COUNTY HEALTH REPORT CARDS Engaging in Communities to Serve the People of New Mexico January 2020 Selected Background Data: New Mexico - United States NEW MEXICO UNITED STATES POPULATION (2018 ESTIMATE)........................................................... 2,095,428 .... 327,167,434 • Children under 18 years . 23 0%. .22 .4% • 65+ .......................................................................................... .17 .5% ............ .16 0%. • Black ......................................................................................... 2 .6% ............ .13 .4% • Hispanic . 49. 1. % . 18 .3% • American Indian and Alaska Native .............................................................. 10 .9% ............. .1 .3% • Asian . 1 .8% . .5 .9% • White Non-Hispanic............................................................................ .37 1. % ............ 60 .4% Source: U.S. Census Bureau QuickFacts POPULATION DISTRIBUTION BY METROPOLITAN STATUS (2010) • Metropolitan ................................................................................... 77% .............. 81% • Nonmetropolitan ............................................................................... 23% .............. 19% Source: U.S. Census Bureau, 2010 decennial census DISTRIBUTION OF TOTAL POPULATION BY FEDERAL POVERTY LEVEL (2018) • Under 100% . .20% . .13% • 400% plus . 28% . 40% Source: Kaiser Family Foundation MEDIAN ANNUAL HOUSEHOLD INCOME (2018) ................................................ $47,169 .......... .$61,937 Source: U.S. Census Bureau, American Community Survey UNEMPLOYMENT RATE (2018 ANNUAL AVERAGES) ............................................... .4.9% ............. 3.9% Source: U.S. Department of Labor, Bureau of Labor Statistics HEALTH INSURANCE COVERAGE OF THE TOTAL POPULATION, N.M. AND U.S. (2018) • Employer ...................................................................................... 37% ............. .49% • Individual ....................................................................................... 4% ............... 6% • Medicaid ....................................................................................... 33% ............. .20% • Medicare....................................................................................... 15% .............. 14% • Other Public..................................................................................... .2% ............... .1% • Uninsured ....................................................................................... 9% ............... 9% Source: Kaiser Family Foundation SELECTED HEALTH AND SOCIAL STATISTICS • Percent of adults who are overweight or obese (2018)............................................ 67 .2% ............ 65 .9% • Percent of children who are overweight or obese (2017) .......................................... 33 .8% ............ 30 7%. • Percent of adults who participated in any physical activity (2018) ................................. 77 .8% ............ .75 .8% • Teen birth rate per 1,000 population ages 15-19 (2017)............................................ 27 .9% ............ .18 .8% • Percent of children age 19-35 months who are immunized (2017) ................................... 71 .9% ............ 70 .4% • Percent of adults who visited the dentist or dental clinic within the past year (2018) ................. 65 1%. ............ 66 .5% • Percent of adults reporting poor mental health (2017) ............................................. .37 1. % ............ 35 .6% Source: Kaiser Family Foundation I am pleased to present New Mexico’s 2020 County Health Report Cards. The UNM Health Sciences Center compiles this annual report to provide policymakers and the public with a county-by-county snapshot of New Mexicans’ health status . The report draws on data provided by our partners in the New Mexico Department of Health and County Health Councils . It also details the many activities conducted by HSC colleges, the UNM Health System and programs we operate in communities throughout the state . These activities reflect areas of focus that in our view will lead to the greatest improvements in health status for New Mexicans . They include addressing the health care workforce shortage, child well-being, healthy aging and behavioral health and substance use disorder . While these report cards highlight health care success stories, they also underscore serious ongoing challenges that continue to face many of our communities . I hope that the information presented here will be of assistance in helping to craft effective solutions . With Warm Regards, Paul B . Roth, MD, MS Chancellor for Health Sciences CEO, UNM Health System Dean, UNM School of Medicine UNM President Garnett S . Stokes seldom misses an opportunity to remind us that we must aspire to become the University for New Mexico . This vision is reflected in the growing responsiveness of UNM’s colleges and departments, who are working together to respond to the priority health and social needs of New Mexico communities . The UNM Health Sciences Center is collaborating with Architecture and Planning, Engineering, Education, Law and Business in a program called HIVE (Health, Inclusion, Vibrancy & Equity) . Working together, they address such needs as transportation for rural veterans; health, social and legal services at a homeless shelter; teacher training for rural public schools; family medicine resident training at the U .S ./Mexico border; and providing safe and clean rest rooms at public parks . The Health Sciences Center can be proud of the many initiatives linking campus and community, including such models as the Transdisciplinary Research, Equity and Engagement Center; the New Mexico Nursing Education Consortium; the New Mexico Poison & Drug Information Center and Project ECHO . UNM’s Office for Community Health is continuing to build a community- and campus-based network of resources to better serve our state . We collaborate with all of the university’s colleges and hospitals to strengthen this resource . Health Extension Regional Officers (HEROs), Area Health Education Centers and our community health worker programs are other examples of the Health Sciences Center’s reach into our communities . This year, we are also featuring the community-oriented research work generated by the Clinical & Translational Sciences Center and the nationally unique and growing Project ACCESS, which uses telemedicine technology to help rural hospital physicians remotely manage acute stroke and head injury, thereby sharply reducing the cost of preventable transports . Sincerely, Arthur Kaufman, MD Distinguished Professor of Family & Community Medicine OFFICE FOR COMMUNITY HEALTH – COUNTY HEALTH REPORT CARDS 1 HEROS IN YOUR COMMUNITY: Sample Accomplishments NORTHWEST Helen Tso COLFAX — Worked with a coalition of organizations serving the Four Corners region to NORTH NORTH implement a food access program for “food desert” areas of the Navajo Nation . — Mentored UNM pre-med students on mental and behavioral health and Navajo cultural beliefs . NORTHWEST NORTH NORTHEAST Juliana Anastasoff BERNALILLO — Collaborated with UNM Dept . of Psychiatry & Behavioral Sciences to bring GUADALUPE national Mental Health First Aid training team to N .M ., leading to 60-plus new MHFA instructors for the state . — Developed and implemented a 10 credit-hour community health worker degree program approved for all UNM campuses that allows eligible students SOUTHWEST to qualify for federal financial aid . SOUTH NORTHEAST SOUTHEAST Elaine Luna — Developed standards, guidelines and requirements for state certification of community health workers as a member of the New Mexico Community Health Worker Certification Board . — Cornerstone partner of the Rural Community Opioid Response Program in northern N .M . SOUTHWEST Alisha Herrick — Helped primary care practices in southern N .M . enact safer opioid prescribing practices . — Organized focus groups around community priorities in four quadrants of the state . SOUTH Marnie Nixon — N .M . team lead for the Border Collaborative Improvement & Innovation Network to Reduce Infant Mortality, which develops and delivers training to community health workers on the topics of preconception and prenatal care . — Chair of the Youth Health in Doña Ana County Working Group, which works to increase the number and scope of school-based health centers in the county and helped pass a bill to make health education a statewide high school graduation requirement . SOUTHEAST Evelyn Rising — Campaigned to increase high school graduation rates and enrollment in post-secondary programs among African American and Latino high school students in her region . — Worked with partners on reducing high teen pregnancy rates in southeastern N .M . GUADALUPE Chantel Lovato — Helped develop an emergency response training for rural ranchers in her region . — Contributed to implementation of a Community Schools grant for her eastern N .M . district . COLFAX Mark McDonald — Worked to establish a halfway house for adults experiencing addiction in his region . — Helped conduct community health assessment in Colfax County and the tri-state region . BERNALILLO Francisco Ronquillo (Albuquerque South Valley) — Developed and implemented computer/health literacy classes for English- and Spanish-speaking older adults in the South Valley . — Participated in creation of a family engagement policy in the Albuquerque Public Schools . Toyese Oyeyemi (UNM) — Developed and established intensive training