Health Service Areas (HSA)
Last updated: April 11, 2008

About Health Service Areas

Health Service Areas (HSAs) were originally defined by the National Center for Health StatisticsExternal Web Site Policy, part of the Centers for Disease Control and Prevention, to be a single county or cluster of contiguous counties which are relatively self-contained with respect to hospital care. For further information about their initial use, please visit the Atlas of United State MortalityExternal Web Site Policy.

Using Health Service Areas with SEER*Stat

The following variables are available in SEER*Stat for use with Health Service Areas.

Health Service Area (NCI Modified)

This variable was derived from the original Health Service Area definitions. It was modified so that any HSAs that crossed state or SEER Registry boundaries were split so that all counties from one HSA were in one state and/or SEER Registry.

Health Service Area

This variable was derived from the original Health Service Area definitions.

Health Service Area (SEER 17)

This variable was derived from the Health Service Area (NCI Modified) variable but only includes HSAs from the SEER 17 registries.

Health Service Area (SEER 17 excl AK)

This variable was derived from the Health Service Area (NCI Modified) variable but only includes HSAs from the SEER 17 registries excluding Alaska.

Health Service Area (SEER 13)

This variable was derived from the Health Service Area (NCI Modified) variable but only includes HSAs from the SEER 13 registries.

Health Service Area (SEER 9)

This variable was derived from the Health Service Area (NCI Modified) variable but only includes HSAs from the SEER 9 registries.

Names of Health Service Areas

The names of the Health Service Areas are derived from the names of the 2 counties with the highest populations in 2000 within the HSA. Additionally, if there is a major city in one of the counties that name will be added in parenthesis.

For example, the Health Service Area around Pittsburgh, Pennsylvania is named: "Alleghany (Pittsburgh), PA - Westmoreland, PA". Alleghany and Westmoreland counties have the highest population in this HSA and Pittsburgh is in Alleghany County.

Download Health Service Areas Spreadsheet

The following spreadsheet has the Health Service Area variables and the counties that comprise them [MS Excel File] [PDF File]