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HPSA and MUA/P Geographic Compilation Logic

The following information applies ONLY to the spatial data in the HGDW Map Tool and feature service; the HPSA and MUA/P data available in the Report Tool represent ALL of the data obtained from the respective source systems. More about Health Profession Shortage Areas (HPSAs) and Medically Underserved Areas/Populations (MUAs/Ps)

The HRSA Geospatial Data Warehouse creates the spatial data for the Medically Underserved Area/Population (MUA/P) and Health Professional Shortage Area (HPSA) layers using a multi-step process. Varying types of geographic boundary (county, county subdivision, and Census tract) are combined into a single logical unit.

Each HPSA and MUA/P that consists of one or more geographic areas (components) contains geographic identifiers for each component. These identifiers correspond to the Federal Information Processing Standards (FIPS) codes for Counties, and to the Census-assigned codes for county subdivision (also known as minor civil division, or MCD) and Census tract identifier.

In preparation for each decennial Census, the Census Bureau reviews the MCD and tract boundaries and makes adjustments as deemed necessary to support that particular census. In addition, as changes occur to the list of counties and/or the areas defined by their boundaries, the FIPS county list is adjusted. Thus, at least every ten years, some or all of the geographic identifiers are rendered obsolete, new identifiers are created, and county boundaries are changed.

The HPSA and MUA/P source databases in HRSA are not immediately updated to reflect changes in these identifiers. However, once the new identifiers are available, newly-designated areas use the most current set of identifiers. The existing data are updated at a later date, if at all. For HPSAs or MUA/Ps that have been withdrawn (i.e. are no longer designated) the identifiers may never be updated. Currently-designated areas are updated on an as-needed basis. Thus, for some period of time, the geographic identifiers in the source systems (and consequently in the HRSA Geospatial Data Warehouse) represent a mix of data from more than one time period.

Prior to April 2005, the vast majority of geographic identifiers in both the HPSA and MUA/P databases were 1990 vintage. The corresponding county, MCD, and Census tract spatial layers were used as the basis of the spatial processing. Components that used unmatched identifiers (i.e. those from the 2000 Census) simply were not included in the final HPSA and MUA/P layers. The number of these components was small enough that the resulting inaccuracies were deemed by HRSA to be negligible for the purposes of the Map Tool.

However, between the February 2005 and April 2005 HGDW data refresh cycles, the geographic identifiers for the majority of designated MUA/Ps were updated from the 1990 to the 2000 Census geographies. In addition, a significant number of new or revised HPSA designations were also defined using the year 2000 identifiers. Thus, significant errors in the final spatial data would have been introduced had the building process not been altered.

Beginning with the April 2005 data release, the HPSA spatial data are built according to the following logic:

  • All geographic identifiers are assumed to be year 1990, if they match a year 1990 county FIPS code, year 1990 MCD identifier, or year 1990 Census tract identifier.
  • Any identifiers that do not match year 1990 data are assumed to be year 2000 identifiers if they match a year 2000 designation for the corresponding type of geographic unit (county MCD, or Census tract).
  • Any identifiers that do not match either year 2000 or 1990 identifiers are assumed to predate the 1990 data, or to be erroneous. The geographic components that are associated with these identifiers are not included in the spatial data.
    HPSA "points"

In addition to HPSAs based on geography, some HPSAs are designated based on population concentrations such as correctional institutions or hospitals. These are placed on the HGDW Map Tool through the process of geocoding, or correlating a street address with a particular point on the surface of the earth. If no address data are included in the source data it is not possible to make that correlation for a given designation record, and no point is drawn on the map to represent that facility.

Beginning with the April 2005 data release, the MUA/P spatial data are built according to the following logic:

  • All geographic identifiers are assumed to be year 2000, if they match a year 2000 county FIPS code, year 2000 MCD identifier, or year 2000 Census tract identifier.
  • Any identifiers that do not match year 2000 data are assumed to be year 1990 identifiers if they match a 1990 designation for the corresponding type of geographic unit (county, MCD, or Census tract).
  • Any identifiers that do not match either year 2000 or 1990 identifiers are assumed to predate the 1990 data, or to be erroneous. The geographic components that are associated with these identifiers are not included in the spatial data.

HPSA "Points"
In addition to HPSAs based on geography, some HPSAs are designated based on population concentrations such as correctional institutions or hospitals. These are placed on the HGDW Map Tool through the process of geocoding, or correlating a street address with a particular point on the surface of the earth. If no address data are included in the source data it is not possible to make that correlation for a given designation record, and no point is drawn on the map to represent that facility.


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