What

1
Whats so aboutRural Hospitals?
                    

                                               

Special
 

• Bob Pascasio, FACHE
• CEO, Bayside Community Hospital, Anahuac
• David Pearson, FACHE
• President/CEO, TORCH, Austin

                                                       
PO Box 398, Anahuac, TX 77514  Phone [phone]

   
                                

                                                                   
 
2
Rural Texas is BIG

• Texas is largely a rural state.
• 177 rural counties (about 75 of the state)
• 3.2 million people in 530 small towns
• 94 of all rural towns in Texas
• The population of rural Texas population of
  Alaska Delaware North Dakota Vermont
  Wyoming
• Texas has almost twice the farms and ranches of
  any other state. 78 of total acreage.

3
Rural Texas is underserved

• 70 of the counties in Texas have been designated
  as primary care health professional shortage
  areas (HPSA) 112 of these counties have whole
  and 46 have partial designations.
• Fully three-quarters of the counties with whole
  county HPSA designations are in rural areas.
• Some 177 counties are designated as medically
  underserved areas.

4
Texas has lots and lots of hospitals

• There are 580 hospitals in Texas, of which 164
  are rural, acute care facilities.
• Of the total 72,073 licensed beds in the state,
  8,393 (11.6) are rural.
• Texas has 74 Critical Access Hospitals (CAH),
  which are hospitals with 25 or fewer beds. The
  state ranks fourth in the nation with the most
  number of CAHs.

5
Rural Texas has LOST lots of hospitals

• Sixty-three counties in Texas today have no
  hospitals.
• 117 counties are served by a single hospital.
• With rare exceptions, they are the only sources
  of primary care in their county and communities.

6
Hospitals are an economic powerhouse

• Analysis by The Perryman Group shows that the
  healthcare industry is crucial to the state
  economy.
• 15 of overall state output
• 16.5 of earned personal income
• 17.2 of all employment
• The medical sector and associated spin-off
  productions also yield 6.6 billion in annual
  state revenue.
• The impact of hospital facilities on the Texas
  economy is enormous, supporting almost 700,000
  permanent jobs in the state and almost 87.5
  billion in economic activity every year.

7
Rural Hospitals contribute to the economy too

• According to the National Center for Rural Health
  Works, in most rural communities health care is
  the largest employer and accounts for at least 10
  percent of total local employment.
• On average, every dollar spent at home on health
  care recirculates inside the community
  one-and-a-half times.
• For every five jobs in the health sector, four
  jobs are generated inside the community.

8
Hospitals have issues

• Here are some of the issues that hospitals are
  always facing
• Changing state and federal regulations
• Complex reimbursement methodologies
• Quality and performance improvement
• Insurance, uninsurance and managed care
• Health careers promotion and training

9
Rural hospitals have issues too

• Here are some more issues that rural hospitals
  are facing
• Access to health care services
• Provider recruitment and retention
• Aging physical infrastructure
• Rapidly changing technology
• Economic and demographic shifts

10
About Bayside Community Hospital

• Been in continuous operation for over 56 years,
  providing for the general acute needs of Central
  Chambers County and surrounding communities.
• Recognized by the Texas Rural Health Association
  in 2002 with the Community that Cares award.
• Recognized by the Texas Medical Foundation in
  2005 with the Award of Excellence in Healthcare
  Quality Improvement,
• Bayside offers the only state designated Trauma
  Center (Emergency Room) in Chambers County.
• Designated a Nurse Friendly Hospital by the Texas
  Nurse Association.
• Recently awarded funding to establish and FQHC.

11
About The Texas Organization of Rural Community
Hospitals

• Since 1990, TORCH has been the voice for rural
  hospitals in Texas, and is a model for rural
  hospital organizations across the US.
• TORCH is a full-service trade association
  offering advocacy, education, programs and
  services targeted at rural hospitals.
• TORCH has six affiliated organizations, including
  a for-profit corporation, a non-profit
  foundation, an insurance pool, and three other
  healthcare-related trade associations.
• Taken together, the entire enterprise includes
  150 rural and community hospitals, 137 rural
  health clinics, 100 provider-based home care
  agencies and 147 corporate members and endorsed
  business partners.

12
In Conclusion

• Rural and community hospitals are an important
  part of the overall health care delivery system
  for the State of Texas.
• Rural hospitals are resilient and theyll
  continue to evolve in order to meet the
  healthcare needs of the many small and isolated
  rural communities in Texas.

Thank you!