Rural Health Works: Evaluate the Impact of your Health Sector

1. R National Center for Rural Health Works H W Rural Health Works: Evaluate the Impact of your Health Sector as a Key to Successful Rural Development County Commissioners Joette Langianese Grand County, Utah Phone: 435-259-1346 Email: joettel@frontiernet.net

2. R National Center for Rural Health Works H W Rural Health Works: Evaluate the Impact of your Health Sector as a Key to Successful Rural Development By Gerald A. Doeksen, PhD Regents Professor/Extension Economist Oklahoma Cooperative Extension Service National Center for Rural Health Works Phone: 405-744-6083 Email: gad@okstate.edu Val Schott, MPH Director Center for Rural Health Oklahoma State University Center for Health Sciences Phone: 405-945-9197 Email: val.schott@okstate.edu Paper presented at 2007 Utah NACo Annual Conference, in St. George on November 16, 2007

3. R National Center for Rural Health Works H W NACo Rural Health Works Project 2007 Grand County – Utah Adams County - Ohio Linn County - Missouri

4. R National Center for Rural Health Works H W NACo Rural Health Works Project Overall Objectives To demonstrate the importance of the health sector to a rural county To discuss the process of county health engagement

5. Grand County, Utah Approximate Population = 8,743 Joette Langianese County Commissioner Cache Rich Box Elder Weber Morgan Grand County Davis Daggett Summit Salt Lake Tooele Wasatch Uintah Duchesne Utah Juab Carbon Sanpete Millard Emery Grand Sevier Beaver Piute Wayne Garfield Iron San Juan Washington Kane State of Utah

6. Moab, Grand County, Utah Grand County

7. County Health Engagement Process • Brief overview of county and health services in county • Participants - Who do they represent - How they were invited • Series of noon meetings

8. Participants – All Inclusive • Grand County Rural Health Network Board Members • Health Care Providers • Board of County Commissioners • Town mayors/managers • Emergency Medical Services • Clergy • Chamber Executive Directors • County Home Health/Public Health • Large Employers/Realtors/Developers/Bankers/Resort Owners • Colorado Rural Health Center • Northwest Colorado Council of Governments • State of Colorado Department of local Affairs

9. Series of Meetings • Economic Impact and Process • Directory of Health Services • County Health Survey • County Data and Health Statistics

10. Health Services Promote Job Growth

11. Health Services Foster Rural Development Health Services Foster Rural Development

13. Grand County, Utah Direct Economic Activities of Health Sector Estimated Estimated Components Employees Income Hospital 141 $7,082,452 Offices of Physicians, Dentists, & Other Health Practitioners 78 $4,569,339 Other Medical & Health Services 129$2,855,138 TOTALS 348 $15,226,929

14. Inputs $ Products Figure 3. Overview of County Economic System $ Basic Industry $ $ Labor Inputs Goods & Services Households Services $ $ $

15. Grand County, Utah Health Sector Impact on Employment Health Sectors Employment Multiplier Impact Hospital 141 1.46 206 Offices of Physicians, Dentists & Other Hlth Practitioners 78 1.40 109 Other Med & Hlth Services 129 1.18 152 TOTALS 348 467

16. Grand County, Utah Health Sector Impact on Income Health Sectors Income Multiplier Impact Hospital $7,802,452 1.33 $10,377,261 Offices of Physicians, Dentists & Other Hlth Practitioners $4,569,339 1.23 $5,620,287 Other Med & Hlth Svcs $2,855,138 1.23 $3,511,820 TOTALS $15,226,929 $19,509,368

17. Grand County, Utah - Health Sector Impact on Retail Sales and Sales Tax Collections 1¼ Cent Health Employment Income Retail Sales Tax Component Impact Impact Sales Collection Hospital 206 $10,377,261 $1,985,543 $24,819 Physicians, Dentists & Other . . . 109 $5,620,287 $1,075,363 $13,442 Other Med & Hlth Svcs 152$3,511,820$671,937$8,399 TOTALS 467 $19,509,368 $3,732,843 $46,660

19. Summary of Directory Process • Create draft from Yellow Pages • Committee revises at meeting • Committee reviews & revises • Publish directory • Set up process to mass produce and update for future

20. Summary of Directory Contents • Emergency Numbers • Health Services by Providers Examples: Physicians Dentists Hospital

21. Summary of Directory Contents • Local Government – Community – Social Services Examples: Department of Human Services County Offices • State and National Information Services - Support Groups - Help Lines

23. Summary of Survey Process • Ask utilization questions • Calls completely random • Publicize the event • Complete in one week

26. Summary of Data & Information Material • Economic Examples: Poverty Employment • Demographic Examples: Age Race/Ethnic Groups

27. Summary of Data & Information Material • Health Behavior Examples: Maternal & Child Health Data Injury Incidence Leading Causes of Death

29. Process will yield at least four products

31. NACo Website Products located at: http://www.naco.org/ At bottom left corner of page, CLICK ON: Training and Technical Assistance CLICK ON: Health CLICK ON: 6/26/2007 - 2007 Rural Health Works Technical Assistance County Products

32. Rural Health Works Websites: National Rural Health Works: www.ruralhealthworks.org Oklahoma Rural Health Works: www.okruralhealthworks.org

33. NACo Website http://www.naco.org/ CLICK ON: Training & Technical Assistance CLICK ON: Health