rural health services task force health care infrastructure - july … vt hc... · 2019-07-18 ·...
TRANSCRIPT
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Vermont Department of Health
Rural Health Services Task Force
Health Care Infrastructure - July 18, 2019
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Vermont Department of Health
Agenda – July 18, 2019
▪ Health Care Facility Locations
▪ Vermont Demographics & Social Vulnerability
Index – Online tool
▪ Some workforce, to give context to need.
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Vermont Department of Health
3
Hospitals in/near
VermontTertiary Care Ctrs. 2
Mid-size rural 5
Critical Access 8
Veterans Admin. 1
Nearby ~ 10
Psychiatric 2
Designated units 4
Drive timesRoad conditions may vary!
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Vermont Department of Health
Primary Care
Practices
176 Total (2018)
~50 FQHC
125 “Other”
__ Hospital-owned
9 RHCs
__ Independent
__ Group
__ Solo
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Vermont Department of Health
Primary Care workforce
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Vermont Department of Health
Safety Net PC
Providers
12 FQHC orgs.
47 PC sites
13 Dental sites
CMS-certified Rural Health
Clinics (RHCs)
9 RHCs owned by: NVRH, North Country &
Grace Cottage
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Vermont Department of Health
Free Clinics
7
9 member clinics of VCCU
5 clinics provide services
4 referral only to local services
3 provide oral health services
1 non-member clinic in Brattleboro
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Vermont Department of Health
Oral HealthPractices / Types (2017)
104 Solo practices
43 Practices w/ 2 dentists
~21 Practices w/ 3+ dentists
28 Community Clinics (FQHC?)
17 Other
13 FQHCs + 1 mobile van
5 Not-for-profit clinics
3 Free clinics
Workforce counts (2017)
299 General dentists
14 Pediatric dentists
136 Specialists
558 Hygienists (2015)
596 Dental Assistants (2015)8
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Vermont Department of Health
9
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Vermont Department of Health
Emergency
Medical
Services
10
80 Transporting agencies
89 First responding agencies
Most are volunteer only
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Vermont Department of Health
Mental Health Services & Beds
11
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Vermont Department of Health
MH Provider Distribution
▪ Psychiatrist Only ▪ Core MH Providers
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Vermont Department of Health
13
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Vermont Department of Health
Opioid Use
Treatment 9 Hubs
5 Residential programs
21 Preferred Providers
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Vermont Department of Health
Substance Use
Counselors
15
314 Active LADCs
201 with 2 licenses:
113 MH counselors
58 Social workers
17 Psychologists
13 RNs, NPs, MFTs
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Vermont Department of Health
Home Health &
Hospice
Agencies
(2017)
16
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Vermont Department of Health
Long-term Care Facilities (preliminary data)
County Independent
Living
Assisted
Living
Residential
Care Home **
Nursing
Home **
Addison ? - ? 1
Bennington ? - ? 4
Caledonia ? - ? 2
Chittenden ? 6 ? 6
Essex ? - ? 0
Franklin ? - ? 3
Grand Isle ? - ? 0
Lamoille ? - ? 1
Orange ? - ? 1
Orleans ? - ? 6
Rutland ? 1 ? 3
Washington ? - ? 4
Windham ? 2 ? 3
Windsor ? 3 ? 5-6
Total ?? 13 49-118 39-40
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Vermont Department of Health
Demographics and
the Social
Vulnerability Index Contact:
Daniel Jarvis, PhD, VDH GIS Manager,
Maria Tonallato, VDH GIS Intern
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Vermont Department of Health
Population & % Change by town
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Vermont Department of Health
Vermont’s Aging
Population
20
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Vermont Department of Health
Older Vermonters
21
Vermonters with Disabilities
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Vermont Department of Health
No Health Insurance
22
Living in Poverty
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Vermont Department of Health
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Vermont Department of Health
24
healthvermont.gov/tracking/
vulnerability-indicators
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Vermont Department of Health
Aging in VT – Current & Projected
25
(Healthier national economy
= more in-migration to VT.)
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Vermont Department of Health
Aging in VT – Current & Projected
26
(Less healthy national economy
= less in-migration to VT.)
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Vermont Department of Health
Questions & Priorities?
Contact:
▪ John Olson, M.Ed.
▪ Chief, State Office of Rural Health
▪ VT Dept. of Health
▪ (802) 951-1259
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