Presentation Information

Confidentiality rule:
Numbers based on 0-4 events are classified as a separate static class when a sub-county level geography (Census Tract or County Commission District) is chosen. This, in addition to offering only non-overlapping 5-year aggregates is done to assure confidentiality.
Not Reportable
At the County level or higher rates (and percents) based on 1-4 events are not reported due to statistical reliability reasons. At sub-county level (Census Tract or County Commission District), rates and percents based on 0-4 are not reported. This assures confidentiality.
Trendable Maps
Trendable maps are a series of choropleth maps showing change in spatial distribution of data in a selected area over selected period of time. Trendable maps share the same data class breaks which allows easy comparison between each map in the series.
Trendable Maps

Mapping Units:

Visible Layers:

Census Tracts 2020
Census Tracts are small, relatively permanent statistical subdivisions of a county or equivalent entity that are updated by local participants prior to each decennial census.
Census tracts generally have a population size between 1,200 and 8,000 people.  A census tract usually covers a contiguous area; however, the spatial size of census tracts varies widely depending on the density of settlement.  Census tract boundaries are delineated with the intention of being maintained over a long time so that statistical comparisons can be made from census to census.  Census tracts occasionally are split due to population growth or merged as a result of substantial population decline.
Census tract boundaries generally follow visible and identifiable features.  They may follow nonvisible legal boundaries, such as minor civil division (MCD) or incorporated place boundaries in some states and situations, to allow for census-tract-to-governmental-unit relationships where the governmental boundaries tend to remain unchanged between censuses.  State and county boundaries always are census tract boundaries in the standard census geographic hierarchy. Reference Source: U.S. Commerce Department, United States Census Bureau, February 2022.
Cities/Towns
A mix of both incorporated places (legal entities) and census designated places or CDPs (statistical entities). An incorporated place is established to provide governmental functions for a concentration of people. Places always nest within a state, but may extend across county and county subdivision boundaries. An incorporated place usually is a city, town, village, or borough, but can have other legal descriptions. CDPs are delineated to provide data for settled concentrations of population that are identifiable by name, but are not legally incorporated under the laws of the state in which they are located. Click on city/town name to highlight the boundary. Reference Source: U.S. Census, 2020.
County Commission Districts
For more information, see http://www.accg.org/. The districts were established in 2014, and were obtained from the Association of County Commissioners of Georgia (ACCG). Further processing was performed by the Office of Health Indicators for Planning (OHIP) of the Georgia Department of Public Health. History and role: In 1868 the state began creating the position of county commissioner to administer the general operations of the county. Today every county has a commissioner; many have a board of commissioners (BOC). As part of general county operations, the BOC must finance county programs. A BOC has the power to adopt ordinances, resolutions, or regulations relating to county property, county affairs, and the operation of local government (http://www.georgiaencyclopedia.org/nge/Article.jsp?id=h-589 ).
GA House Districts
Electoral districts from which State Representatives are elected. The Georgia Constitution requires not less than 180 Representatives apportioned by population from representative districts. Layer Source: https://www.legis.ga.gov/, Adopted 2023 – Effective for 2024 Elections.
GA Senate Districts
Electoral districts from which State Senators are elected. The Georgia Constitution limits the number to not more than 56 single member districts. Senate districts are apportioned based on population. Layer Source: https://www.legis.ga.gov/, Adopted 2023 – Effective for 2024 Elections.
Hospitals
Hospitals are the non-Federal acute-care inpatient medical facilities in Georgia. Click on the symbol to get the name. Reference Source: Georgia Hospital Association, 2021.
Interstates
Interstates are the freeways that are part of the Interstate Highway System in Georgia. The Interstate Highway System connects major cities within the United States. Click on the line to get the Interstate number. Layer Source: Esri, March 1, 2012.
Major Roads
Major roads are a combination of both federal and state highways connecting cities and towns. Click on the line to get the route number. Layer Source: Esri, March 1, 2012.
Perinatal Regions
The Perinatal Regions were established by the Department of Public Health in cooperation with the six teaching hospitals located in Atlanta, Albany, Augusta, Columbus, Macon and Savannah. The Regions reflect the hospital referral patterns for high risk pregnant women and newborns Each of the six hospitals has a Regional Perinatal Center which has contracts with the state and receives funding to care for high risk pregnant women and infants as well as to train staff from other hospitals in perinatal care especially for high risk patients. Reference Source: Georgia Department of Public Health, March 2005.
ZIP Code
Established by the U.S. Postal Service for distribution of mail. Zip codes do not generally respect political boundaries or census areas such as tracts. Zip codes usually do not have clearly identifiable boundaries, often serve a continually changing area, are changed periodically to meet postal requirements, and do not cover all land area in the U.S. Layer Source: Esri, June 1, 2020.

Base Layers:

Base layers are background information to provide contextual references for local-level maps. They are especially suited for tract-level maps and give real-world reference to maps you create in OASIS. There are three toggle-able (on/off) base layers:
Demographic Clusters
Demographic Clusters refer to the socioeconomic status classifications created by OHIP, and are at the census block-group level. More information here: https://oasis.state.ga.us/gis/demographiccluster/DemoClusters2011.htm
Aerial Photography
Aerial Photography refers to ESRI's World Imagery.
Socioeconomic (SES) Vulnerability
Socioeconomic (SES) Vulnerability refers to the socioeconomic status domain/subset of the CDC’s Social Vulnerability Index (SVI) 2020. Socioeconomic vulnerability ranks census tracts within Georgia on 5 factors: below 150% poverty, unemployed, housing cost burden, no high school diploma, and no health insurance. Percentile ranking values range from 0 to 1, with higher values indicating greater vulnerability/lower socioeconomic status. Quintiles of the percentile rankings were used to create class breaks (Very Low, Low, Average, High and Very High SES Vulnerability). Keep in mind that “Very Low” SES Vulnerability equates to a High SES status. For more information see https://www.atsdr.cdc.gov/placeandhealth/svi/index.html. For data dictionary click here.
Street Map
Street Map refers to ESRI's World Street Map with street-level data for North America.

Data Classification Methods:

Natural Breaks (Jenks)
This method minimizes within-class variance and maximizes between-class variance in an iterative series of calculations. This method seeks to partition data into classes based on natural groups in the data distribution. Natural breaks occur in the histogram at the low points of valleys. Breaks are assigned in the order of the size of the valleys, with the largest valley being assigned the first natural break.
George F. Jenks is considered a pioneer in GIS educational programs. Through an award from the Fund for Advancement of Science, Jenks identified four key objectives for cartographic training. Robert McMaster and Susanna McMaster; A History of Twentieth-Century American Academic Cartography
Source: Brewer and Pickle. Evaluation of Methods for Classifying Epidemiological Data on Choropleth Maps in a Series. Annals of the Association of American Geographers, 92(4), 2002, pp. 662-681.
Quantiles
The quantiles method of classification is provided because: Source: Brewer and Pickle. Evaluation of Methods for Classifying Epidemiological Data on Choropleth Maps in a Series. Annals of the Association of American Geographers, 92(4), 2002, pp. 662-681.

Definitions:

Age
Ages are presented by Detailed Age Groups, Lifestages and Single Year of Age which is created by the Department of Public Health, OHIP. Also, note that selecting "all ages" will supercede any start and end age selection. Uncheck "all ages" to make an age-specific selection.
Age-Adjusted Rates
A weighted average of the age-specific rates, where the weights are the proportions of persons in the corresponding age groups of a standard population. The calculation of an Age-Adjusted Rate uses the year 2000 U.S. standard million. Benefit: Controls for differences in age structure so that observed differences in rates across areas such as counties are not due solely to differences in the proportion of people in different age groups in different areas. Rates are per 100,000 population.
Cause of ER Visits
Reported causes of illness are based solely on the underlying cause of illness. The underlying cause of illness is defined by the World Health Organization as the disease or injury that initiated the sequence of events leading directly to illness or as the circumstances of the accident or violence that produced the injury. See ADRD CAUSES.
Data Classes
Also referred to as "class breaks" or groupings of data.
ER Visits
The number of emergency room visits to non-Federal acute care inpatient facilities. Only discharges of Georgia residents who were seen in a Georgia facility are included. Persons can be counted more than once if readmitted. Visits include people both living and who have died, but not those admitted as an inpatient to a hospital. Since the number and rate are derived only from ER visits, they do not include all existing cases (prevalence) or new cases (incidence) among residents of Georgia. ER Visits are reported by date of discharge, not admitting date.
ER Visit Rate
Formula = [Number of ER Visits / Population] * 100,000. Rates that use Census Population Estimates in the denominator are unable to be calculated when the selected population is Unknown.
Ethnicity
Hispanic or Latino includes persons of Mexican, Puerto Rican, Cuban, South or Central American, or other Spanish culture or origin, regardless of race. Non-Hispanic + Hispanic may not equal the total number of events due to persons of unknown ethnicity.
International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) vs. ICD10
The National Center for Health Statistics (NCHS), the Federal agency responsible for use of the International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10) in the United States, has developed a clinical modification (CM) of the classification for morbidity (hospital and ER data) purposes. The ICD-10 is used to code and classify mortality data from death certificates, having replaced ICD-9 for this purpose as of January 1, 1999. ICD-10-CM is the replacement for ICD-9-CM, effective October 1, 2015 in discharge and ER data.
The ICD-10 is copyrighted by the World Health Organization (WHO). WHO has authorized the development of an adaptation of ICD-10 for use in the United States (ICD-10-CM). All modifications to the ICD-10 must conform to WHO conventions for the ICD. https://www.cdc.gov/nchs/icd/icd10cm.htm
Lifestages
An age year grouping methodology based upon predictable mortality. Georgia uses the following Lifestages: <1 Infancy, 1-4 Early Childhood, 5-12 Later Childhood, 13-19 Adolescence, 20-29 Early Adulthood, 30-44 Young Adulthood, 45-59 Middle Adulthood, 60-74 Late Adulthood, and 75+ Older Adulthood. The highest value for age is 120 years.
Payor
Payor is the primary entity responsible for payment of services. Values for Payor include:
Race
Per the Federal Office of Management and Budget, Directive 15 (1997),
Socioeconomic (SES) Vulnerability
Socioeconomic (SES) Vulnerability refers to the socioeconomic status domain/subset of the CDC’s Social Vulnerability Index (SVI) 2020. Socioeconomic vulnerability ranks census tracts within Georgia on 5 factors: below 150% poverty, unemployed, housing cost burden, no high school diploma, and no health insurance. Percentile ranking values range from 0 to 1, with higher values indicating greater vulnerability/lower socioeconomic status. Quintiles of the percentile rankings were used to create class breaks (Very Low, Low, Average, High and Very High SES Vulnerability). Keep in mind that “Very Low” SES Vulnerability equates to a High SES status. For more information see https://www.atsdr.cdc.gov/placeandhealth/svi/index.html. For data dictionary click here.

ADRD Cause Definitions
Disease Names ICD10 Codes
Creutzfeldt-Jakob Disease A81
Vascular Dementia F01
Dementia in Other Diseases classified elsewhere F02
Dementia with Anxiety F02.84, F02.A4, F02.B4, F02.C4
Dementia with Behavioral Disturbance F02.81-, F02.A1-, F02.B1-, F02.C1-
Dementia with Mood Disturbance F02.83, F02.A3, F02.B3, F02.C3
Dementia with Psychotic Disturbance F02.82, F02.A2, F02.B2, F02.C2
Dementia without Behavioral Disturbance F02.80, F02.A0, F02.B0, F02.C0
Unspecified Dementia F03
Huntington’s Disease G10
Parkinson’s Disease Only G20
Alzheimer's Disease G30
Alzheimer's Disease with Early Onset G30.0
Alzheimer's Disease with Late Onset G30.1
Other Alzheimer's Disease G30.8
Alzheimer's Disease, Unspecified G30.9
Other Degenerative Diseases of the Nervous System, not elsewhere classified G31
Frontotemporal Dementia G31.09
Senile Degeneration of Brain, not elsewhere classified G31.1
Degeneration of Nervous System due to Alcohol Wernicke-Korsakoff syndrome G31.2
Other Specified Degenerative Disease of Nervous System Grey- matter degeneration Lewy body disease G31.8
Neurocognitive Disorder with Lewy Bodies (contained within G31.8) G31.83
Corticobasal Degeneration (contained within G31.8) G31.85
Degenerative Disease of Nervous System, unspecified G31.9

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V1.4 (8/13/2024)