A calculation error was identified and corrected. The error affected service areas and regions such that the reported figures were the crude average of the service area value and the value for the state of California as a whole. Affected indicators:

Health Outcomes

• Cancer Incidence – Breast
• Cancer Incidence – Cervical
• Cancer Incidence – Colon and Rectum
• Cancer Incidence – Lung
• Cancer Incidence – Prostate

Note: the error did not affect the service area’s directionality (higher or lower) relative to the state or region.

New data about physical inactivity, diabetes, and obesity are available for 2013 (replacing data for 2012). Time series data are now available for years 2004 through 2013. Affected indicators:

Health Behaviors

• Physical Inactivity (Adult)

Health Outcomes

• Diabetes Prevalence
• Obesity (Adult)

New air quality indicator data and maps are now available for 2012 (replacing data for 2008). Time series data are now available for years 2009 through 2012. Affected indicators:

Physical Environment

• Air Quality – Ozone
• Air Quality – Particulate Matter 2.5

CHNA indicators have been reformatted to eliminate discrepancies between service area and county values due to rounding. Figures for all indicators generated from county-level data now round to 1 decimal place. Figures for all indicators generated from ZIP codes, census tracts, and points/addresses still round to 2 decimal places.

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

Clinical Care

• Access to Primary Care

New maps and data now available for 2 indicators from the 2014 Centers for Disease Control and Prevention (CDC) Sexually Transmitted Diseases Surveillance System (STDSS) (replacing data for 2012). Affected indicators:

Health Outcomes

• Chlamydia Incidence
• Gonorrhea Incidence

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

Health Outcomes

• Mortality – Cancer
• Mortality – Heart Disease
• Mortality – Homicide
• Mortality – Coronary Heart Disease
• Mortality – Lung Disease
• Mortality – Motor Vehicle Accident
• Mortality – Stroke
• Mortality – Suicide
• Mortality – Unintentional Injury

An error was identified in the query used to generate prevalence estimates for select chronic conditions among Medicare patients. This issue affected only those multi-county report areas which included one or more counties with “no data”. These counties area: Aleutians West Borough, AK; Denali Borough, AK; King County, TX; Loving County, TX; Greensville County, VA; and Manassas Park city, VA.

This issue affected five indicators using data from the Centers for Medicare and Medicaid Services (CMS) Chronic Conditions Warehouse:

• Heart Disease – Medicare Population High Blood Pressure – Medicare Population
• High Cholesterol – Medicare Population
• Depression – Medicare Population
• Stroke – Medicare Population
• Diabetes – Medicare Population

New estimates for the 2015-2016 school year were acquired from the California Department of Education (replacing estimates from the 2013-14 school year).
Note: Beginning with the 2014-15 school year, students were tested using the California Assessment of Student Performance and Progress (CAASPP). Students in previous years were tested using the California Standardized Testing and Reporting (STAR) program. STAR test results and CAASPP results cannot be reliably compared because CAASPP evaluates new standards that emphasize analytical thinking, problem solving and communications skills.

Affected indicators:

Social & Economic Factors

• Student Reading Proficiency (4th Grade)

New data on the number of percentage of food insecure population are available from Feeding America’s Map the Meal Gap 2016. Affected indicators:

Social & Economic Factors

• Food Insecurity Rate