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HEZ Home : HEZ_Eligibility_Data

HEZ Eligibility Criteria and Data Maps.
 
The HEZ eligibility criteria were used to evaluate the Letters of Interest (LOI) due to the Community Health Resources Commission on October 19.  The LOI process is now closed, and applicants whose proposed HEZ area met this criteria were certified as eligible to apply for HEZ designation and are permitted to submit a full HEZ proposal to the CHRC, due no later than November 13, 2012.  A list of approved eligible applicants and proposed HEZs can be found under the “How to Apply” tab.  
 
Applicants are permitted to use this eligibility data as part of their full HEZ proposal and are also encouraged to incorporate other data metrics and information in their proposal beyond these eligibility criteria.  The DHMH Virtual Data Unit has made several new data resources available under the “Supplemental Data” tab for HEZ applicants to use in the development of their full proposal. 
 
The following Zip Code level health data is available on the HEZ Supplemental Data tab:
• Average Age-Adjusted Death Rate for All Causes of Death;
• Age-Adjusted Death Rate for Diseases of the Heart;
• Total HIV Living Case Rate;
• Number and Proportion of Emergency Department Visits with a Chief Complaint of Asthma;
• Number and Proportion of Emergency Department Visits with a Chief Complaint of Diabetes;
• Number and Proportion of Emergency Department Visits with a Chief Complaint of Congestive Heart Failure.
 
Additionally, an external link is available that displays Maryland Hospital Inpatient Discharge Rates by Zip Code.
As stated in the Joint Chairmen’s Report and during the public comment period, there are four threshold eligibility criteria (below).  These general threshold eligibility criteria aim to cast a wide net and allow many communities to apply to become an HEZ.  The selection process, following the issuance of the Call for Proposals later this fall, will be the point at which more stringent criteria are used and communities have the opportunity to demonstrate the existence of health disparities and poor health outcomes in their communities in their applications.
 
Each proposed HEZ met the following eligibility criteria to be eligible to submit a full HEZ proposal:
 
1   An HEZ must be a community, or contiguous cluster of communities, defined by zip codes boundaries (one or more multiple zip codes);
 
2   An HEZ must have a resident population of at least 5,000 individuals*;
 
3.  An HEZ must demonstrate economic disadvantage by having either:
 
  •  A Medicaid enrollment rate above the median value for all Maryland zip codes; or
  •  A WIC participation rate above the media value for all Maryland zip codes; and
 
4.  An HEZ must demonstrate poor health outcomes by having either:
 
  • Life expectancy below the media value for all Maryland zip codes; or
  • A percentage of low birth weight infants above the median value for all Maryland zip codes.
 
The Department has set the median value for economic disadvantage (Medicaid enrollment or WIC participation) and poor health outcomes (life expectancy or % of low birth weight infants) as the eligibility cutoff.  An HEZ made up of multiple zip codes must meet these thresholds in each zip code if the values are known.
 
* The overall resident population in a proposed HEZ must total 5,000 individuals or more. If a proposed HEZ is comprised of multiple zip code areas, it is not a requirement that each zip code area have a population of 5,000 or more.
 
The Department is providing interactive maps based on available data sources.  Potential applicants are encouraged to consult these maps to determine whether a zip code would meet threshold eligibility requirements.  
 
Applicants are encouraged to send an email to dhmh.hez@maryland.gov for data requests for these zip codes.
 
 
HEZ Eligibility Data Map
 

Data for zip codes with a population of 5,000 or more is available in the Interactive HEZ Eligibility Data Map below. Potential applicants are encouraged to consult this map to determine whether a zip code would meet threshold eligibility requirements. Static HEZ eligibility maps are provided in Word format for those that wish to access a printer-friendly version.

Interactive HEZ Eligibility Map:

Map Notes:

  • Zip codes shown in yellow do not meet the baseline eligibility requirement for that criterion.
  • Zip codes shown in red meet the baseline eligibility requirement for that criterion.
  • Zip codes shown in white do not show data because they do not have a resident population of at least 5,000. These zip codes may be eligible if they are added to other zip codes such that the total resident population of the proposed HEZ reaches 5,000 individuals or more.

Static HEZ Eligibility Maps: