highway to health (care) - florida redevelopment news...

HIGHWAY HIGHWAY TO TO HEALTH (CARE)HEALTH (CARE)

Florida Redevelopment Florida Redevelopment AssociationAssociation

Presented by:Presented by:

Miles Miles BalloggBalloggCardnoCardno TBETBEOctober 14, 2010

What is Highway to What is Highway to Health(CareHealth(Care) ) -- H to H(C)H to H(C)

Highway to Highway to Health(CareHealth(Care) ) Initial Concept Initial Concept

Utilize the growing number of Abandoned Utilize the growing number of Abandoned Storage Tank and Automotive Sector Sites Storage Tank and Automotive Sector Sites (Car Lots, Junk Yards, Auto Manufacturing, etc.) (Car Lots, Junk Yards, Auto Manufacturing, etc.) to promote Community Driven to promote Community Driven BrownfieldsBrownfieldsRedevelopment Projects that promote Health Redevelopment Projects that promote Health and Healthcare and provide Economic and Healthcare and provide Economic Development Opportunities in Underserved Development Opportunities in Underserved Communities. Communities.

Why Why -- Highway to Highway to Health(CareHealth(Care)? )?

Underground Storage Tank Underground Storage Tank Redevelopment Opportunities Redevelopment Opportunities

Growing Number of Abandoned and Growing Number of Abandoned and Underutilized Underground Storage Underutilized Underground Storage Tank Sites available for Redevelopment Tank Sites available for Redevelopment

““Of The Estimated 450,000 Of The Estimated 450,000 BrownfieldsBrownfieldsSites in the US, Some Reports State Sites in the US, Some Reports State that Perhaps Half have Petroleum that Perhaps Half have Petroleum Contamination.Contamination.””


Underground Storage Tank Underground Storage Tank Redevelopment Opportunities Redevelopment Opportunities (Cont.) (Cont.)

Estimated Number of Abandoned Tanks Estimated Number of Abandoned Tanks Nationwide is Unknown ??? and Growing Nationwide is Unknown ??? and Growing Due to Economic ChallengesDue to Economic Challenges

Over 25,037 Petroleum Contaminated Over 25,037 Petroleum Contaminated Facilities in Florida and GrowingFacilities in Florida and GrowingDecember 31, 2009 Tank Upgrades Required December 31, 2009 Tank Upgrades Required ––at The Worst Time Economically at The Worst Time Economically From 1996From 1996--2010, a Total of 6,166 Tank Closures have Occurred2010, a Total of 6,166 Tank Closures have Occurred

Many Abandoned Tank Sites are in Many Abandoned Tank Sites are in Good Locations to Provide Health and Healthcare Good Locations to Provide Health and Healthcare Opportunities for Underserved CommunitiesOpportunities for Underserved Communities


Growing Number of Closed Growing Number of Closed Automotive Sector Sites Automotive Sector Sites

Since Early 2009, Approx. 2,300 Since Early 2009, Approx. 2,300 Auto Dealerships have Closed Auto Dealerships have Closed NationallyNationallyThe Combination of All The Closed The Combination of All The Closed Auto Dealerships is Comparable To Auto Dealerships is Comparable To Manhattan (22.96 Square Miles / Manhattan (22.96 Square Miles / 4,694 Acres)4,694 Acres)In Florida In Florida –– Chrysler Ended Chrysler Ended Franchise Agreements Franchise Agreements with 33 Dealerships in 2009 with 33 Dealerships in 2009


Growing Number of Closed Automotive Growing Number of Closed Automotive Sector SitesSector Sites (Cont.) (Cont.)

Most Auto Dealerships are Suited for Most Auto Dealerships are Suited for Adaptive Reuse or RedevelopmentAdaptive Reuse or Redevelopment

Midsized Building, Ample WellMidsized Building, Ample Well--lighted lighted Paved Parking and Located along a Paved Parking and Located along a Busy BoulevardBusy Boulevard

Junk Yard Dogs Junk Yard Dogs –– Most Communities Most Communities have Junk Yards that can / have Been have Junk Yards that can / have Been Successfully RedevelopedSuccessfully Redeveloped


Address Health Disparities and Provide Address Health Disparities and Provide Healthcare in Underserved CommunitiesHealthcare in Underserved Communities

Many Many BrownfieldsBrownfields Communities are Communities are Medically Underserved Communities that Medically Underserved Communities that Suffer from Health Disparities Suffer from Health Disparities

83%83% of Children from Low Income Families of Children from Low Income Families have unmet Vision and Eye Health Needs, have unmet Vision and Eye Health Needs, NIHSNIHS

The H to H(C) Redevelopment can Result The H to H(C) Redevelopment can Result in Communityin Community--based Healthcare to Begin based Healthcare to Begin Addressing Disparities and Other Health Addressing Disparities and Other Health Issues Issues


Address Health Disparities and Provide Address Health Disparities and Provide Healthcare in Underserved Communities Healthcare in Underserved Communities (Cont.) (Cont.)

AfricanAfrican--American Health Disparities American Health Disparities (HHS (HHS –– Division Of Minority Health) Division Of Minority Health)

In 2005, African American Men were 2.4 Times as Likely to Die In 2005, African American Men were 2.4 Times as Likely to Die from Prostate Cancer as Compared to Nonfrom Prostate Cancer as Compared to Non--Hispanic White Men Hispanic White Men

In 2005, African Americans were 2.2 Times as Likely to Die from In 2005, African Americans were 2.2 Times as Likely to Die from Diabetes as NonDiabetes as Non--Hispanic WhitesHispanic Whites

In 2005, African American Men were 30% More Likely to Die from In 2005, African American Men were 30% More Likely to Die from Heart Disease, as Compared to NonHeart Disease, as Compared to Non--Hispanic White MenHispanic White Men

In 2005, AfricanIn 2005, African--Americans had 2.3 Times The Infant Mortality Americans had 2.3 Times The Infant Mortality Rate of NonRate of Non--Hispanic WhitesHispanic Whites


Economic Opportunities Resulting Economic Opportunities Resulting from a Strong Health Care Market from a Strong Health Care Market

10 of The 20 Fastest Growing 10 of The 20 Fastest Growing Occupations are Healthcare RelatedOccupations are Healthcare RelatedHealthcare will Generate 3.2 Million New Jobs Healthcare will Generate 3.2 Million New Jobs Between 2008 Between 2008 -- 2018, more than any other 2018, more than any other IndustryIndustryJob Training for Health Care Professions Job Training for Health Care Professions Remains Strong and Another Opportunity For Remains Strong and Another Opportunity For H to H(C)H to H(C)Yes, We are All Getting Older with More Yes, We are All Getting Older with More Medical NeedsMedical Needs


Wide Range of Redevelopment Wide Range of Redevelopment Opportunities / Benefits Opportunities / Benefits

Health Care Health Care –– CommunityCommunity--Based Health Based Health Clinics, Federally Qualified Health Clinics, Federally Qualified Health Centers, Hospitals, Vision Care, Centers, Hospitals, Vision Care, Dental Care, Urgent Care, etc. Dental Care, Urgent Care, etc.

Access to Healthy Food Choices Access to Healthy Food Choices ––Grocery, Community Gardens Grocery, Community Gardens (on Safe Sites / Safe Practices) (on Safe Sites / Safe Practices)

Address Food Desert Issues Address Food Desert Issues ––Healthy Food Choices UnavailableHealthy Food Choices Unavailable


Wide Range of Redevelopment Wide Range of Redevelopment Opportunities and Benefits Opportunities and Benefits (Cont.)(Cont.)

Public Safety Opportunities Public Safety Opportunities ––Police, Fire, etc.Police, Fire, etc.

Other Health Related Industries Other Health Related Industries ––Pharmaceutical, BioPharmaceutical, Bio--MedicalMedical

Open Space / Green Space Open Space / Green Space ––Improvements to Recreation that Improvements to Recreation that address Health (i.e. Childhood Obesity) address Health (i.e. Childhood Obesity)

Former Junk Yard to NW Fire Station

Clearwater Florida

Former Wastewater Plantto Waterfront Park

Village of North Palm Beach, Florida

Highway to Highway to Health(CareHealth(Care) )

Resources Resources BrownfieldsBrownfields

EPA Assessment Grants EPA Assessment Grants ––$400,000 $400,000 -- $1 Million $1 Million

EPA CleanEPA Clean--Up Grants (NonUp Grants (Non--Profit Eligible) Profit Eligible) ––3 Sites at $200,000 Per Site3 Sites at $200,000 Per Site

EPA Revolving Loan Funds EPA Revolving Loan Funds –– $1 Million $1 Million (Access to Remedial Funding for Private Sector) (Access to Remedial Funding for Private Sector)

Targeted Site Assessments (EPA / States) Targeted Site Assessments (EPA / States)

EPA Petroleum and State Tank Programs EPA Petroleum and State Tank Programs

State State BrownfieldsBrownfields Grants / Incentives Grants / Incentives


ResourcesResources (Cont.) (Cont.)

HRSA HRSA –– Health Resource and Services Administration Health Resource and Services Administration 2010 Patient Protection and Affordable Care Act (PPACA) 2010 Patient Protection and Affordable Care Act (PPACA)

Construction and Renovation of Community Construction and Renovation of Community Health Centers Health Centers –– $11Billion $11Billion

National Health Services Corps National Health Services Corps –– $2.Billion to Encourage $2.Billion to Encourage Healthcare Training Healthcare Training

Patient Expansion (130%) (+20M Pts.) (+80M Visits)Patient Expansion (130%) (+20M Pts.) (+80M Visits)

Facilities Expansion (130%) (1400) (New or Expanded Centers)Facilities Expansion (130%) (1400) (New or Expanded Centers)

To access information about the CHC/FQHC programs To access information about the CHC/FQHC programs http://http://bphc.hrsa.govbphc.hrsa.gov

http://www.hrsa.gov/


ResourcesResources (Cont.) (Cont.)

New Access Points Grant New Access Points Grant Provision of comprehensive health care Provision of comprehensive health care services services Up to $250 Million Awarded with up to Up to $250 Million Awarded with up to 350 New Access Points350 New Access Points

Up to $650,000 for two Years Up to $650,000 for two Years -- $150,000 $150,000 Capital Improvements First Year Capital Improvements First Year

Phase I of Grant process Due Phase I of Grant process Due November 17November 17thth Grant CriteriaGrant CriteriaMust demonstrate a High Level of Need within the Community Must demonstrate a High Level of Need within the Community

New StartsNew Starts--Organization & Satellites Organization & Satellites -- Organization Organization http://http://bphc.hrsa.govbphc.hrsa.gov

http://www.hrsa.gov/

Florida Example Florida Example Willa Carson Health Resource CenterWilla Carson Health Resource CenterClearwater, FLClearwater, FLBrownfieldsBrownfields Transformation Transformation (Abandoned Gas Station to Health Clinic)(Abandoned Gas Station to Health Clinic)

ChallengesChallengesAbandoned Contaminated Gas Station Abandoned Contaminated Gas Station Abandoned Gas Station with Abandoned Gas Station with OutOut--ofof--State Property Owner State Property Owner Environmental IssuesEnvironmental Issues

4 4 USTsUSTsHydraulic Lift Hydraulic Lift 450 Tons of Contaminated Soil450 Tons of Contaminated Soil

ResultsResultsInstilled Environmental Justice Instilled Environmental Justice Established Trust and Credibility with Local Community Established Trust and Credibility with Local Community National National BrownfieldsBrownfields to Public Health Model to Public Health Model Serves over 3,500 Uninsured per Year Serves over 3,500 Uninsured per Year Location for HealthCare Provider for Underserved / Location for HealthCare Provider for Underserved / Uninsured CommunityUninsured Community

Florida Example Florida Example Johnnie RuthJohnnie Ruth--Clarke Health Center at Historic Mercy Hospital Clarke Health Center at Historic Mercy Hospital

St. Petersburg, FL St. Petersburg, FL BrownfieldsBrownfields Transformation (Petroleum Impacted Site to Federally Qualified Transformation (Petroleum Impacted Site to Federally Qualified Health Center)Health Center)

ChallengesChallengesPetroleum Contamination OffPetroleum Contamination Off--Site Site –– Former Blue Former Blue Star Cab Company Star Cab Company Petroleum Contamination OnPetroleum Contamination On--Site Site –– Boiler Room Boiler Room Abandoned Historic African American Abandoned Historic African American Hospital Environmental IssuesHospital Environmental Issues

ResultsResultsProvide Residents with Immediate Access Provide Residents with Immediate Access to Quality HealthCareto Quality HealthCareProvide Economic Anchor for Provide Economic Anchor for Redevelopment of the Area Redevelopment of the Area National Phoenix Award WinnerNational Phoenix Award Winner

Potential Florida Project Potential Florida Project Newton Gas Station Newton Gas Station –– TamiamiTamiami Trail Trail Sarasota, FL Sarasota, FL BrownfieldsBrownfields Transformation (Auto Body / Convenience Store to Potential Transformation (Auto Body / Convenience Store to Potential Health Clinic)Health Clinic)

ChallengesChallengesCurrent Auto Repair and Current Auto Repair and Convenience Store Convenience Store Former Abandoned Potentially Former Abandoned Potentially Contaminated Gas StationContaminated Gas StationFunding for Assessment Remediation Funding for Assessment Remediation and Redevelopment and Redevelopment

Potential ResultsPotential Results

Community Based Healthcare in Community Based Healthcare in Underserved CommunityUnderserved Community

Potential Florida Project Potential Florida Project Mulberry Florida, FL Mulberry Florida, FL Community Searching for Healthcare Solutions on Community Searching for Healthcare Solutions on BrownfieldsBrownfields SitesSites

ChallengesChallengesMedically Underserved Community in Polk Medically Underserved Community in Polk County, Florida to healthcare on County, Florida to healthcare on BrownfieldsBrownfields sites sites Numerous Abandoned Petroleum sites Numerous Abandoned Petroleum sites and Mined Lands within the Cityand Mined Lands within the CityFunding for Assessment Remediation Funding for Assessment Remediation and Redevelopment and Redevelopment Nearest Hospitals or clinics 9.8 miles Nearest Hospitals or clinics 9.8 miles and 12.01 miles away and 12.01 miles away

Potential ResultsPotential ResultsCommunity Based Healthcare in Underserved CommunityCommunity Based Healthcare in Underserved Community

Florida Example Florida Example Harbor Oaks Shopping Center Harbor Oaks Shopping Center –– Clearwater, FL Clearwater, FL BrownfieldsBrownfields Transformation Transformation (Economic Development ) (Economic Development ) -- From Car Lot to From Car Lot to PublixPublix Shopping Center Shopping Center

ChallengesChallengesFormer Automobile Dealership for 45 Years Former Automobile Dealership for 45 Years Blighted BuildingsBlighted BuildingsMarket Uncertainty Market Uncertainty –– Third Time is the CharmThird Time is the CharmUnderground Storage TanksUnderground Storage Tanks17 Hydraulic Lifts 17 Hydraulic Lifts Environmental StigmaEnvironmental StigmaNeed for a Community Grocery StoreNeed for a Community Grocery Store

ResultsResults44,287 SF 44,287 SF –– Harbor Oaks Harbor Oaks PublixPublix Shopping Shopping Center Center 125 New Jobs 125 New Jobs –– BrownfieldsBrownfields Area and EZArea and EZCatalyst for Infill RedevelopmentCatalyst for Infill Redevelopment$12,000,000 Capital Investment$12,000,000 Capital InvestmentCatalytic Town Home and Commercial DevelopmentsCatalytic Town Home and Commercial Developments

Florida Example Florida Example Anchorage Park Anchorage Park –– Village of North Palm Beach, FL (Treasure Coast RPC)Village of North Palm Beach, FL (Treasure Coast RPC)BrownfieldsBrownfields Transformation (Tank Site/Wastewater Plant to OpenTransformation (Tank Site/Wastewater Plant to Open--Space / Recreation) Space / Recreation)

ChallengesChallengesFormer Wastewater Plant Former Wastewater Plant 3 Inactive Petroleum Tank Sites 3 Inactive Petroleum Tank Sites Dredge Disposal Waste Dredge Disposal Waste Sludge Drying Beds Sludge Drying Beds Sludge and Water in Tanks Sludge and Water in Tanks –– Petroleum and Petroleum and Metals (confined space) Metals (confined space) Asbestos Abatement Asbestos Abatement –– Buildings, Piping and Buildings, Piping and Ceilings Ceilings BrownfieldsBrownfields CleanClean--Up Revolving Loan Fund Up Revolving Loan Fund

Results Results Expanded OpenExpanded Open--space / Greenspace / Green--space space Waterfront Park with Enhanced Marina Waterfront Park with Enhanced Marina Improved Playgrounds Improved Playgrounds Dog Park Dog Park Stage and Pavilion Stage and Pavilion Expanded Parking for Marina and Park Expanded Parking for Marina and Park Model Model BrownfieldsBrownfields ReuseReuse

Florida Example Florida Example Northwest Fire Station Northwest Fire Station –– Clearwater, FLClearwater, FLBrownfieldsBrownfields Transformation (Junk Yard to Public Safety)Transformation (Junk Yard to Public Safety)

Why H to H(C) Now Summary Why H to H(C) Now Summary

The Stars Align The Stars Align

Growing Number of potential Sites Growing Number of potential Sites –– UST and Auto Sector Sites UST and Auto Sector Sites for Potential Redevelopment for Potential Redevelopment

Strong HealthStrong Health--Related Economy while other Redevelopment Related Economy while other Redevelopment Opportunities are on HoldOpportunities are on Hold

Proven Models and Success Stories to Show that The Concept Proven Models and Success Stories to Show that The Concept Works Works

Funding Sources to Support CommunityFunding Sources to Support Community--Based Health Care Based Health Care

Multiple Benefits Multiple Benefits –– Opportunities to Not Only Remove Opportunities to Not Only Remove Contamination from Communities but also Improve Contamination from Communities but also Improve Healthcare and Overall Health of The CommunityHealthcare and Overall Health of The Community

Environmental Justice and Economic Opportunities Environmental Justice and Economic Opportunities

Parting Thought Parting Thought

““Environmental protection is about human protection. It's about Environmental protection is about human protection. It's about family protection and community protection. It's about safeguardfamily protection and community protection. It's about safeguarding ing

people in the places where they live, work, play, and learn. people in the places where they live, work, play, and learn. Environmental protection is public health protectionEnvironmental protection is public health protection..””

Lisa P. Jackson, Lisa P. Jackson,

Remarks to the American Public Health Association (APHA), Remarks to the American Public Health Association (APHA), November 2009November 2009

Thank YouThank You

Miles Miles BalloggBalloggBrownfieldsBrownfields & Economic Development Manager& Economic Development Manager

CardnoCardno TBETBE(727) 423(727) 423--1587 1587

[email protected]@CardnoTBE.com

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