{ "slug": "tennessee-county-primary-care-access-2026", "title": "Tennessee County Primary-Care Access & Health-Burden Scorecard", "summary": "A county-level targeting index for Tennessee, fusing adult chronic-disease and social-risk prevalence (CDC PLACES) with federally designated primary-care provider shortages (HRSA). Ranks all 95 counties by combined need so a health department or rural-health office can see where high burden and thin provider supply overlap.", "state": "Tennessee", "category": "Public Health & Risk", "tags": [ "public-health", "health-access", "geospatial-risk", "government-data", "tennessee" ], "publishedDate": "2026-08-01", "accessAxisLabel": "Access & SDOH barriers", "generatedAt": "2026-08-01T06:59:10+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), 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 Tennessee: 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.", "These candidate measures were unavailable for Tennessee in this release (BRFSS SDOH-module participation varies by state), so they are excluded from the index: Lack of reliable transportation, Food insecurity, Housing insecurity.", "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": "ACS_POVERTY", "label": "Below poverty (ACS)" }, { "id": "ACS_NOVEHICLE", "label": "Households without a vehicle (ACS)" } ] }, "stats": { "counties": 95, "countiesWithHpsa": 90, "countiesWithHpsaPct": 95, "medianDiabetes": 15.2, "diabetesMin": { "county": "Williamson", "value": 10.0 }, "diabetesMax": { "county": "Haywood", "value": 20.7 }, "medianUninsured": 12.4 }, "keyFindings": [ "90 of Tennessee's 95 counties (95%) fall within a federally designated primary-care Health Professional Shortage Area.", "Adult diagnosed-diabetes prevalence ranges from 10.0% in Williamson County to 20.7% in Haywood County, a 10.7-point spread within a single state.", "Lake County carries the highest combined targeting-priority index (91.7/100), led by its access & sdoh barriers score.", "The median county uninsured rate (adults 18-64) is 12.4%, and the median adult diabetes prevalence is 15.2%." ], "counties": [ { "fips": "47095", "name": "Lake", "population": 6347, "priorityIndex": 91.7, "burdenScore": 86.6, "accessScore": 100.0, "shortageScore": 88.5, "topDriver": "Access & SDOH barriers", "hpsaMaxScore": 23, "hpsaDesignations": 3, "raw": { "DIABETES": 19.0, "OBESITY": 47.2, "BPHIGH": 48.3, "CHD": 9.8, "GHLTH": 36.4, "PHLTH": 20.7, "ACCESS2": 20.3, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 32.3, "ACS_NOVEHICLE": 17.8 }, "ci": { "DIABETES": { "lo": 16.5, "hi": 21.5 }, "OBESITY": { "lo": 38.2, "hi": 56.7 }, "BPHIGH": { "lo": 43.8, "hi": 53.1 }, "CHD": { "lo": 8.6, "hi": 11.1 }, "GHLTH": { "lo": 31.8, "hi": 40.9 }, "PHLTH": { "lo": 18.1, "hi": 23.4 }, "ACCESS2": { "lo": 16.4, "hi": 24.4 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 1 }, { "fips": "47067", "name": "Hancock", "population": 6956, "priorityIndex": 79.7, "burdenScore": 93.4, "accessScore": 80.2, "shortageScore": 65.4, "topDriver": "Health burden", "hpsaMaxScore": 17, "hpsaDesignations": 1, "raw": { "DIABETES": 20.3, "OBESITY": 43.0, "BPHIGH": 49.5, "CHD": 12.1, "GHLTH": 35.8, "PHLTH": 22.7, "ACCESS2": 16.1, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 31.5, "ACS_NOVEHICLE": 13.8 }, "ci": { "DIABETES": { "lo": 17.6, "hi": 23.2 }, "OBESITY": { "lo": 33.8, "hi": 52.5 }, "BPHIGH": { "lo": 44.9, "hi": 54.2 }, "CHD": { "lo": 10.6, "hi": 13.6 }, "GHLTH": { "lo": 30.9, "hi": 41.5 }, "PHLTH": { "lo": 19.7, "hi": 26.1 }, "ACCESS2": { "lo": 12.3, "hi": 20.6 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 2 }, { "fips": "47075", "name": "Haywood", "population": 17328, "priorityIndex": 71.9, "burdenScore": 84.6, "accessScore": 61.9, "shortageScore": 69.2, "topDriver": "Health burden", "hpsaMaxScore": 18, "hpsaDesignations": 1, "raw": { "DIABETES": 20.7, "OBESITY": 46.6, "BPHIGH": 51.2, "CHD": 9.4, "GHLTH": 32.4, "PHLTH": 18.7, "ACCESS2": 15.3, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 22.8, "ACS_NOVEHICLE": 11.0 }, "ci": { "DIABETES": { "lo": 18.1, "hi": 23.4 }, "OBESITY": { "lo": 37.5, "hi": 55.7 }, "BPHIGH": { "lo": 46.5, "hi": 55.8 }, "CHD": { "lo": 8.3, "hi": 10.5 }, "GHLTH": { "lo": 28.4, "hi": 36.6 }, "PHLTH": { "lo": 16.4, "hi": 21.1 }, "ACCESS2": { "lo": 12.5, "hi": 18.2 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 3 }, { "fips": "47137", "name": "Pickett", "population": 5128, "priorityIndex": 69.5, "burdenScore": 83.0, "accessScore": 52.4, "shortageScore": 73.1, "topDriver": "Health burden", "hpsaMaxScore": 19, "hpsaDesignations": 1, "raw": { "DIABETES": 19.1, "OBESITY": 41.8, "BPHIGH": 49.0, "CHD": 12.1, "GHLTH": 30.9, "PHLTH": 20.4, "ACCESS2": 13.4, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 25.8, "ACS_NOVEHICLE": 7.0 }, "ci": { "DIABETES": { "lo": 16.4, "hi": 22.1 }, "OBESITY": { "lo": 33.0, "hi": 51.0 }, "BPHIGH": { "lo": 44.0, "hi": 53.7 }, "CHD": { "lo": 10.4, "hi": 13.9 }, "GHLTH": { "lo": 25.9, "hi": 36.0 }, "PHLTH": { "lo": 17.4, "hi": 23.5 }, "ACCESS2": { "lo": 10.2, "hi": 16.8 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 4 }, { "fips": "47151", "name": "Scott", "population": 22171, "priorityIndex": 68.5, "burdenScore": 69.5, "accessScore": 51.3, "shortageScore": 84.6, "topDriver": "Provider shortage", "hpsaMaxScore": 22, "hpsaDesignations": 2, "raw": { "DIABETES": 16.6, "OBESITY": 43.4, "BPHIGH": 44.1, "CHD": 9.6, "GHLTH": 30.9, "PHLTH": 19.8, "ACCESS2": 14.8, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 24.9, "ACS_NOVEHICLE": 5.3 }, "ci": { "DIABETES": { "lo": 14.3, "hi": 18.9 }, "OBESITY": { "lo": 34.7, "hi": 52.4 }, "BPHIGH": { "lo": 39.7, "hi": 48.7 }, "CHD": { "lo": 8.4, "hi": 10.9 }, "GHLTH": { "lo": 26.5, "hi": 35.7 }, "PHLTH": { "lo": 17.3, "hi": 22.6 }, "ACCESS2": { "lo": 11.6, "hi": 18.8 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 5 }, { "fips": "47071", "name": "Hardin", "population": 27229, "priorityIndex": 62.4, "burdenScore": 65.4, "accessScore": 41.0, "shortageScore": 80.8, "topDriver": "Provider shortage", "hpsaMaxScore": 21, "hpsaDesignations": 2, "raw": { "DIABETES": 17.1, "OBESITY": 38.1, "BPHIGH": 45.7, "CHD": 10.1, "GHLTH": 29.0, "PHLTH": 19.0, "ACCESS2": 13.1, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 20.8, "ACS_NOVEHICLE": 4.8 }, "ci": { "DIABETES": { "lo": 14.7, "hi": 19.7 }, "OBESITY": { "lo": 29.6, "hi": 46.3 }, "BPHIGH": { "lo": 40.8, "hi": 50.2 }, "CHD": { "lo": 8.8, "hi": 11.6 }, "GHLTH": { "lo": 24.7, "hi": 33.7 }, "PHLTH": { "lo": 16.5, "hi": 21.9 }, "ACCESS2": { "lo": 10.2, "hi": 16.5 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 6 }, { "fips": "47013", "name": "Campbell", "population": 40223, "priorityIndex": 61.5, "burdenScore": 62.2, "accessScore": 41.5, "shortageScore": 80.8, "topDriver": "Provider shortage", "hpsaMaxScore": 21, "hpsaDesignations": 4, "raw": { "DIABETES": 15.7, "OBESITY": 42.6, "BPHIGH": 43.5, "CHD": 9.3, "GHLTH": 27.7, "PHLTH": 18.7, "ACCESS2": 13.2, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 19.2, "ACS_NOVEHICLE": 5.8 }, "ci": { "DIABETES": { "lo": 13.5, "hi": 18.1 }, "OBESITY": { "lo": 33.9, "hi": 51.5 }, "BPHIGH": { "lo": 38.9, "hi": 48.1 }, "CHD": { "lo": 8.1, "hi": 10.6 }, "GHLTH": { "lo": 23.6, "hi": 32.4 }, "PHLTH": { "lo": 16.2, "hi": 21.4 }, "ACCESS2": { "lo": 10.0, "hi": 16.6 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 7 }, { "fips": "47069", "name": "Hardeman", "population": 25567, "priorityIndex": 61.1, "burdenScore": 64.4, "accessScore": 45.9, "shortageScore": 73.1, "topDriver": "Provider shortage", "hpsaMaxScore": 19, "hpsaDesignations": 5, "raw": { "DIABETES": 17.2, "OBESITY": 43.7, "BPHIGH": 45.9, "CHD": 8.3, "GHLTH": 28.9, "PHLTH": 17.3, "ACCESS2": 14.8, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 17.3, "ACS_NOVEHICLE": 7.1 }, "ci": { "DIABETES": { "lo": 15.0, "hi": 19.5 }, "OBESITY": { "lo": 34.8, "hi": 52.1 }, "BPHIGH": { "lo": 41.2, "hi": 50.3 }, "CHD": { "lo": 7.3, "hi": 9.3 }, "GHLTH": { "lo": 25.2, "hi": 32.8 }, "PHLTH": { "lo": 15.1, "hi": 19.5 }, "ACCESS2": { "lo": 12.0, "hi": 18.1 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 8 }, { "fips": "47007", "name": "Bledsoe", "population": 15060, "priorityIndex": 61.0, "burdenScore": 71.9, "accessScore": 53.3, "shortageScore": 57.7, "topDriver": "Health burden", "hpsaMaxScore": 15, "hpsaDesignations": 2, "raw": { "DIABETES": 17.3, "OBESITY": 41.9, "BPHIGH": 45.7, "CHD": 10.2, "GHLTH": 31.0, "PHLTH": 19.6, "ACCESS2": 15.6, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 25.0, "ACS_NOVEHICLE": 5.3 }, "ci": { "DIABETES": { "lo": 14.9, "hi": 20.0 }, "OBESITY": { "lo": 33.5, "hi": 50.5 }, "BPHIGH": { "lo": 41.0, "hi": 50.5 }, "CHD": { "lo": 8.9, "hi": 11.5 }, "GHLTH": { "lo": 26.5, "hi": 35.7 }, "PHLTH": { "lo": 16.9, "hi": 22.4 }, "ACCESS2": { "lo": 12.3, "hi": 19.2 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 9 }, { "fips": "47049", "name": "Fentress", "population": 19696, "priorityIndex": 60.9, "burdenScore": 72.1, "accessScore": 41.3, "shortageScore": 69.2, "topDriver": "Health burden", "hpsaMaxScore": 18, "hpsaDesignations": 2, "raw": { "DIABETES": 17.1, "OBESITY": 44.9, "BPHIGH": 45.6, "CHD": 10.0, "GHLTH": 29.3, "PHLTH": 19.3, "ACCESS2": 12.9, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 20.9, "ACS_NOVEHICLE": 5.1 }, "ci": { "DIABETES": { "lo": 14.6, "hi": 19.7 }, "OBESITY": { "lo": 36.3, "hi": 53.5 }, "BPHIGH": { "lo": 40.9, "hi": 50.1 }, "CHD": { "lo": 8.7, "hi": 11.4 }, "GHLTH": { "lo": 24.6, "hi": 34.1 }, "PHLTH": { "lo": 16.5, "hi": 22.1 }, "ACCESS2": { "lo": 10.0, "hi": 16.7 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 10 }, { "fips": "47029", "name": "Cocke", "population": 37404, "priorityIndex": 60.7, "burdenScore": 68.1, "accessScore": 40.8, "shortageScore": 73.1, "topDriver": "Provider shortage", "hpsaMaxScore": 19, "hpsaDesignations": 2, "raw": { "DIABETES": 17.2, "OBESITY": 40.3, "BPHIGH": 45.5, "CHD": 10.0, "GHLTH": 29.5, "PHLTH": 19.4, "ACCESS2": 14.0, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 20.3, "ACS_NOVEHICLE": 3.9 }, "ci": { "DIABETES": { "lo": 14.9, "hi": 19.7 }, "OBESITY": { "lo": 32.4, "hi": 48.9 }, "BPHIGH": { "lo": 41.2, "hi": 50.1 }, "CHD": { "lo": 8.8, "hi": 11.4 }, "GHLTH": { "lo": 25.4, "hi": 34.3 }, "PHLTH": { "lo": 16.9, "hi": 22.5 }, "ACCESS2": { "lo": 10.7, "hi": 17.7 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 11 }, { "fips": "47039", "name": "Decatur", "population": 11656, "priorityIndex": 60.7, "burdenScore": 73.5, "accessScore": 43.2, "shortageScore": 65.4, "topDriver": "Health burden", "hpsaMaxScore": 17, "hpsaDesignations": 1, "raw": { "DIABETES": 17.8, "OBESITY": 43.0, "BPHIGH": 46.5, "CHD": 10.4, "GHLTH": 29.6, "PHLTH": 19.4, "ACCESS2": 14.0, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 21.6, "ACS_NOVEHICLE": 4.3 }, "ci": { "DIABETES": { "lo": 15.3, "hi": 20.4 }, "OBESITY": { "lo": 34.2, "hi": 52.2 }, "BPHIGH": { "lo": 41.9, "hi": 51.3 }, "CHD": { "lo": 9.1, "hi": 11.9 }, "GHLTH": { "lo": 25.3, "hi": 34.3 }, "PHLTH": { "lo": 16.8, "hi": 22.3 }, "ACCESS2": { "lo": 10.8, "hi": 17.6 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 12 }, { "fips": "47135", "name": "Perry", "population": 8891, "priorityIndex": 58.5, "burdenScore": 63.9, "accessScore": 38.4, "shortageScore": 73.1, "topDriver": "Provider shortage", "hpsaMaxScore": 19, "hpsaDesignations": 2, "raw": { "DIABETES": 16.4, "OBESITY": 40.1, "BPHIGH": 44.6, "CHD": 9.6, "GHLTH": 29.0, "PHLTH": 18.9, "ACCESS2": 14.3, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 17.7, "ACS_NOVEHICLE": 3.9 }, "ci": { "DIABETES": { "lo": 14.2, "hi": 19.0 }, "OBESITY": { "lo": 31.2, "hi": 49.7 }, "BPHIGH": { "lo": 40.0, "hi": 49.4 }, "CHD": { "lo": 8.4, "hi": 10.9 }, "GHLTH": { "lo": 24.7, "hi": 33.5 }, "PHLTH": { "lo": 16.4, "hi": 21.6 }, "ACCESS2": { "lo": 11.2, "hi": 17.9 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 13 }, { "fips": "47129", "name": "Morgan", "population": 21573, "priorityIndex": 57.6, "burdenScore": 55.9, "accessScore": 40.0, "shortageScore": 76.9, "topDriver": "Provider shortage", "hpsaMaxScore": 20, "hpsaDesignations": 2, "raw": { "DIABETES": 14.8, "OBESITY": 43.4, "BPHIGH": 42.4, "CHD": 8.5, "GHLTH": 26.3, "PHLTH": 17.5, "ACCESS2": 13.4, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 18.8, "ACS_NOVEHICLE": 5.1 }, "ci": { "DIABETES": { "lo": 12.7, "hi": 17.1 }, "OBESITY": { "lo": 34.5, "hi": 52.6 }, "BPHIGH": { "lo": 37.9, "hi": 47.1 }, "CHD": { "lo": 7.4, "hi": 9.7 }, "GHLTH": { "lo": 22.0, "hi": 30.6 }, "PHLTH": { "lo": 14.9, "hi": 20.0 }, "ACCESS2": { "lo": 10.3, "hi": 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null, "HOUSINSECU": null, "ACS_POVERTY": 8.1, "ACS_NOVEHICLE": 1.9 }, "ci": { "DIABETES": { "lo": 10.6, "hi": 14.4 }, "OBESITY": { "lo": 31.5, "hi": 48.5 }, "BPHIGH": { "lo": 33.9, "hi": 42.7 }, "CHD": { "lo": 5.7, "hi": 7.6 }, "GHLTH": { "lo": 17.2, "hi": 24.7 }, "PHLTH": { "lo": 12.6, "hi": 17.0 }, "ACCESS2": { "lo": 8.2, "hi": 13.8 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 89 }, { "fips": "47105", "name": "Loudon", "population": 60591, "priorityIndex": 24.3, "burdenScore": 48.7, "accessScore": 24.3, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 15.1, "OBESITY": 36.4, "BPHIGH": 44.8, "CHD": 9.0, "GHLTH": 23.1, "PHLTH": 16.0, "ACCESS2": 11.5, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 12.6, "ACS_NOVEHICLE": 3.4 }, "ci": { "DIABETES": { "lo": 12.9, "hi": 17.6 }, "OBESITY": { "lo": 29.0, "hi": 44.3 }, "BPHIGH": { "lo": 40.2, "hi": 49.4 }, "CHD": { "lo": 7.8, "hi": 10.4 }, "GHLTH": { "lo": 19.3, "hi": 27.3 }, "PHLTH": { "lo": 13.6, "hi": 18.6 }, "ACCESS2": { "lo": 9.0, "hi": 14.3 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 90 }, { "fips": "47189", "name": "Wilson", "population": 163674, "priorityIndex": 23.9, "burdenScore": 14.5, "accessScore": 11.1, "shortageScore": 46.2, "topDriver": "Provider shortage", "hpsaMaxScore": 12, "hpsaDesignations": 9, "raw": { "DIABETES": 11.3, "OBESITY": 31.2, "BPHIGH": 35.7, "CHD": 5.9, "GHLTH": 18.1, "PHLTH": 13.1, "ACCESS2": 9.6, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 7.6, "ACS_NOVEHICLE": 2.2 }, "ci": { "DIABETES": { "lo": 9.5, "hi": 13.2 }, "OBESITY": { "lo": 24.3, "hi": 38.5 }, "BPHIGH": { "lo": 31.3, "hi": 39.8 }, "CHD": { "lo": 5.1, "hi": 6.9 }, "GHLTH": { "lo": 14.9, "hi": 21.6 }, "PHLTH": { "lo": 11.1, "hi": 15.3 }, "ACCESS2": { "lo": 7.5, "hi": 12.0 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 91 }, { "fips": "47161", "name": "Stewart", "population": 14222, "priorityIndex": 23.6, "burdenScore": 43.3, "accessScore": 27.4, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 14.0, "OBESITY": 38.1, "BPHIGH": 41.4, "CHD": 8.0, "GHLTH": 23.1, "PHLTH": 16.1, "ACCESS2": 10.9, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 12.0, "ACS_NOVEHICLE": 5.9 }, "ci": { "DIABETES": { "lo": 12.1, "hi": 16.1 }, "OBESITY": { "lo": 29.5, "hi": 47.0 }, "BPHIGH": { "lo": 37.0, "hi": 46.0 }, "CHD": { "lo": 6.9, "hi": 9.0 }, "GHLTH": { "lo": 19.5, "hi": 27.0 }, "PHLTH": { "lo": 14.0, "hi": 18.4 }, "ACCESS2": { "lo": 8.5, "hi": 13.8 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 92 }, { "fips": "47187", "name": "Williamson", "population": 264460, "priorityIndex": 23.0, "burdenScore": 2.3, "accessScore": 1.3, "shortageScore": 65.4, "topDriver": "Provider shortage", "hpsaMaxScore": 17, "hpsaDesignations": 2, "raw": { "DIABETES": 10.0, "OBESITY": 29.4, "BPHIGH": 35.0, "CHD": 5.1, "GHLTH": 14.2, "PHLTH": 10.9, "ACCESS2": 6.9, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 4.5, "ACS_NOVEHICLE": 2.5 }, "ci": { "DIABETES": { "lo": 8.4, "hi": 11.8 }, "OBESITY": { "lo": 23.4, "hi": 36.5 }, "BPHIGH": { "lo": 30.9, "hi": 39.3 }, "CHD": { "lo": 4.4, "hi": 6.0 }, "GHLTH": { "lo": 11.3, "hi": 17.2 }, "PHLTH": { "lo": 9.0, "hi": 12.8 }, "ACCESS2": { "lo": 5.1, "hi": 9.2 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 93 }, { "fips": "47009", "name": "Blount", "population": 141456, "priorityIndex": 17.2, "burdenScore": 36.2, "accessScore": 15.4, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 13.4, "OBESITY": 36.3, "BPHIGH": 40.8, "CHD": 7.5, "GHLTH": 21.3, "PHLTH": 15.1, "ACCESS2": 10.2, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 8.9, "ACS_NOVEHICLE": 2.8 }, "ci": { "DIABETES": { "lo": 11.5, "hi": 15.7 }, "OBESITY": { "lo": 29.8, "hi": 43.4 }, "BPHIGH": { "lo": 36.7, "hi": 45.2 }, "CHD": { "lo": 6.4, "hi": 8.6 }, "GHLTH": { "lo": 17.7, "hi": 25.4 }, "PHLTH": { "lo": 12.9, "hi": 17.5 }, "ACCESS2": { "lo": 7.9, "hi": 13.2 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 94 }, { "fips": "47125", "name": "Montgomery", "population": 239872, "priorityIndex": 13.5, "burdenScore": 16.8, "accessScore": 23.6, "shortageScore": 0.0, "topDriver": "Access & SDOH barriers", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 10.8, "OBESITY": 38.4, "BPHIGH": 33.9, "CHD": 4.8, "GHLTH": 19.1, "PHLTH": 12.9, "ACCESS2": 11.7, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 11.6, "ACS_NOVEHICLE": 3.4 }, "ci": { "DIABETES": { "lo": 9.4, "hi": 12.4 }, "OBESITY": { "lo": 31.9, "hi": 45.8 }, "BPHIGH": { "lo": 30.2, "hi": 38.0 }, "CHD": { "lo": 4.2, "hi": 5.4 }, "GHLTH": { "lo": 16.5, "hi": 22.1 }, "PHLTH": { "lo": 11.3, "hi": 14.7 }, "ACCESS2": { "lo": 9.5, "hi": 14.1 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 95 } ], "faq": [ { "question": "What does the Tennessee county health-access scorecard measure?", "answer": "It ranks all 95 Tennessee 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": "adf51fbf51c80dfb" }