Healthcare Workforce Planning The North Country Perspective
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1 Healthcare Workforce Planning The North Country Perspective Right Professionals in the Right Places Regional Healthcare Workforce Planning Meeting May 15, 2014 Ian Grant, MPH Rural Health Program Manager
2 Overview Regional Snapshot Population Health Needs North Country Community Health Survey Regional Community Health Priorities Regional Population Health Data Regional Barriers to Health Improvement Healthcare Delivery System Needs Workforce shortages Ongoing Efforts Thoughts for the Future
3 Regional Snapshot Rural counties of Jefferson, Lewis and St. Lawrence Counties Total population of 259, % live below the poverty level 16.6% are Medicare beneficiaries 20.2% are Medicaid beneficiaries Community healthcare system supports Fort Drum Army Installation 40,000 TRICARE beneficiaries Only Army Installation, with a Division of Soldiers and families, without a hospital on base Federally designated as a Health Professional Shortage Area
4 Population Health Needs North Country Community Health Survey June 1 July 1, ,379 residents of Jefferson, Lewis, and St. Lawrence Counties Issues: Community Health % Substance abuse 79 Cancer 74 Overweight/Obesity 73 Behavioral problems in children 70 Depression/other mental illnesses 70 Issues: Access to Treatment % Mental health (children <=18 years) 61 Mental health (adults 19+ years) 60 Substance abuse 53 Suicide prevention 46 Alcoholism 44
5 Population Health Needs North Country Community Health Survey Do you think there are barriers to receiving care? YES % NO % Specialty care 70 Pharmacy 66 Mental/behavioral health 65 Hospice care 62 Elder care 51 Prenatal care 54 Home care 49 Family planning services 51 Nutrition/dietary 43 Rehabilitative therapy* 46 * Includes: speech, physical, and occupational therapies
6 Population Health Needs Regional Community Health Priorities Prevent Chronic Diseases Promote Healthy Women, Infants and Children Promote Mental Health and Prevent Substance Abuse
7 Population Health Needs Regional Population Health Data: Chronic Disease Indicator Regional Value State Value State 2017 Objective Adult obesity 30.9% 24.6% 23.2% Child and adolescent obesity 20.8% 17.6% 16.7% Adults with diagnosed diabetes 10.6% 9.0% Adult smokers 25.0% 18.1% 15% Lung/bronchus cancer mortality rate* Colorectal cancer screening 60.3% 68.0% 71.4% Colorectal cancer mortality rate* Heart attack hospitalization rate** * Rate per 100,000 population ** Rate per 10,000 population
8 Population Health Needs Regional Population Health Data: Child Health Indicator Regional Value State Value State 2017 Objective Children with sufficient primary care 49.2% 69.9% 76.9% Children ages 3-6 years 71.3% 82.8% 91.3% Children ages years 41.1% 61.0% 67.1% 3 rd graders with untreated tooth decay 40.1% 24.0% 21.6%
9 Population Health Needs Regional Population Health Data: Mental Health Indicator Regional Value State Value State 2017 Objective Adult binge drinking 21.1% 20.4% 18.4% Self-inflicted injury hospitalization rate ** Self-inflicted injury hospitalization rate ** (ages 15-19) Suicide death rate * Suicide death rate * (ages 15-19) * Rate per 100,000 population ** Rate per 10,000 population
10 Population Health Needs Regional Barriers to Health Improvement Prevent Chronic Diseases Low health literacy Absence of preventive care Promote Healthy Women, Infants and Children Health professional shortage Promote Mental Health and Prevent Substance Abuse Health professional shortage
11 Healthcare Delivery System Needs Health Professional Shortages Occupation Region (per 100,000) Upstate (per 100,000) State (per 100,000) Primary Care physicians Family/General Practice Internal Medicine (general) Pediatrics (general) Obstetrics/Gynecology General Surgeons Dentists General Psychiatrists Center for Health Workforce Studies: Health Workforce Data Planning Guide
12 Healthcare Delivery System Needs Team-based care requires a diverse workforce Occupation Region (per 100,000) Upstate (per 100,000) State (per 100,000) Physician Assistants Nurse Practitioners/Midwives Registered Nurses 1,104 1,372 1,093 Licensed Practical Nurses Dental Hygienists Psychologists Mental Health Counselors Social Workers Center for Health Workforce Studies: Health Workforce Data Planning Guide
13 Ongoing Efforts Regional Healthcare Education Pipeline BOCES Hospital Training Programs Jefferson Community College Jefferson Higher Education Center Clarkson University St. Lawrence University SUNY Canton SUNY Potsdam Samaritan Medical Center Graduate Medical Education Program Northern Area Health Education Center & Fort Drum Regional Health Planning Organization Recruitment, Retention and Education Committee
14 Thoughts for the Future Graduate Medical Education expansion Increase dental health capacity Training in Care Management, Care Coordination Retrain combat medics to provide civilian care Standardized academic credit policy for military healthcare experience Continuing Education opportunities focused on team-based care models Certification for Community Health Workers, Community Paramedicine Utilize existing telemedicine networks to increase access to care and host professional development opportunities Mentorship and retention programs for health professionals
15 Contact Information Ian Grant, MPH Rural Health Program Manager Tracy Leonard, Recruitment Program Manager
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