National Center for Rural Health Works

RNational Center for Rural Health Works

Community Health Needs Assessment

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AGENDA – Community Meeting #1

Overview – Community Health Needs Assessment

Involves two meetings

We are resource team and provide data, analysis and facilitation.

You are the community steering committee and decision makers.

Facilitated by:Gerald Doeksen and Val Schott

National Center for Rural Health Works



Community Health Needs Assessment Template

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WHAT are we doing?A community-based assessment of health care needs in the medical service area of Ocean Beach Hospital and Medical Clinics.

• From the community’s perspective as to health care needs• From analysis of data and information from

public health department, other data sources, survey results, and economic impact study

(Cont’d) WHAT are we doing?Outcomes of the community-based assessment will depend on: • Community recommendations to Ocean Beach Hospital

and Medical Clinics• Resource availability

Results of the community needs assessment will be reported to the IRS on Form 990 and related schedules by Ocean Bean Hospital and Medical Clinics



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WHY are we doing this?The Patient Protection and Affordable Care Act (PPACA) requires not-for-profit hospitals to provide a Community Health Needs Assessment, as follows:• The organization must conduct a “community

health needs assessment” not less frequently than every three years and adopt an implementation strategy to meet the community health needs identified through the assessment.

(Cont’d) WHY are we doing this?• A “community health needs assessment” must include

input from persons “represent[ing] the broad interests of the community served by the hospital facility,” including those “with special knowledge of or expertise in public health.”

• The assessment must be made widely available to the public.

Hospitals are required to fulfill these requirements to preserve their status as not-for-profit facilities.

(Cont’d) WHY are we doing this?The legislation also includes:• Financial Assistance Policy Requirements• Requirements regarding Charges• Billing and Collection Requirements

Ocean Beach Hospital and Medical Clinics will fulfill these requirements internally.



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WHY we WANT to do this?Regardless of the legislative requirements, Ocean Beach Hospital and Medical Clinics wants community-based assessment to become a part of the hospital strategic plan on a long-term, continuing basis.• Community will provide input to Ocean Beach Hospital

and Medical Clinics as to the community’s needs.• Ocean Bean Hospital and Medical Clinics will develop

communications and relationships with the community to plan and provide for the community’s needs.



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WHAT is required from the Community Group?

1. To review and analyze data and information provided during process:

From Ocean Beach Hospital & Medical Clinics:• Medical service area• Services and community benefits currently

provided

From State or Local Public Health:• Data on health indicators and outcomes

From other sources:• U. S. Census Bureau and County Business

Patterns • ESRI • U. S. Department of Commerce, Regional

Economic Information System, Bureau of Economic Analysis

• Other agencies and foundations that provide relevant health data

(Cont’d) WHAT is required from the Community Group?

Information will also be provided concerning:• The economic impact of the hospital• Jobs and salaries, wages, and benefits

generated locally• A summary of the importance of the

hospital to the local economy


2. Provide input through health survey questionnaire and have other community members complete survey.

3. Review and analyze results of survey.4. Provide input and recommendations on local

community needs in the medical service area.




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SUMMARY of Community Group Responsibilities

Community members are here to participate in a two-meeting community-based needs assessment

Community members will review data and information and identify the health needs of the community

Community members will make recommendations to Ocean Beach Hospital and Medical Clinics



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AGENDA - Community Meeting #1



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Hospital Services and Community Benefits

Ocean Beach Hospital and Medical Clinics -Services and Community Benefits

Presented by:

Alan Craft, Director, Public Relations & Business Development

50 Miles toManaged Care

Hometown CountryHospital

Small Town, USA

Big City

Movement to Managed CareMovement to Managed CareMay Cause a By-Pass of Local Health CareMay Cause a By-Pass of Local Health Care

What's the Economic Potential forHealth Care in Your Community

Health Services Promote Job Growth

To attract business and industry, research indicates the area needs quality:

• Health services and• Education services

http://www.metacrawler.com/info.metac/clickit/search?r_aid=9F1C2AB36EF44DF7947E5DDC9F91F430&r_eop=31&r_sacop=31&r_spf=0&r_cop=main-title&r_snpp=31&r_spp=0&qqn=sn!pvf+F&r_coid=372380&rawto=http://www.robertsilvey.com/notes/images/smokestacks.html

To attract retirees, research indicates the area needs quality:

• Health services and• Safety services

http://www.memorialbridge.info/images/92906/pages/walking%20the%20gangplank.htm

http://www.memorialbridge.info/images/92906/pages/walking%20the%20gangplank.htm

Direct Activities of Ocean Beach Hospitaland Medical Clinics in Pacific County, Washington, 2011

EmploymentNumber of Full-time

& Part-Time Employees

Ocean Beach Hospital and Medical Clinics 182

Income Wages, Salaries, and

Benefits (Income) Ocean Beach Hospital and Medical Clinics $14,314,468

Community Economic System

Economic Impact of Ocean Beach Hospital and Medical Clinicson Pacific County, Washington, 2011

Employment ImpactNumber Employment Secondary Total

Employed Multiplier Impact Impact

Ocean Beach Hospital & Medical Clinics 182 1.40 73 255

Economic Impact of Ocean Beach Hospital and Medical Clinicson Pacific County, Washington, 2011

Income ImpactDirect Income Secondary Total

Income Multiplier Impact Impact Ocean Beach Hospital and Medical Clinics $14,314,468 1.19 $2,719,749 $17,034,217

Local Sales Tax ImpactLocal 1.3% LocalRetail Retail Sales Tax

Sales Impact Collection Impact Ocean Beach Hospital and Medical Clinics $2,555,133 $33,217

• Businesses and industries locate in areas with high quality medical facilities and educational systems;• Retirees locate in areas with accessible and comprehensive

health care services and law enforcement services;• The health sector is a growing sector and will continue to

generate more jobs, and;• The health sector generally pays above-average salaries and

wages.

In summary, Ocean Beach Hospital & Medical Clinics contribute to economic development:

Local leaders must continue to support Ocean Beach Hospital and Medical Clinics to ensure development of economic growth and opportunities in Pacific County.

Table 1aPopulation by Zip Code for Medical Service Area

of Ocean Beach Hospital & Medical Clinics

Populations

Zip Code Area2000

Census 2000 ESRI 2009 ESRI 2014 ESRI Medical Service Area 98614, Chinook 556 N/A N/A N/A98624, Ilwaco 1,337 1,283 1,345 1,37598631, Long Beach 3,411 4,078 4,348 4,44398638, Naselle/Nachotta 1,370 2,011 2,220 2,27898640, Ocean Park 3,811 3,762 3,923 3,96698641, Oysterville 48 N/A N/A N/A

Total Medical Service Area 10,533 11,134 11,836 12,062% Change from 2000 ESRI 6.3% 8.3%

Table 1bPopulations of Pacific County and State of Washington

Populations

2000

Census2009

Estimated2010

Census% Change '00 to '09

% Change '00 to '10

Pacific County Ilwaco city 950 993 936 4.5% -1.5%Long Beach city 1,283 1,365 1,392 6.4% 8.5%Raymond city 2,975 2,852 2,882 -4.1% -3.1%South Bend city 1,807 1,807 1,637 0.0% -9.4%Rural Area Total 13,969 14,255 14,073 2.0% 0.7%

Pacific County Totals 20,984 21,272 20,920 1.4% -0.3%

State of Washington 5,894,121 6,664,195 6,724,540 13.1% 14.1%

Table 2Zip Code Populations by Race and Hispanic Origin

for the Medical Service Area of Ocean Beach Hospital & Medical Clinics

Zip Native Two or more HispanicCode Zip Code Area White Black American1 Races2 Other3 Totals Origin4

2000 Census Totals 9,832 25 171 281 224 10,533 404Combined categories 452

2000 % of Total 93.3% 0.2% 1.6% 2.7% 2.1% 100.0% 3.8%Combined categories 4.3%

2009 ESRI Totals 10,869 33 812 122 11,836 658

2009 % of Total 91.8% 0.3% 6.9% 1.0% 100.0% 5.6%

Table 3Zip Code Populations by Age Group

for the Medical Service Area of Ocean Beach Hospital and Medical Clinics

Zip Zip Code Age GroupsCode Area 0-14 15-19 20-24 25-44 45-64 65+ Totals

2000 Census Totals 1,536 693 292 2,031 3,282 2,699 10,533

2000 % of Total 14.6% 6.6% 2.8% 19.3% 31.2% 25.6% 100.0%

2009 ESRI Totals 1,365 752 446 1,921 4,000 3,352 11,836

2009 % of Total 11.5% 6.4% 3.8% 16.2% 33.8% 28.3% 100.0%

Table 4Population, Projections, and Percent Change

for Pacific County and the State of Washington

Census Population ProjectionsCounty/State 2010 2015 2020 2025 2030

Pacific County 20,920 21,705 22,207 22,657 22,985% Change from 2010 3.8% 6.2% 8.3% 9.9%

State of Washington 6,724,540 7,255,672 7,698,939 8,120,510 8,509,161% Change from 2010 7.9% 14.5% 20.8% 26.5%

Table 5aEmployment for Pacific County and the State of Washington

EmploymentCounty Health Services as a Health Services as aHealth Total % of Total % of Total

Services County County Employment State Employment2000 562 4,371 12.9% 12.4%2001 582 4,256 13.7% 12.5%2002 709 4,080 17.4% 13.6%2003 725 4,240 17.1% 13.4%2004 759 4,268 17.8% 13.6%2005 743 4,571 16.3% 13.7%2006 744 4,740 15.7% 13.6%2007 761 4,772 15.9% 13.7%2008 809 4,543 17.8% 13.9%2009 771 4,167 18.5% 15.1%

% Change 2000 to 2009 27.1% -4.9%

Table 5bPayroll for Pacific County and the State of Washington

Payroll ($1,000s)County Health Services as a Health Services as aHealth Total % of Total % of Total

Services County County Payroll State Payroll2000 12,293 84,119 14.6% 10.1%2001 12,898 84,292 15.3% 10.9%2002 17,030 84,926 20.1% 12.4%2003 17,705 86,373 20.5% 11.8%2004 18,375 90,694 20.3% 12.6%2005 19,763 98,626 20.0% 12.8%2006 20,731 107,505 19.3% 12.9%2007 22,591 120,169 18.8% 12.6%2008 23,596 116,681 20.2% 13.2%2009 23,115 110,420 20.9% 14.6%

% Change 2000 to 2009 88.0% 31.3%

Table 8Transfer Receipts for Pacific County and the State of Washington, 2009

Pacific County State of WashingtonReceipts % of Receipts % of

Transfer Receipt Categories ($1,000s) Total ($1,000s) Total

Total personal current transfer receipts 226,579 100.0% 44,836,679 100.0%Transfer receipts of individuals from govts 222,714 98.3% 43,630,430 97.3% Retirement & disab ins benefits 95,309 42.1% 16,238,692 36.2% Old-age, surv & disab ins (OASDI) benefits 90,780 40.1% 14,012,771 31.3% Railroad ret & disab benefits 1,225 0.5% 226,774 0.5% Workers' compensation 2,959 1.3% 1,945,473 4.3% Other govt ret & disab ins benefits1 345 0.2% 53,674 0.1% Medical benefits 82,960 36.6% 15,592,850 34.8% Medicare benefits 51,079 22.5% 8,589,385 19.2% Public assist medical care benefits2 31,233 13.8% 6,779,165 15.1% Military medical insurance benefits3 648 0.3% 224,300 0.5% Income maintenance benefits 20,736 9.2% 4,817,950 10.7% Suppl security income (SSI) benefits 3,634 1.6% 805,058 1.8% Family Assistance 4 3,367 1.5% 834,487 1.9% Suppl Nutrition Asst Program (SNAP) 5,622 2.5% 1,155,637 2.6% Other income maintenance benefits 5 8,113 3.6% 2,022,768 4.5% Unemployment ins compensation 11,210 4.9% 3,707,754 8.3% Veterans benefits 6,928 3.1% 1,438,479 3.2%

Table 9Economic Indicators

for Pacific County, the State of Washington, and the United States Pacific State of United

Indicator County Washington States

Total Personal Income (2009) $646,736,000 $285,696,255,000 $12,168,161,000,000Per Capita Income (2009) $30,403 $42,870 $39,635

Employment (2010) 8,060 3,192,117 139,064,000Unemployment (2010) 1,184 339,509 14,825,000Unemployment Rate (2010) 12.8% 9.6% 9.6%

Employment (June 2011) 7,706 3,152,763 139,079,000Unemployment (June 2011) 1,150 330,108 14,101,000Unemployment Rate (June 2011) 13.0% 9.5% 9.2%

% of People in Poverty (2009) 17.9% 12.3% 14.3%% of Under 18 in Poverty (2009) 26.5% 16.2% 20.0%

Transfer Receipt Dollars (2009) $226,579,000 $44,836,679,000 $2,131,880,000,000 Transfer Dollars as Percentage of 35.0% 15.7% 17.5%Total Personal Income (2009)

Health Survey Questionnaire

Community Committee Members complete a survey TODAY

Each Community Committee Member takes five more surveys to have completed

Additional surveys are to be completed by the constituents that the Community Member represents

Return completed surveys to Alan Craft at Ocean Beach Hospital and Medical Clinics by September 16, 2011

Community Meeting #2, October 20, 2011, at Noon



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Community Health Needs Assessment - Summary Recommendations to the Hospital

HOSPITAL REPORTING

REQUIREMENTS


Reportingto Meet IRS

Requirements

IRS Forms:Form 990

& Schedule H

Summary Report OutlineCommunity Health Needs Assessment

Community MembersNeed to include name, organization and contact information for:

Hospital AdministratorSteering Committee or Leadership GroupFacilitatorCommunity Advisory Committee Members

Medical Service AreaDescribe by county or zip code areasInclude populations and projected populations of medical service areaInclude demographics of population of medical service area

Community Meeting #1DateAgendaList reports presented with short summary of each

Community Meeting #2DateAgendaList reports presented with short summary of each

Community Needs and Implementation StrategiesInclude community needs and implementation strategies with responsibilities from community group

Hospital Final Implementation PlanInclude which needs hospital can address and the implementation strategiesInclude which needs hospital cannot address and reason(s) why

Community Awareness of AssessmentDescribe methodology for making assessment widely available to the community

For Additional Information:Please contact: Gerald Doeksen, Executive Director

National Center for Rural Health worksOklahoma State UniversityPhone: 405-744-6083Email: [email protected]

orVal Schott, DirectorOklahoma Center for Rural Health OSU College of Health SciencesPhone: 405-840-6500Email: [email protected]



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Documents

National Center for Rural Health Works