{ "slug": "indiana-county-primary-care-access-2026", "title": "Indiana County Primary-Care Access & Health-Burden Scorecard", "summary": "A county-level targeting index for Indiana, fusing adult chronic-disease and social-risk prevalence (CDC PLACES) with federally designated primary-care provider shortages (HRSA). Ranks all 92 counties by combined need so a health department or rural-health office can see where high burden and thin provider supply overlap.", "state": "Indiana", "category": "Public Health & Risk", "tags": [ "public-health", "health-access", "geospatial-risk", "government-data", "indiana" ], "publishedDate": "2026-08-01", "accessAxisLabel": "Access & SDOH barriers", "generatedAt": "2026-08-01T06:58:45+00:00", "dataVintage": { "places": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)", "hpsa": "HRSA Primary Care HPSA detail extract, accessed 2026-08-01", "acs": "ACS 2019-2023 5-year estimates" }, "methodology": "A Health-Burden axis is built from CDC PLACES crude adult prevalence (diagnosed diabetes, obesity, high blood pressure, coronary heart disease, fair or poor self-rated health, frequent physical distress). An Access & SDOH barriers axis combines uninsured (adults 18-64), lack of reliable transportation, food insecurity, housing insecurity, below poverty (acs), households without a vehicle (acs) (Census ACS measures join CDC PLACES here). Each measure is min-max normalized across the state's counties to 0-100, then averaged within its axis. A Provider-Shortage axis scales each county's worst designated primary-care HPSA score against the HRSA 0-26 severity scale. The combined Targeting-Priority Index is the equal-weighted mean of the three axes. PLACES values are model-based estimates with confidence intervals (carried per county), not direct counts. Scores are relative WITHIN Indiana: a 100 marks the worst county in the state on that axis, not a national benchmark.", "limitations": [ "Scores are intra-state relative, not absolute or cross-state comparable.", "PLACES values are small-area model-based estimates with confidence intervals, not direct counts.", "HPSA aggregation takes the worst designated primary-care score per county; geographic, population-group, and facility designations are pooled.", "Equal axis weighting is a transparent default, not a calibrated policy model.", "Socioeconomic measures are ACS 2019-2023 5-year estimates; ACS estimates carry margins of error not reflected in the composite.", "This is informational analysis of public data, not clinical, individual, or actuarial advice." ], "sources": [ { "name": "CDC PLACES — Local Data for Better Health (County Data)", "dataset": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)", "url": "https://www.cdc.gov/places/", "apiUrl": "https://data.cdc.gov/resource/swc5-untb.json", "accessedDate": "2026-08-01" }, { "name": "HRSA — Primary Care Health Professional Shortage Areas", "dataset": "Shortage Area HPSA detail (Primary Care discipline, designated)", "url": "https://data.hrsa.gov/data/download", "accessedDate": "2026-08-01" }, { "name": "U.S. Census Bureau — American Community Survey (5-year)", "dataset": "ACS 2019-2023 5-year estimates", "url": "https://www.census.gov/programs-surveys/acs/", "apiUrl": "https://api.census.gov/data/2023/acs/acs5", "accessedDate": "2026-08-01" } ], "measures": { "burden": [ { "id": "DIABETES", "label": "Diagnosed diabetes" }, { "id": "OBESITY", "label": "Obesity" }, { "id": "BPHIGH", "label": "High blood pressure" }, { "id": "CHD", "label": "Coronary heart disease" }, { "id": "GHLTH", "label": "Fair or poor self-rated health" }, { "id": "PHLTH", "label": "Frequent physical distress" } ], "access": [ { "id": "ACCESS2", "label": "Uninsured (adults 18-64)" }, { "id": "LACKTRPT", "label": "Lack of reliable transportation" }, { "id": "FOODINSECU", "label": "Food insecurity" }, { "id": "HOUSINSECU", "label": "Housing insecurity" }, { "id": "ACS_POVERTY", "label": "Below poverty (ACS)" }, { "id": "ACS_NOVEHICLE", "label": "Households without a vehicle (ACS)" } ] }, "stats": { "counties": 92, "countiesWithHpsa": 69, "countiesWithHpsaPct": 75, "medianDiabetes": 13.6, "diabetesMin": { "county": "Hamilton", "value": 9.6 }, "diabetesMax": { "county": "Crawford", "value": 17.8 }, "medianUninsured": 8.5 }, "keyFindings": [ "69 of Indiana's 92 counties (75%) fall within a federally designated primary-care Health Professional Shortage Area.", "Adult diagnosed-diabetes prevalence ranges from 9.6% in Hamilton County to 17.8% in Crawford County, a 8.2-point spread within a single state.", "Crawford County carries the highest combined targeting-priority index (72.2/100), led by its health burden score.", "The median county uninsured rate (adults 18-64) is 8.5%, and the median adult diabetes prevalence is 13.6%." ], "counties": [ { "fips": "18025", "name": "Crawford", "population": 10438, "priorityIndex": 72.2, "burdenScore": 96.8, "accessScore": 77.6, "shortageScore": 42.3, "topDriver": "Health burden", "hpsaMaxScore": 11, "hpsaDesignations": 1, "raw": { "DIABETES": 17.8, "OBESITY": 43.6, "BPHIGH": 45.6, "CHD": 10.4, "GHLTH": 28.8, "PHLTH": 18.7, "ACCESS2": 10.3, "LACKTRPT": 9.8, "FOODINSECU": 20.0, "HOUSINSECU": 13.1, "ACS_POVERTY": 23.8, "ACS_NOVEHICLE": 4.2 }, "ci": { "DIABETES": { "lo": 15.3, "hi": 20.5 }, "OBESITY": { "lo": 34.5, "hi": 53.3 }, "BPHIGH": { "lo": 40.9, "hi": 50.2 }, "CHD": { "lo": 9.1, "hi": 11.9 }, "GHLTH": { "lo": 24.3, "hi": 33.5 }, "PHLTH": { "lo": 15.9, "hi": 21.4 }, "ACCESS2": { "lo": 7.8, "hi": 13.3 }, "LACKTRPT": { "lo": 8.3, "hi": 11.5 }, "FOODINSECU": { "lo": 15.9, "hi": 24.2 }, "HOUSINSECU": { "lo": 10.8, "hi": 15.7 } }, "rank": 1 }, { "fips": "18009", "name": "Blackford", "population": 11893, "priorityIndex": 72.0, "burdenScore": 84.8, "accessScore": 65.9, "shortageScore": 65.4, "topDriver": "Health burden", "hpsaMaxScore": 17, "hpsaDesignations": 1, "raw": { "DIABETES": 16.4, "OBESITY": 44.3, "BPHIGH": 43.9, "CHD": 9.6, "GHLTH": 26.1, "PHLTH": 17.2, "ACCESS2": 9.5, "LACKTRPT": 8.8, "FOODINSECU": 17.6, "HOUSINSECU": 12.2, "ACS_POVERTY": 17.5, "ACS_NOVEHICLE": 10.1 }, "ci": { "DIABETES": { "lo": 14.0, "hi": 18.9 }, "OBESITY": { "lo": 35.6, "hi": 53.3 }, "BPHIGH": { "lo": 39.3, "hi": 48.6 }, "CHD": { "lo": 8.3, "hi": 10.8 }, "GHLTH": { "lo": 22.3, "hi": 30.0 }, "PHLTH": { "lo": 14.8, "hi": 19.6 }, "ACCESS2": { "lo": 7.3, "hi": 12.0 }, "LACKTRPT": { "lo": 7.4, "hi": 10.4 }, "FOODINSECU": { "lo": 14.1, "hi": 21.6 }, "HOUSINSECU": { "lo": 9.9, "hi": 14.8 } }, "rank": 2 }, { "fips": "18097", "name": "Marion", "population": 968460, "priorityIndex": 68.4, "burdenScore": 43.6, "accessScore": 73.2, "shortageScore": 88.5, "topDriver": "Provider shortage", "hpsaMaxScore": 23, "hpsaDesignations": 17, "raw": { "DIABETES": 13.0, "OBESITY": 38.3, "BPHIGH": 38.2, "CHD": 5.9, "GHLTH": 21.0, "PHLTH": 13.5, "ACCESS2": 10.7, "LACKTRPT": 9.5, "FOODINSECU": 18.6, "HOUSINSECU": 14.2, "ACS_POVERTY": 15.1, "ACS_NOVEHICLE": 8.1 }, "ci": { "DIABETES": { "lo": 11.6, "hi": 14.4 }, "OBESITY": { "lo": 35.0, "hi": 41.6 }, "BPHIGH": { "lo": 35.7, "hi": 40.5 }, "CHD": { "lo": 5.2, "hi": 6.7 }, "GHLTH": { "lo": 18.3, "hi": 23.8 }, "PHLTH": { "lo": 11.8, "hi": 15.1 }, "ACCESS2": { "lo": 8.7, "hi": 13.0 }, "LACKTRPT": { "lo": 8.2, "hi": 11.0 }, "FOODINSECU": { "lo": 15.6, "hi": 21.6 }, "HOUSINSECU": { "lo": 12.2, "hi": 16.5 } }, "rank": 3 }, { "fips": "18089", "name": "Lake", "population": 500598, "priorityIndex": 68.2, "burdenScore": 58.8, "accessScore": 72.7, "shortageScore": 73.1, "topDriver": "Provider shortage", "hpsaMaxScore": 19, "hpsaDesignations": 6, "raw": { "DIABETES": 15.1, "OBESITY": 39.9, "BPHIGH": 39.0, "CHD": 7.1, "GHLTH": 23.5, "PHLTH": 14.9, "ACCESS2": 10.7, "LACKTRPT": 9.3, "FOODINSECU": 19.5, "HOUSINSECU": 14.1, "ACS_POVERTY": 14.6, "ACS_NOVEHICLE": 7.6 }, "ci": { "DIABETES": { "lo": 13.4, "hi": 16.9 }, "OBESITY": { "lo": 35.9, "hi": 44.1 }, "BPHIGH": { "lo": 36.1, "hi": 41.9 }, "CHD": { "lo": 6.3, "hi": 8.0 }, "GHLTH": { "lo": 20.7, "hi": 26.5 }, "PHLTH": { "lo": 13.2, "hi": 16.8 }, "ACCESS2": { "lo": 8.7, "hi": 12.8 }, "LACKTRPT": { "lo": 8.0, "hi": 10.6 }, "FOODINSECU": { "lo": 16.7, "hi": 22.6 }, "HOUSINSECU": { "lo": 12.1, "hi": 16.2 } }, "rank": 4 }, { "fips": "18121", "name": "Parke", "population": 16484, "priorityIndex": 68.1, "burdenScore": 77.5, "accessScore": 65.4, "shortageScore": 61.5, "topDriver": "Health burden", "hpsaMaxScore": 16, "hpsaDesignations": 2, "raw": { "DIABETES": 15.4, "OBESITY": 42.3, "BPHIGH": 42.4, "CHD": 9.1, "GHLTH": 25.8, "PHLTH": 17.1, "ACCESS2": 9.7, "LACKTRPT": 8.8, "FOODINSECU": 17.5, "HOUSINSECU": 12.2, "ACS_POVERTY": 17.2, "ACS_NOVEHICLE": 9.2 }, "ci": { "DIABETES": { "lo": 13.4, "hi": 18.0 }, "OBESITY": { "lo": 34.8, "hi": 52.0 }, "BPHIGH": { "lo": 38.6, "hi": 47.3 }, "CHD": { "lo": 8.0, "hi": 10.5 }, "GHLTH": { "lo": 21.9, "hi": 30.5 }, "PHLTH": { "lo": 14.8, "hi": 19.9 }, "ACCESS2": { "lo": 7.3, "hi": 12.7 }, "LACKTRPT": { "lo": 7.4, "hi": 10.4 }, "FOODINSECU": { "lo": 14.1, "hi": 21.3 }, "HOUSINSECU": { "lo": 10.0, "hi": 14.5 } }, "rank": 5 }, { "fips": "18041", "name": "Fayette", "population": 23362, "priorityIndex": 67.9, "burdenScore": 77.8, "accessScore": 60.6, "shortageScore": 65.4, "topDriver": "Health burden", "hpsaMaxScore": 17, "hpsaDesignations": 1, "raw": { "DIABETES": 15.4, "OBESITY": 44.9, "BPHIGH": 42.6, "CHD": 8.9, "GHLTH": 25.2, "PHLTH": 16.6, "ACCESS2": 9.4, "LACKTRPT": 8.5, "FOODINSECU": 16.8, "HOUSINSECU": 11.8, "ACS_POVERTY": 16.7, "ACS_NOVEHICLE": 7.8 }, "ci": { "DIABETES": { "lo": 13.2, "hi": 17.8 }, "OBESITY": { "lo": 36.4, "hi": 53.4 }, "BPHIGH": { "lo": 38.1, "hi": 47.4 }, "CHD": { "lo": 7.7, "hi": 10.2 }, "GHLTH": { "lo": 21.1, "hi": 29.4 }, "PHLTH": { "lo": 14.2, "hi": 19.2 }, "ACCESS2": { "lo": 7.0, "hi": 12.2 }, "LACKTRPT": { "lo": 7.0, "hi": 10.1 }, "FOODINSECU": { "lo": 13.0, "hi": 20.7 }, "HOUSINSECU": { "lo": 9.3, "hi": 14.3 } }, "rank": 6 }, { "fips": "18039", "name": "Elkhart", "population": 206409, "priorityIndex": 67.5, "burdenScore": 58.3, "accessScore": 71.2, "shortageScore": 73.1, "topDriver": "Provider shortage", "hpsaMaxScore": 19, "hpsaDesignations": 3, "raw": { "DIABETES": 13.6, "OBESITY": 43.8, "BPHIGH": 38.3, "CHD": 7.1, "GHLTH": 22.9, "PHLTH": 15.2, "ACCESS2": 12.6, "LACKTRPT": 8.9, "FOODINSECU": 17.6, "HOUSINSECU": 13.8, "ACS_POVERTY": 12.5, "ACS_NOVEHICLE": 8.3 }, "ci": { "DIABETES": { "lo": 11.7, "hi": 15.4 }, "OBESITY": { "lo": 38.0, "hi": 49.1 }, "BPHIGH": { "lo": 34.7, "hi": 41.8 }, "CHD": { "lo": 6.2, "hi": 8.0 }, "GHLTH": { "lo": 19.6, "hi": 26.3 }, "PHLTH": { "lo": 13.2, "hi": 17.2 }, "ACCESS2": { "lo": 10.0, "hi": 15.3 }, "LACKTRPT": { "lo": 7.6, "hi": 10.4 }, "FOODINSECU": { "lo": 14.5, "hi": 20.9 }, "HOUSINSECU": { "lo": 11.6, "hi": 16.1 } }, "rank": 7 }, { "fips": "18177", "name": "Wayne", "population": 66127, "priorityIndex": 65.8, "burdenScore": 63.9, "accessScore": 60.5, "shortageScore": 73.1, "topDriver": "Provider shortage", "hpsaMaxScore": 19, "hpsaDesignations": 2, "raw": { "DIABETES": 14.7, "OBESITY": 37.9, "BPHIGH": 40.9, "CHD": 8.3, "GHLTH": 23.8, "PHLTH": 15.8, "ACCESS2": 9.0, "LACKTRPT": 8.5, "FOODINSECU": 16.7, "HOUSINSECU": 12.0, "ACS_POVERTY": 16.9, "ACS_NOVEHICLE": 8.3 }, "ci": { "DIABETES": { "lo": 12.7, "hi": 16.8 }, "OBESITY": { "lo": 30.9, "hi": 45.1 }, "BPHIGH": { "lo": 36.8, "hi": 45.0 }, "CHD": { "lo": 7.3, "hi": 9.5 }, "GHLTH": { "lo": 20.1, "hi": 27.9 }, "PHLTH": { "lo": 13.7, "hi": 18.2 }, "ACCESS2": { "lo": 7.0, "hi": 11.3 }, "LACKTRPT": { "lo": 7.2, "hi": 9.9 }, "FOODINSECU": { "lo": 13.5, "hi": 20.2 }, "HOUSINSECU": { "lo": 10.0, "hi": 14.3 } }, "rank": 8 }, { "fips": "18149", "name": "Starke", "population": 23206, "priorityIndex": 64.9, "burdenScore": 71.0, "accessScore": 54.6, "shortageScore": 69.2, "topDriver": "Health burden", "hpsaMaxScore": 18, "hpsaDesignations": 2, "raw": { "DIABETES": 15.0, "OBESITY": 42.4, "BPHIGH": 41.2, "CHD": 8.6, "GHLTH": 24.3, "PHLTH": 16.3, "ACCESS2": 9.6, "LACKTRPT": 8.0, "FOODINSECU": 16.0, "HOUSINSECU": 11.4, "ACS_POVERTY": 14.8, "ACS_NOVEHICLE": 5.8 }, "ci": { "DIABETES": { "lo": 12.9, "hi": 17.1 }, "OBESITY": { "lo": 34.6, "hi": 50.7 }, "BPHIGH": { "lo": 36.9, "hi": 45.5 }, "CHD": { "lo": 7.6, "hi": 9.8 }, "GHLTH": { "lo": 20.4, "hi": 28.1 }, "PHLTH": { "lo": 14.1, "hi": 18.6 }, "ACCESS2": { "lo": 7.3, "hi": 12.1 }, "LACKTRPT": { "lo": 6.7, "hi": 9.5 }, "FOODINSECU": { "lo": 12.8, "hi": 19.7 }, "HOUSINSECU": { "lo": 9.2, "hi": 13.7 } }, "rank": 9 }, { "fips": "18167", "name": "Vigo", "population": 106153, "priorityIndex": 64.7, "burdenScore": 55.8, "accessScore": 65.1, "shortageScore": 73.1, "topDriver": "Provider shortage", "hpsaMaxScore": 19, "hpsaDesignations": 4, "raw": { "DIABETES": 13.7, "OBESITY": 41.0, "BPHIGH": 37.5, "CHD": 7.4, "GHLTH": 23.2, "PHLTH": 14.8, "ACCESS2": 8.9, "LACKTRPT": 9.0, "FOODINSECU": 16.8, "HOUSINSECU": 12.3, "ACS_POVERTY": 20.0, "ACS_NOVEHICLE": 8.0 }, "ci": { "DIABETES": { "lo": 11.7, "hi": 15.6 }, "OBESITY": { "lo": 34.8, "hi": 47.4 }, "BPHIGH": { "lo": 33.7, "hi": 41.2 }, "CHD": { "lo": 6.5, "hi": 8.4 }, "GHLTH": { "lo": 19.4, "hi": 27.4 }, "PHLTH": { "lo": 12.6, "hi": 17.0 }, "ACCESS2": { "lo": 6.9, "hi": 11.0 }, "LACKTRPT": { "lo": 7.5, "hi": 10.6 }, "FOODINSECU": { "lo": 13.3, "hi": 20.6 }, "HOUSINSECU": { "lo": 10.1, "hi": 14.7 } }, "rank": 10 }, { "fips": "18017", "name": "Cass", "population": 37666, "priorityIndex": 64.4, "burdenScore": 73.8, "accessScore": 65.7, "shortageScore": 53.8, "topDriver": "Health burden", "hpsaMaxScore": 14, "hpsaDesignations": 2, "raw": { "DIABETES": 15.3, "OBESITY": 47.4, "BPHIGH": 41.0, "CHD": 8.1, "GHLTH": 24.5, "PHLTH": 16.0, "ACCESS2": 12.3, "LACKTRPT": 8.7, "FOODINSECU": 17.7, "HOUSINSECU": 12.8, "ACS_POVERTY": 12.7, "ACS_NOVEHICLE": 4.7 }, "ci": { "DIABETES": { "lo": 13.2, "hi": 17.5 }, "OBESITY": { "lo": 39.1, "hi": 55.8 }, "BPHIGH": { "lo": 36.6, "hi": 45.2 }, "CHD": { "lo": 7.1, "hi": 9.2 }, "GHLTH": { "lo": 20.6, "hi": 28.5 }, "PHLTH": { "lo": 13.7, "hi": 18.4 }, "ACCESS2": { "lo": 9.9, "hi": 15.0 }, "LACKTRPT": { "lo": 7.4, "hi": 10.2 }, "FOODINSECU": { "lo": 14.4, "hi": 21.4 }, "HOUSINSECU": { "lo": 10.7, "hi": 15.2 } }, "rank": 11 }, { "fips": "18053", "name": "Grant", "population": 66200, "priorityIndex": 64.1, "burdenScore": 67.6, "accessScore": 63.3, "shortageScore": 61.5, "topDriver": "Health burden", "hpsaMaxScore": 16, "hpsaDesignations": 1, "raw": { "DIABETES": 15.2, "OBESITY": 41.1, "BPHIGH": 41.0, "CHD": 8.1, "GHLTH": 24.3, "PHLTH": 15.8, "ACCESS2": 9.1, "LACKTRPT": 8.8, "FOODINSECU": 17.0, "HOUSINSECU": 12.1, "ACS_POVERTY": 18.8, "ACS_NOVEHICLE": 7.3 }, "ci": { "DIABETES": { "lo": 13.1, "hi": 17.4 }, "OBESITY": { "lo": 33.9, "hi": 48.9 }, "BPHIGH": { "lo": 37.0, "hi": 45.5 }, "CHD": { "lo": 7.1, "hi": 9.2 }, "GHLTH": { "lo": 20.6, "hi": 28.5 }, "PHLTH": { "lo": 13.6, "hi": 18.2 }, "ACCESS2": { "lo": 7.1, "hi": 11.4 }, "LACKTRPT": { "lo": 7.4, "hi": 10.4 }, "FOODINSECU": { "lo": 13.7, "hi": 20.7 }, "HOUSINSECU": { "lo": 10.0, "hi": 14.5 } }, "rank": 12 }, { "fips": "18001", "name": "Adams", "population": 36288, "priorityIndex": 63.2, "burdenScore": 64.4, "accessScore": 63.7, "shortageScore": 61.5, "topDriver": "Health burden", "hpsaMaxScore": 16, "hpsaDesignations": 5, "raw": { "DIABETES": 14.1, "OBESITY": 41.7, "BPHIGH": 39.2, "CHD": 8.1, "GHLTH": 24.1, "PHLTH": 16.1, "ACCESS2": 10.1, "LACKTRPT": 8.7, "FOODINSECU": 17.0, "HOUSINSECU": 12.0, "ACS_POVERTY": 12.4, "ACS_NOVEHICLE": 13.9 }, "ci": { "DIABETES": { "lo": 12.1, "hi": 16.1 }, "OBESITY": { "lo": 33.8, "hi": 49.8 }, "BPHIGH": { "lo": 35.0, "hi": 43.6 }, "CHD": { "lo": 7.0, "hi": 9.2 }, "GHLTH": { "lo": 20.5, "hi": 28.4 }, "PHLTH": { "lo": 13.9, "hi": 18.5 }, "ACCESS2": { "lo": 7.8, "hi": 13.1 }, 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"HOUSINSECU": 8.9, "ACS_POVERTY": 11.5, "ACS_NOVEHICLE": 1.3 }, "ci": { "DIABETES": { "lo": 11.4, "hi": 15.5 }, "OBESITY": { "lo": 28.9, "hi": 44.6 }, "BPHIGH": { "lo": 35.4, "hi": 44.2 }, "CHD": { "lo": 6.8, "hi": 9.0 }, "GHLTH": { "lo": 16.5, "hi": 23.8 }, "PHLTH": { "lo": 12.1, "hi": 16.6 }, "ACCESS2": { "lo": 5.5, "hi": 9.7 }, "LACKTRPT": { "lo": 5.1, "hi": 7.5 }, "FOODINSECU": { "lo": 9.1, "hi": 14.8 }, "HOUSINSECU": { "lo": 7.1, "hi": 10.9 } }, "rank": 84 }, { "fips": "18183", "name": "Whitley", "population": 34742, "priorityIndex": 25.8, "burdenScore": 47.1, "accessScore": 30.4, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 12.6, "OBESITY": 39.7, "BPHIGH": 38.1, "CHD": 7.3, "GHLTH": 19.2, "PHLTH": 14.0, "ACCESS2": 7.6, "LACKTRPT": 6.4, "FOODINSECU": 11.8, "HOUSINSECU": 9.4, "ACS_POVERTY": 10.7, "ACS_NOVEHICLE": 4.2 }, "ci": { "DIABETES": { "lo": 10.8, "hi": 14.6 }, "OBESITY": { "lo": 32.6, "hi": 47.2 }, "BPHIGH": { "lo": 34.0, "hi": 42.1 }, "CHD": { "lo": 6.2, "hi": 8.3 }, "GHLTH": { "lo": 16.0, "hi": 22.5 }, "PHLTH": { "lo": 11.9, "hi": 16.0 }, "ACCESS2": { "lo": 5.7, "hi": 10.0 }, "LACKTRPT": { "lo": 5.3, "hi": 7.7 }, "FOODINSECU": { "lo": 9.1, "hi": 15.1 }, "HOUSINSECU": { "lo": 7.5, "hi": 11.6 } }, "rank": 85 }, { "fips": "18137", "name": "Ripley", "population": 29227, "priorityIndex": 25.7, "burdenScore": 45.4, "accessScore": 31.6, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 12.5, "OBESITY": 36.2, "BPHIGH": 38.2, "CHD": 7.3, "GHLTH": 20.2, "PHLTH": 14.2, "ACCESS2": 7.7, "LACKTRPT": 6.6, "FOODINSECU": 12.3, "HOUSINSECU": 9.5, "ACS_POVERTY": 9.6, "ACS_NOVEHICLE": 4.6 }, "ci": { "DIABETES": { "lo": 10.7, "hi": 14.6 }, "OBESITY": { "lo": 28.8, "hi": 44.1 }, "BPHIGH": { "lo": 33.9, "hi": 42.7 }, "CHD": { "lo": 6.3, "hi": 8.4 }, "GHLTH": { "lo": 16.7, "hi": 23.9 }, "PHLTH": { "lo": 12.1, "hi": 16.5 }, "ACCESS2": { "lo": 5.9, "hi": 9.9 }, "LACKTRPT": { "lo": 5.3, "hi": 7.9 }, "FOODINSECU": { "lo": 9.3, "hi": 15.4 }, "HOUSINSECU": { "lo": 7.5, "hi": 11.6 } }, "rank": 86 }, { "fips": "18043", "name": "Floyd", "population": 80809, "priorityIndex": 25.3, "burdenScore": 43.4, "accessScore": 32.6, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 12.5, "OBESITY": 37.6, "BPHIGH": 38.8, "CHD": 6.7, "GHLTH": 19.5, "PHLTH": 13.5, "ACCESS2": 7.3, "LACKTRPT": 6.6, "FOODINSECU": 12.4, "HOUSINSECU": 9.7, "ACS_POVERTY": 10.0, "ACS_NOVEHICLE": 6.2 }, "ci": { "DIABETES": { "lo": 10.8, "hi": 14.4 }, "OBESITY": { "lo": 31.4, "hi": 44.3 }, "BPHIGH": { "lo": 35.0, "hi": 42.9 }, "CHD": { "lo": 5.9, "hi": 7.8 }, "GHLTH": { "lo": 16.5, "hi": 23.2 }, "PHLTH": { "lo": 11.6, "hi": 15.7 }, "ACCESS2": { "lo": 5.6, "hi": 9.4 }, "LACKTRPT": { "lo": 5.5, "hi": 7.9 }, "FOODINSECU": { "lo": 9.7, "hi": 15.5 }, "HOUSINSECU": { "lo": 7.8, "hi": 11.9 } }, "rank": 87 }, { "fips": "18129", "name": "Posey", "population": 25040, "priorityIndex": 24.6, "burdenScore": 50.1, "accessScore": 23.6, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 12.9, "OBESITY": 40.4, "BPHIGH": 39.7, "CHD": 7.4, "GHLTH": 19.4, "PHLTH": 13.8, "ACCESS2": 6.8, "LACKTRPT": 6.0, "FOODINSECU": 10.9, "HOUSINSECU": 8.7, "ACS_POVERTY": 9.9, "ACS_NOVEHICLE": 3.6 }, "ci": { "DIABETES": { "lo": 11.0, "hi": 15.1 }, "OBESITY": { "lo": 32.3, "hi": 48.8 }, "BPHIGH": { "lo": 35.3, "hi": 44.2 }, "CHD": { "lo": 6.4, "hi": 8.5 }, "GHLTH": { "lo": 16.0, "hi": 23.1 }, "PHLTH": { "lo": 11.8, "hi": 16.0 }, "ACCESS2": { "lo": 5.1, "hi": 9.1 }, "LACKTRPT": { "lo": 4.9, "hi": 7.1 }, "FOODINSECU": { "lo": 8.4, "hi": 13.7 }, "HOUSINSECU": { "lo": 6.9, "hi": 10.7 } }, "rank": 88 }, { "fips": "18029", "name": "Dearborn", "population": 51215, "priorityIndex": 22.0, "burdenScore": 43.1, "accessScore": 22.8, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 12.4, "OBESITY": 35.8, "BPHIGH": 38.4, "CHD": 7.2, "GHLTH": 19.3, "PHLTH": 13.8, "ACCESS2": 7.1, "LACKTRPT": 6.0, "FOODINSECU": 10.8, "HOUSINSECU": 8.6, "ACS_POVERTY": 8.1, "ACS_NOVEHICLE": 4.3 }, "ci": { "DIABETES": { "lo": 10.7, "hi": 14.8 }, "OBESITY": { "lo": 30.0, "hi": 44.1 }, "BPHIGH": { "lo": 34.7, "hi": 43.2 }, "CHD": { "lo": 6.2, "hi": 8.3 }, "GHLTH": { "lo": 16.0, "hi": 23.4 }, "PHLTH": { "lo": 11.8, "hi": 16.3 }, "ACCESS2": { "lo": 5.1, "hi": 9.2 }, "LACKTRPT": { "lo": 4.9, "hi": 7.2 }, "FOODINSECU": { "lo": 8.1, "hi": 13.8 }, "HOUSINSECU": { "lo": 6.7, "hi": 10.6 } }, "rank": 89 }, { "fips": "18059", "name": "Hancock", "population": 86166, "priorityIndex": 17.1, "burdenScore": 35.8, "accessScore": 15.4, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 11.3, "OBESITY": 39.9, "BPHIGH": 37.4, "CHD": 6.1, "GHLTH": 17.5, "PHLTH": 12.5, "ACCESS2": 6.7, "LACKTRPT": 5.6, "FOODINSECU": 9.8, "HOUSINSECU": 8.5, "ACS_POVERTY": 4.5, "ACS_NOVEHICLE": 3.3 }, "ci": { "DIABETES": { "lo": 9.5, "hi": 13.2 }, "OBESITY": { "lo": 33.0, "hi": 47.1 }, "BPHIGH": { "lo": 33.3, "hi": 41.7 }, "CHD": { "lo": 5.2, "hi": 7.0 }, "GHLTH": { "lo": 14.5, "hi": 20.9 }, "PHLTH": { "lo": 10.6, "hi": 14.5 }, "ACCESS2": { "lo": 5.1, "hi": 8.7 }, "LACKTRPT": { "lo": 4.6, "hi": 6.8 }, "FOODINSECU": { "lo": 7.3, "hi": 12.3 }, "HOUSINSECU": { "lo": 6.7, "hi": 10.5 } }, "rank": 90 }, { "fips": "18173", "name": "Warrick", "population": 65867, "priorityIndex": 13.1, "burdenScore": 28.2, "accessScore": 11.1, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 11.6, "OBESITY": 34.0, "BPHIGH": 35.3, "CHD": 6.3, "GHLTH": 16.7, "PHLTH": 12.1, "ACCESS2": 6.1, "LACKTRPT": 5.3, "FOODINSECU": 9.0, "HOUSINSECU": 7.7, "ACS_POVERTY": 6.4, "ACS_NOVEHICLE": 2.1 }, "ci": { "DIABETES": { "lo": 9.8, "hi": 13.4 }, "OBESITY": { "lo": 27.3, "hi": 41.0 }, "BPHIGH": { "lo": 31.2, "hi": 39.2 }, "CHD": { "lo": 5.4, "hi": 7.2 }, "GHLTH": { "lo": 13.5, "hi": 20.0 }, "PHLTH": { "lo": 10.2, "hi": 14.2 }, "ACCESS2": { "lo": 4.6, "hi": 7.9 }, "LACKTRPT": { "lo": 4.3, "hi": 6.4 }, "FOODINSECU": { "lo": 6.7, "hi": 11.4 }, "HOUSINSECU": { "lo": 6.0, "hi": 9.5 } }, "rank": 91 }, { "fips": "18011", "name": "Boone", "population": 76120, "priorityIndex": 8.5, "burdenScore": 17.1, "accessScore": 8.3, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 10.5, "OBESITY": 32.9, "BPHIGH": 33.4, "CHD": 5.4, "GHLTH": 15.0, "PHLTH": 11.3, "ACCESS2": 5.9, "LACKTRPT": 5.1, "FOODINSECU": 8.9, "HOUSINSECU": 7.5, "ACS_POVERTY": 5.1, "ACS_NOVEHICLE": 2.1 }, "ci": { "DIABETES": { "lo": 9.0, "hi": 12.3 }, "OBESITY": { "lo": 26.6, "hi": 39.5 }, "BPHIGH": { "lo": 29.6, "hi": 37.3 }, "CHD": { "lo": 4.7, "hi": 6.3 }, "GHLTH": { "lo": 12.3, "hi": 18.3 }, "PHLTH": { "lo": 9.6, "hi": 13.3 }, "ACCESS2": { "lo": 4.3, "hi": 7.9 }, "LACKTRPT": { "lo": 4.1, "hi": 6.2 }, "FOODINSECU": { "lo": 6.7, "hi": 11.5 }, "HOUSINSECU": { "lo": 6.0, "hi": 9.4 } }, "rank": 92 } ], "faq": [ { "question": "What does the Indiana county health-access scorecard measure?", "answer": "It ranks all 92 Indiana counties by a combined Targeting-Priority Index that fuses adult chronic-disease and social-risk prevalence from CDC PLACES with federally designated primary-care provider shortages from HRSA, highlighting where health need and thin provider supply overlap." }, { "question": "Which public datasets is it built from?", "answer": "CDC PLACES county estimates (PLACES: Local Data for Better Health, County Data, 2025 release, measure year 2023) and the HRSA Primary Care Health Professional Shortage Area detail file, both fully open federal sources accessed 2026-08-01." }, { "question": "How should the Targeting-Priority Index be used?", "answer": "As a transparent first-pass screen for where to focus outreach, workforce, or program resources. Scores are relative within the state and equal-weighted by default; a real engagement would calibrate weights to a program's goals and add socioeconomic and utilization layers." } ], "contentHash": "745a0d097ba4975f" }