rural health services task force health care infrastructure - july … vt hc... · 2019-07-18 ·...

Vermont Department of Health

Rural Health Services Task Force

Health Care Infrastructure - July 18, 2019

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.

2

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!

Vermont Department of Health

Primary Care

Practices

176 Total (2018)

~50 FQHC

125 “Other”

__ Hospital-owned

9 RHCs

__ Independent

__ Group

__ Solo

4

Vermont Department of Health

Primary Care workforce

5

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

6

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

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

Vermont Department of Health

9

Vermont Department of Health

Emergency

Medical

Services

10

80 Transporting agencies

89 First responding agencies

Most are volunteer only

Vermont Department of Health

Mental Health Services & Beds

11

Vermont Department of Health

MH Provider Distribution

▪ Psychiatrist Only ▪ Core MH Providers

12

Vermont Department of Health

13

Vermont Department of Health

Opioid Use

Treatment 9 Hubs

5 Residential programs

21 Preferred Providers

14

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

Vermont Department of Health

Home Health &

Hospice

Agencies

(2017)

16

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

17

Vermont Department of Health

Demographics and

the Social

Vulnerability Index Contact:

Daniel Jarvis, PhD, VDH GIS Manager,

Maria Tonallato, VDH GIS Intern

18

Vermont Department of Health

Population & % Change by town

19

Vermont Department of Health

Vermont’s Aging

Population

20

Vermont Department of Health

Older Vermonters

21

Vermonters with Disabilities

Vermont Department of Health

No Health Insurance

22

Living in Poverty

Vermont Department of Health

23

Vermont Department of Health

24

healthvermont.gov/tracking/

vulnerability-indicators

Vermont Department of Health

Aging in VT – Current & Projected

25

(Healthier national economy

= more in-migration to VT.)

Vermont Department of Health

Aging in VT – Current & Projected

26

(Less healthy national economy

= less in-migration to VT.)

Vermont Department of Health

Questions & Priorities?

Contact:

▪ John Olson, M.Ed.

▪ Chief, State Office of Rural Health

▪ VT Dept. of Health

▪ John.olson@Vermont.gov

▪ (802) 951-1259

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