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Discover why Riverside County, particularly Perris, requires better healthcare access due to low health rankings, provider shortages, and low-income population. Find out how NCHS is paving the way for improved healthcare through partnerships and community outreach.
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Riverside Review Barbara S. Kennedy, MHA, FACHE, President & CEO November 13, 2018
Why did we go to Riverside County? • Riverside and Inland Empire in 2014 • Region as a whole has long been underserved • Riverside health rankings one of the lowest in CA • Clinical Care 48 out of 57 counties • Physical Environment 49 out of 57 counties • Health Factors 39 out of 57 counties • Quality of life 38 out of 57 counties • Provider shortage, significantly below CA and National benchmarks • Growing healthcare market as a result of ACA
Area Identification Process – Why Perris? • Analysis for Potential Markets in Riverside County • County broken up into Zip Code Tabulation Areas (ZCTAs) • A total of 53,632 low income residents unserved • Health center penetration rate of only 9.8% • Further research and analysis completed on the top ZCTAs • Demographic and social profiles • Medically underserved areas and populations • Provider shortage areas • Number of health centers and other providers • Data supported Perris ZCTAs (92571 and 92570) as ideal location
What did the data tell us about Perris? • Demographic and Social Profile • Population increase of 42% since 2000; 6% since 2010 • 53,632 Low-Income residents within Perris that were unserved • Only 5,824 of Perris residents getting care from an FQHC • Predominately minority, low income, underserved population • Health Indicators within the Perris population • 11% diabetics, 26% hypertensives, 30% obese • 28% uninsured • 35% no usual source of care
Does Perris still make sense? • Current Healthcare Landscape • Continued unmet need and demand • Only 18% of low income residents served by a health center (49,281 unserved) • 35,055 Medi-Cal beneficiaries unserved by a health center • Medically Underserved Area and Health Professional Shortage Area • Health indicators have not improved much within the population • Continued low ranking as a County • Riverside County ranked 56 out of 57 counties for it’s Physical Environment’s effect on health • SDOH pose significant barriers
Paving the way for NCHS • Reasons for Optimism • Continuous growth and upward trend (patients and visits) at Perris Health Center
Paving the way for NCHS • Reasons for Optimism • IEHP and Molina assignments increasing • Proposed rate setting cost report reflects a FQHC rate of $316.66 per visit • Consistent and heavy outreach efforts • Increased community presence • Partnership with City of Perris for event sponsorship & participation • Development of Quarterly Perris Community Roundtable Collaborative • Regular community newsletter for partners in Perris area
Opportunities that Lie Ahead Potential partnership with Planned Parenthood Intermittent clinic legislation (40 hrs, no OSHPD3) Embedding partnerships
Our work is not complete Perris Region 2014 Perris Region 2017