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MSFW Analysis - Oregon

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

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MSFW Analysis - Oregon

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  1. MSFW Analysis - Oregon National Center for Farmworker Health

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

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

  6. MSFW Analysis - Oregon 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 UDS – Uniform Data System

  7. MSFW Analysis - Oregon 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 - Oregon 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 - Oregon Data Sources • MSFW numbers are taken from the Oregon Enumeration Profile Study by Larson, 2002. • MHC and CHC grantee site locations were taken from the BPHC web site (http://ask.hrsa.gov/pc/) in October 2002, and updated by the Oregon Department of Human Services, Primary Care Program in March 2003. • User data was provided by the Health Resources and Services Administration (HRSA) and BPHC.

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

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

  18. MSFW Analysis - Oregon Oregon Data AREA - 97,074 square miles. POPULATION (2000) – 3,421,399 TOTAL MSFW POPULATION – 174,484 COUNTIES – 36 counties (ranging in size from 481 to 10,246 square miles) CHC/MHC SITES – 6 Grantees and 14 sites CHC ONLY SITES – 8 Grantees and 18 sites

  19. MSFW Analysis - Oregon 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

  20. MSFW Analysis - Oregon Area Perspective: Oregon vs. Maryland

  21. MSFW Analysis - Oregon 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

  22. MSFW Analysis - Oregon MSFW Total Population174,484 29 691 38 12,805 3,014 10,183 19,029 14,898 39 8,027 31,116 11,732 112 0 2,018 15,622 5,457 11 2,860 2,707 1,486 29 3,391 15 1,675 168 141 210 1,814 257 0 782 0 8,139 8,644 1,505

  23. MSFW Analysis - Oregon 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 a MSFW population below 500.

  24. MSFW Analysis - Oregon MSFW Total Population Data source: Oregon MSFW Enumeration Profile Study – Larson, 2002

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

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

  27. MSFW Analysis - Oregon 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 - Oregon 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)

  29. MSFW Analysis - Oregon MHC Grantee Sites and Service Counties Data source: BPHC web site (10/2002); Oregon PCO and Oregon PCA (3/2003)

  30. MSFW Analysis - Oregon 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 - Oregon MHC Delivery Sites Coverage Data source: BPHC web site (10/2002); Oregon PCO and Oregon PCA (3/2003)

  32. MSFW Analysis - Oregon 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)

  33. MSFW Analysis - Oregon CHC Grantee Counties Data source: BPHC web site (10/2002); Oregon PCO and Oregon PCA (3/2003)

  34. MSFW Analysis - Oregon MHC/CHC Grantee Delivery Areas Data source: BPHC web site (10/2002); Oregon PCO and Oregon PCA (3/2003)

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

  36. MSFW Analysis - Oregon 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

  37. MSFW Analysis - Oregon Analysis of Counties with >2,000 MSFW Population There are 16 counties that have a MSFW population in excess of 2,000.

  38. MSFW Analysis - Oregon MSFW Population > 2,000 12,805 3,014 10,183 19,029 8,027 14,898 31,116 11,732 15,622 2,018 5,457 2,860 2,707 3,391 8,139 8,644 Data source: Oregon MSFW Enumeration Profile Study – Larson, 2002

  39. MSFW Analysis - Oregon Analysis of Counties with >2,000 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.

  40. MSFW Analysis - Oregon MHC Grantee Delivery Sites Data source: BPHC web site (10/2002); Oregon PCO and Oregon PCA (3/2003)

  41. MSFW Analysis - Oregon Analysis of Counties with >2,000 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.

  42. MSFW Analysis - Oregon MHC and CHC Grantee Delivery Sites Data source: BPHC web site (10/2002); Oregon PCO and Oregon PCA (3/2003)

  43. MSFW Analysis - Oregon Analysis of Counties with >2,000 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.

  44. MSFW Analysis - Oregon 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)

  45. MSFW Analysis - Oregon 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)

  46. MSFW Analysis - Oregon 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)

  47. MSFW Analysis - Oregon 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)

  48. MSFW Analysis - Oregon 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)

  49. MSFW Analysis - Oregon 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)

  50. MSFW Analysis - Oregon 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.

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