Rural Health Resources - Tools to Assist Outreach Grantees By By Cheryl F. St. Clair Cheryl F. St. Clair Associate Director Associate Director National Center for Rural Health National Center for Rural Health Works Works Presentation at Outreach Meeting Washington, DC September 1, 2009 H W Rural Health Works R National Center for
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Rural Health Resources - Tools to Assist Outreach Grantees By Cheryl F. St. Clair Associate Director National Center for Rural Health Works Presentation.
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Rural Health Resources - Tools to Assist Outreach Grantees
ByByCheryl F. St. ClairCheryl F. St. Clair
Associate DirectorAssociate DirectorNational Center for Rural Health WorksNational Center for Rural Health Works
Presentation at Outreach MeetingWashington, DC
September 1, 2009
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W Rural Health WorksR National Center for
Rural Health and Rural Economic Development
Rural America needs quality primary health care services, especially with the high proportion of uninsured, underinsured, and elderly and with the increasing number of elderly.
Due to the current recession, rural America also needs jobs.
• Rural health care services generates an excellent opportunity for maintaining or increasing employment in rural America.
• Health care sector can make up to 10-15 percent of the
employment base and when secondary benefits are included, the percent of the employment base attributed to health care is often 15 to 20 percent.
Rural Health and Rural Economic Development
To attract business and industry, communities need qualityhealth care and education
• Impact of Constructing a Hospital on Local Economy
• Impact of FQHC on Local Economy
•Impact of Social Service Agencies on Local Economy
Economic Impact Studies Completed (Cont.):
• Impact of Pharmacy on Local Economy
• Impact of a Rural Physician on a Rural Economy
•Impact of a Physician Shortage on a Community Economy
•Impact of a Specialty Physician on a Community Economy
•Impact of a Pharmacy on a Local Economy
•Impact of a Medical School on Community, Regional or State Economy
•Impact of Telehealth on Community, Regional or State Economy
•Impact of Health Sector on State Economy
• Impact of Hospitals on State Economy
• Impact of Medicaid Program on State Economy
Economic Impact Studies Completed (Cont.):
B. Community Health Engagement Process
II. RHW tools that may assist outreach grantees
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Community Health Engagement Process
Involves community input Series of four meetings Four products
Community Health Engagement - Mississippi Delta • Bullock County, Alabama• Cross County, Arkansas• Lawrence County, Arkansas• Van Buren County, Arkansas• Randolph-Monroe Counties, Ilinois• La Salle Parish, Louisiana• Richland Parish, Louisiana• West Feliciana Parish, Louisiana• Wilkinson and Amite Counties, Mississippi• Claiborne County, Mississippi• Holmes County, Mississippi• Jefferson Davis County, Mississippi• Marshall County, Mississippi• Quitman County, Mississippi• Scott County, Mississippi• Perry County, Missouri• Gibson County, Tennessee• Haywood County, Tennessee
Community Health Engagement – National Association of Counties (NACo) • Grand County, Colorado• Pondera County, Montana• Mason County, Washington• Adams County, Ohio• Grand County, Utah• Linn County, Missouri• Grimes County, Texas• Holmes County, Florida• Summers County, West Virginia• Fulton County, Pennsylvania• Idaho County, Idaho• Sumter County, Alabama
C. Health Service Profitability Studies
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II. RHW tools that may assist outreach grantees
Health Service Profitability Studies –BUDGETS
Objective: Identify health services that the community may be interested in expanding or adding
Goal: If study shows feasible, community decision if health service will be implemented (expanded or added)
Basic Methodology for Analyzing a Health Services Issue
I. Estimate Needs
II. Project Costs
A. Capital or Start-Up CostsB. Annual Operating Costs
III. Estimate Revenue
IV. If Doesn't Break-Even, Other Source of Funds
Health Service Profitability Study – Kidney Dialysis
Based on Demand for 22 patients
Capital costs (amortization) $78,572Operating costs $715,922Total Costs $794,494
Total Revenue $814,250
REVENUE less COSTS +$19,756
Health Service Profitability Studies
Primary Care PhysicianObstetrics/Gynecology PhysicianPediatricianSpecialty PhysiciansEmergency Medical Services (Basic and Advanced)Emergency Medical Responder (EMR) SystemsAdult Day ServicesKidney DialysisAssisted Living FacilitiesFederally Qualified Health Centers (FQHCs) –