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MSFW Analysis - Florida

MSFW Analysis - Florida. National Center for Farmworker Health. MSFW Analysis - Florida. Presentation Controls Legend. Next slide. Previous Slide. County Information. Data. Only buttons in lower right hand corner are operational. Return to presentation. MSFW Analysis - Florida.

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MSFW Analysis - Florida

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  1. MSFW Analysis - Florida National Center for Farmworker Health

  2. MSFW Analysis - Florida 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 - Florida 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 - Florida Presentation Outline • Introduction • State Overview • Service Delivery Gaps • Other Data

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

  6. MSFW Analysis - Florida Acronyms BPHC – Bureau of Primary Health Care CHC – Community Health Center (Section 330 grantee) FACHC – Florida Association of Community Health Centers 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 UDS – Uniform Data System

  7. MSFW Analysis - Florida 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 - Florida 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 - Florida Data Sources • MSFW numbers are taken from the MSFW Enumeration Profiles Study - Florida, 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 Florida Association of Community Health Centers in May 2003. • User data was provided by the Health Resources and Services Administration (HRSA) and BPHC.

  10. MSFW Analysis - Florida 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 - Florida 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 - Florida 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 - Florida 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 - Florida 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 - Florida 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 - Florida Presentation Outline • Introduction • State Overview • Service Delivery Gaps • Other Data

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

  18. MSFW Analysis - Florida Florida Data AREA - 55,815 square miles POPULATION (2000) – 16,396,515 TOTAL MSFW POPULATION – 286,725 COUNTIES – 67 counties (ranging in size from 252 to 2,164 square miles) CHC/MHC SITES – 12 Grantees and 66 sites CHC ONLY SITES – 14 Grantees and 42 sites

  19. MSFW Analysis - Florida Florida Counties Nassau Holmes Escambia Okaloosa Jackson Jefferson Hamilton Duval SantaRosa Washington Gadsden Madison Baker Leon Columbia Walton Suwannee Saint Johns Calhoun Union Clay Bay Wakulla Taylor Bradford Liberty Lafayette Gilchrist Putnam Gulf Franklin Alachua Flagler Dixie Levy Marion Volusia Lake Citrus Seminole Sumter Hernando Orange Pasco Osceola Brevard Hills-borough Indian River Polk Pinellas Okeechobee Saint Lucie Hardee Manatee Highlands De Soto Martin Sarasota Glades Charlotte Palm Beach Hendry Lee Broward Collier Dade Monroe

  20. MSFW Analysis - Florida Perspective: Florida vs. Maryland

  21. MSFW Analysis - Florida MSFW Population The migrant and seasonal farmworker population is estimated at 286,725. This number includes workers and their dependents. The largest concentration of farmworkers and their families is located in the south and south central part of the state. The next slide will present this data as an overlay on the county. Data source: MSFW Enumeration Profiles Study – FL, Larson, 9/2000

  22. MSFW Analysis - Florida MSFW Total Population286,725 52 667 3,631 705 1,372 258 1,636 1,250 30 534 1,853 383 153 1,353 552 2,913 1,522 498 232 24 45 69 1,051 0 0 301 145 2,970 0 0 976 4,045 954 4 1,735 4,242 2,476 9,335 35 299 571 8,363 206 5,386 3,427 1,946 25,013 24,030 7,347 1,197 2,366 13,381 18,183 8,459 10,431 6,333 9,846 425 1,409 3,007 30,824 17,435 4,483 1,077 17,205 18,322 0 Data source: MSFW Enumeration Profiles Study – FL, Larson, 9/2000

  23. MSFW Analysis - Florida 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.

  24. MSFW Analysis - Florida MSFW Total Population * * 30,824 represents the MSFW population of the most populous MSFW county Data source: MSFW Enumeration Profiles Study – FL, Larson, 9/2000

  25. MSFW Analysis - Florida Presentation Outline • Introduction • State Overview • Service Delivery Gaps • Other Data

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

  27. MSFW Analysis - Florida 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

  28. MSFW Analysis - Florida MHC Grantees There are twelve Migrant Health Center grantees in the state. These grantees provide services at 66 sites in 22 counties. Data source: BPHC web site, 5/2003, and FACHC, 5/2003

  29. MSFW Analysis - Florida MHC Grantee Sites and Service Counties Data source: BPHC web site, 5/2003, and FACHC update, 5/2003

  30. MSFW Analysis - Florida 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.

  31. MSFW Analysis - Florida MHC Delivery Sites Coverage Data source: BPHC web site, 5/2003, and FACHC update, 5/2003

  32. MSFW Analysis - Florida CHC Grantees There are twenty-six Community Health Center grantees in the state. All twelve of the MHC grantees are also CHC grantees. The fourteen additional CHC grantees provide health services at 42 sites in 17 counties. Data source: BPHC web site, 5/2003, and FACHC update, 5/2003

  33. MSFW Analysis - Florida CHC Grantee Counties Data source: BPHC web site, 5/2003, and FACHC update, 5/2003

  34. MSFW Analysis - Florida MHC/CHC Grantee Delivery Areas Data source: BPHC web site, 5/2003, and FACHC update, 5/2003

  35. MSFW Analysis - Florida MHC/CHC Grantee Delivery Areas MHC and CHC grantees together provide significant coverage to the state’s MSFW population centers.

  36. MSFW Analysis - Florida MHC/CHC Grantee Delivery Areas & MSFW Population Data sources: MSFW Enumeration Profiles Study – FL, Larson, 9/2000; BPHC web site, 5/2003, and FACHC update, 5/2003

  37. MSFW Analysis - Florida Analysis of Counties with >2,000 MSFW Population There are 26 counties that have an MSFW population in excess of 2,000.

  38. MSFW Analysis - Florida MSFW Population > 2,000 3,631 2,913 4,045 2,970 2,476 4,242 9,335 8,363 5,386 3,427 25,013 24,030 7,347 2,366 8,459 13,381 18,183 10,431 9,846 6,333 3,007 30,824 17,435 4,483 17,205 18,322 Data source: MSFW Enumeration Profiles Study – FL, Larson, 9/2000

  39. MSFW Analysis - Florida Analysis of Counties with >2,000 MSFW Population There are 21 counties with MSFW populations in excess of 2,000 that have an MHC grantee delivery site in the county.

  40. MSFW Analysis - Florida MHC Grantee Delivery Sites Data sources: MSFW Enumeration Profiles Study – FL, Larson, 9/2000; BPHC web site, 5/2003, and FACHC update, 5/2003

  41. MSFW Analysis - Florida Analysis of Counties with >2,000 MSFW Population There are six counties that have an MSFW population in excess of 2,000 that do not have an MHC or CHC grantee delivery site in the county.

  42. MSFW Analysis - Florida County Service Area with no MHC Data sources: MSFW Enumeration Profiles Study – FL, Larson, 9/2000; BPHC web site, 5/2003, and FACHC update, 5/2003

  43. MSFW Analysis - Florida Jackson County MSFW Population 3,6311 Jackson Jackson County adjoins two counties that have MHC grantees2, but no grantee clinic sites are close enough to provide services to the MSFW population of the county. 1 MSFW Enumeration Profiles Study – FL, Larson, 9/2000 2 BPHC web site, 5/2003, and FACHC update, 5/2003

  44. MSFW Analysis - Florida Suwannee County MSFW Population 2,9131 Suwannee Suwannee County adjoins four counties that have CHC grantees2, and two clinic sites can provide services to a portion of the MSFW population of the county. 1 MSFW Enumeration Profiles Study – FL, Larson, 9/2000 2 BPHC web site, 5/2003, and FACHC update, 5/2003

  45. MSFW Analysis - Florida Marion County MSFW Population 2,4761 Marion Marion County adjoins two counties that have MHC grantees2, but the nearest grantee clinic sites can provide services to only a small portion of the MSFW population of the county. 1 MSFW Enumeration Profiles Study – FL, Larson, 9/2000 2 BPHC web site, 5/2003, and FACHC update, 5/2003

  46. MSFW Analysis - Florida Volusia County MSFW Population 4,2421 Volusia Volusia County adjoins two counties that have MHC grantees2, but no grantee clinic sites are close enough to provide services to the MSFW population of the county. 1 MSFW Enumeration Profiles Study – FL, Larson, 9/2000 2 BPHC web site, 5/2003, and FACHC update, 5/2003

  47. MSFW Analysis - Florida Osceola County MSFW Population 3,4271 Osceola Osceola County adjoins five counties that have MHC grantees2, although no grantee clinic sites are close enough to provide services to the MSFW population of the county. 1 MSFW Enumeration Profiles Study – FL, Larson, 9/2000 2 BPHC web site, 5/2003, and FACHC update, 5/2003

  48. MSFW Analysis - Florida Charlotte County MSFW Population 3,0071 Charlotte Charlotte County adjoins four counties that have MHC grantees2, and grantee clinic sites are close enough to provide services to a portion of the MSFW population of the county. 1 MSFW Enumeration Profiles Study – FL, Larson, 9/2000 2 BPHC web site, 5/2003, and FACHC update, 5/2003

  49. MSFW Analysis - Florida Analysis of Counties with 1,000-1,999 MSFW Population There are twelve counties that have MSFW populations ranging from 1,000 to 1,999.

  50. MSFW Analysis - Florida MSFW Population 1,000 – 1,999 1,372 1,636 1,250 1,853 1,353 1,522 1,051 1,735 1,946 1,197 1,409 1,077 Data source: MSFW Enumeration Profiles Study – FL, Larson, 9/2000

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