Data Sources

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  • Bureau of Economic Analysis. (2020c). Interactive Data. Regional Data. Table CAINC35, Personal Current Transfer Receipts: generated by Office of Statewide Initiatives; using: https://www.bea.gov/
  • Bureau of Health Care Quality and Compliance. (2020). Unpublished data. Carson City, NV: State of Nevada. Centers for Disease Control and Prevention. (2020a). Interactive Atlas, Diabetes. For more information:
  • https://gis.cdc.gov/grasp/diabetes/DiabetesAtlas.html
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  • Center for Health Information Analysis. (2020). University of Nevada, Las Vegas. For more information: https://nevadacomparecare.net/
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  • Chiropractic Physicians’ Board of Nevada. (2010). Unpublished data. Las Vegas, NV: State of Nevada. For more information: http://chirobd.nv.gov
  • Chiropractic Physicians’ Board of Nevada. (2020). Unpublished data. Las Vegas, NV: State of Nevada. For more information: http://chirobd.nv.gov
  • Cost Report Data Resources. (2020). Unpublished data. For more information: https://www.costreportdata.com
  • Diedrick, M., Lensch, T. Zhang, F., Peek, J., Clements-Nolle, K., Yang, W. (2020). State of Nevada, Division of Public and Behavioral Health and the University of Nevada, Reno. 2019 Nevada High School Youth Risk Behavior Survey (YRBS) Report. For more information: https://www.unr.edu/public-health/research-activities/nevada-youth-risk-behavior- survey
  • Division of Health Care Financing and Policy. (2020). Unpublished data. Carson City, NV: Nevada Department of Health and Human Services.
  • ESRI. (2020). ArcGIS 10.3 Software. Redlands, CA: ESRI, Inc. For more information: www.esri.com
  • Federal Bureau of Investigation. (2020). Crime data explorer. For more information: https://crime-data- explorer.app.cloud.gov/
  • Health Resources and Services Administration. (2020). Find shortage Areas: HPSA by State and County. For more information: https://data.hrsa.gov/tools/shortage-area/hpsa-find
  • Intellimed International. (2020). IntelliClient: Nevada Inpatient, Outpatient, and Emergency Department. Unpublished data.
  • For more information: https://www.intellimed.com/
  • Nevada Department of Agriculture. (2020). Food & Nutrition. National School Lunch Program. Free and Reduced Lunch Reports. For more information: http://agri.nv.gov/
  • Nevada Department of Corrections. (2020). Unpublished data. Carson City, NV: State of Nevada
  • Nevada Department of Education. (2020). Data/Report. Carson City, NV: State of Nevada. For more information: http://www.doe.nv.gov
  • Nevada Department of Employment, Training, and Rehabilitation. (2020). Nevada Workforce Informer. Carson City, NV: State of Nevada. For more information: http://www.nevadaworkforce.com/
  • Nevada Department of Transportation. (2021). NDOT Highway Map 2019-2020 update.pdf. Carson City, NV: State of Nevada. For more information: https://www.nevadadot.com/travel-info/maps.
  • Nevada Division of Aging and Disability Services. (2020). Unpublished data. Board of Applied Behavior Analysis. Carson City, NV: State of Nevada.
  • Nevada Division of Public and Behavioral Health. (2020). Unpublished data. Carson City, NV: DPBH. For more information: http://health.nv.gov
  • Nevada Division of Welfare and Supportive Services. (2020). Unpublished Data. Suppldemental Nutrition Assistance Program. Nevada Department of Health and Human Services. Carson City, NV: State of Nevada.
  • Nevada Report Card. Nevada Accountability Portal. For more information: http://nevadareportcard.nv.gov/di/
  • Nevada Secretary of State. (2020). Election Center. Voters. Voter Registration Statistics. Carson City, NV: State of Nevada. Available from https://www.nvsos.gov/sos/elections/voters/voter-registration-statistics
  • Nevada State Board of Dental Examiners. (2010). Unpublished data. Las Vegas, NV: State of Nevada. For more information: http://www.nvdentalboard.nv.gov/
  • Nevada State Board of Dental Examiners. (2020). Unpublished data. Las Vegas, NV: State of Nevada. For more information: http://www.nvdentalboard.nv.gov/
  • Nevada State Board of Examiners for Alcohol, Drug and Gambling Counselors. (2020). Unpublished data. Las Vegas, NV: State of Nevada. For more information: https://alcohol.nv.gov/
  • Nevada State Board of Examiners for Marriage and Family Therapists and Clinical Professional Counselors. (2010).
  • Unpublished data. Las Vegas, NV: State of Nevada. For more information: http://marriage.nv.gov/
  • Nevada State Board of Examiners for Marriage and Family Therapists and Clinical Professional Counselors. (2020).
  • Unpublished data. Las Vegas, NV: State of Nevada. For more information: http://marriage.nv.gov/
  • Nevada State Board of Massage Therapists. (2010). Unpublished data. Reno, NV: State of Nevada. For more information: http://massagetherapy.nv.gov/
  • Nevada State Board of Massage Therapists. (2020). Unpublished data. Reno, NV: State of Nevada. For more information: http://massagetherapy.nv.gov/
  • Nevada State Board of Medical Examiners. (2010). Unpublished data. Reno, NV: State of Nevada. For more information: http://medboard.nv.gov/
  • Nevada State Board of Medical Examiners. (2020). Unpublished data. Reno, NV: State of Nevada. For more information: http://medboard.nv.gov/
  • Nevada State Board of Nursing. (2010). Nevada State Board of Nursing Annual Report. Reno, NV: State of Nevada. Available from: http://nevadanursingboard.org/consumers/annual-reports/
  • Nevada State Board of Nursing. (2020). Unpublished data from the Nevada State Board of Nursing. Reno, NV: State of Nevada. Available from: http://nevadanursingboard.org/consumers/annual-reports/
  • Nevada State Board of Optometry. (2010). Unpublished data. Carson City, NV: State of Nevada. For more information: https://nvoptometry.org/
  • Nevada State Board of Optometry. (2020). Unpublished data. Carson City, NV: State of Nevada. For more information: https://nvoptometry.org/
  • Nevada State Board of Osteopathic Medicine. (2010). Unpublished data. Henderson, NV: State of Nevada. For more information: http://license.k3systems.com/LicensingPublic/board.jsp
  • Nevada State Board of Osteopathic Medicine. (2020). Unpublished data. Henderson, NV: State of Nevada. For more information: http://license.k3systems.com/LicensingPublic/board.jsp
  • Nevada State Board of Pharmacy. (2010). Unpublished data. Las Vegas, NV: State of Nevada. For more information: http://bop.nv.gov/
  • Nevada State Board of Pharmacy. (2020). Unpublished data. Las Vegas, NV: State of Nevada. For more information: http://bop.nv.gov/
  • Nevada State Board of Podiatry. (2010). Unpublished data. Las Vegas, NV: State of Nevada. For more information: http://podiatry.nv.gov/
  • Nevada State Board of Podiatry. (2020). Unpublished data. Las Vegas, NV: State of Nevada. For more information: http://podiatry.nv.gov/
  • Nevada State Board of Psychological Examiners. (2010). Unpublished data. Las Vegas, NV: State of Nevada. For more information: http://psyexam.nv.gov/
  • Nevada State Board of Psychological Examiners. (2020). Unpublished data. Las Vegas, NV: State of Nevada. For more information: http://psyexam.nv.gov/
  • Nevada State Demographer’s Office. (2020a). Nevada Department of Taxation. Population Statistics and Reports. Available from: https://tax.nv.gov/Publications/Population_Statistics_and_Reports/
  • Nevada State Demographer’s Office. (2020b). Unpublished data. Nevada Department of Taxation. Carson City, NV: State of Nevada.
  • Phoenix Area Indian Health Service. (2020). Unpublished data. Phoenix Area Active Users and Census Projections Report. Indian Health Services. For more information https://www.ihs.gov/
  • Southern Nevada Health District. (2020). Unpublished data. Las Vegas, NV. For more information: http://www.southernnevadahealthdistrict.org/ems
  • State of Nevada Board of Dispensing Opticians. (2010). Unpublished data. Las Vegas: State of Nevada. For more information: http://nvbdo.nv.gov/
  • State of Nevada Board of Dispensing Opticians. (2020). Unpublished data. Las Vegas: State of Nevada. For more information: http://nvbdo.nv.gov/
  • State of Nevada Board of Examiners for Social Workers. (2020). Unpublished data. Reno, NV: State of Nevada. For more information: http://socwork.nv.gov/
  • State of Nevada Board of Occupational Therapy. (2010). Unpublished data. Las Vegas: State of Nevada. For more information: http://www.nvot.org/
  • State of Nevada Board of Occupational Therapy. (2020). Unpublished data. Las Vegas: State of Nevada. For more information: http://www.nvot.org/
  • State of Nevada Physical Therapy Examiners’ Board. (2010). Unpublished data. Las Vegas: State of Nevada. For more information: http://ptboard.nv.gov/
  • State of Nevada Physical Therapy Examiners’ Board. (2020). Unpublished data. Las Vegas: State of Nevada. For more information: http://ptboard.nv.gov/
  • State of Nevada Speech-Language Pathology, Audiology, and Hearing Aid Dispensing Board. (2010). Unpublished data. For more information: www.nvspeechhearing.org
  • State of Nevada Speech-Language Pathology, Audiology, and Hearing Aid Dispensing Board. (2020). Unpublished data. For more information: www.nvspeechhearing.org
  • Substance Abuse and Mental Health Services Administration (2020). National Survey on Drug Use and Health. NSDUH sub- state estimates of substance use and mental disorders. Rockville, MD: Substance Abuse and Mental Health Services Administration.https://www.samhsa.gov
  • United States Census Bureau. (2020a). American Community Survey, 2019 ACS 5-year estimates, Table B01002, Median Age: generated by Office of Statewide Initiatives; using http://data.census.gov.
  • United States Census Bureau. (2020b). American Community Survey, 2018 ACS 5-year estimates, Table B05002, Place of Birth by Nativity and Citizenship Status: generated by Office of Statewide Initiatives; using https://data.census.gov/.
  • United States Census Bureau. (2020c). American Community Survey, 2018 ACS 5-year estimates, Table B19113, Median Family Income: generated by Office of Statewide Initiatives, data retrived November 2, 2020 from https://data.census.gov/
  • United States Census Bureau. (2020d). American Community Survey, 2018 ACS 5-year estimates, Table B19013, Median Household Income: generated by Office of Statewide Initiatives, data retrived November 2, 2020 from https://data.census.gov/
  • United States Census Bureau. (2020e). Small Area Income and Poverty Estimates (SAIPE). SAIPE Interactive Tool; data retrived November 2, 2020 from https://www.census.gov/programs-surveys/saipe.html.
  • United States Census Bureau. (2020f). American Community Survey, 2018 ACS 5-year estimates, Table B16010, Educational Attainment and Employment Status: generated by Office of Statewide Initiatives; data retrived November 2, 2020 from https://data.census.gov/
  • United States Census Bureau. (2020g). Geography Area Series: County Business Patterns, 2018 Business Patterns, Table CB1600A11, generated by Office of Statewide Initiatives, data retrived November 2, 2020 from https://data.census.gov/
  • United States Census Bureau. (2020h). American Community Survey, 2018 ACS 5-year estimates, Table B19083, Gini Index of Income Inequality: Map 2.1 generated by Office of Statewide Initiatives, data retrived November 2, 2020 from https://data.census.gov/.
  • United States Census Bureau. (2020i). Small Area Health Insurance Estimates Program. Health Insurance Interactive Data Tool; data retrived November 2, 2020 from https://www.census.gov/programs-surveys/sahie/data.html.
  • University Center for Economic Development. (2020). Unpublished Data. Health Sector Payroll and Employment Multipliers for Nevada Counties. Reno, NV: University of Nevada, Reno.
  • University of Wisconsin Population Health Institute. (2020). County Health Rankings Key Findings. Available from: http://www.countyhealthrankings.org/nevada
  • Veterans Health Administration. (2020). Enrollment, User, and Projections. Unpublished data. Reno, NV.
  • End Notes

Section One: Demographic Profile of Rural and Frontier Nevada

  1. Table 1.1: Population in Nevada by County and Table 1.2: Population and Density in Nevada by County
    • Note:    The figures in these tables are from the most recently released Nevada State Demographer’s Office projected population numbers based on estimates of the year 2021. Distribution of population estimates occur twice a year: the certified general population estimates of the previous year are released in July and the next twenty years of population projections released in October. The Nevada State Demographer’s Office is at the Nevada Department of Taxation. The Nevada State Demographer website is not updated at this time. Please go to the Taxation publications website for current information
  2. Table 1.3: Population in Nevada by City, County, and RegionNote:    These are the certified population estimates by the Nevada State Demographer’s Office, Nevada Department of Taxation annual release. There are unincorporated cities in seven of 14 rural and frontier counties in Nevada. Incorporated towns/cities may be small or large. Unincorporated populations may be large in rural and frontier counties. Carson City is a metropolitan city/county and has no rural population.
  3. Table 1.5: Median Age of Nevadans by County
    • Note:    American Community Survey creates estimates using five-year rolling averages released annually in December.
  4. Table 1.6 to Table 1.11: Population by Age, Race, and Ethnicity in Nevada by County
    • Note:    Calculations for age, race and ethnicity are from unpublished Age, Sex, Race, and Hispanic Origin population data from the Nevada State Demographer’s Office based at the Nevada Department of Taxation.
  5. Table 1.14: Population by Place of Birth in Nevada by County
    • Note:    American Community Survey creates estimates using five-year rolling averages released annually. Current data used in this report is from American Community Survey file for all counties. Tables used in the American Community Census data.census.gov query are in the sources.
  6. Table 1.15: Incarcerated Population in State of Nevada Correctional Facilities by County
    • Note:    Number and percent of incarcerated population are unpublished data from the Nevada Department of Corrections. Percent of county population and rate per 1,000 population are calculated based on Nevada State Demographer’s Office 2020 population estimate.

Section Two: Social and Economic Profile of Rural and Frontier Nevada

  1. Table 2.1 through Table 2.4: Sources and Percents of Personal Income in Nevada by County
    • Note:All dollar estimates are in current dollars (not adjusted for inflation). Table 2.3 are major categories of personal income: net earnings, etc. Table 2.4 describes categories within transfer payments.
  2. Table 2.10: Enrollment in Public and Private Schools (K-12) in Nevada by County
    • Note:  Public Charter Schools enrollment data may be statewide or in a county, however it is combined into a statewide total. “Not Applicable” means data is not available.
  3. Table 2.14: Registered Voters in Nevada by County
    • Note:    Eligible voting population aged 18 and over does not include people living in group quarters, e. g. prisons.
  4. Table 2.16 to Table 2.18: Violent and Property Crime Rates in Nevada by County
    •  Note:    Data was aggregated from various agencies: the sheriff’s office, county police department, tribal agencies, University of Nevada (Las Vegas and Reno), and Truckee Meadows College campuses. Some county rates may be understated due to missing agency data.

Section Three: Health Insurance Coverage in Rural and Frontier Nevada

  1. Tables 3.1: Health Insurance Coverage in Nevada by County
    •  Note:    To calculate total insurance coverage in Nevada, data from American Community Survey insurance estimates and Medicare enrollee numbers were used.

Section Four: Population Health Profile of Rural and Frontier Nevada

  1. Map 4.1: Overall County Rankings for Health Factors
    • Note:    County Health Rankings is based on a model with multiple population health measures. Factors for health behaviors are tobacco use, diet and exercise, alcohol and drug use, and sexual activity; clinical care is based on access to care and quality of care; social and economic factors include education, employment, income, family and social support, and community safety; physical environment factors include air and water quality, and housing and transit.
  2.  Map 4.2: Overall County Rankings for Health Outcomes in Nevada
    •  Note:    County Health Rankings is based on a model with multiple population health measures. Outcomes includes premature death and mortality; and quality of life is measured based on data from birth outcomes, physical health, mental health, and overall health.
  3. Table 4.11 to 4.31: Various Vital Statistics Tables by County/Region in Nevada
    • Note:    Cells with a dash (–) denote counts that do not meet criteria, reliability, data quality or confidentiality. Counts are preliminary and are subject to change on all vital statistics tables.

Section Five: Health Care Workforce in Rural and Frontier Nevada

  1. Tables 5.3 and 5.4: Health Sector Employment and Payroll in Nevada by County
    • Note: Nevada Department of Employment Training and Rehabilition (DETR) workforce data is supplemented with hospital cost report data and United States Census Bureau County Business Patterns data. This approach is due to Bureau of Labor suppression of data for major employers in a given county.
  2. Tables 5.5 and 5.6: Estimated Employment in the Health Care and Social Assistance Sector by Region in Nevada
    • Note:    Rural and Frontier includes all of Nevada’s 14 non-urban counties. Some data generated by the authors used DETR employment data supplemented with data from hospital cost reports and county business patterns from the United States Census Bureau.
  3. Table 5.6: Projected Employment in the Health Care and Social Assistance Sector by Region in Nevada
    • Note: Rural and Frontier includes all of Nevada’s 14 non-urban counties. The authors used hospital cost report employment data supplementing DETR employment growth rate for the sector.
  4.  Table 5.7 to 5.44: Licensed Healthcare Professionals by County/Region in Nevada
    • Note: The calculation of the number of licensed health care professionals per 100,000 population for 2020 in Tables 5.7 through 5.44 utilize county and state population estimates developed by the Nevada State Demographer’s Office for 2020. Some of the population estimates presented in this data book may utilize denominators varying slightly from these numbers as the tables and per population denominators were built using the most recent numbers at the time. All health professional licensure data presented in Tables 5.7 through 5.44 refer to individuals possessing an active license with a State of Nevada licensing board. Thus, these tables exclude inactive and/or retired licensees. Specific licensure data may not be updated for year 2020 if it were not made available to the authors.
  5. Table 5.9: Licensed Primary Care Physicians (MDs and DOs) in Nevada by County
    •  Note:    Family Medicine, General Practice, Internal Medicine, Obstetrics and Gynecology, and Pediatric physicians are considered primary care physicians.
  6. Table 5.10: Licensed Physician Assistants (PAs) by in Nevada by County
    • Note: Both Allopathic and Osteopathic PAs are counted together by year.
  7. Table 5.20: Licensed Social Workers in Nevada by County
    • Note:  The education requirement for social workers ranges from an associate to a doctorate. Due to the different types of degrees a total column is not calculated.
  8.  Table 5.32: Licensed Emergency Medical Services (EMS) Professionals in Nevada by County
    • Note: There is no total column due to different qualifications between types of licenses. Table 5.35 and Table 5.36: Licensed Medical Laboratory Professionals in Nevada.  The education requirement for social workers ranges from an associate to a doctorate. Due to the different types of degrees a total column is not calculated.

Section Six: Health Care Resources and Economics in Rural and Frontier Nevada

  1. Table 6.2: Licensed Beds in Community Hospitals in Rural and Frontier Nevada
    • Note:    The term “Critical Access Hospital” of CAH refers to a Medicare hospital facility designation from the Centers for Medicare and Medicaid Services. This designation allows small rural and frontier hospitals to receive cost-based reimbursement for inpatient and outpatient services provided to Medicare beneficiaries. As of January 2019, there are thirteen CAH hospitals. CAHs receive financial and technical assistance from the Nevada Rural Hospital Flexibility Program (Flex). The Nevada Flex Program is a federally supported program administered by the Nevada State Office of Rural Health based in the Office of Statewide Initiatives at the University of Nevada, Reno School of Medicine.
  2. Table 6.17: Net Income in Rural and Frontier Hospitals in Nevada
    • Note:    “Other Income” includes contributions, income from investments, bequests, and miscellaneous non- patient revenue.