Dallas County Demographic Imperative, 20062020

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Dallas County Demographic Imperative, 2006-2020
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Dallas Countys Population Growth Exceeds
National Rates

• From 2000 to 2006 Dallas County was
• The ninth largest county in the country
• The eight fastest growing county in the U.S.
• The fourth fastest growing county in Texas.
• Dallas County growth has been largely outside the
  city of Dallas boundaries (1990 - 2006)
• 35.4 percent growth outside city boundaries
• 20.1 percent growth inside city boundaries
• International migration and natural increase fuel
  Dallas County growth
• Hispanic population increased 110 from
  1990-2000, the largest growth of any ethnic
  group. It continued to grow an additional 32
  between 2000 and 2007.

Source Steve Murdock, Ph.D. Texas State Data
Center and U.S Census Bureau
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Dallas County Continues to Grow, but More Slowly
Denton 2.95
Collin 4.62
Rock- Wall 6.91

• Dallas County added 20,300 people from July 2006
  to July 2007.
• Represents a growth rate of just under 1 for the
  year, compared to rates of 3-7 for contiguous
  counties.

Dallas 0.9
Tarrant 2.27
Kaufman 2.72
Ellis 4.37

• North Central Texas added 135,350 persons during
  2006 for a January 1, 2007 total population of
  6,406,500
• The Region has now averaged just over 150,000 new
  persons per year since the 2000 census and this
  marks the eleventh consecutive year to add more
  than 100,000 persons

Source North Central Texas Council of
Governments. 2007 Current Population Estimates,
Mach 2006. http//www.nctcog.org/ris/demographics/
population.asp /. Accessed 8/24/2007.
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Dallas County Growth is due entirely from natural
increase and international migration
Components of Population Change from 2005 to 2006
http//www.census.gov/popest/counties/tables/CO-ES
T2006-05-48.xls Accessed /24/2007
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Dallas County Continues to Become More Ethnically
Diverse
Census and Projections of Dallas County
Population by Ethnicity, 2000 to 2010
Source Texas State Data Center, 2000, 2010,
2020 and 2040, Scenario 2 ( used in the Master
Facility Plan for PHHS Claritas, Inc. 2007
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Dallas County Has Lower Median Family Income but
Larger Families than Texas and the U.S.
Source U.S. Census Bureau. http//factfinder.cens
us.gov. Accessed 2/9/2007
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Community Need Index, 2005
Need is evident throughout Dallas County
Community need Index Ranges by Census Tract, 2005
Areas in red and pink are communities with
highest need. A score of 1.0 indicates the least
need, while a score of 5.0 indicates the most
need.
Definition of Needs

• Low income communities
• High minority populations with limited English
• Lower educational levels
• Lack of access to health care, high unemployment
• High percentage of renters

200 of the Federal Poverty Level is 34,340 for
a family of three and 20,420 for one individual
Source Solucient, 2005
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Demographic impact on the growing medically
indigent population

• The Texas State Demographer has estimated that in
  2005, Dallas County had an estimated 27.8 of the
  population that were uninsured. 1
• Medically indigent/Medicaid/CHIP population
  (Includes those under lt200 of the federal
  poverty limit) represent approximately 40 of the
  Dallas County population 2
• This population is expected to grow from 932,213
  in 2006 to 1,046,870 in 2020.2
• The medically indigent are located throughout
  Dallas County

Sources 1Texas State Demographer, special study
on uninsured in Texas by County, 2PHHS Master
Facility Planning projections. (see Methodology
and Sources slide)
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Areas of Unmet Need with limited service
availability

• COPCs opening or have opened in
• ? Irving
• ? Southwest Dallas
• Next tier to address
• Mesquite
• Grand Prairie
• Seagoville-Balch Springs-South Mesquite
• Northwest Dallas-Love Field, Stemmons, Farmers
  Branch area
• Spring Valley-Coit/ Northwood area

Northwood
Love Field
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Stemmons
?
Red Bird
Source Parkland Health Hospital System, 2006
data
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Bottom Line

• Build to needs
• Indigent
• Immigrants
• Disaster preparedness
• Rational regional system for primary through
  tertiary care including trauma, burn, cancer,
  psychiatric and neonatal intensive care
• Develop 5 more COPCs including Irving and Grand
  Prairie
• Develop 2 Community Specialty Clinics
• Implement Blue Ribbon Panel/ Parkland Boards
  Strategic Planning Committee recommendations
• Support the Three Share Plan (a health coverage
  product for small employers) that would help
  reduce the number of uninsured in the county and
  improve the health of all residents
• Develop umbrella organization that can bring
  together various community leaders, organizations
  and residents with representatives of government
  and organizations outside the community is needed

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Parkland Faces Challenges

• Increasing demands for services through both
  patient growth and the inability of its
  facilities to meet this growing demand
• Strain on current facilities limits access to all
  populations, including Medicare and other paying
  patients
• Poverty population has increasingly spread to the
  suburbs

Source Dr. Paul Jargowsky, University of Texas
at Dallas, Dallas Morning News, Sunday, May 18,
2003 Section B, page 1.