rural health services task force health care infrastructure - july … vt hc... · 2019-07-18 ·...
TRANSCRIPT
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
▪ (802) 951-1259
27