The Region IV The Region IV Healthcare Marketplace Healthcare Marketplace Presented to the Presented to the Region IV Healthcare Consortium Region IV Healthcare Consortium L. Philip Caillouet, Ph.D. L. Philip Caillouet, Ph.D. Health Informatics Center of Acadiana Health Informatics Center of Acadiana The University of Louisiana at Lafayette The University of Louisiana at Lafayette December 8, 2004 December 8, 2004 Health Informatics Center of Acadiana 1
The Region IV The Region IV Marketplace Healthcare Marketplace Healthcare I. What is “Region IV”? I. What is “Region IV”? II. What is the Region IV “Healthcare Marketplace”? II. What is the Region IV “Healthcare Marketplace”? - Healthcare Providers Healthcare Providers - - Healthcare Consumers Healthcare Consumers - III. Louisiana HABITS – – Quantifying Access Barriers Quantifying Access Barriers III. Louisiana HABITS Where do patients go for care? Where do patients go for care? IV. IV. Concluding Observations Concluding Observations V. V. Health Informatics Center of Acadiana 2
I. What is “Region IV”? I. What is “Region IV”? Health Informatics Center of Acadiana 3
Louisiana DHH Regions Louisiana DHH Regions � The The Louisiana Department of Health and Hospitals Louisiana Department of Health and Hospitals (DHH) (DHH) � has organized the state into nine administrative regions. has organized the state into nine administrative regions. � DHH Region IV DHH Region IV � consists of: consists of: Acadia Parish Acadia Parish Evangeline Parish Evangeline Parish Iberia Parish Iberia Parish Lafayette Parish Lafayette Parish St. Landry Parish St. Landry Parish St. Martin Parish St. Martin Parish Vermilion Parish Region IV Vermilion Parish Health Informatics Center of Acadiana 4
II. What is the “Region IV II. What is the “Region IV Healthcare Marketplace”? Healthcare Marketplace”? -- Healthcare Providers Healthcare Providers -- Health Informatics Center of Acadiana 5
Region IV Healthcare Marketplace: Region IV Healthcare Marketplace: Healthcare Providers Healthcare Providers � 1,019 licensed physicians 1,019 licensed physicians (source: LSBME) � (source: LSBME) and directed staff and directed staff – General Practice Physicians, Specialists, and Surgeons General Practice Physicians, Specialists, and Surgeons – – Nurse Practitioners and Physician Assistants Nurse Practitioners and Physician Assistants – � 26 Hospitals 26 Hospitals (source: LHA) � (source: LHA) – 15 general acute care (2,419 licensed beds) [including UMC] 15 general acute care (2,419 licensed beds) [including UMC] – – – 1 specialty (Women’s & Children’s) acute care (93 licensed beds) 1 specialty (Women’s & Children’s) acute care (93 licensed bed s) – 1 critical access hospital acute care (25 licensed beds) – 1 critical access hospital acute care (25 licensed beds) – 4 long- -term acute care (121 licensed beds) term acute care (121 licensed beds) – 4 long – – 3 rehabilitation (34 licensed beds) 3 rehabilitation (34 licensed beds) – 2 psychiatric (80 licensed beds) [including UMC] – 2 psychiatric (80 licensed beds) [including UMC] � Many other important professional and institutional healthcare Many other important professional and institutional healthcare � providers including dentists, mental health professionals, nursing providers including dentists, mental health professionals, nursi ng homes, home health agencies, pharmacies, … homes, home health agencies, pharmacies, … Health Informatics Center of Acadiana 6
Physicians and Acute Care Beds Physicians and Acute Care Beds Are Not Well- -Distributed in Region IV Distributed in Region IV Are Not Well Persons Total Acute Care Total Served Acute Care Beds per UMC Catchment Physicians per Beds 10,000 Parish 2000 Population 1 Available 8 Physician Available 9 Population Acadia 58,861 49 1,201 217 37 Evangeline 35,434 44 805 321 91 Iberia 73,266 109 672 237 32 Lafayette 190,503 617 309 1,100 58 St. Landry 87,700 148 593 436 50 St. Martin 48,583 15 3,239 25 5 Vermillion 53,807 37 1,454 201 37 Total 548,154 1,019 538 2,537 46 persons served per physician = 538 538 persons served per physician = acute hospital beds per 10,000 persons = 46 46 acute hospital beds per 10,000 persons = Health Informatics Center of Acadiana 7
Health Professional(s) Shortage Area: Health Professional(s) Shortage Area: any of the following which HHS determines has a shortage of health professional(s): th professional(s): any of the following which HHS determines has a shortage of heal (1) An urban or rural area (which need not conform to the geographic boundaries of a phic boundaries of a (1) An urban or rural area (which need not conform to the geogra political subdivision and which is a rational area for the delivery of health services); political subdivision and which is a rational area for the delivery of health services); (2) a population group; or (2) a population group; or (3) a public or nonprofit private medical facility. (3) a public or nonprofit private medical facility. Health Informatics Center of Acadiana 8
Health Informatics Center of Acadiana 9
Federally- -Sponsored Providers in Sponsored Providers in Federally Region IV Region IV � Veterans Affairs Out Veterans Affairs Out- -Patient Clinic in Lafayette Patient Clinic in Lafayette � � 3 Federally Qualified Health Centers (FQHCs) 3 Federally Qualified Health Centers (FQHCs) � – New Iberia New Iberia – – Gueydan Gueydan – – Opelousas Opelousas – � 1 federally designated Critical Access Hospital 1 federally designated Critical Access Hospital � Health Informatics Center of Acadiana 10
State- -Sponsored Providers Sponsored Providers State in Region IV in Region IV � University Medical Center, University Medical Center, � operated by LSUHSC- -NO HCSD NO HCSD operated by LSUHSC – 208 licensed beds, including 20 psychiatric beds 208 licensed beds, including 20 psychiatric beds – at Joseph Henry Tyler Jr. Mental Health Center at Joseph Henry Tyler Jr. Mental Health Center – Emergency Department & multiple outpatient clinics Emergency Department & multiple outpatient clinics – – 75 faculty 75 faculty (46 FTE salaried faculty physicians) (46 FTE salaried faculty physicians) – – 65 interns and Graduate Medical Education residents 65 interns and Graduate Medical Education residents – (~6.5 FTE physicians in advanced training) (~6.5 FTE physicians in advanced training) � 9 Parish Health Units, operated by Louisiana OPH 9 Parish Health Units, operated by Louisiana OPH � – 3 in St. Landry (Opelousas, Eunice, and Melville) 3 in St. Landry (Opelousas, Eunice, and Melville) – – 1 each in Acadia, Evangeline, Iberia, Lafayette, 1 each in Acadia, Evangeline, Iberia, Lafayette, – St. Martin, & Vermilion St. Martin, & Vermilion Health Informatics Center of Acadiana 11
II. What is the “Region IV II. What is the “Region IV Healthcare Marketplace”? Healthcare Marketplace”? -- Healthcare Consumers Healthcare Consumers -- Health Informatics Center of Acadiana 12
Region IV Healthcare Marketplace: Region IV Healthcare Marketplace: Healthcare Consumers Healthcare Consumers � All persons in Region IV are All persons in Region IV are � either active or eventual consumers either active or eventual consumers of healthcare services, of healthcare services, but not all can afford to purchase care, but not all can afford to purchase care, personally or through insurance plans. personally or through insurance plans. Health Informatics Center of Acadiana 13
Population Statistics Population Statistics � Region IV has a population of Region IV has a population of 548,154 persons 548,154 persons: : � – Estimated Estimated 111,982 “uninsured” (20.4%) 111,982 “uninsured” (20.4%): : – » Est. 79,283 “uninsured and at or below 200% FPL (14.5%) Est. 79,283 “uninsured and at or below 200% FPL (14.5%) » » Est. 32,699 “uninsured and above 200% FPL (5.9%) » Est. 32,699 “uninsured and above 200% FPL (5.9%) – Countable – Countable 193,638 “under 193,638 “under- -insured” (35.3%) insured” (35.3%): : » 126,288 Medicaid enrollees (23.0%) [ » 126,288 Medicaid enrollees (23.0%) [ due to poor reimbursement due to poor reimbursement ] ] » 67,350 Medicare enrollees (12.3%) [ 67,350 Medicare enrollees (12.3%) [ have lacked R ] » benefit ] have lacked R x benefit – Estimated Estimated 242,534 242,534 “well “well- -insured” (44.2%) insured” (44.2%) – 548,154 548,154 Health Informatics Center of Acadiana 14
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