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Release Notes

September 2014 Update to the Warehouse (Release v. 2.2)

This release of the HIW updates to 67 indicators from 5 major data sources:

  • National Vital Statistics System – Mortality (2011): 29 indicators
  • Sexually Transmitted Diseases Surveillance System (2012 new, with updated data for 2007-2011): 2 indicators
  • Dartmouth Atlas of Health Care (2011): 1 indicator
  • Area Health Resources File (2011): 2 indicators
  • Health United States (data contained in 2013 edition): 32 indicators

The release included no changes to the website functionality nor in the number or methodology of any previously included indicators.


Two indicators were temporarily taken out of the warehouse until corrected data can be obtained:

  • Preventable hospitalizations: Medicare beneficiaries (ID=29)
  • Free school lunch eligibility (ID=10005)

July 2014 Update to the Warehouse (Release v. 2.1)

This release involves the reloading of all indicators associated with Centers for Medicare and Medicaid Services (CMS) Community Indicators. In updating these indicators, break-outs by geography were added for counties in the U.S., in addition to states and hospital referral regions. This required a slight change in the interface to be able to present data tables and reports by county.


In addition, the following indicators were dropped from the HIW. Many of these indicators are no longer measured and have been subsumed under other indicators.

  • 167 - Acute inpatient prospective payment system Medicare users
  • 168 - Acute inpatient prospective payment system Medicare utilization
  • 174 - Critical access hospital services Medicare users
  • 175 - Critical access hospital services Medicare utilization
  • 181 - Other hospital inpatient Medicare users
  • 182 - Other hospital inpatient Medicare utilization
  • 193 - Post-acute care Medicare users
  • 194 - Post acute care Medicare utilization
  • 275 - Other Part B Medicare users
  • 276 - Other Part B Medicare utilization
  • 314 - Asian American or Pacific Islander Medicare beneficiaries 65+
  • 315 - American Indian or Alaska Native Medicare beneficiaries 65+
  • 2002 - Inpatient prospective payment system Medicare admissions
  • 2003 - Critical Access Hospital Medicare admissions
  • 2004 - Other hospital inpatient Medicare admissions
  • 2010 - Inpatient prospective payment system Medicare days
  • 2011 - Critical access hospital Medicare days
  • 2012 - Other hospital inpatient Medicare days
  • 2024 - Laboratory test Medicare service events
  • 2025 - Other tests (Non-laboratory) Medicare service events
  • 2027 - Laboratory test Medicare users
  • 2028 - Laboratory test Medicare utilization
  • 2029 - Other tests (non-laboratory) Medicare users
  • 2030 - Other tests (non-laboratory) Medicare utilization

Three new CMS indicators have been added with this release:

  • 50070 - Test Medicare users
  • 50071 - Test Medicare utilization
  • 50072 - Test Medicare service events

May 2014 Update to the Warehouse (Release v 2.0)

This release focuses on changes to the Health Indicators Warehouse website.

  • The home page has been completely refreshed.
    • Identification of indicators is now focused on searching by topic or by keyword.
    • Web services API and helpful resources for getting started using the site are better called out.
  • The For Developers section of the site has been expanded and reorganized.
    • There is a “Try It” section which allows interactive exploration of how one uses the service methods.
    • Work flow to find information has been improved.
    • The documentation section is more complete.

April 2014 Update to the Warehouse (Release v 1.12)

This release includes updates to the indicators obtained from many different data sources. The following is a list of those sources.

  • Infant mortality: data years 2009 and 2010 (3 indicators
  • National Vital Statistics System-Natality: data year 2012 (11 indicators)
  • Behavioral Risk Factor Surveillance System (county estimates): data year 2012 (19 indicators)
  • National Notifiable Disease Surveillance System: data year 2011 (11 indicators)
  • American Community Survey: data year 2012 (2 indicators)
  • Bureau of Labor Statistics: data year 2012 (1 indicator)

New indicators:

  • Septicemia deaths: data year 2010
  • Health, United States indicators (38 new indicators from the National Health Interview Survey)

February 2014 Update to the Warehouse (Release v 1.11)

This release includes updates to many of the indicators obtained from the Healthy People 2020 initiative. Also, all data derived from the National Vital Statistics System – Mortality data prior to the year ending year 2010 have been updated with new census denominators that account for the additional information obtained from Census 2010 data. Finally, the Health, United States initiative has been included as one of our sources of indicators. Fifty indicators have been identified as being derived from this initiative.

December 2013 Update to the Warehouse (Release v 1.10)

This release includes data releases for the following indicators:

  • ID 23 - Health insurance, none: <65 years (percent) (Source: SAHIE) (2011)
  • ID 10018 - HIV prevalence (per 100,000) (2010)

Minor fixes to the website interface to improve performance across different user computing platforms.

October 2013 Update to the Warehouse (Release v 1.9)

This release focuses exclusively on updates to indicators from the National Vital Statistics System – Natality (NVSS-N).

Data for the following NVSS-N indicators were updated to include data for the years 2010 and 2011 during this release.

  • Births: females 15-19 years (per 1,000)
  • Births: women under 18 years (percent)
  • Births: women 40-54 years (percent)
  • Births: unmarried women 18-65 years (percent)
  • Low birth weight deliveries (percent)
  • Very low birth weight deliveries (percent)
  • Preterm births, total (percent)
  • Preterm births, 34-36 weeks of gestation (percent)
  • Preterm births, 32-33 weeks of gestation (percent)
  • Preterm births, <32 weeks of gestation (percent)
  • Births, moderately preterm (32-36 wks) (percent)

September 2013 Update to the Warehouse (Release v 1.8)

This release focuses mostly on data updates.

Data for the following groups of indicators were updated during this release.

  • Sexually transmitted diseases: All data refreshed for Chlamydia, ID# 20 and Gonorrhea, ID# 10062
  • Air pollution and environmental indicators: All data refreshed for Particulate matter days, ID# 44 and Ozone days, ID# 45; 2011 data added for Toxic chemical releases, ID #105
  • Income and poverty: 2011 data added for Child poverty, ID# 36 and Median household income, ID# 10003
  • Census business data: 2010 and 2011 data added for Liquor stores, ID# 51
  • County-level data from County Health Rankings, including Preventable hospitalizations, ID# 27; Annual HbA1c testing among diabetic Medicare beneficiaries, ID# 29; Single-parent households, ID# 40; and Free school lunch eligibility, ID# 10005
  • Indicators included in the Healthy People 2020 initiative: all data received as of May 2013.

The following indicators were added and are new with this release.

  • Prostate-specific antigen tests counseling: males (percent) (512)
  • Tobacco advertising exposure, television/movies: teens (percent) (1543)
  • Tobacco advertising exposure, stores/gas stations: teens (percent) (1544)
  • Tobacco cessation counseling in dental care settings: persons 12+ years (percent) (1553)
  • Tobacco screening in dental care settings: persons 12+ years (percent) (1559)

Charts now allow both a demographic view and a geography view. This option had been dropped during the previous release, but is introduced again so allow better viewing of data.

Similar indicators now are differentiated by the display of the data source with the indicator name so that users can better choose the indicator they need.

June 2013 Update to the Warehouse (Release v 1.7)

This release involved a number of different changes to the HIW.

An Advanced Table view was introduced in a beta version. This view of the data allows data filtering and data grouping. The geographic break-outs of each indicator are columns as well as the other demographic dimensions. Scrolling through the table is made cleaner with the introduction of fixed row and column headers so that the user knows what data are being presented at all times, and load time is reduced by the introduction of a 200-line limit to any one page to be displayed.

User Interface Enhancements were introduced on the normal data table view. These enhancements should be relatively unnoticeable and focus on making cleaner use of tabs, buttons and screen space. Also, if an indicator does not contain national data estimates, the tables will now default to Alabama estimates.

The chart view of data has also been cleaned up somewhat. The charts have enough space to generally show the full description of the demographic being displayed on each bar in the charts. This should allow users to better understand what is being charted. Charts by geography (all counties in a single state, for example) have been temporarily disabled for this release.

The data model underlying the HIW has been changed in this release to simplify and clean up data representations.

  • Standard errors are now represented as a numeric, formatted variable.
  • Dimension modifiers are now used, replacing the separate “Prefix” and “Adjustment” dimension. The modifiers are not shown in the headers of tables, which previously cluttered table presentation.
  • Fields for the numerator and denominator were added, which will be used in future data loads.

Version 4 of Web Services was added, to make use of the new data model. Updated release notes for developers and code samples for v4 of the web services were also added.

New Data Releases in v1.7 include the following.

CMS Indicators for years 2007-2011, National, State and Hospital Referral Region data

  • Federally Qualified Health Center and Rural Health Clinic visits (per 1,000 beneficiaries)
  • Federally Qualified Health Center and Rural Health Clinic visits (count)
  • Federally Qualified Health Center and Rural Health Clinic visits (percent)
  • Dialysis Medicare visits (per 1,000 beneficiaries)
  • Dialysis Medicare visits (count)
  • Dialysis Medicare visits (percent)

County Health Status Indicators (CHSI) indicators, most recent years, State and County data

  • Preventable hospitalizations: Medicare beneficiaries (per 1,000)
  • HbA1c test: diabetic Medicare beneficiaries 65-75 years (percent)
  • Single-parent households (percent)
  • Free school lunch eligibility (percent)

Behavioral Risk Factor Surveillance System (BRFSS) indicators, 2005-2011 multi-year estimates, state and county data

  • Physically or mentally unhealthy days: adults (days)
  • Pneumococcal vaccination: adults 65+ (percent)
  • Flu vaccination: adults 65+ (percent)
  • No exercise: adults (percent)
  • High blood pressure: adults 18+ (percent)
  • Diabetes: adults (percent)
  • Physician use delayed due to cost (percent)
  • Social-emotional support lacking: Adults (percent)

March 2013 data upload to the Warehouse (Release v 1.6.2)

This release contains data changes only. No changes were made to the Warehouse functions. Major data changes for this release include the following.

  • Indicators associated with the Healthy People 2020 Initiative (HIW ID 368 through 1575) have been updated. Both the data and the metadata have been modified where new information was available. Some estimates that had previously been included in the HIW have changed, based on better analysis of the raw data. Thirteen indicators (HIW ID 10075-10087) have been added. Six indicators have been dropped from this release (HIW ID 536, 1133, 1134, 1142, 1143 and 1145).
  • Indicators associated with the CMS Community Indicators initiative (HIW ID 160-348, 2001-2046, 10033-10061) have been updated. Eleven new indicators (HIW ID 50016-50026) have been added. Seven indicators (HIW ID 318, 50001-50006) have been dropped from this release. The estimates for data years 2007 through 2010 have been modified slightly due to changes in the methodology, and data year 2011 has been added. See the CMS methodology Medicare Data for the Health Indicators Warehouse: A Methodological Overview.
  • Estimates for 21 indicators created using mortality data from the National Vital Statistics System have been updated with 2010 data. An additional 5 indicators were added to the HIW which use mortality data. In this release, all estimates including the year 2010 use denominator data which is slightly different from previous years.
    • The 2010 population comes from the Censal year estimates.
    • The 2004-2009 population comes from the intercensal population estimates. These estimates use census data from both 2000 and 2010 to create all population estimates between those two years.
    Mortality estimates from 2009 and before use the postcensal population estimates for 2001-2009, the estimates created after one census and before the next one. There might be a slight break in trends between 2009 and 2010 due to the change in the denominator data, which will be corrected during a later HIW data release by the replacement of the older estimates.
  • Six indicators were updated using the 2005-2011 BRFSS data to estimate state and county health (HIW 5, 7, 9 13, 17, 150).
  • Several other indicators that include county estimates have been updated with recent data (HIW ID 25, 27, 29, 34, 35, 37, 40, 48, 105, 130, 1004, 10018).

The following new indicators have been added:

  • Diabetes deaths (50011)
  • Chronic lower respiratory disease (CLRD) deaths (50012)
  • Influenza and pneumonia deaths (50013)
  • Kidney diseases deaths (50014)
  • Alzheimer's disease deaths (50015)
  • Sunburn: adults (500)
  • smoke-free indoor air laws--gaming halls (1528)
  • Smoke-free indoor air laws--substance abuse treatment facilities (1536)
  • Smoke-free indoor air laws--mental health treatment facilities (1537)
  • Smoke-free indoor air laws--entrances/exits of all public places (1538)
  • Smoke-free indoor air laws--hospital campuses (1539)
  • Smoke-free indoor air laws--college/university campuses (1540)
  • Increase the inclusion of counseling for health promotion and disease prevention in Doctor of Pharmacy (PharmD) granting colleges and schools of pharmacy (10075)
  • Increase the inclusion of cultural diversity in Doctor of Pharmacy (PharmD) granting colleges and schools of pharmacy (10076)
  • Increase the inclusion of evaluation of health sciences literature in Doctor of Pharmacy (PharmD) granting colleges and schools of pharmacy (10077)
  • Increase the inclusion of environmental health in Doctor of Pharmacy (PharmD) granting colleges and schools of pharmacy (10078)
  • Increase the inclusion of public health systems in Doctor of Pharmacy (PharmD) granting colleges and schools of pharmacy (10079)
  • Increase the inclusion of global health in Doctor of Pharmacy (PharmD) granting colleges and schools of pharmacy (10080)
  • Increase the inclusion of counseling for health promotion and disease prevention n Doctor of Dental Surgery and/or Doctor of Dental Medicine granting colleges and schools of Dentistry (10081)
  • Increase the inclusion of cultural diversity in Doctor of Dental Surgery and/or Doctor of Dental Medicine granting colleges and schools of Dentistry (10082)
  • Increase the inclusion of evaluation of health sciences literature in Doctor of Dental Surgery and/or Doctor of Dental Medicine granting colleges and schools of Dentistry (10083)
  • Increase the inclusion of environmental health in Doctor of Dental Surgery and/or Doctor of Dental Medicine granting colleges and schools of Dentistry (10084)
  • Increase the inclusion of public health systems in Doctor of Dental Surgery and/or Doctor of Dental Medicine granting colleges and schools of Dentistry (10085)
  • Increase the inclusion of global health in Doctor of Dental Surgery and/or Doctor of Dental Medicine granting colleges and schools of Dentistry (10086)
  • Increase the proportion of academic institutions with health professions education programs whose prevention curricula include interprofessional educational experiences (10087)
  • Alzheimer's disease Medicare beneficiaries (50016 and 50012)
  • Arthritis Medicare beneficiaries (50017 and 50022)
  • High cholesterol Medicare beneficiaries (50018 and 20023)
  • Osteoporosis Medicare beneficiaries (50019 and 20024)
  • Transplant Centers (50026)

December 2012 data update to Warehouse (Release v 1.6.1)

This release involved the updating of data of many of the HIW indicators. For your reference purposes, we are including the HIW ID numbers in these detailed notes. No changes were made to the Warehouse interface or functions. Major changes for this release include:

  • Indicators associated with the Healthy People 2020 Initiative (HIW ID 368 through 1575) have been updated. Both the data and the metadata have been modified where new information was available. Some estimates that had previously been included in the HIW have changed, based on better analysis of the raw data. Furthermore, for some indicators, the first year of data presented has changed.
  • The three infant mortality indicators (Total (1158), Neonatal (1159) and Post-neonatal (1160)) were updated with estimates ending with the data year 2008.
  • Sexually transmitted disease indicators (chlamydia (20) and gonorrhea (10062)) were updated with 2010 data.
  • Eleven National Notifiable Disease Surveillance System indicators (10021 through 10032) were updated with 2010 data.
  • Data for 2010 for the toxic chemical release indicator (105) for 2010 were added.
  • Data for two air quality indicators from EPA (44 and 45) were replace with better estimates through 2006.
  • The indicator on the proportion of person < 65 without health insurance (23) at the county level was updated with 2010 data.
  • Several indicators from Census including population density (10001), median household income (10003), and estimated proportion of all persons (10004) and children (36) below the poverty line were updated with data through 2010.

The following indicators were modified substantially:

  • Primary care physician rate (25) was dropped due to concerns about the validity of the computed estimates.
  • Children with special health care needs who have access to a medical home (1154) is now measured using the National Survey of Children with Special Health Care Needs.
  • Number of days the Air Quality Index (AQI) exceeds 100 (665) now is weighted by the population and the AQI.

The following new indicators have been added:

  • Central line-associated bloodstream infections (851)
  • Methicillin-resistant Staphylococcus aureus infections (852)
  • Stroke awareness: symptoms and importance of calling 9-1-1 (887)
  • Stroke awareness: symptoms (888)
  • Stroke awareness: importance of calling 9-1-1 (889)
  • Sweetened beverages not offered: schools (10065)
  • Fruit/vegetable availability required: school districts (10066)