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MSFW Analysis – Texas

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MSFW Analysis – Texas

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  1. MSFW Analysis – Texas National Center for Farmworker Health

  2. MSFW Analysis - Texas Presentation Controls Legend Next slide Previous Slide County Information Data Only buttons in lower right hand corner are operational Return to presentation

  3. MSFW Analysis - Texas Purpose The purpose of this presentation is to conduct spatial data analysis of MSFW enumeration data to enable health planners to target limited resources to areas of greatest MSFW need.

  4. MSFW Analysis - Texas Presentation Outline • Introduction • State Overview • Service Delivery Gaps • Other Data

  5. MSFW Analysis - Texas Introduction • Acronyms • MSFW Enumeration Profiles Studies • Rationale for State Selections • Data Sources • MSFW Population Categories • Rationale for MSFW Population Categories

  6. MSFW Analysis - Texas Acronyms BPHC – Bureau of Primary Health Care CHC – Community Health Center (Section 330 grantee) HRSA – Health Resources and Services Administration MHC – Migrant Health Center (Section 330 grantee) MSFW – Migrant and Seasonal Farmworker NCFH – National Center for Farmworker Health NP – Nurse Practitioner PA – Physician Assistant TACHC – Texas Association of Community Health Centers UDS – Uniform Data System

  7. MSFW Analysis - Texas MSFW Enumeration Profiles Studies In 1998, the Bureau of Primary Health Care (BPHC) and the Environmental Protection Agency jointly funded a study to estimate MSFW populations at the county level, and awarded a grant to the National Center for Farmworker Health (NCFH). NCFH subsequently contracted with Alice C. Larson, Ph.D., to research and develop state estimates for the MSFW population in ten states: Arkansas, California, Florida, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, and Texas.

  8. MSFW Analysis - Texas Rationale for State Selections Five states were chosen because they are home to the largest MSFW populations (California, Florida, North Carolina, Texas, and Washington). The other five states (Arkansas, Louisiana, Maryland, Mississippi, and Oklahoma) were selected because they were states for which minimal data was available, and they appeared to provide a broad sample of MSFW employment environments.

  9. MSFW Analysis - Texas Data Sources • MSFW numbers are taken from the MSFW Enumeration Profiles Study - Texas, September 2000. • MHC and CHC grantee site locations were taken from the BPHC web site (http://ask.hrsa.gov/pc/) in May 2003, and updated by the Texas Association of Community Health Centers (TACHC) web site (http://tachc.org) in May 2003. • User data was provided by the Health Resources and Services Administration (HRSA) and BPHC.

  10. MSFW Analysis - Texas MSFW Population Categories • In this analysis, there are four county MSFW population categories: • 0 to 499 • 500 to 999 • 1,000 to 1,999 • 2,000 and over

  11. MSFW Analysis - Texas Rationale for MSFW Population Categories The four MSFW population categories were selected based on assumptions about deriving a potential clinic user population number from a target population estimate. Potential clinics include existing CHC service sites or a new access point. A new access point is a new delivery site for the provision of comprehensive primary and preventive health care services.  The two types of new access points are (1) new starts and (2) satellites. We assume that a target population will produce a 75% clinic user rate and that a clinic site requires 750 to 1,500 users (based on an average ratio of 750 users per PA/NP and 1,500 per physician).

  12. MSFW Analysis - Texas MSFW Population Category 0 - 499 Counties that have an MSFW population from 0 to 499 are assumed to have an MSFW target population sufficient only to support a user population that would account for less than 25% of the users of an existing CHC service site or a new access point.

  13. MSFW Analysis - Texas MSFW Population Category 500 - 999 Counties that have an MSFW population from 500 to 999 are assumed to have an MSFW target population sufficient to support a user population that would account for 25% to 50% of the users of an existing CHC service site or a new access point.

  14. MSFW Analysis - Texas MSFW Population Category 1,000 – 1,999 Counties that have an MSFW population from 1,000 to 1,999 are assumed to have an MSFW target population sufficient to support a user population that would account for 50% to 100% of the users of an existing CHC service site or a new access point.

  15. MSFW Analysis - Texas MSFW Population Category Over 2,000 Counties that have an MSFW population over 2,000 are assumed to have an MSFW target population sufficient to support a user population that would justify a new access point.

  16. MSFW Analysis - Texas Presentation Outline • Introduction • State Overview • Service Delivery Gaps • Other Data

  17. MSFW Analysis - Texas State Overview • State Data • State Counties by Region • Perspective: Texas vs. Maryland • MSFW Population • MSFW Population – Data Map • MSFW Population – Spatial Map

  18. MSFW Analysis - Texas Texas Data AREA - 264,436 square miles POPULATION (2000) – 21,325,018 TOTAL MSFW POPULATION – 362,724 COUNTIES – 254 counties (ranging in size from 148 to 60,097 square miles) CHC/MHC SITES – 13 Grantees and 69 sites CHC ONLY SITES – 23 Grantees and 81 sites

  19. MSFW Analysis - Texas Texas Counties –Regions Panhandle North Texas Northeast Texas West Central Texas West Texas East Central Texas Southeast Texas South Texas

  20. MSFW Analysis - Texas Texas Counties –Panhandle Dallam Sherman Hansford Ochiltree Lipscomb Hartley Moore Hutchinson Roberts Hemphill Oldham Potter Carson Gray Wheeler Deaf Smith Randall Armstrong Donley Collings-worth Parmer Castro Swisher Briscoe Hall Childress Bailey Lamb Hale Floyd Motley Cochran Hockley Lubbock Crosby Dickens King Yoakum Terry Lynn Garza

  21. MSFW Analysis - Texas Texas Counties –West Texas Gaines Dawson Borden Andrews Martin Howard El Paso Loving Glass-cock Hudspeth Winkler Ector Midland Culberson Ward Crane Upton Reeves Jeff Davis Pecos Presidio Terrell Brewster

  22. MSFW Analysis - Texas Texas Counties –West Central Texas Kent Stonewall Haskell Scurry Fisher Jones Shackel-ford Stephens Mitchell Nolan Taylor Callahan Eastland Sterling Coke Runnels Comanche Coleman Brown Reagan Irion Tom Green Concho McCulloch Crockett Schleicher Menard Mason Sutton Kimble

  23. MSFW Analysis - Texas Texas Counties –North Texas Hardeman Cottle Wilbarger Foard Wichita Clay Knox Baylor Archer Montague Cooke Grayson Fannin Throck-morton Young Jack Wise Denton Collin Hunt Rock-wall Palo Pinto Parker Tarrant Dallas Kaufman Hood Johnson Ellis Erath Somer-vell Navarro

  24. MSFW Analysis - Texas Texas Counties –Northeast Texas Lamar Red River Bowie Delta Franklin Hopkins Titus Morris Cass Camp Rains Wood Marion Upshur Van Zandt Harrison Gregg Smith Henderson Panola Rusk Cherokee Anderson

  25. MSFW Analysis - Texas Texas Counties – Southeast Texas Shelby Nacogdoches San Augustine Houston Sabine Angelina Trinity Newton Polk Jasper Walker Tyler San Jacinto Hardin Montgomery Liberty Orange Austin Waller Harris Chambers Colorado Jefferson Fort Bend Galveston Wharton Brazoria Matagorda

  26. MSFW Analysis - Texas Texas Counties – Central Texas Hill Bosque Hamilton Freestone McLennan Limestone Mills Coryell Leon Falls Lampassas San Saba Bell Robertson Madison Burnet Milam Llano Williamson Brazos Grimes Burleson Blanco Lee Travis Washington Hays Bastrop Fayette Caldwell

  27. MSFW Analysis - Texas Texas Counties – South Texas Gillespie Val Verde Edwards Kerr Kendall Real Comal Bandera Guadalupe Kinney Uvalde Medina Bexar Gonzales Lavaca Wilson De Witt Maverick Zavala Frio Jackson Atascosa Karnes Victoria Goliad Dimmit La Salle Live Oak McMullen Bee Refugio Calhoun San Patricio Aransas Jim Wells Webb Nueces Duval Kleberg Zapata Jim Hogg Brooks Kenedy Starr Willacy Hidalgo Cameron

  28. MSFW Analysis - Texas Perspective:Texas vs. Maryland Relative Location Relative Size

  29. MSFW Analysis - Texas MSFW Population The migrant and seasonal farmworker population is estimated at 362,724. This number includes workers and their dependents. The largest concentration of farmworkers and their families is located in the east central part of the state. The next slides will present this data as an overlay on the county. Data source: MSFW Enumeration Profiles Study – TX, Larson, 9/2000

  30. MSFW Analysis - Texas Texas Counties –Panhandle 666 252 303 167 198 149 2,662 26 69 0 22 2,294 14 30 184 929 38 2 947 1,871 2,768 2,285 1,614 894 2,059 1,077 2,483 4,099 7,009 4,107 916 2,991 5,504 7,075 5,272 572 61 4,676 7,200 6,036 941

  31. MSFW Analysis - Texas Texas Counties –West Texas 12,181 7,046 520 610 3,257 2,243 4,745 0 4,223 264 560 1,557 1,879 163 52 0 324 1,637 24 789 1,701 0 90

  32. MSFW Analysis - Texas Texas Counties –West Central Texas 130 181 2,278 1,294 1,430 1,786 52 18 1,289 1,68 465 92 1,276 3,400 11 23 1,036 84 516 922 13 1,911 417 239 143 92 2 230 10 67

  33. MSFW Analysis - Texas Texas Counties –North Texas 177 539 1,153 159 207 285 620 180 103 808 113 349 863 153 190 58 560 271 417 465 1 174 549 544 2,372 80 240 376 5,706 668 54 876

  34. MSFW Analysis - Texas Texas Counties –Northeast Texas 1,719 278 213 353 227 578 1,168 80 354 323 373 596 86 78 952 124 0 763 340 60 1,012 534 219

  35. MSFW Analysis - Texas Texas Counties – Southeast Texas 1,101 255 186 915 0 80 19 0 0 122 190 60 17 155 107 71 44 224 244 3,147 105 0 137 1,329 85 1,995 1,150 917

  36. MSFW Analysis - Texas Texas Counties – Central Texas 669 173 232 150 371 197 316 193 438 329 281 435 390 384 39 207 698 36 1,379 134 68 488 104 318 844 73 240 577 263 378

  37. MSFW Analysis - Texas Texas Counties – South Texas 694 3,535 47 27 22 25 383 43 874 86 6,030 2,130 5,801 789 134 970 2,762 4,644 5,550 6,582 497 1,339 92 245 29 1,344 981 48 6 201 450 347 3,604 0 2,094 1,507 7,249 1,472 1,541 194 70 441 0 8,458 4,058 70,850 15,568

  38. MSFW Analysis - Texas MSFW Population The next slide will depict the state’s counties organized into four categories, based on the county’s MSFW population. In addition to the three categories already described, there is a category for counties with an MSFW population below 500.

  39. MSFW Analysis - Texas MSFW Total Population-362,724 Data source: MSFW Enumeration Profiles Study – TX, Larson, 9/2000

  40. MSFW Analysis - Texas Presentation Outline • Introduction • State Overview • Service Delivery Gaps • Other Data

  41. MSFW Analysis - Texas Service Delivery Gaps • Analysis Process • MHC Grantees • CHC Grantees • Grantee Delivery Area vs MSFW Population • County Analysis by MSFW Population Category

  42. MSFW Analysis - Texas 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

  43. MSFW Analysis - Texas MHC Grantees There are 13 Migrant Health Center grantees in the state. These grantees provide services at 69 sites in 29 counties. Data sources: BPHC web site, 5/2003; TACHC web site, 5/2003

  44. MSFW Analysis - Texas MHC Grantee Sites and Service Counties Data sources: BPHC web site, 5/2003; TACHC web site, 5/2003

  45. MSFW Analysis - Texas 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.

  46. MSFW Analysis - Texas MHC Delivery Sites Coverage Data sources: BPHC web site, 5/2003; TACHC web site, 5/2003

  47. MSFW Analysis - Texas MHC Grantee Delivery Areas MHC grantee clinic sites are located in counties that account for 46.9% of the state’s MSFW population.

  48. MSFW Analysis - Texas MHC Delivery Sites Coverageof MSFW Population Data sources: MSFW Enumeration Profiles Study – TX, Larson, 9/2000; BPHC web site, 5/2003; TACHC web site, 5/2003

  49. MSFW Analysis - Texas CHC Grantees There are 36 Community Health Center grantees in the state. All of the thirteen MHC grantees are also CHC grantees. The 23 additional CHC grantees provide health services at 81 sites in some existing and 24 additional counties. In total, 53 counties are served by MHC and CHC grantees. Data sources: BPHC web site, 5/2003; TACHC web site, 5/2003

  50. MSFW Analysis - Texas CHC Grantee Counties Data sources: BPHC web site, 5/2003; TACHC web site, 5/2003