{
  "slug": "washington-county-primary-care-access-2026",
  "title": "Washington County Primary-Care Access & Health-Burden Scorecard",
  "summary": "A county-level targeting index for Washington, fusing adult chronic-disease and social-risk prevalence (CDC PLACES) with federally designated primary-care provider shortages (HRSA). Ranks all 39 counties by combined need so a health department or rural-health office can see where high burden and thin provider supply overlap.",
  "state": "Washington",
  "category": "Public Health & Risk",
  "tags": [
    "public-health",
    "health-access",
    "geospatial-risk",
    "government-data",
    "washington"
  ],
  "publishedDate": "2026-08-01",
  "accessAxisLabel": "Access & SDOH barriers",
  "generatedAt": "2026-08-01T06:59:15+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 Washington: 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 Washington 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": 39,
    "countiesWithHpsa": 39,
    "countiesWithHpsaPct": 100,
    "medianDiabetes": 11.4,
    "diabetesMin": {
      "county": "King",
      "value": 7.3
    },
    "diabetesMax": {
      "county": "Ferry",
      "value": 15.1
    },
    "medianUninsured": 8.1
  },
  "keyFindings": [
    "39 of Washington's 39 counties (100%) fall within a federally designated primary-care Health Professional Shortage Area.",
    "Adult diagnosed-diabetes prevalence ranges from 7.3% in King County to 15.1% in Ferry County, a 7.8-point spread within a single state.",
    "Adams County carries the highest combined targeting-priority index (71.0/100), led by its access & sdoh barriers score.",
    "The median county uninsured rate (adults 18-64) is 8.1%, and the median adult diabetes prevalence is 11.4%."
  ],
  "counties": [
    {
      "fips": "53001",
      "name": "Adams",
      "population": 20820,
      "priorityIndex": 71.0,
      "burdenScore": 72.9,
      "accessScore": 78.7,
      "shortageScore": 61.5,
      "topDriver": "Access & SDOH barriers",
      "hpsaMaxScore": 16,
      "hpsaDesignations": 3,
      "raw": {
        "DIABETES": 13.3,
        "OBESITY": 37.6,
        "BPHIGH": 32.4,
        "CHD": 6.8,
        "GHLTH": 27.8,
        "PHLTH": 16.8,
        "ACCESS2": 24.0,
        "LACKTRPT": null,
        "FOODINSECU": null,
        "HOUSINSECU": null,
        "ACS_POVERTY": 20.5,
        "ACS_NOVEHICLE": 6.5
      },
      "ci": {
        "DIABETES": {
          "lo": 11.6,
          "hi": 15.1
        },
        "OBESITY": {
          "lo": 32.0,
          "hi": 43.6
        },
        "BPHIGH": {
          "lo": 29.0,
          "hi": 35.7
        },
        "CHD": {
          "lo": 6.0,
          "hi": 7.6
        },
        "GHLTH": {
          "lo": 24.0,
          "hi": 31.8
        },
        "PHLTH": {
          "lo": 14.7,
          "hi": 18.9
        },
        "ACCESS2": {
          "lo": 19.2,
          "hi": 29.8
        },
        "LACKTRPT": {
          "lo": null,
          "hi": null
        },
        "FOODINSECU": {
          "lo": null,
          "hi": null
        },
        "HOUSINSECU": {
          "lo": null,
          "hi": null
        }
      },
      "rank": 1
    },
    {
      "fips": "53019",
      "name": "Ferry",
      "population": 7497,
      "priorityIndex": 65.9,
      "burdenScore": 93.8,
      "accessScore": 38.6,
      "shortageScore": 65.4,
      "topDriver": "Health burden",
      "hpsaMaxScore": 17,
      "hpsaDesignations": 5,
      "raw": {
        "DIABETES": 15.1,
        "OBESITY": 40.2,
        "BPHIGH": 41.1,
        "CHD": 10.0,
        "GHLTH": 24.3,
        "PHLTH": 17.9,
        "ACCESS2": 8.5,
        "LACKTRPT": null,
        "FOODINSECU": null,
        "HOUSINSECU": null,
        "ACS_POVERTY": 15.6,
        "ACS_NOVEHICLE": 5.9
      },
      "ci": {
        "DIABETES": {
          "lo": 13.1,
          "hi": 17.5
        },
        "OBESITY": {
          "lo": 33.4,
          "hi": 47.9
        },
        "BPHIGH": {
          "lo": 36.9,
          "hi": 45.4
        },
        "CHD": {
          "lo": 8.8,
          "hi": 11.2
        },
        "GHLTH": {
          "lo": 20.9,
          "hi": 28.3
        },
        "PHLTH": {
          "lo": 15.7,
          "hi": 20.5
        },
        "ACCESS2": {
          "lo": 6.9,
          "hi": 10.4
        },
        "LACKTRPT": {
          "lo": null,
          "hi": null
        },
        "FOODINSECU": {
          "lo": null,
          "hi": null
        },
        "HOUSINSECU": {
          "lo": null,
          "hi": null
        }
      },
      "rank": 2
    },
    {
      "fips": "53047",
      "name": "Okanogan",
      "population": 43712,
      "priorityIndex": 65.1,
      "burdenScore": 71.9,
      "accessScore": 46.4,
      "shortageScore": 76.9,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 20,
      "hpsaDesignations": 10,
      "raw": {
        "DIABETES": 13.3,
        "OBESITY": 32.6,
        "BPHIGH": 37.6,
        "CHD": 8.6,
        "GHLTH": 23.1,
        "PHLTH": 16.5,
        "ACCESS2": 12.3,
        "LACKTRPT": null,
        "FOODINSECU": null,
        "HOUSINSECU": null,
        "ACS_POVERTY": 18.5,
        "ACS_NOVEHICLE": 4.4
      },
      "ci": {
        "DIABETES": {
          "lo": 11.5,
          "hi": 15.1
        },
        "OBESITY": {
          "lo": 27.2,
          "hi": 38.1
        },
        "BPHIGH": {
          "lo": 34.0,
          "hi": 41.1
        },
        "CHD": {
          "lo": 7.5,
          "hi": 9.8
        },
        "GHLTH": {
          "lo": 19.8,
          "hi": 26.7
        },
        "PHLTH": {
          "lo": 14.4,
          "hi": 18.6
        },
        "ACCESS2": {
          "lo": 10.0,
          "hi": 15.0
        },
        "LACKTRPT": {
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          "hi": null
        },
        "FOODINSECU": {
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          "hi": null
        },
        "HOUSINSECU": {
          "lo": null,
          "hi": null
        }
      },
      "rank": 3
    },
    {
      "fips": "53077",
      "name": "Yakima",
      "population": 256643,
      "priorityIndex": 64.3,
      "burdenScore": 69.2,
      "accessScore": 54.4,
      "shortageScore": 69.2,
      "topDriver": "Health burden",
      "hpsaMaxScore": 18,
      "hpsaDesignations": 19,
      "raw": {
        "DIABETES": 12.9,
        "OBESITY": 39.7,
        "BPHIGH": 32.7,
        "CHD": 6.5,
        "GHLTH": 26.4,
        "PHLTH": 15.5,
        "ACCESS2": 18.8,
        "LACKTRPT": null,
        "FOODINSECU": null,
        "HOUSINSECU": null,
        "ACS_POVERTY": 15.4,
        "ACS_NOVEHICLE": 5.1
      },
      "ci": {
        "DIABETES": {
          "lo": 11.4,
          "hi": 14.5
        },
        "OBESITY": {
          "lo": 35.3,
          "hi": 44.1
        },
        "BPHIGH": {
          "lo": 29.9,
          "hi": 35.5
        },
        "CHD": {
          "lo": 5.7,
          "hi": 7.3
        },
        "GHLTH": {
          "lo": 23.1,
          "hi": 30.0
        },
        "PHLTH": {
          "lo": 13.6,
          "hi": 17.4
        },
        "ACCESS2": {
          "lo": 15.3,
          "hi": 23.1
        },
        "LACKTRPT": {
          "lo": null,
          "hi": null
        },
        "FOODINSECU": {
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        },
        "HOUSINSECU": {
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        }
      },
      "rank": 4
    },
    {
      "fips": "53025",
      "name": "Grant",
      "population": 102678,
      "priorityIndex": 60.0,
      "burdenScore": 60.8,
      "accessScore": 49.9,
      "shortageScore": 69.2,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 18,
      "hpsaDesignations": 10,
      "raw": {
        "DIABETES": 11.5,
        "OBESITY": 38.7,
        "BPHIGH": 32.7,
        "CHD": 6.5,
        "GHLTH": 23.2,
        "PHLTH": 15.0,
        "ACCESS2": 17.3,
        "LACKTRPT": null,
        "FOODINSECU": null,
        "HOUSINSECU": null,
        "ACS_POVERTY": 15.0,
        "ACS_NOVEHICLE": 4.8
      },
      "ci": {
        "DIABETES": {
          "lo": 10.1,
          "hi": 13.1
        },
        "OBESITY": {
          "lo": 33.7,
          "hi": 44.1
        },
        "BPHIGH": {
          "lo": 29.6,
          "hi": 35.9
        },
        "CHD": {
          "lo": 5.8,
          "hi": 7.3
        },
        "GHLTH": {
          "lo": 20.0,
          "hi": 26.6
        },
        "PHLTH": {
          "lo": 13.2,
          "hi": 17.0
        },
        "ACCESS2": {
          "lo": 14.1,
          "hi": 21.1
        },
        "LACKTRPT": {
          "lo": null,
          "hi": null
        },
        "FOODINSECU": {
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          "hi": null
        },
        "HOUSINSECU": {
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          "hi": null
        }
      },
      "rank": 5
    },
    {
      "fips": "53027",
      "name": "Grays Harbor",
      "population": 77290,
      "priorityIndex": 59.2,
      "burdenScore": 74.5,
      "accessScore": 37.8,
      "shortageScore": 65.4,
      "topDriver": "Health burden",
      "hpsaMaxScore": 17,
      "hpsaDesignations": 12,
      "raw": {
        "DIABETES": 13.6,
        "OBESITY": 37.0,
        "BPHIGH": 39.4,
        "CHD": 8.1,
        "GHLTH": 21.9,
        "PHLTH": 16.0,
        "ACCESS2": 9.9,
        "LACKTRPT": null,
        "FOODINSECU": null,
        "HOUSINSECU": null,
        "ACS_POVERTY": 14.1,
        "ACS_NOVEHICLE": 5.8
      },
      "ci": {
        "DIABETES": {
          "lo": 11.7,
          "hi": 15.4
        },
        "OBESITY": {
          "lo": 31.7,
          "hi": 42.4
        },
        "BPHIGH": {
          "lo": 35.8,
          "hi": 42.8
        },
        "CHD": {
          "lo": 7.1,
          "hi": 9.2
        },
        "GHLTH": {
          "lo": 18.5,
          "hi": 25.2
        },
        "PHLTH": {
          "lo": 13.7,
          "hi": 18.1
        },
        "ACCESS2": {
          "lo": 8.1,
          "hi": 12.1
        },
        "LACKTRPT": {
          "lo": null,
          "hi": null
        },
        "FOODINSECU": {
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        },
        "HOUSINSECU": {
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        }
      },
      "rank": 6
    },
    {
      "fips": "53049",
      "name": "Pacific",
      "population": 24200,
      "priorityIndex": 58.5,
      "burdenScore": 82.0,
      "accessScore": 31.9,
      "shortageScore": 61.5,
      "topDriver": "Health burden",
      "hpsaMaxScore": 16,
      "hpsaDesignations": 6,
      "raw": {
        "DIABETES": 14.9,
        "OBESITY": 36.4,
        "BPHIGH": 42.1,
        "CHD": 9.2,
        "GHLTH": 21.8,
        "PHLTH": 16.0,
        "ACCESS2": 8.5,
        "LACKTRPT": null,
        "FOODINSECU": null,
        "HOUSINSECU": null,
        "ACS_POVERTY": 11.6,
        "ACS_NOVEHICLE": 6.3
      },
      "ci": {
        "DIABETES": {
          "lo": 12.8,
          "hi": 17.1
        },
        "OBESITY": {
          "lo": 30.8,
          "hi": 42.6
        },
        "BPHIGH": {
          "lo": 38.1,
          "hi": 46.1
        },
        "CHD": {
          "lo": 8.0,
          "hi": 10.4
        },
        "GHLTH": {
          "lo": 18.3,
          "hi": 25.7
        },
        "PHLTH": {
          "lo": 13.7,
          "hi": 18.5
        },
        "ACCESS2": {
          "lo": 6.7,
          "hi": 10.5
        },
        "LACKTRPT": {
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        },
        "FOODINSECU": {
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        },
        "HOUSINSECU": {
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        }
      },
      "rank": 7
    },
    {
      "fips": "53069",
      "name": "Wahkiakum",
      "population": 4765,
      "priorityIndex": 58.2,
      "burdenScore": 89.3,
      "accessScore": 31.6,
      "shortageScore": 53.8,
      "topDriver": "Health burden",
      "hpsaMaxScore": 14,
      "hpsaDesignations": 1,
      "raw": {
        "DIABETES": 14.7,
        "OBESITY": 39.1,
        "BPHIGH": 42.9,
        "CHD": 10.2,
        "GHLTH": 22.0,
        "PHLTH": 16.8,
        "ACCESS2": 8.0,
        "LACKTRPT": null,
        "FOODINSECU": null,
        "HOUSINSECU": null,
        "ACS_POVERTY": 15.7,
        "ACS_NOVEHICLE": 4.0
      },
      "ci": {
        "DIABETES": {
          "lo": 12.7,
          "hi": 17.0
        },
        "OBESITY": {
          "lo": 32.8,
          "hi": 45.8
        },
        "BPHIGH": {
          "lo": 38.8,
          "hi": 46.9
        },
        "CHD": {
          "lo": 8.8,
          "hi": 11.7
        },
        "GHLTH": {
          "lo": 18.5,
          "hi": 25.9
        },
        "PHLTH": {
          "lo": 14.5,
          "hi": 19.4
        },
        "ACCESS2": {
          "lo": 6.2,
          "hi": 10.1
        },
        "LACKTRPT": {
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        },
        "FOODINSECU": {
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        },
        "HOUSINSECU": {
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        }
      },
      "rank": 8
    },
    {
      "fips": "53015",
      "name": "Cowlitz",
      "population": 112864,
      "priorityIndex": 55.6,
      "burdenScore": 65.0,
      "accessScore": 36.4,
      "shortageScore": 65.4,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 17,
      "hpsaDesignations": 4,
      "raw": {
        "DIABETES": 11.4,
        "OBESITY": 40.5,
        "BPHIGH": 35.4,
        "CHD": 7.2,
        "GHLTH": 20.7,
        "PHLTH": 15.6,
        "ACCESS2": 9.2,
        "LACKTRPT": null,
        "FOODINSECU": null,
        "HOUSINSECU": null,
        "ACS_POVERTY": 13.0,
        "ACS_NOVEHICLE": 6.4
      },
      "ci": {
        "DIABETES": {
          "lo": 10.0,
          "hi": 12.9
        },
        "OBESITY": {
          "lo": 35.8,
          "hi": 45.1
        },
        "BPHIGH": {
          "lo": 32.5,
          "hi": 38.3
        },
        "CHD": {
          "lo": 6.3,
          "hi": 8.2
        },
        "GHLTH": {
          "lo": 17.8,
          "hi": 23.8
        },
        "PHLTH": {
          "lo": 13.7,
          "hi": 17.7
        },
        "ACCESS2": {
          "lo": 7.4,
          "hi": 11.2
        },
        "LACKTRPT": {
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        },
        "FOODINSECU": {
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        },
        "HOUSINSECU": {
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        }
      },
      "rank": 9
    },
    {
      "fips": "53021",
      "name": "Franklin",
      "population": 99034,
      "priorityIndex": 55.5,
      "burdenScore": 48.3,
      "accessScore": 49.1,
      "shortageScore": 69.2,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 18,
      "hpsaDesignations": 3,
      "raw": {
        "DIABETES": 10.8,
        "OBESITY": 35.2,
        "BPHIGH": 27.8,
        "CHD": 5.3,
        "GHLTH": 23.3,
        "PHLTH": 14.8,
        "ACCESS2": 19.6,
        "LACKTRPT": null,
        "FOODINSECU": null,
        "HOUSINSECU": null,
        "ACS_POVERTY": 13.0,
        "ACS_NOVEHICLE": 4.5
      },
      "ci": {
        "DIABETES": {
          "lo": 9.4,
          "hi": 12.3
        },
        "OBESITY": {
          "lo": 29.7,
          "hi": 40.7
        },
        "BPHIGH": {
          "lo": 24.7,
          "hi": 30.9
        },
        "CHD": {
          "lo": 4.7,
          "hi": 6.0
        },
        "GHLTH": {
          "lo": 19.9,
          "hi": 26.9
        },
        "PHLTH": {
          "lo": 12.9,
          "hi": 16.8
        },
        "ACCESS2": {
          "lo": 15.5,
          "hi": 24.1
        },
        "LACKTRPT": {
          "lo": null,
          "hi": null
        },
        "FOODINSECU": {
          "lo": null,
          "hi": null
        },
        "HOUSINSECU": {
          "lo": null,
          "hi": null
        }
      },
      "rank": 10
    },
    {
      "fips": "53065",
      "name": "Stevens",
      "population": 48837,
      "priorityIndex": 54.4,
      "burdenScore": 68.2,
      "accessScore": 25.7,
      "shortageScore": 69.2,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 18,
      "hpsaDesignations": 7,
      "raw": {
        "DIABETES": 12.6,
        "OBESITY": 34.3,
        "BPHIGH": 37.6,
        "CHD": 8.7,
        "GHLTH": 20.5,
        "PHLTH": 15.9,
        "ACCESS2": 8.0,
        "LACKTRPT": null,
        "FOODINSECU": null,
        "HOUSINSECU": null,
        "ACS_POVERTY": 12.9,
        "ACS_NOVEHICLE": 3.9
      },
      "ci": {
        "DIABETES": {
          "lo": 10.9,
          "hi": 14.5
        },
        "OBESITY": {
          "lo": 29.7,
          "hi": 38.8
        },
        "BPHIGH": {
          "lo": 34.2,
          "hi": 40.8
        },
        "CHD": {
          "lo": 7.6,
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          "hi": 36.3
        },
        "BPHIGH": {
          "lo": 31.4,
          "hi": 38.1
        },
        "CHD": {
          "lo": 5.9,
          "hi": 7.9
        },
        "GHLTH": {
          "lo": 13.0,
          "hi": 18.6
        },
        "PHLTH": {
          "lo": 11.0,
          "hi": 14.8
        },
        "ACCESS2": {
          "lo": 5.6,
          "hi": 8.8
        },
        "LACKTRPT": {
          "lo": null,
          "hi": null
        },
        "FOODINSECU": {
          "lo": null,
          "hi": null
        },
        "HOUSINSECU": {
          "lo": null,
          "hi": null
        }
      },
      "rank": 38
    },
    {
      "fips": "53055",
      "name": "San Juan",
      "population": 18566,
      "priorityIndex": 31.1,
      "burdenScore": 41.9,
      "accessScore": 16.9,
      "shortageScore": 34.6,
      "topDriver": "Health burden",
      "hpsaMaxScore": 9,
      "hpsaDesignations": 1,
      "raw": {
        "DIABETES": 10.9,
        "OBESITY": 24.7,
        "BPHIGH": 37.0,
        "CHD": 8.0,
        "GHLTH": 15.5,
        "PHLTH": 13.0,
        "ACCESS2": 6.0,
        "LACKTRPT": null,
        "FOODINSECU": null,
        "HOUSINSECU": null,
        "ACS_POVERTY": 10.5,
        "ACS_NOVEHICLE": 3.8
      },
      "ci": {
        "DIABETES": {
          "lo": 9.1,
          "hi": 12.8
        },
        "OBESITY": {
          "lo": 19.6,
          "hi": 30.2
        },
        "BPHIGH": {
          "lo": 32.9,
          "hi": 40.8
        },
        "CHD": {
          "lo": 6.8,
          "hi": 9.2
        },
        "GHLTH": {
          "lo": 12.4,
          "hi": 18.8
        },
        "PHLTH": {
          "lo": 10.8,
          "hi": 15.2
        },
        "ACCESS2": {
          "lo": 4.6,
          "hi": 7.8
        },
        "LACKTRPT": {
          "lo": null,
          "hi": null
        },
        "FOODINSECU": {
          "lo": null,
          "hi": null
        },
        "HOUSINSECU": {
          "lo": null,
          "hi": null
        }
      },
      "rank": 39
    }
  ],
  "faq": [
    {
      "question": "What does the Washington county health-access scorecard measure?",
      "answer": "It ranks all 39 Washington 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": "9a0b2a5115408ced"
}