MSFW Analysis Oregon

1
MSFW Analysis - Oregon

• National Center
• for Farmworker Health

2
Presentation Controls Legend
Next slide
Previous Slide
County Information
Data
Only buttons in lower right hand corner are
operational
Return to presentation
3
Presentation Outline

• Rational Service Area Assumptions
• MSFW Population Data Source
• Population Categories
• County Level Service Analysis
• MHC Service Penetration
• MUA/MUP Designations
• Uninsured and Poverty Data

4
Rational Service Area Assumptions

• For purposes of this analysis, NCFH assumes that
• A population of 2,000 or more in the service
  area is sufficient in size to warrant a new
  access point and would sustain the nominal
  minimum encounter rate for an FTE
• Service area populations between 500 and 1999
  may not be sufficient in size to warrant
  development of a new service delivery site
  however, opportunities to serve this population
  may be found in adjoining communities currently
  being served by a Migrant or Community Health
  Center

5
Data Sources

• MSFW numbers are taken from the Oregon
  Enumeration Profile Study by Larson, 2002.

NOTE This data was compiled in the same manner
as the MSFW EPS of 2000 specifically endorsed by
the Migrant Health Program, BPHC, for planning,
developing, and implementing improved services to
the nations farmworkers.

• MHC and CHC grantee site locations are from data
  provided on the BPHC web site, 10/2002, and
  updated by the Oregon PCO and Oregon PCA as of
  3/2003.
• User data and grant dollar amounts are provided
  by the Office of Community and Migrant Health,
  BPHC

6
County MSFW Population Categories

• In this analysis, the county MSFW population will
  be used to assign counties to one of three
  categories
• Counties that have a MSFW population
  sufficient to justify a new access start or an
  expansion access site (over 2,000)
• Counties that have a MSFW population that
  would constitute the majority of an eligible
  target population sufficient to justify a new
  access start or an expansion access site (1,000 -
  1,999)
• Counties that have a MSFW population that
  would constitute 10 of an eligible target
  population sufficient to justify a new access
  start or an expansion access site (500 - 999)

7
Oregon
The state of Oregon comprises an area of 97,074
square miles. It is divided into 36 counties
ranging in size from 481 to 10,246 square miles.
8
Oregon Counties
Clatsop
Columbia
Tillamook
Washington
Multnomah
Hood River
Yamhill
Clackamas
Polk
Sherman
Marion
Umatilla
Lincoln
Gilliam
Morrow
Wasco
Benton
Wallowa
Linn
Union
Jefferson
Wheeler
Lane
Grant
Baker
Crook
Deschutes
Coos
Douglas
Curry
Lake
Josephine
Harney
Jackson
Klamath
Malheur
9
Area Perspective Oregon vs. Maryland
10
MSFW Population
The migrant and seasonal farmworker population is
estimated at 174,484. This number includes
workers and their dependents. The largest
concentration of farmworkers and their families
is located in the northwest part of the
state. The next slide will present this data as
an overlay on the county.
Data source Oregon MSFW Enumeration Profile
Study Larson, 2002
11
MSFW Total Population174,484
29
691
38
12,805
3,014
19,029
10,183
39
14,898
8,027
11,732
31,116
112
2,018
0
15,622
11
5,457
2,860
1,486
2,707
29
3,391
15
1,675
168
141
210
1,814
257
0
782
0
8,644
8,139
1,505
12
MSFW Population
The next slide will depict the states counties
organized into four categories, based on the
countys MSFW population. In addition to the
three categories already described, there is a
category for counties with a MSFW population
below 500.
13
MSFW Total Population
Data source Oregon MSFW Enumeration Profile
Study Larson, 2002
14
Service Potential Analysis Process

• Service potential will be evaluated in the
  following order
• MHC grantee in county
• CHC grantee in county
• MHC grantee in adjoining county
• CHC grantee in adjoining county

15
MHC Grantees
There are six Migrant Health Center grantees
operating in the state. These grantees provide
services at 14 sites in 8 counties.
Data source BPHC web site (10/2002) Oregon PCO
and Oregon PCA (3/2003)
16
MHC Grantee Sites and Service Counties
Data source BPHC web site (10/2002) Oregon PCO
and Oregon PCA (3/2003)
17
Service Delivery Area
The next slide will depict the service delivery
area in three rings representing 5, 10, and 15
mile radii from the delivery site. Although a 20
mile distance is sometimes used as a planning
radius, that is assumed to be travel miles.
These rings represent straight line measures.
18
MHC Delivery Sites Coverage
Data source BPHC web site (10/2002) Oregon PCO
and Oregon PCA (3/2003)
19
CHC Grantees
There are fourteen Community Health Center
grantees operating in the state, including the
six MHC grantees who are also CHC grantees. The
eight additional CHC grantees provide health
services at 18 sites in 8 additional counties.
Data source BPHC web site (10/2002) Oregon PCO
and Oregon PCA (3/2003)
20
CHC Grantee Counties
Data source BPHC web site (10/2002) Oregon PCO
and Oregon PCA (3/2003)
21
MHC/CHC Grantee Delivery Areas
Data source BPHC web site (10/2002) Oregon PCO
and Oregon PCA (3/2003)
22
MHC/CHC Grantee Delivery Areas
MHC and CHC grantees together provide only
limited coverage to the states MSFW population
centers.
23
MHC/CHC Grantee Delivery Areas MSFW Population
BPHC web site (10/2002) Oregon PCO and Oregon
PCA (3/2003)
Oregon MSFW Enumeration Profile Study Larson,
2002
24
Analysis of Counties with gt2,000 MSFW Population
There are 16 counties that have a MSFW population
in excess of 2,000.
25
MSFW Population gt 2,000
12,805
3,014
19,029
10,183
8,027
14,898
31,116
11,732
2,018
15,622
5,457
2,860
2,707
3,391
8,139
8,644
Data source Oregon MSFW Enumeration Profile
Study Larson, 2002
26
Analysis of Counties with gt2,000 MSFW Population
There are eight counties with a MSFW population
in excess of 2,000 that have a MHC grantee
delivery site in the county.
27
MHC Grantee Delivery Sites
Data source BPHC web site (10/2002) Oregon PCO
and Oregon PCA (3/2003)
28
Analysis of Counties with gt2,000 MSFW Population
There are two counties with a MSFW population in
excess of 2,000 that have a CHC grantee delivery
site in the county.
29
MHC and CHC Grantee Delivery Sites
Data source BPHC web site (10/2002) Oregon PCO
and Oregon PCA (3/2003)
30
Analysis of Counties with gt2,000 MSFW Population
There are six counties with a MSFW population in
excess of 2,000 that do not have a MHC or CHC
grantee delivery site in the county.
31
Morrow County
MSFW Population 2,0181
Morrow
Morrow County adjoins one county with a MHC
grantee2, but the site provides almost no
coverage to the MSFW population of the county.
1 Oregon MSFW Enumeration Profile Study Larson,
2002 2 BPHC web site
(10/2002) Oregon PCO and Oregon PCA (3/2003)
32
Wasco County
MSFW Population 15,6221
Wasco
Wasco County adjoins three counties that have MHC
grantees2, but only one grantee clinic site is
close enough to provide services to a very small
portion of the MSFW population of the county.
1 Oregon MSFW Enumeration Profile Study Larson,
2002 2 BPHC web site
(10/2002) Oregon PCO and Oregon PCA (3/2003)
33
Jefferson County
MSFW Population 2,7071
Jefferson
Jefferson County adjoins one county with a MHC
grantee and one with a CHC grantee2, but only one
site provides coverage to a limited portion of
the MSFW population of the county.
1 Oregon MSFW Enumeration Profile Study Larson,
2002 2 BPHC web site
(10/2002) Oregon PCO and Oregon PCA (3/2003)
34
Benton County
MSFW Population 5,4571
Benton
Benton County adjoins one county with a CHC
grantee and one county with a MHC grantee2, and
one CHC site provides limited coverage to the
MSFW population of the county.
1 Oregon MSFW Enumeration Profile Study Larson,
2002 2 BPHC web site
(10/2002) Oregon PCO and Oregon PCA (3/2003)
35
Linn County
MSFW Population 2,8601
Linn
Linn County adjoins one county with a MHC grantee
and one county with a CHC grantee2, but the sites
provide no coverage to the MSFW population of the
county.
1 Oregon MSFW Enumeration Profile Study Larson,
2002 2 BPHC web site
(10/2002) Oregon PCO and Oregon PCA (3/2003)
36
Lane County
MSFW Population 3,3911
Lane
Lane County adjoins two counties with CHC
grantees2, but no site provides coverage to the
MSFW population of the county.
1 Oregon MSFW Enumeration Profile Study Larson,
2002 2 BPHC web site
(10/2002) Oregon PCO and Oregon PCA (3/2003)
37
Analysis of Counties with 1,000-1,999 MSFW
Population
There are four counties that have MSFW
populations ranging from 1,000 to 1,999.
38
MSFW Population 1,000 1,999
1,486
1,675
1,814
1,505
Data source Oregon MSFW Enumeration Profile
Study Larson, 2002
39
Analysis of Counties with 1,000-1,999 MSFW
Population
Of the four counties that have MSFW populations
ranging from 1,000 to 1,999, two counties have a
CHC grantee delivery site in the county.
40
CHC Grantees in Counties with MSFW Population
1,000 1,999
Data source BPHC web site (10/2002) Oregon PCO
and Oregon PCA (3/2003)
41
Analysis of Counties with 1,000-1,999 MSFW
Population
The two counties that do not have a MHC or CHC
grantee are Union and Baker.
42
Union County
MSFW Population 1,4861
Union
Union County adjoins one county with a MHC
grantee2, but the site provides no coverage to
the MSFW population of the county.
1 Oregon MSFW Enumeration Profile Study Larson,
2002 2 BPHC web site
(10/2002) Oregon PCO and Oregon PCA (3/2003)
43
Baker County
MSFW Population 1,6751
Baker
Baker County adjoins one county with a MHC
grantee2, but the sites provide no coverage to
the MSFW population of the county.
1 Oregon MSFW Enumeration Profile Study Larson,
2002 2 BPHC web site
(10/2002) Oregon PCO and Oregon PCA (3/2003)
44
Analysis of Counties500-999 MSFW Population
There are two counties that have MSFW populations
ranging from 500 to 999.
45
MSFW Population 500 999
691
782
Data source Oregon MSFW Enumeration Profile
Study Larson, 2002
46
Analysis of Counties500-999 MSFW Population
One of the two counties that has a MSFW
population between 500 and 999 has two CHC
grantee delivery sites in the
county.
47
CHC Counties with MSFW Population 500 999
Data source BPHC web site (10/2002) Oregon PCO
and Oregon PCA (3/2003)
48
Analysis of Counties500-999 MSFW Population
The county that has no MHC or CHC grantee
delivery site adjoins five counties with MHC or
CHC delivery sites.
49
Columbia County
MSFW Population 6911
Columbia
Columbia County adjoins five counties (one in
Washington) with either a MHC or CHC grantee2,
but the sites provide coverage to only a portion
of the MSFW population of the county.
1 Oregon MSFW Enumeration Profile Study Larson,
2002 2 BPHC web site
(10/2002) Oregon PCO and Oregon PCA (3/2003)
50
Potential Grantees Performance Measure
Existing MHC and CHC grantees are natural
candidates for new and expansion access
starts. The performance of these grantees is an
important consideration in determining if they
are a good choice. An important measure of
performance is service penetration of the MSFW
population of the county.
51
MHC Grantee Service Penetration
The six MHC grantees located in Oregon provided
services to 17,262 users1 during 2001, which
represents 9.89 of the estimated statewide MSFW
population. The estimated MSFW population in
the counties where the grantees provided health
services is 116,5462. The reported users
represent 14.81 penetration of this population.
1 UDS Reports - 2001, BPHC 2 Oregon MSFW
Enumeration Profile Study Larson 2002
52
MHC Service Penetration of MSFW Population
Data source BPHC web site (10/2002) Oregon PCO
and Oregon PCA (3/2003)
53
CHC Grantee Service to MSFW Population
In addition to the services provided to the MSFW
population by the MHC grantees, CHC grantees
provided services to 500 additional farmworkers
and their families1. The resulting statewide
service penetration rate for the MSFW population2
is 10.18.
1 UDS Reports - 2001, BPHC 2 Oregon MSFW
Enumeration Profile Study Larson 2002
54
Health ProfessionalShortage Areas (HPSAs)

• Health Professional Shortage Area (HPSA) is a
  designation awarded by the Health Resources and
  Services Administration (HRSA).
• HPSAs may have shortages of primary medical
  care, dental or mental health providers and may
  be urban or rural areas, population groups or
  medical or other public facilities.
• The shortage designation is used primarily to
  determine eligibility for National Health Service
  Corps resources.
• 32 of Oregons 36 counties have some portion of
  the county declared a HPSA.

55
HPSAs
56
Medically Underserved Area/Medically Underserved
Population

• MUA/MUP are designations awarded by the Health
  Resources and Services Administration (HRSA).
• Medically Underserved Areas (MUA) may be a
  whole county or a group of contiguous counties, a
  group of county or civil divisions or a group of
  urban census tracts in which residents have a
  shortage of personal health services. 
• Medically Underserved Populations (MUP) may
  include groups of persons who face economic,
  cultural or linguistic barriers to health care.
• The MUA/MUP designation is used to determine
  eligibility for CHC and MHC grants.
• 33 of Oregons 36 counties contain an MUA or an
  MUP.

57
MUA/MUP
58
Uninsured Populations
One means of identifying eligible populations for
service is the identification of people who are
uninsured. The following slide shows the
percentage of county populations that are
uninsured.
59
Percent of Population Uninsured
Data source Oregon Health Policy and Research
Summary of Findings (2000 Oregon Population
Survey)
60
Population in Poverty
Another means of identifying eligible populations
for service is the identification of people who
live in poverty. An important federal measure
is the percent of a population in a service area
or within a target population that live under
100 of poverty.
61
Percent of Population Less Than 100 Poverty
Data source Census 2000
62
Population in Poverty
Since there are existing state programs to cover
people who live under 100 of poverty, an
important state measure for underserved
populations is the percent of a population in a
service area or within a target population that
live under 200 of poverty.
63
Percent of Population Less Than 200 Poverty
Data source Census 2000
64
Population between 100 and 200 Poverty
By subtracting out those people eligible for
state coverage (under 100 poverty) from the
under 200 poverty population, we determine the
size of a critical target population.
65
Population between100 and 200 Poverty
Data source Census 2000
66
MSFW Analysis - Oregon

• National Center
• for Farmworker Health

67
Oregon Counties
Clatsop
Columbia
Tillamook
Washington
Multnomah
Hood River
Yamhill
Clackamas
Polk
Sherman
Marion
Umatilla
Lincoln
Gilliam
Morrow
Wasco
Benton
Wallowa
Linn
Union
Jefferson
Wheeler
Lane
Grant
Baker
Crook
Deschutes
Coos
Douglas
Curry
Lake
Josephine
Harney
Jackson
Klamath
Malheur
68
Data source Oregon MSFW Enumeration Profile
Study Larson, 2002