallina, Hernandez, Lindrith, Lybrook, Okay Owingay, Tierra Amarilla

QUICK FACTS Rio Arriba County NM SELECTED UNM HSC ACTIVITIES IN RIO ARRIBA COUNTY Population, 2013 estimate ...... 39,777 2,085,572 Patient Care Median household income, 2008-2012 . $40,250 $44,927 •• College of Nursing: Clinical rotations Persons below poverty level, 2008-2012 . .24.8% 21.3% •• Office for Community Health: School Kids Influenza Immunization Land area in square miles, 2010 ...... 5,861 121,298 Program (SKIIP) Persons per square mile, 2010 ...... 7 17 •• Pediatrics: Metabolic outreach, Children’s Medical Services outreach Percent Unemployed (Sept. 2015) ...... 8.1 6.8 •• Pediatrics/Occupational Therapy: Parent groups, consultations Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics Education High School Four-Year Cohort Graduation Rates •• Family and Community Medicine: Clerkship County average, class of 2014 ...... 85.0% 69.3% •• NM Poison and Drug Information Center: Poison Prevention, Poison Source: New Mexico Public Education Department Prevention for Health Legislative Districts •• Office for Community Health: Community Health Worker home House Senate visits and care coordination Dist. 40 - Nick L. Salazar Dist. 5 - Richard C. Martinez •• Office of Diversity: Interprofessional Health Outreach Program, Dist. 41 - Debbie A. Rodella Dist. 6 - Carlos R. Cisneros Undergraduate Health Sciences Enrichment Program Dist. 43 - Stephanie Garcia Richard Dist. 22 - Benny Shendo, Jr. •• Office of the Medical Investigator: Grief Services Program Dist. 65 - James Roger Madalena Emotional Support to Survivors of Homicide •• Pediatrics/Prevention Research Center: Child Health Initiative Top 10 Causes of Death (2011-2014) for Lifelong Eating and Exercise (CHILE) Plus, Sexual Violence Prevention Technical Assistance Deaths per 100,000 Rio Arriba County NM (rank) •• Undergraduate Medical Education: Circuit riders, Practical 1. Cancer ...... 149.1 147.8 (2) Immersion Experience preceptors, Medicine in New Mexico series 2. Unintentional Injuries ...... 148.9 58.2 (3) 3. Heart Disease ...... 143.4 151.0 (1) Telehealth •• Pediatrics/Center for Development and Disability (CDD): Clinical 4. Liver Disease ...... 61.5 19.3 (8) and educational programs 5. Cerebrovascular Diseases ...... 38.6 31.0 (5) •• Pediatrics/Envision NM: Adolescent medicine 6. Diabetes ...... 34.8 28.0 (6) •• Pediatrics/Prevention Research Center: Science All Around Us 7. Chronic Lower Respiratory Disease . . . . .33.6 46.3 (4) •• Project ECHO: iHealth Training, HCV, AASTEC Partners in Good 8. Intentional Self-Harm (Suicide) ...... 24.9 20.0 (7) Health and Wellness, Community Addictions Recovery Specialist, 9. Alzheimer’s ...... 19.2 15.8 (9) Endocrinology, Hepatitis C, Integrated Addictions/Psychiatry & 10. Respiratory, Influenza and Pneumonia . . 18.4 15.2 (10) Behavioral Sciences Total Deaths (2014) ...... 406.0 18,157 •• Psychiatry & Behavioral Sciences: IHS Center for Telehealth Source: NM DOH Indicator-Based Information System Excellence project Community Research Licensed Health Professionals 2014 2015 •• College of Pharmacy: “A Prospective Birth Cohort Study Involving Medical Doctors ...... 37 34 Uranium Exposure in Navajo Nation,” “Interactive Effect of Doctors of Osteopathic Medicine ...... 2 4 Environmental Exposures and Alcohol in the Navajo Birth Cohort” Physician Assistants ...... 10 13 •• Family and Comm. Medicine/Public Health Program: Focus groups Occupational Therapists ...... 3 4 •• Internal Medicine: “Use of the ECHO Model to Disseminate NIDA/ Physical Therapists ...... 11 11 CTN Buprenorphine Blending” Dentists ...... 4 4 •• Pediatrics/Envision NM: “The Initiative for Child Healthcare Quality” Pharmacists ...... 10 9 •• Pediatrics/Prevention Research Center: NM Youth Risk and Registered Nurses ...... 209 198 Resiliency Survey, Supplemental Nutrition Assistance Program (SNAP-Ed) Evaluation Licensed Practical Nurses ...... 71 65 •• Psychiatry & Behavioral Sciences: “Patient-Centered Trauma Certified Nurse Practitioners ...... 12 12 Treatment for PTSD and Substance Abuse” Certified Nurse Anesthetists ...... 2 2 Certified Nurse Specialists ...... 2 2 Services provided at UNM HSC to Rio Arriba County residents (FY15): Certified Nurse-Midwives ...... 1 0 •• 4,449 total patient visits at UNM Hospitals and Clinics Licensed Midwives ...... 2 5 –– 341 Charity Care Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and –– 95 Uninsured Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM –– 4,013 Compensated Dept of Health Oct 2014/Oct 2015 •• 129 county residents served at UNM Comprehensive Cancer Center

Office for Community Health | County Health Report Cards 25 Roosevelt County HSC activities in Dora, Elida, Floyd, Portales

QUICK FACTS Roosevelt County NM SELECTED UNM HSC ACTIVITIES IN ROOSEVELT COUNTY Population, 2014 estimate ...... 19,536 2,085,572 Patient Care Median household income, 2009-2013 . $38,764 $44,927 •• Office for Community Health: School Kids Influenza Immunization Persons below poverty level, 2009-2013 . .24.6% 21.3% Program (SKIIP) Land area in square miles, 2010 ...... 2,447 121,298 •• Pediatrics: Pulmonary/Asthma, Neurology outreach, Children’s Persons per square mile, 2010 ...... 8 17 Medical Services outreach Percent Unemployed (Sept. 2015) ...... 6.2 6.8 Education Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics •• NM Poison and Drug Information Center: Poison Prevention High School Four-Year Cohort Graduation Rates •• Office of Diversity: NM Clinical Education Program, Medical College County average, class of 2014 ...... 87.6% 69.3% Admission Test preparation course (MCAT+) Source: New Mexico Public Education Department •• Pediatrics/Prevention Research Center: Sexual Violence Prevention Technical Assistance Legislative Districts •• Undergraduate Medical Education: Medicine in New Mexico series House Senate Telehealth Dist. 63 - George Dodge, Jr. Dist. 27 - Stuart Ingle •• Pediatrics/Center for Development and Disability (CDD): Clinical Dist. 66 - Bob Wooley and educational programs Dist. 67 - Dennis J. Roch •• Pediatrics/Envision NM: Adolescent medicine Top 10 Causes of Death (2011-2014) •• Project ECHO: Hepatitis C, Integrated Addictions/Psychiatry & Behavioral Sciences, Diabetes, Community Health Worker training, Deaths per 100,000 Roosevelt County NM (rank) Endocrinology, Hepatitis C 1. Heart Disease ...... 196.8 151.0 (1) •• Psychiatry & Behavioral Sciences: IHS Center for Telehealth 2. Cancer ...... 124.0 147.8 (2) Excellence project 3. Chronic Lower Respiratory Disease . . . . .63.9 46.3 (4) 4. Unintentional Injuries ...... 45.2 58.2 (3) Community Research •• Pediatrics/Prevention Research Center: NM Youth Risk and 5. Diabetes ...... 28.8 28.0 (6) Resiliency Survey 6. Respiratory, Influenza and Pneumonia . . .22.4 15.2 (10) •• Psychiatry & Behavioral Sciences: “Managing Patient-Centered 7. Alzheimer’s ...... 21.4 15.8 (9) Outcomes through Wellness and Recovery” 8. Cerebrovascular Diseases ...... 19.4 31.0 (5) 9. Liver Disease ...... 13.8 19.3 (8) Services provided at UNM HSC to Roosevelt County residents (FY15): 10. Intentional Self-Harm (Suicide) ...... 11.2 20.0 (7) •• 522 total patient visits at UNM Hospitals and Clinics Total Deaths (2014) ...... 146.0 18,157 Source: NM DOH Indicator-Based Information System –– 63 Uninsured –– 459 Compensated Licensed Health Professionals 2014 2015 •• 12 county residents served at UNM Comprehensive Cancer Center

Medical Doctors ...... 15 16 Doctors of Osteopathic Medicine ...... 2 1 Physician Assistants ...... 2 2 Occupational Therapists ...... 2 3 Physical Therapists ...... 13 12 Dentists ...... 3 3 Pharmacists ...... 13 14 Registered Nurses ...... 115 131 Licensed Practical Nurses ...... 31 27 Certified Nurse Practitioners ...... 8 7 Certified Nurse Anesthetists ...... 0 0 Certified Nurse Specialists ...... 0 0 Certified Nurse-Midwives ...... 0 0 Licensed Midwives ...... 0 0 Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM Dept of Health Oct 2014/Oct 2015

26 Office for Community Health | County Health Report Cards Sandoval County HSC activities in Algodones, Bernalillo, Cochiti Pueblo, Corrales, Cuba, Jemez Pueblo, Kewa Pueblo, Rio Rancho, San Felipe Pueblo, Zia Pueblo

QUICK FACTS Sandoval County NM SELECTED UNM HSC ACTIVITIES IN SANDOVAL COUNTY Population, 2014 estimate ...... 137,608 2,085,572 Patient Care Median household income, 2009-2013 . $58,017 $44,927 •• College of Nursing: Clinical rotations Persons below poverty level, 2009-2013 . .15.3% 21.3% Land area in square miles, 2010 ...... 3,711 121,298 •• Dermatology: Practical lab Persons per square mile, 2010 ...... 36 17 •• Family and Community Medicine: Clinical consultations Percent Unemployed (Sept. 2015) ...... 7.1 6.8 •• Office for Community Health: School Kids Influenza Immunization Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics Program (SKIIP) High School Four-Year Cohort Graduation Rates Education County average, class of 2014 ...... 70.0% 69.3% •• UNM Comprehensive Cancer Center: Native American Cancer Legislative Districts Education Project House Senate •• College of Nursing: Central Regional Educational Collaborative, Dist. 22 - James E. Smith Dist. 5 - Richard C. Martinez Youth Development Pathways to Promote Health in Rural New Dist. 23 - Paul A. Pacheco Dist. 9 - John M. Sapien Mexico Dist. 43 - Stephanie Garcia Richard Dist. 10 - John C. Ryan •• Dermatology: Skin Cancer and Sun Protection Dist. 44 - Jane E. Powdrell-Culbert Dist. 19 - Sue Wilson Beffort •• Family and Community Medicine: Clerkship Dist. 57 - Jason C. Harper Dist. 22 - Benny Shendo, Jr. Dist. 60 - Tim D. Lewis Dist. 40 - Craig Brandt •• NM Poison and Drug Information Center: Poison Patrol, Poison Dist. 65 - James Roger Madalena Prevention Top 10 Causes of Death (2011-2014) •• Office for Community Health: Community Health Worker home visits and care coordination, Mental Health First Aid Deaths per 100,000 Sandoval County NM (rank) 1. Cancer ...... 137.4 147.8 (2) •• Office of Diversity: Dream Makers Health Careers Program, Medical 2. Heart Disease ...... 136.9 151.0 (1) College Admission Test preparation course (MCAT+), Health Careers Academy, Undergraduate Health Sciences Enrichment 3. Unintentional Injuries ...... 58.4 58.2 (3) Program 4. Chronic Lower Respiratory Disease . . . . .38.2 46.3 (4) 5. Cerebrovascular Diseases ...... 29.7 31.0 (5) •• Office of the Medical Examiner: Grief Services Program Emotional 6. Diabetes ...... 25.3 28.0 (6) Support to Survivors of Homicide 7. Intentional Self-Harm (Suicide) ...... 22.1 20.0 (7) •• Pediatrics/Prevention Research Center: Child Health Initiative for 8. Alzheimer’s ...... 21.1 15.8 (9) Lifelong Eating and Exercise (CHILE) Plus, Physical Activity Kit (PAK): 9. Liver Disease ...... 18.4 19.3 (8) Staying on the Active Path for Native Communities, Science Around 10. Respiratory, Influenza and Pneumonia . . 16.4 15.2 (10) Us Total Deaths (2014) ...... 1,065.0 18,157 •• Undergraduate Medical Education: Practical Immersion Experience Source: NM DOH Indicator-Based Information System preceptors Licensed Health Professionals 2014 2015 Telehealth Medical Doctors ...... 168 165 •• Pediatrics/Center for Development and Disability (CDD): Clinical Doctors of Osteopathic Medicine ...... 13 11 and educational programs Physician Assistants ...... 35 37 •• Pediatrics/Envision NM: Adolescent medicine Occupational Therapists ...... 55 61 •• Project ECHO: Diabetes, Community Health Worker training, Physical Therapists ...... 69 63 Endocrinology, Family Obesity Prevention, Integrated Addiction/ Dentists ...... 61 56 Psychology, AASTEC Partners in Good Health and Wellness, CDC Pharmacists ...... 68 65 GHWIC All Hands, HIV Registered Nurses ...... 1,710 1,802 •• Psychiatry & Behavioral Sciences: IHS Center for Telehealth Licensed Practical Nurses ...... 196 180 Excellence project Certified Nurse Practitioners ...... 84 95 Community Research Certified Nurse Anesthetists ...... 16 15 •• Family and Community Medicine: Family Listening Project - Multi- Certified Nurse Specialists ...... 7 7 Tribal Implementation and Evaluation, “Health and Safety Issues in Certified Nurse-Midwives ...... 9 6 Organic Farming - A Qualitative Study,” “RezRIDERS, Understanding the Role of Culture, Identity, Epistemology and Bi-Cultural Efficacy Licensed Midwives ...... 3 0 in American Indian Educational and Professional Success in STEMs” Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM Dept of Health Oct 2014/Oct 2015

Office for Community Health | County Health Report Cards 27 •• Family and Community Medicine/Public Health Program: Community outreach and focus groups Services provided at UNM HSC to Sandoval County residents (FY15): •• Internal Medicine: “A Community-Based Study of the Epidemiology •• 50,601 total patient visits at UNM Hospitals and Clinics of Chronic Kidney Disease in Rural NM,” Comprehensive HIV Early –– 3,520 Charity Care Intervention Services in Central/Northwestern NM –– 1,427 Uninsured –– 45,654 Compensated •• Pediatrics: Developmental Care Continuity Program •• 950 county residents served at UNM Comprehensive Cancer Center •• Pediatrics/Envision NM: “The Initiative for Child Healthcare Quality” •• Pediatrics/Prevention Research Center: NM Youth Risk and Resiliency Survey, Village Intervention and Venue for Action •• Psychiatry & Behavioral Sciences: “San Felipe - Katisthya Embraces Youth, Wellness and Hope (KEYWAH),” Screening/Brief Intervention and Referral to Treatment (SBIRT), Systems of Care Child Mental Health Initiative

28 Office for Community Health | County Health Report Cards San Juan County HSC activities in Aztec, Beclabito, Bloomfield, Burnham, Farmington, Flora Vista, Fruitland, Hogback, Kirtland, Nageezi, Naschitti, Newcomb, Sanostee, Sheep Springs, Shiprock, Two Grey Hills, Waterflow

QUICK FACTS San Juan County NM Certified Nurse-Midwives ...... 6 9 Population, 2014 estimate ...... 123,785 2,085,572 Licensed Midwives ...... 0 0 Median household income, 2009-2013 . $48,196 $44,927 Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and Persons below poverty level, 2009-2013 . .21.8% 21.3% Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM Land area in square miles, 2010 ...... 5,513 121,298 Dept of Health Oct 2014/Oct 2015 Persons per square mile, 2010 ...... 24 17 Percent Unemployed (Sept. 2015) ...... 7.7 6.8 SELECTED UNM HSC ACTIVITIES IN SAN JUAN COUNTY Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics Patient Care High School Four-Year Cohort Graduation Rates •• Carrie Tingley Hospital: Outreach clinics County average, class of 2014 ...... 58.0% 69.3% •• College of Nursing: Clinical rotations Source: New Mexico Public Education Department •• Family and Community Medicine: Clinical consultations, Developmental Disability and Mental Illness Clinic Legislative Districts •• Neurology: Outreach clinics House Senate •• Obstetrics and Gynecology: Clinical rotations and consultations Dist. 1 - Rodney D. Montoya Dist. 1 - William E. Sharer •• Office for Community Health: School Kids Influenza Immunization Dist. 2 - James R.J. Strickler Dist. 2 - Steven P. Neville Program (SKIIP) Dist. 3 - Paul C. Bandy Dist. 3 - John Pinto •• Pediatrics: Cardiology, Genetics, Metabolic, Nephrology, Dist. 4 - Sharon Clahchischilliage Dist. 4 - George K. Munoz Pulmonary/Asthma outreach, Children’s Medical Services outreach Dist. 5 - Doreen W. Johnson Dist. 22 - Benny Shendo, Jr. •• Psychiatry & Behavioral Sciences/Community Behavioral Health: Dist. 9 - Patricia A. Lundstrom Clinical services Dist. 65 - James Roger Madalena Education Dist. 69 - W. Ken Martinez •• UNM Comprehensive Cancer Center: Ventanilla de Salud mobile Top 10 Causes of Death (2011-2014) education Program •• Family and Community Medicine: Clerkships Deaths per 100,000 San Juan County NM (rank) 1. Cancer ...... 147.6 147.8 (2) •• NM Poison and Drug Information Center: Poison Prevention for Children, Spike 2. Heart Disease ...... 141.3 151.0 (1) 3. Unintentional Injuries ...... 83.0 58.2 (3) •• Office of Diversity: Health Careers Academy, Medical College 4. Chronic Lower Respiratory Disease . . . . .51.9 46.3 (4) Admission Test preparation course (MCAT+) 5. Diabetes ...... 30.2 28.0 (6) •• Office of the Medical Investigator: Grief Services Program 6. Alzheimer’s ...... 28.4 15.8 (9) Emotional Support to Survivors of Homicide 7. Cerebrovascular Diseases ...... 26.8 31.0 (5) •• Pediatrics/Prevention Research Center: Sexual Violence Prevention 8. Liver Disease ...... 23.0 19.3 (8) Technical Assistance 9. Intentional Self-Harm (Suicide) ...... 20.4 20.0 (7) •• Undergraduate Medical Education: Circuit riders, Practical 10. Respiratory, Influenza and Pneumonia . . 19.3 15.2 (10) Immersion Experience Preceptors, Medicine in New Mexico series Total Deaths (2014) ...... 989.0 18,157 Health Extension (HEROs) Source: NM DOH Indicator-Based Information System •• Northwestern New Mexico/Navajo Nation Health Extension Officer Telehealth Licensed Health Professionals 2014 2015 •• Pediatrics/Center for Development and Disability (CDD): Clinical Medical Doctors ...... 192 182 and educational programs Doctors of Osteopathic Medicine ...... 22 25 •• Project ECHO: Endocrinology, Community Health Worker training, Physician Assistants ...... 41 43 Family Obesity Prevention, Child and Youth Epilepsy, Hepatitis C, Occupational Therapists ...... 25 24 HIV/AIDS, Integrated Addictions/Psychiatry & Behavioral Sciences, Rheumatology, Women’s Health/Genomics Physical Therapists ...... 39 39 •• Psychiatry & Behavioral Sciences: IHS Center for Telehealth Dentists ...... 52 52 Excellence project Pharmacists ...... 21 19 Community Research Registered Nurses ...... 1,004 1,028 •• UNM Comprehensive Cancer Center: NCI Community Oncology Licensed Practical Nurses ...... 101 89 Research Program Certified Nurse Practitioners ...... 24 29 •• Clinical & Translational Science Center: NM Center for Advancement Certified Nurse Anesthetists ...... 16 16 of Research, Engagement and Science on Health Disparities (NM Certified Nurse Specialists ...... 0 0 CARES-HD)

Office for Community Health | County Health Report Cards 29 •• College of Nursing: “School Nurses’ Perspectives on Culturally •• Pediatrics/Envision NM: “The Initiative for Child Healthcare Quality” Competent Suicide Prevention for American Indian/Alaska Native •• Pediatrics/Prevention Research Center: NM Youth Risk and Students in NM” Resiliency Survey, Pedestrian Safety, Sexual Violence Prevention •• College of Pharmacy: “A Prospective Birth Cohort Study Involving Statewide Coordination Uranium Exposure in Navajo Nation,” “Interactive Effect of Environmental Exposures and Alcohol in the Navajo Birth Cohort” Services at UNM HSC provided to San Juan County residents (FY15): •• Family and Community Medicine: “Evaluating Health Equity in NM- •• 7,549 total patient visits at UNM Hospitals and Clinics Impact of Place Matters and Health Impact Assessments” –– 1,108 Charity Care •• Internal Medicine: Comprehensive HIV Early Intervention Services –– 139 Uninsured in Central/Northwestern NM, Reducing Disparities in Child –– 6,302 Compensated Developmental and Behavioral Health Service Utilization, “Use of •• 212 county residents served at UNM Comprehensive Cancer Center ECHO Model to Disseminate NIDA/CTN Buprenorphine Blending”

30 Office for Community Health | County Health Report Cards San Miguel County HSC activities in Las Vegas, Pecos, Ribera

QUICK FACTS San Miguel County NM SELECTED UNM HSC ACTIVITIES IN SAN MIGUEL COUNTY Population, 2014 estimate ...... 28,239 2,085,572 Median household income, 2009-2013 . $28,275 $44,927 Patient Care •• College of Nursing: Clinical rotations Persons below poverty level, 2009-2013 . .32.4% 21.3% •• Pediatrics: Genetics outreach, Children’s Medical Services outreach, Land area in square miles, 2010 ...... 4,716 121,298 Neonatology outreach Persons per square mile, 2010 ...... 6 17 Percent Unemployed (Sept. 2015) ...... 8.1 6.8 •• Neurology: Children’s Medical Outreach clinic Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics Education High School Four-Year Cohort Graduation Rates •• College of Pharmacy: Poison prevention education County average, class of 2014 ...... 67.5% 69.3% •• Dermatology: Public presentations Source: New Mexico Public Education Department •• Family and Community Medicine: Clerkship •• NM Poison and Drug Information Center: National Poison Legislative Districts Prevention Week House Senate •• Office for Community Health: Area Health Education Center (AHEC) Dist. 40 - Nick L. Salazar Dist. 8 - Pete Campos •• Office of Diversity: Dream Makers Health Career Program, Dist. 63 - George Dodge, Jr. Dist 39 - Ted Barela Interprofessional Health Outreach Program, Medical College Dist. 67 - Dennis J. Roch Admission Test preparation course (MCAT+) Dist. 70 - Tomás Salazar •• Pediatrics/Prevention Research Center: Child Health Initiative for Lifelong Eating and Exercise (CHILE) Plus Top 10 Causes of Death (2011-2014) •• Undergraduate Medical Education: Circuit riders, Practical Deaths per 100,000 San Miguel County NM (rank) Immersion Experience Preceptors, Medicine in New Mexico series 1. Heart Disease ...... 176.7 151.0 (1) Health Extension (HEROs) 2. Cancer ...... 159.3 147.8 (2) •• Northeastern New Mexico Health Extension Office 3. Unintentional Injuries ...... 83.0 58.2 (3) Telehealth 4. Chronic Lower Respiratory Disease . . . . .40.8 46.3 (4) •• Pediatrics/Center for Development and Disability (CDD): Clinical 5. Diabetes ...... 37.8 28.0 (6) and educational programs 6. Liver Disease ...... 26.4 19.3 (8) •• Pediatrics/Envision NM: Adolescent medicine 7. Cerebrovascular Diseases ...... 23.8 31.0 (5) •• Project ECHO: Diabetes, Community Health Worker training, 8. Intentional Self-Harm (Suicide) ...... 22.1 20.0 (7) Hepatitis C, Community Addictions Recovery Specialist, 9. Respiratory, Influenza and Pneumonia . . .16.9 15.2 (10) Endocrinology, HIV 10. Alzheimer’s ...... 13.5 15.8 (9) •• Psychiatry & Behavioral Sciences: IHS Center for Telehealth Total Deaths (2014) ...... 273.0 18,157 Excellence project Source: NM DOH Indicator-Based Information System Community Research •• UNM Comprehensive Cancer Center: NCI Community Oncology Licensed Health Professionals 2014 2015 Research Program Medical Doctors ...... 48 39 •• Family and Community Medicine/Public Health Program: Focus Doctors of Osteopathic Medicine ...... 3 4 groups Physician Assistants ...... 10 8 •• Internal Medicine: “A Robust Analysis of the Role of Community Occupational Therapists ...... 5 4 Health Workers in Improving Diabetes Outcomes,” “Use of the ECHO Physical Therapists ...... 13 14 Model to Disseminate NIDA/CTN Buprenorphine Blending” Dentists ...... 7 7 •• Pediatrics/Prevention Research Center: NM Youth Risk and Pharmacists ...... 147 143 Resiliency Survey, Supplemental Nutrition Assistance Program Registered Nurses ...... 333 341 (SNAP-Ed) Evaluation Licensed Practical Nurses ...... 111 110 Certified Nurse Practitioners ...... 13 18 Services provided at UNM HSC to San Miguel County residents (FY15): Certified Nurse Anesthetists ...... 3 3 •• 3,159 total patient visits at UNM Hospitals and Clinics Certified Nurse Specialists ...... 2 2 –– 188 Charity Care Certified Nurse-Midwives ...... 3 7 –– 30 Uninsured –– 2,941 Compensated Licensed Midwives ...... 0 1 Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and •• 108 county residents served at UNM Comprehensive Cancer Center Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM Dept of Health Oct 2014/Oct 2015

Office for Community Health | County Health Report Cards 31 Santa Fe County HSC activities in Cerrillos, Edgewood, Jaconita, Lamy, Nambe Pueblo, Pojoaque, San Ildefonso Pueblo, Santa Cruz, Santa Fe, Tesuque Sombrillo, Tesuque Pueblo

QUICK FACTS Santa Fe County NM Certified Nurse Anesthetists ...... 12 14 Population, 2014 estimate ...... 148,164 2,085,572 Certified Nurse Specialists ...... 8 9 Median household income, 2009-2013 . $52,917 $44,927 Certified Nurse-Midwives ...... 13 11 Persons below poverty level, 2009-2013 . .18.1% 21.3% Licensed Midwives ...... 9 12 Land area in square miles, 2010 ...... 1,909 121,298 Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and Persons per square mile, 2010 ...... 76 17 Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM Percent Unemployed (Sept. 2015) ...... 5.8 6.8 Dept of Health Oct 2014/Oct 2015

Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics SELECTED UNM HSC ACTIVITIES IN SANTA FE COUNTY High School Four-Year Cohort Graduation Rates Patient Care County average, class of 2014 ...... 64.0% 69.3% •• Carrie Tingley Hospital: Outreach clinics Source: New Mexico Public Education Department •• College of Nursing: Clinical rotations Legislative Districts •• Dermatology: Clinical consultations House Senate •• Family and Community Medicine: Clinical consultations Dist. 22 - James E. Smith Dist. 5 - Richard C. Martinez •• Obstetrics and Gynecology: NM Sonographics High-Risk Clinic Dist. 41 - Debbie A. Rodella Dist. 6 - Carlos R. Cisneros •• Office for Community Health: School Kids Influenza Immunization Dist. 43 - Stephanie Garcia Richard Dist. 19 - Sue Wilson Beffort Program (SKIIP) Dist. 45 - Jim R. Trujillo Dist. 24 - Nancy Rodriguez •• Pediatrics: Cardiology, Genetics, Children’s Medical Services Dist. 46 - Carl Trujillo Dist. 25 - Peter Wirth Dist. 47 - Brian F. Egolf Dist 39 - Ted Barela outreach, Endocrine, Nephrology, Pulmonary/Asthma Dist. 48 - Luciano “Lucky” Varela •• Psychiatry & Behavioral Sciences: Clinical consultations Dist. 50 - Matthew McQueen Education Dist. 70 - Tomás E. Salazar •• UNM Comprehensive Cancer Center: Ventanilla de Salud Diabetes Education Top 10 Causes of Death (2011-2014) •• College of Pharmacy: Generation Rx presentation Deaths per 100,000 Santa Fe County NM (rank) 1. Cancer ...... 129.4 147.8 (2) •• Family and Community Medicine: Clerkships 2. Heart Disease ...... 126.8 151.0 (1) •• Health Sciences Library and Informatics Center/Distance Services: 3. Unintentional Injuries ...... 62.4 58.2 (3) Education and access services 4. Chronic Lower Respiratory Disease . . . . .33.9 46.3 (4) •• NM Poison and Drug Information Center: Poison Prevention, Poison 5. Cerebrovascular Diseases ...... 28.5 31.0 (5) Prevention & Poison Center Awareness 6. Intentional Self-Harm (Suicide) ...... 21.6 20.0 (7) •• Office for Community Health: Community Health Worker home 7. Diabetes ...... 19.0 28.0 (6) visits and care coordination, Mental Health First Aid trainings 8. Liver Disease ...... 18.2 19.3 (8) •• Office of Diversity: Preparatory test for pre-dental students (DAT+), 9. Alzheimer’s ...... 11.4 15.8 (9) Health Careers Academy, Interprofessional Health Outreach 10. Respiratory, Influenza and Pneumonia . . 10.9 15.2 (10) Program, Dream Makers Health Careers Program, Medical College Total Deaths (2014) ...... 1,110.0 18,157 Admission Test preparation course (MCAT ) Source: NM DOH Indicator-Based Information System •• Office of the Medical Investigator: Grief Services Program Licensed Health Professionals 2014 2015 Emotional Support to Survivors of Homicide Medical Doctors ...... 525 492 •• Pathology: Educational presentations Doctors of Osteopathic Medicine ...... 23 20 •• Pediatrics/Prevention Research Center: Sexual Violence Prevention Physician Assistants ...... 52 52 Technical Assistance, Child Health Initiative for Lifelong Eating and Occupational Therapists ...... 66 68 Exercise (CHILE) Plus, Eat Smart to Play Hard campaign Physical Therapists ...... 127 134 •• Psychiatry & Behavioral Sciences: Public presentations Dentists ...... 81 76 •• Psychiatry & Behavioral Sciences/Community Behavioral Health: Pharmacists ...... 113 112 Suicide Prevention Registered Nurses ...... 1,500 1,516 •• Undergraduate Medical Education: Circuit riders, Practical Licensed Practical Nurses ...... 149 145 Immersion Experience preceptors, Medicine in New Mexico series Certified Nurse Practitioners ...... 95 101

32 Office for Community Health | County Health Report Cards Telehealth •• Family and Community Medicine: “Health and Safety Issues in •• Pediatrics/Center for Development and Disability (CDD): Clinical Organic Farming: A Qualitative Study” and educational programs •• Internal Medicine: “Use of the ECHO Model to Disseminate NIDA/ •• Pediatrics/Envision NM: Adolescent medicine CTN Buprenorphine Blending,” “Reducing Disparities in Child •• Project ECHO: Diabetes, Community Health Worker training, Developmental and Behavioral Health Service Utilization” Endocrinology, Tuberculosis, iHealth Training, AASTEC Partners •• Pediatrics/Envision NM: “The Initiative for Child Healthcare Quality” in Good Health and Wellness, Child and Youth Epilepsy, Peer •• Pediatrics/Prevention Research Center: NM Youth Risk and Education Program, NM Primary Care Training Consortium, Resiliency Survey, “Low-Dose CT Lung Cancer Screening - Informed Integrated Addiction/Psychiatry & Behavioral Sciences, Chronic Decision Making and Smoking Cessation, Social Marketing - Eat Pain and Headache, Community Addictions Recovery Specialist, Smart to Play Hard, Supplemental Nutrition Assistance Program Complex Care, Hepatitis C, HIV/AIDS, Palliative Care, Rheumatology, (SNAP-Ed) Evaluation” Women’s Health/Genomics •• Psychiatry & Behavioral Sciences: Screening Brief Intervention •• Psychiatry & Behavioral Sciences: IHS Center for Telehealth Referral and Treatment (SBIRT) Excellence project Community Research Services provided at UNM HSC to Santa Fe County residents (FY15): •• UNM Comprehensive Cancer Center: NCI Community Oncology •• 22,002 total patient visits at UNM Hospitals and Clinics Research Program –– 1,161 Charity Care •• College of Nursing: “School Nurses’ Perspectives on Culturally –– 543 Uninsured Competent Suicide Prevention for American Indian/Alaska Native –– 20,298 Compensated Students in NM” •• 720 county residents served at UNM Comprehensive Cancer Center

Office for Community Health | County Health Report Cards 33 Sierra County HSC activities in Derry, Elephant Butte, Lake Valley, Truth Or Consequences

QUICK FACTS Sierra County NM SELECTED UNM HSC ACTIVITIES IN SIERRA COUNTY Population, 2014 estimate ...... 11,325 2,085,572 Education Median household income, 2009-2013 . $27,430 $44,927 •• Family and Community Medicine: Clerkship Persons below poverty level, 2009-2013 . .26.9% 21.3% •• Office for Community Health: Community Health Worker home Land area in square miles, 2010 ...... 4,179 121,298 visits and care coordination Persons per square mile, 2010 ...... 3 17 Percent Unemployed (Sept. 2015) ...... 8.6 6.8 •• Undergraduate Medical Education: Medicine in New Mexico series

Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics High School Four-Year Cohort Graduation Rates Telehealth County average, class of 2014 ...... 75.1% 69.3% •• Pediatrics/Center for Development and Disability (CDD): Clinical Source: New Mexico Public Education Department and educational programs •• Project ECHO: Chronic Pain and Headache, Palliative Care, Legislative Districts Integrated Addiction/Psychiatry & Behavioral Sciences House Senate Community Research Dist. 38 - Dianne Miller Hamilton Dist. 35 - John Arthur Smith •• College of Pharmacy: “A Prospective Birth Cohort Study Involving Dist. 39 - John L. Zimmerman Uranium Exposure in Navajo Nation,” “Interactive Effect of Environmental Exposures and Alcohol in the Navajo Birth Cohort” Top 10 Causes of Death (2011-2014) •• Family and Community Medicine: Health Extension Rural Office- Deaths per 100,000 Sierra County NM (rank) Translating Research into Localities 1. Heart Disease ...... 227.7 151.0 (1) •• Internal Medicine: “Use of the ECHO Model to Disseminate NIDA/ 2. Cancer ...... 191.7 147.8 (2) CTN Buprenorphine Blending” 3. Unintentional Injuries ...... 94.2 58.2 (3) •• Pediatrics/Prevention Research Center: NM Youth Risk and 4. Chronic Lower Respiratory Disease . . . . .89.8 46.3 (4) Resiliency Survey 5. Cerebrovascular Diseases ...... 49.3 31.0 (5) 6. Intentional Self-Harm (Suicide) ...... 34.1 20.0 (7) Services provided at UNM HSC to Sierra County residents (FY15): 7. Respiratory, Influenza and Pneumonia . . .31.2 15.2 (10) •• 1,604 total patient visits at UNM Hospitals and Clinics 8. Liver Disease ...... 25.2 19.3 (8) –– 108 Charity Care 9. Diabetes ...... 19.3 28.0 (6) –– 44 Uninsured 10. Alzheimer’s ...... 2.7 15.8 (9) –– 1,452 Compensated Total Deaths (2014) ...... 235.0 18,157 •• 58 county residents served at UNM Comprehensive Cancer Center Source: NM DOH Indicator-Based Information System

Licensed Health Professionals 2014 2015 Medical Doctors ...... 10 6 Doctors of Osteopathic Medicine ...... 3 7 Physician Assistants ...... 4 4 Occupational Therapists ...... 3 1 Physical Therapists ...... 9 9 Dentists ...... 4 3 Pharmacists ...... 6 6 Registered Nurses ...... 76 83 Licensed Practical Nurses ...... 26 32 Certified Nurse Practitioners ...... 2 3 Certified Nurse Anesthetists ...... 1 2 Certified Nurse Specialists ...... 0 0 Certified Nurse-Midwives ...... 0 1 Licensed Midwives ...... 1 1 Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM Dept of Health Oct 2014/Oct 2015

34 Office for Community Health | County Health Report Cards Socorro County HSC activities in Lemitar, Magdalena, Polvadera, San Antonio, Socorro, Veguita

QUICK FACTS Socorro County NM Population, 2014 estimate ...... 17,310 2,085,572 Median household income, 2009-2013 . $34,036 $44,927 Persons below poverty level, 2009-2013 . .27.9% 21.3% Land area in square miles, 2010 ...... 6,647 121,298 Persons per square mile, 2010 ...... 3 17 Percent Unemployed (Sept. 2015) ...... 8.3 6.8 Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics High School Four-Year Cohort Graduation Rates County average, class of 2014 ...... 71.5% 69.3% Source: New Mexico Public Education Department

Legislative Districts SELECTED UNM HSC ACTIVITIES IN SOCORRO COUNTY House Senate Patient Care Dist. 49 - Don L. Tripp Dist. 28 - Howie C. Morales •• College of Nursing: Clinical rotations Dist. 69 - W. Ken Martinez Dist. 30 - Clemente Sanchez Education •• College of Pharmacy: Generation Rx presentation Top 10 Causes of Death (2011-2014) •• Office for Community Health: Community Health Worker home Deaths per 100,000 Socorro County NM (rank) visits and care coordination 1. Heart Disease ...... 174.4 151.0 (1) •• Office of Diversity: Medical College Admission Test preparation 2. Cancer ...... 172.4 147.8 (2) course (MCAT+) 3. Unintentional Injuries ...... 79.3 58.2 (3) •• Office of the Medical Investigator: Grief Services Program 4. Chronic Lower Respiratory Disease . . . . .63.4 46.3 (4) Emotional Support to Survivors of Homicide 5. Diabetes ...... 56.0 28.0 (6) •• Pediatrics/Prevention Research Center: Child Health Initiative 6. Cerebrovascular Diseases ...... 43.5 31.0 (5) for Lifelong Eating and Exercise (CHILE) Plus, Risk/Resiliency 7. Liver Disease ...... 30.7 19.3 (8) Assessment Project for Students (RAPS) 8. Intentional Self-Harm (Suicide) ...... 21.0 20.0 (7) •• Pediatrics/Occupational Therapy: Orientation to AgrAbility Services 9. Respiratory, Influenza and Pneumonia . . .19.2 15.2 (10) with Cooperative Extension 10. Alzheimer’s ...... 16.6 15.8 (9) •• Undergraduate Medical Education: Circuit riders, Practical Total Deaths (2014) ...... 182.0 18,157 Immersion Experience preceptors, Medicine in New Mexico series Source: NM DOH Indicator-Based Information System Telehealth Licensed Health Professionals 2014 2015 •• Pediatrics/Center for Development and Disability (CDD): Clinical and educational programs Medical Doctors ...... 15 15 Doctors of Osteopathic Medicine ...... 3 3 •• Project ECHO: AASTEC Partners in Good Health and Wellness Physician Assistants ...... 1 1 •• Psychiatry & Behavioral Sciences: IHS Center for Telehealth Excellence project Occupational Therapists ...... 2 0 Physical Therapists ...... 9 5 Community Research Dentists ...... 2 2 •• Family and Community Medicine: “Health and Safety Issues in Organic Farming: A Qualitative Study” Pharmacists ...... 2 2 •• Pediatrics/Envision NM: “The Initiative for Child Healthcare Quality” Registered Nurses ...... 92 99 Licensed Practical Nurses ...... 8 6 •• Pediatrics/Prevention Research Center: NM Youth Risk and Resiliency Survey Certified Nurse Practitioners ...... 10 10 Certified Nurse Anesthetists ...... 0 0 Services provided at UNM HSC to Socorro County residents (FY15): Certified Nurse Specialists ...... 0 0 •• 4,604 total patient visits at UNM Hospitals and Clinics Certified Nurse-Midwives ...... 0 0 –– 522 Charity Care Licensed Midwives ...... 0 0 –– 231 Uninsured Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM –– 3,851 Compensated Dept of Health Oct 2014/Oct 2015 •• 78 county residents served at UNM Comprehensive Cancer Center

Office for Community Health | County Health Report Cards 35 Taos County HSC activities in Arroyo Seco, Chamisal, Ojo Caliente, Peñasco, Taos

QUICK FACTS Taos County NM SELECTED UNM HSC ACTIVITIES IN TAOS COUNTY Population, 2014 estimate ...... 33,084 2,085,572 Median household income, 2009-2013 . $32,637 $44,927 Patient Care Persons below poverty level, 2009-2013 . .26.2% 21.3% •• College of Nursing: Clinical rotations Land area in square miles, 2010 ...... 2,203 121,298 •• Neurology: Children’s Medical Services Outreach Persons per square mile, 2010 ...... 15 17 •• Office for Community Health: School Kids Influenza Immunization Percent Unemployed (Sept. 2015) ...... 9.4 6.8 Program (SKIIP) •• Pediatrics: Genetics outreach, Children’s Medical Services outreach, Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics Neonatology outreach High School Four-Year Cohort Graduation Rates Education County average, class of 2014 ...... 70.5% 69.3% •• Cardiology: Public presentations Source: New Mexico Public Education Department •• Family and Community Medicine: Clerkship •• NM Poison and Drug Information Center: Poison Prevention Legislative Districts •• Office for Community Health: From Healthcare to Health- Weaving House Senate a Web of Community Wellbeing fall lecture series, Mental Health Dist. 41 - Debbie A. Rodella Dist. 6 - Carlos R. Cisneros First Aid trainings Dist. 42 - Roberto J. Gonzales Dist. 8 - Pete Campos •• Office of the Medical Investigator: Grief Services Program Emotional Support to Survivors of Homicide Top 10 Causes of Death (2011-2014) •• Pediatrics/Prevention Research Center: Sexual Violence Prevention Technical Assistance Deaths per 100,000 Taos County NM (rank) •• Undergraduate Medical Education: Practical Immersion Experience 1. Cancer ...... 134.8 147.8 (2) preceptors, Medicine in New Mexico series 2. Heart Disease ...... 102.1 151.0 (1) Health Extension (HEROs) 3. Unintentional Injuries ...... 79.1 58.2 (3) •• Northern New Mexico Health Extension Office 4. Diabetes ...... 29.3 28.0 (6) Telehealth 5. Intentional Self-Harm (Suicide) ...... 29.3 20.0 (7) •• Pediatrics/Center for Development and Disability (CDD): Clinical 6. Chronic Lower Respiratory Disease . . . . .28.9 46.3 (4) and educational programs 7. Cerebrovascular Diseases ...... 25.2 31.0 (5) •• Pediatrics/Envision NM: Adolescent NM 8. Liver Disease ...... 20.0 19.3 (8) •• Project ECHO: Hepatitis C, Integrated Addiction/Psychiatry & 9. Alzheimer’s ...... 13.3 15.8 (9) Behavioral Sciences, AASTEC Partners in Good Health and Wellness, 10. Respiratory, Influenza and Pneumonia . . 12.9 15.2 (10) Chronic Pain and Headache, Integrated Addiction/Psychiatry & Total Deaths (2014) ...... 272.0 18,157 Behavioral Sciences Source: NM DOH Indicator-Based Information System •• Psychiatry & Behavioral Sciences: IHS Center for Telehealth Excellence project Licensed Health Professionals 2014 2015 Community Research Medical Doctors ...... 85 72 •• UNM Comprehensive Cancer Center: NCI Community Oncology Doctors of Osteopathic Medicine ...... 3 4 Research Program Physician Assistants ...... 18 15 •• Internal Medicine: “Reducing Disparities in Child Development and Occupational Therapists ...... 9 8 Behavioral Health Service Utilization,” “Use of the ECHO Model to Disseminate NIDA/CTN Buprenorphine Blending” Physical Therapists ...... 24 24 •• Pediatrics/Envision NM: “The Initiative for Child Healthcare Quality” Dentists ...... 13 12 •• Pediatrics/Prevention Research Center: NM Youth Risk and Pharmacists ...... 26 26 Resiliency Survey, “Low-Dose CT Lung Cancer Screening - Informed Registered Nurses ...... 288 284 Decision-Making and Smoking Cessation” Licensed Practical Nurses ...... 29 32 •• Psychiatry & Behavioral Sciences: “Managing Patient-Centered Certified Nurse Practitioners ...... 23 26 Outcomes through Wellness and Recovery” Certified Nurse Anesthetists ...... 6 6 Certified Nurse Specialists ...... 0 0 Services provided at UNM HSC to Taos County residents (FY15): Certified Nurse-Midwives ...... 4 4 •• 3,834 total patient visits at UNM Hospitals and Clinics Licensed Midwives ...... 6 9 –– 315 Charity Care Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and –– 178 Uninsured Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM –– 3,341 Compensated Dept of Health Oct 2014/Oct 2015 •• 133 county residents served at UNM Comprehensive Cancer Center

36 Office for Community Health | County Health Report Cards Torrance County HSC activities in Estancia, Littlewater, Moriarty, Mountainair, Torreon

QUICK FACTS Torrance County NM SELECTED UNM HSC ACTIVITIES IN TORRANCE COUNTY Population, 2014 estimate ...... 15,611 2,085,572 Median household income, 2009-2013 . $31,161 $44,927 Patient Care •• College of Nursing: Clinical rotations Persons below poverty level, 2009-2013 . .27.8% 21.3% Land area in square miles, 2010 ...... 3,345 121,298 •• Office for Community Health: School Kids Influenza Immunization Program (SKIIP) Persons per square mile, 2010 ...... 5 17 Percent Unemployed (Sept. 2015) ...... 9.2 6.8 Education Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics •• Family and Community Medicine: Clerkship •• Internal Medicine: Diabetes Camp for Kids High School Four-Year Cohort Graduation Rates •• Office for Community Health: Community Health Worker home County average, class of 2014 ...... 71.4% 69.3% visits and care coordination Source: New Mexico Public Education Department •• Undergraduate Medical Education: Circuit riders, Practical Legislative Districts Immersion Experience preceptors House Senate Telehealth Dist. 50 - Matthew McQueen Dist. 19 - Sue Wilson Beffort •• Pediatrics/Center for Development and Disability (CDD): Clinical Dist. 70 - Tomás E. Salazar Dist. 39 - Ted Barela and educational programs •• Psychiatry & Behavioral Sciences: IHS Center for Telehealth Top 10 Causes of Death (2011-2014) Excellence project Deaths per 100,000 Torrance County NM (rank) Community Research 1. Heart Disease ...... 186.1 151.0 (1) •• College of Pharmacy: “A Prospective Birth Cohort Study Involving 2. Cancer ...... 169.4 147.8 (2) Uranium Exposure in Navajo Nation,” “Interactive Effect of Environmental Exposures and Alcohol in the Navajo Birth Cohort” 3. Unintentional Injuries ...... 80.5 58.2 (3) 4. Chronic Lower Respiratory Disease . . . . .66.2 46.3 (4) •• Pediatrics/Envision NM: “The Initiative for Child Healthcare Quality” 5. Cerebrovascular Diseases ...... 46.3 31.0 (5) •• Pediatrics/Prevention Research Center: NM Youth Risk and 6. Diabetes ...... 24.0 28.0 (6) Resiliency Survey 7. Intentional Self-Harm (Suicide) ...... 17.8 20.0 (7) 8. Alzheimer’s ...... 16.8 15.8 (9) Services provided at UNM HSC to Torrance County residents (FY15): 9. Liver Disease ...... 10.8 19.3 (8) •• 6,684 total patient visits at UNM Hospitals and Clinics 10. Respiratory, Influenza and Pneumonia . . 10.5 15.2 (10) –– 569 Charity Care Total Deaths (2014) ...... 183.0 18,157 –– 306 Uninsured Source: NM DOH Indicator-Based Information System –– 5,809 Compensated •• 92 county residents served at UNM Comprehensive Cancer Center Licensed Health Professionals 2014 2015 Medical Doctors ...... 3 3 Doctors of Osteopathic Medicine ...... 0 2 Physician Assistants ...... 2 3 Occupational Therapists ...... 2 2 Physical Therapists ...... 1 1 Dentists ...... 2 2 Pharmacists ...... 2 2 Licensed Practical Nurses ...... 11 9 Certified Nurse Practitioners ...... 4 5 Certified Nurse Anesthetists ...... 0 0 Certified Nurse Specialists ...... 2 1 Certified Nurse-Midwives ...... 0 0 Licensed Midwives ...... 0 0 Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM Dept of Health Oct 2014/Oct 2015

Office for Community Health | County Health Report Cards 37 Union County HSC activities in Capulin, Clayton, Des Moines

QUICK FACTS Union County NM SELECTED UNM HSC ACTIVITIES IN UNION COUNTY Population, 2014 estimate ...... 4,297 2,085,572 Median household income, 2009-2013 . $38,902 $44,927 Telehealth Persons below poverty level, 2009-2013 . .20.1% 21.3% •• Pediatrics/Center for Development and Disability (CDD): Clinical Land area in square miles, 2010 ...... 3,824 121,298 and educational programs Persons per square mile, 2010 ...... 1 17 •• Psychiatry & Behavioral Sciences: IHS Center for Telehealth Percent Unemployed (Sept. 2015) ...... 5.2 6.8 Excellence project Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics Community Research High School Four-Year Cohort Graduation Rates •• Internal Medicine: “Reducing Disparities in Child Developmental and Behavioral Health Service Utilization” County average, class of 2014 ...... 94.7% 69.3% •• Pediatrics/Envision NM: “The Initiative for Child Healthcare Quality” Source: New Mexico Public Education Department •• Pediatrics/Prevention Research Center: NM Youth Risk and

Legislative Districts Resiliency Survey House Senate •• Psychiatry & Behavioral Sciences: “Managing Patient-Centered Outcomes through Wellness and Recovery” Dist. 67 - Dennis J. Roch Dist. 7 - Pat Woods

Services provided at UNM HSC to Union County residents (FY15): Top 10 Causes of Death (2011-2014) •• 219 total patient visits at UNM Hospitals and Clinics Deaths per 100,000 Union County NM (rank) –– 20 Charity Care 1. Heart Disease ...... 173.6 151.0 (1) –– 5 Uninsured 2. Cancer ...... 162.0 147.8 (2) –– 194 Compensated 3. Unintentional Injuries ...... 58.5 58.2 (3) •• 9 county residents served at UNM Comprehensive Cancer Center 4. Chronic Lower Respiratory Disease . . . . .54.4 46.3 (4) 5. Diabetes ...... 39.2 28.0 (6) 6. Intentional Self-Harm (Suicide) ...... 27.6 20.0 (7) 7. Respiratory, Influenza and Pneumonia . . .22.6 15.2 (10) 8. Cerebrovascular Diseases ...... 15.4 31.0 (5) 9. Liver Disease ...... 13.2 19.3 (8) 10. Alzheimer’s ...... 11.2 15.8 (9) Total Deaths (2014) ...... 49.0 18,157 Source: NM DOH Indicator-Based Information System

Licensed Health Professionals 2014 2015 Medical Doctors ...... 3 3 Doctors of Osteopathic Medicine ...... 0 0 Physician Assistants ...... 1 0 Occupational Therapists ...... 0 0 Physical Therapists ...... 1 3 Dentists ...... 0 0 Pharmacists ...... 3 3 Registered Nurses ...... 30 31 Licensed Practical Nurses ...... 11 11 Certified Nurse Practitioners ...... 3 3 Certified Nurse Anesthetists ...... 0 0 Certified Nurse Specialists ...... 0 0 Certified Nurse-Midwives ...... 0 0 Licensed Midwives ...... 0 0 Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM Dept of Health Oct 2014/Oct 2015

38 Office for Community Health | County Health Report Cards Valencia County HSC activities in Belen, Bosque Farms, Jarales, Los Lunas, Peralta, Tome

QUICK FACTS Valencia County NM SELECTED UNM HSC ACTIVITIES IN VALENCIA COUNTY Population, 2014 estimate ...... 75,817 2,085,572 Median household income, 2009-2013 . $42,506 $44,927 Patient Care Persons below poverty level, 2009-2013 . .23.4% 21.3% •• College of Nursing: Clinical rotations Land area in square miles, 2010 ...... 1,066 121,298 •• Family and Community Medicine: Clinical consultations Persons per square mile, 2010 ...... 72 17 •• Office for Community Health: School Kids Influenza Immunization Percent Unemployed (Sept. 2015) ...... 7.8 6.8 Program (SKIIP) Sources: State and County QuickFacts, U.S. Census Bureau and Bureau of Labor Statistics Education High School Four-Year Cohort Graduation Rates •• College of Nursing: Central Regional Educational Cooperative County average, class of 2014 ...... 49.7% 69.3% •• NM Poison and Drug Information Center: Poison Prevention Source: New Mexico Public Education Department •• Office for Community Health: Community Health Worker home visits and care coordination Legislative Districts House Senate •• Office of Diversity: Health Careers Academy, Pharmacy College Admission Test preparation (PCAT+), Undergraduate Health Dist. 7 - Kelly Fajardo Dist. 29 - Michael S. Sanchez Sciences Enrichment Program Dist. 8 - Alonzo Baldonado Dist. 30 - Clemente Sanchez Dist. 49 - Don L. Tripp Dist 39 -Ted Barela •• Pediatrics/Prevention Research Center: Sexual Violence Prevention Dist 50 - Matthew McQueen Technical Assistance Dist. 69 - W. Ken Martinez •• Pediatrics/Occupational Therapy: Treatment Foster Care Summer Camp and Fieldwork Top 10 Causes of Death (2011-2014) •• Undergraduate Medical Education: Circuit riders, Practical Deaths per 100,000 Valencia County NM (rank) Immersion Experience preceptors 1. Cancer ...... 156.2 147.8 (2) Telehealth 2. Heart Disease ...... 151.6 151.0 (1) •• Pediatrics/Center for Development and Disability (CDD): Clinical 3. Unintentional Injuries ...... 63.3 58.2 (3) and educational programs 4. Chronic Lower Respiratory Disease . . . . .59.3 46.3 (4) •• Pediatrics/Envision NM: Adolescent medicine 5. Cerebrovascular Diseases ...... 46.3 31.0 (5) •• Project ECHO: Integrated Addiction/Psychiatry & Behavioral 6. Diabetes ...... 30.8 28.0 (6) Sciences, Hepatitis C, Peer Education Program, Endocrinology, 7. Intentional Self-Harm (Suicide) ...... 22.5 20.0 (7) Tuberculosis 8. Liver Disease ...... 19.6 19.3 (8) •• Psychiatry & Behavioral Sciences: IHS Center for Telehealth 9. Alzheimer’s ...... 19.6 15.8 (9) Excellence project 10. Respiratory, Influenza and Pneumonia . . 15.4 15.2 (10) Community Research Total Deaths (2014) ...... 651.0 18,157 •• College of Nursing: “School Nurses’ Perspectives on Culturally Source: NM DOH Indicator-Based Information System Competent Suicide Prevention for American Indian/Alaska Native Licensed Health Professionals 2014 2015 Students in NM” Medical Doctors ...... 23 22 •• Internal Medicine: Comprehensive HIV Early Intervention Services Doctors of Osteopathic Medicine ...... 3 5 in Central/Northwestern NM Physician Assistants ...... 5 8 •• Pediatrics: Developmental Care Continuity Program Occupational Therapists ...... 12 14 •• Pediatrics/Envision NM: “The Initiative for Child Healthcare Quality” Physical Therapists ...... 21 22 •• Pediatrics/Prevention Research Center: NM Youth Risk and Dentists ...... 14 13 Resiliency Survey Pharmacists ...... 56 57 Registered Nurses ...... 610 636 Services provided at UNM HSC to Valencia County residents (FY15): Licensed Practical Nurses ...... 93 80 •• 41,090 total patient visits at UNM Hospitals and Clinics Certified Nurse Practitioners ...... 23 25 –– 3,570 Charity Care Certified Nurse Anesthetists ...... 1 0 –– 2,157 Uninsured Certified Nurse Specialists ...... 4 4 –– 35,363 Compensated •• 572 county residents served at UNM Comprehensive Cancer Center Certified Nurse-Midwives ...... 1 0 Licensed Midwives ...... 1 1 Sources: NM Health Care Workforce Committee Oct 2014/Oct 2015, NM Regulation and Licensing Department Jan 2014/Jan 2015, NM Board of Nursing Jul 2014/Jul 2015, NM Dept of Health Oct 2014/Oct 2015

Office for Community Health | County Health Report Cards 39 Navajo Nation (See map below for locations of HSC activities)

QUICK FACTS Navajo Nation NM SELECTED UNM HSC ACTIVITIES IN THE NAVAJO NATION Population ...... 177,161 2,085,572 Patient Care Median household income ...... $26,856 $44,803 •• Psychiatry & Behavioral Sciences/Community Behavioral Health: Persons below poverty level ...... 39.9% 21.3% Clinical services Land area in square miles ...... 27,673 121,298 Education Persons per square mile ...... 6.4 17.2 •• UNM Comprehensive Cancer Center: Native American Cancer Percent Unemployed ...... 20.3% 8.7% Education (Source: U.S. Census Bureau, 2014 American Community Survey 1-Year Estimates) •• Office for Community Health: Community Health Worker home visits and care coordination •• Office of Diversity: Undergraduate Health Sciences Enrichment Government Program •• Psychiatry & Behavioral Sciences/Community Behavioral Health: Executive Branch Legislative Branch Native American Suicide Prevention President Russell Begaye Council Speaker Lorenzo Bates Vice President Jonathan Nez Judicial Branch Community Research Chief Justice Allen Sloan •• College of Pharmacy: “A Prospective Birth Cohort Study Involving Uranium Exposure in Navajo Nation,” “Interactive Effect of Environmental Exposures and Alcohol in the Navajo Birth Cohort” •• Pediatrics/Envision NM: “The Initiative for Child Healthcare Quality” •• Pediatrics/Prevention Research Center: “Promoting Healthy Lives”

Aneth Navajo Mountain Mexican Water Inscription House Dennehotso Shiprock Lechee Kayenta Teec Waterow Nos Pos Farmington Hogback Kaibeto Shonto Black Kirtland Rough Rock Round Rock Fruitland Bloom eld Coppermine Mesa Sanostee Lukachukai Burnham Coalmine Newcomb Tuba City Sheep Springs Many Farms Tsaile Naschiti Nageezi Pinion Two Grey Chilchinbeto Chinle Hills Mexican Whipoorwill Springs Tohatchi Low Nazlini Mountain Sawmill Standing Rock Tolani Navajo Ft. De ance Becenti Jeddito St. Michael’s White Horse Steamboat Ganado Pinedale White Church Crownpoint Ya-Ta-Hey Rock Coyote Smith Lake Cone Corn elds Canyon Thoreau Klagetoh Gallup Oak Springs Ft. Prewitt Iyanbito Leupp Dilkon Indian Wide Ruins Manuelito Wingate Wells Lupton Houck Vanderwagen Teesto Ramah

40 Office for Community Health | County Health Report Cards COUNTY HEALTH REPORT CARDS 2016 Project Management Team: Vanessa Hawker, Nicole Elzy, Carolina Nkouaga Graphic Design and Photography Paul Akmajian Data Compilation Molly Bleecker, Nadine Torres, Kyle Vick

hsc.unm.edu/community

© Copyright 2016 University of New Mexico Health Sciences Center Chancellor’s Office and the Office of the Vice Chancellor for Community Health

Published by the HSC Communications and Marketing Department

Every effort has been made to make the information in this report as accurate and up-to-date as possible. We regret any omissions or inaccuracies. (N/A = information not available at press time). Comments, additions or corrections may be sent to: Molly Bleecker, [email protected]. CommunityCommunity Outreach Outreach 20152014 579 Activities in 246 Communities 430 Activities in 152 Communities

DulceDulce Chama RatonRaton Teec Flora Vista Aztec Aztec TeecWater ow Shiprock TAOSTAOS Nos Pos Red River Des Moines Nos Pos Farmington Tierra Amarilla Questa Shiprock Hogback Hogback Farmington Tierra Amarilla Capulin Kirtland RIO RIOARRIBA ARRIBA COLFAXCOLFAX UNION Fruitland BloomeldBloomeld ArroyoArroyo Seco Seco Little Water Ojo CalienteOjo Caliente El Prado TaosTaos Pueblo Pueblo UNION AngelAngel Fire FireCimarron Sanostee El Rito Taos Burnham El RitoEmbudoEmbudo Taos SpringerSpringer Newcomb Lybrook Lindrith Gallina Sheep Springs Newcomb Chamisal RanchosRanchos de Taosde Taos Clayton Naschiti SAN JUANSAN JUAN AbiquiuOkay Owingay Ojo Sarco Hernandez PeñascoPeñasco NAVAJO Two Grey Nageezi SANDOVALSANDOVAL Abiquiu Truchas Two GreyHills Pueblo Ohkay OwingehCordova Cordova Chacon Pueblo Cuba Mora MORA NATION NAVAJO Hills PintadoPintadoCuba SantaSanta Clara ClaraPueblo PuebloEspañolaEspañola MORA RoyRoy Mora MexicanNATION Los Alamos Santa Cruz Tohatchi Ojo EncinoOjo EncinoLos Alamos Santa Cruz HARDINGHARDING Springs Tohatchi StandingStanding Rock Rock Jaconita NambeJaconita Pueblo Window Navajo Jemez Pojoaque Navajo China MCKINLEYMCKINLEY Jemez Cochiti Santa Fe Rock BecentiPinedale Red MesaPuebloPuebloCochitiPuebloTesuque SpringsPinedale WhiteCrownpoint Horse Red Mesa Pueblo Santa Fe Las Vegas Church Crownpoint Pecos Las Vegas GamercoCoyoteGallup Kewa KewaPueblo PuebloSan FelipeSan Felipe Pueblo PuebloPecos Rock ThoreauSmith Lake Zia Pueblo Algodones Lamy Gallup CanyonThoreau Zia Pueblo Algodones Lamy SAN MIGUEL Prewitt Santa Ana Pueblo SAN MIGUEL Ft. Santa Ana Pueblo PlacitasCerrillos Ribera Ft. WingateIyanbito Bernalillo CerrillosSANTA FE Ribera Logan Manuelito Wingate Bernalillo Sandia Park Ramah Rio RanchoSANTASandia FE Park Red Mesa Rio RanchoCañoncito Cedar Crest Tucumcari Ramah Grants Paguate Corrales Tucumcari CañoncitoTo'Hajiilee AlbuquerqueCedarTijeras Crest San Jon Vanderwagen Zuni Pueblo Grants Paguate To'Hajiilee Albuquerque Anton Chico San Jon Zuni Pueblo BERNALILLO Tijeras Cubero Sundance Edgewood Santa Rosa Pine Hill Laguna BERNALILLO Edgewood Santa Rosa QUAY Casa Blanca Laguna Peralta Moriarty QUAY SanAcoma Fidel Isleta PuebloBosque Farms Grady Pueblo Moriarty Acoma Isleta Pueblo PeraltaLos Lunas Estancia Grady Pine Hill CIBOLAPueblo Belen Estancia TORRANCE GUADALUPE CIBOLA Jarales Los Lunas TorreonTORRANCE GUADALUPE House BelenVALENCIATome CURRY Fence Lake Alamo Tome TorreonMountainair VALENCIA CURRYTexico Veguita Melrose Mountainair Clovis Veguita DE BACAFt. Sumner Texico Quemado Omega Clovis Lemitar DE BACA Quemado Omega Melrose Portales Pie Town Lemitar Magdalena Floyd Portales Socorro Magdalena Polvadera CATRON SOCORRO LINCOLN ROOSEVELT Socorro ROOSEVELT CATRON SOCORRO LINCOLN Reserve San Antonio Carrizozo Elida Dora Reserve Capitan Carrizozo Capitan CHAVES Roswell Ruidoso CHAVES SIERRA WHITE SANDS Alto Roswell Glenwood Elephant Butte Mescalero Truth or Ruidoso Hagerman Tatum ConsequencesSIERRA WHITE SANDS Tularosa Dexter Elephant Butte Mescalero Gila Truth or La Luz HagermanLake Arthur Lovington Consequences HollomanTularosa Cli GRANT Air Force Base Gila La Luz LakeArtesia Arthur Silver City Bayard Holloman Alamogordo Lovington GRANT Lake Valley Hatch Air Force Base Hobbs Tyrone Derry Artesia Silver City Hanover OTERO EDDY LEA Radium Springs Alamogordo Hope Bayard Hatch Hobbs Red Rock Carlsbad Eunice Hurley DOÑA ANA OTERO EDDY LEA LUNA Radium Springs TyroneLordsburg Mimbres Las Cruces Deming Mesilla Mesquite Carlsbad Eunice LUNA DOÑALa ANA Mesa Chaparral Lordsburg BerinoLas Cruces Vado Deming MesillaAnthonyMesquite La Mesa San Miguel Santa Teresa Loving Animas Berino Chaparral Vado Jal Rodeo ColumbusAnthonySunland Park Animas Santa Teresa <100 100–999 1,000–1,999 2,000–2,999 3,000–9,999 >10,000 HIDALGO Rodeo Columbus Sunland Park <100 100–999People1,000–1,999 served 2,000–2,999 per county3,000–9,999 >10,000 HIDALGO People served per county

UNM Health System clinical encounters are not included in the counts. Outreach activities include education, patient care, community research and telehealth sites. Map re ects the county where activities occurred and the number of individuals served by the activities. Activity participants might not be residents of the county in which the activity occurred. UNM Health System clinical encounters are not included in the counts. Outreach activities include education, patient care, community research and telehealth sites. Map re ects the county where activities occurred and the number of individuals served by the activities. Activity participants might not hsc.unm.edu/communitybe residents of the county in which the activity occurred.