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MSFW Analysis - Maryland

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

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MSFW Analysis - Maryland

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  1. MSFW Analysis - Maryland National Center for Farmworker Health

  2. MSFW Analysis - Maryland 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 - Maryland 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 - Maryland Presentation Outline • Introduction • State Overview • Service Delivery Gaps

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

  6. MSFW Analysis - Maryland 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 OPCRH/DHMH – Office of Primary Care and Rural Health, Department of Health and Mental Hygiene PA – Physician Assistant UDS – Uniform Data System

  7. MSFW Analysis - Maryland 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 - Maryland 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 - Maryland Data Sources • MSFW numbers are taken from the MSFW Enumeration Profiles Study - Maryland, September 2000. • MHC and CHC grantee site locations were taken from the BPHC web site (http://ask.hrsa.gov/pc/) in May 2003, and updated by the Office of Primary Care and Rural Health, Maryland Department of Health and Mental Hygiene, in May 2003. • User data was provided by the Health Resources and Services Administration (HRSA) and BPHC.

  10. MSFW Analysis - Maryland 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 - Maryland 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 - Maryland 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 - Maryland 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 - Maryland 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 - Maryland 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 - Maryland Presentation Outline • Introduction • State Overview • Service Delivery Gaps

  17. MSFW Analysis - Maryland State Overview • Maryland Data • Maryland Counties • MSFW Population • MSFW Population – Data Map • MSFW Population – Spatial Map

  18. MSFW Analysis - Maryland Maryland Data AREA - 67,290 square miles. POPULATION (2000) – 5,375,156 TOTAL MSFW POPULATION – 9,522 COUNTIES – 24 counties (ranging in size from 85 to 665 square miles) CHC/MHC SITES – 3 Grantees and 12 sites CHC ONLY SITES – 9 Grantees and 28 sites

  19. MSFW Analysis - Maryland Maryland Counties Cecil Hartford * Carroll Washington Baltimore * Kent Allegany Frederick Baltimore City Howard Garrett * Queen Annes Anne Arundel Montgomery Caroline Talbot * Prince Georges * * * Calvert Wicomico Dorchester Charles Worcester * * St Marys Somerset * *

  20. MSFW Analysis - Maryland MSFW Population The migrant and seasonal farmworker population is estimated at 9,522. This number includes workers and their dependents. The largest concentration of farmworkers and their families is located in the southeastern part of the state. The next slide will present this data as an overlay on the county. Data source: MSFW Enumeration Profiles Study – MD, Larson, 9/2000

  21. MSFW Analysis - Maryland MSFW Population - MD 402 243 597 731 534 223 67 312 0 155 59 448 283 330 941 23 512 1,200 436 519 465 44 962 802 Data source: MSFW Enumeration Profiles Study – MD, Larson, 9/2000

  22. MSFW Analysis - Maryland 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 an MSFW population below 500.

  23. MSFW Analysis - Maryland MSFW Total Population State Total 9,522 Data source: MSFW Enumeration Profiles Study – MD, Larson, 9/2000

  24. MSFW Analysis - California Presentation Outline • Introduction • State Overview • Service Delivery Gaps

  25. MSFW Analysis - California Service Delivery Gaps • Analysis Process • MHC Grantees • CHC Grantees • Grantee Delivery Area vs. MSFW Population • Grantee Service Penetration

  26. MSFW Analysis - California 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

  27. MSFW Analysis - Maryland MHC Grantees There are three Migrant Health Center grantees in the state. These grantees provide services at 12 sites in 8 counties. Data source: MD OPCRH/DHMH, 5/2003

  28. MSFW Analysis - Maryland MHC Grantee Sites and Service Counties Data source: MD OPCRH/DHMH, 5/2003

  29. MSFW Analysis - Maryland MHC Grantee Sites Coverage Data source: MD OPCRH/DHMH, 5/2003

  30. MSFW Analysis - Maryland CHC Grantees There are twelve Community Health Center grantees in the state. All three of the MHC grantees are also CHC grantees. The nine additional CHC grantees provide health services at 28 sites in 6 counties. Data source: MD OPCRH/DHMH, 5/2003

  31. MSFW Analysis - Maryland CHC Grantee Sites and Service Counties Data source: MD OPCRH/DHMH, 5/2003

  32. MSFW Analysis - Maryland CHC Grantee Sites Coverage Data source: MD OPCRH/DHMH, 5/2003

  33. MSFW Analysis - Maryland MHC Grantee Service Coverage We estimate that over 67% of the MSFW population lives or works within 15 miles of the 11 MHC grantee sites.

  34. MSFW Analysis - Maryland MHC Grantee Sites and MSFW Population Data sources: MD OPCRH/DHMH, 5/2003; MSFW Enumeration Profiles Study – MD, Larson, 9/2000

  35. MSFW Analysis - Maryland MHC Grantee Site Coverage of MSFW Population Data sources: MD OPCRH/DHMH, 5/2003; MSFW Enumeration Profiles Study – MD, Larson, 9/2000

  36. MSFW Analysis - Maryland MHC Grantee Service Penetration The seven MHC grantees provided services to 2,009 users1 during 2001, which represents 21% of the estimated statewide MSFW population. The estimated MSFW population in the counties where the grantees provided health services is 5,3412. The reported users represent over 37% penetration of this population. 1 UDS Reports - 2001, BPHC 2 MSFW Enumeration Profiles Study – MD, Larson, 9/2000

  37. MSFW Analysis - Maryland CHC Grantee Service to MSFW Population No CHC grantees report providing services to farmworkers or their families. We estimate that over 80% of the MSFW population lives or works within 15 miles of an MHC or CHC grantee site.

  38. MSFW Analysis - Maryland MHC & CHC Grantee Sites and MSFW Population Data sources: MD OPCRH/DHMH, 5/2003; MSFW Enumeration Profiles Study – MD, Larson, 9/2000

  39. MSFW Analysis - Maryland MHC & CHC Grantee Coverage of MSFW Population Data sources: MD OPCRH/DHMH, 5/2003; MSFW Enumeration Profiles Study – MD, Larson, 9/2000

  40. MSFW Analysis - Maryland National Center for Farmworker Health

  41. MSFW Analysis - Maryland Cecil Hartford Carroll Washington Baltimore Kent Allegany Frederick Baltimore City Queen Annes Howard Garrett Anne Arundel Montgomery Caroline Talbot Prince Georges Calvert Dorchester Womico Charles Worcester St Mary Somerset

  42. MSFW Analysis - Maryland

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