Hays County Healthcare District and Access to Healthcare for the Underprivileged

A man is flourishing, but he sees others who have to struggle with great

hardships…and he thinks, “What does it matter to me? Let everyone be as happy

as Heaven wills or as he can make himself; I won’t deprive him of

anything… only I have no wish to contribute anything to his well-being or

to his support in distress.” – Immanuel Kant

A Global Crisis

• Poverty causes 45% of disease burden in poorest countries

• Includes diseases that have known treatments– Diarrhea– Measles– Tetanus

A National Crisis

• 46 Million Americans without Health Insurance

• 10 Million Americans “Medically Disenfranchised”

The United States is the single country out of thirty industrialized nations

that does not guarantee health care as a right of citizenship

Countries Provid-ing Guarranteed Access To HealthcareUnited States

How is that working out for us?

20% Increase in ER Visits in 10 years

G8 Infant Mortality Rates Source: WHO

Italy Japan France Germany United Kingdom

Canada United States

Russian Federation

0.0%

0.2%

0.4%

0.6%

0.8%

1.0%

1.2%

G8 Life Expectancy for WomenSource: WHO

Japan France Italy Canada Germany United Kingdom

United States

Russian Federation

66

68

70

72

74

76

78

80

82

84

86

G8 Gross National Income Per Capita Source: WHO

Russian Federation Italy Germany Japan France Canada United

Kingdom United States

$- $5,000

$10,000 $15,000 $20,000 $25,000 $30,000 $35,000 $40,000 $45,000

24% of Texans are without Health Insurance, the highest

percentage in the nation

The Situation in Hays County

Hays County Growth (2000 – 2010)

2000 20100

10000

20000

30000

40000

50000

60000

BudaKyleSan Marcos

60%83%

37%

Source: Federal Census Bureau

Hays County Income Disparity

60%83%

37%

Source: Federal Census Bureau

United States per capita

Hays County per family

$-

$10,000

$20,000

$30,000

$40,000

Prior to the opening of SMCH, near 60% of Hays County residents traveled to Austin or San

Antonio to receive complex care

60%83%

37%50 miles

32 miles

Making A Difference

Healthcare That WorksHealthcare That Is SafeHealthcare That Leaves No

One Behind

Mission

National Ministries

1. University Medical Center Brackenridge

2. Dell Children’s Medical Center of Central Texas

3. Seton Medical Center Austin

4. Seton Edgar B. Davis Hospital

5. Seton Highland Lakes Hospital

6. Seton Northwest Hospital7. Seton Southwest Hospital8. Seton Shoal Creek Hospital9. Seton Medical Center

Williamson10. Cedar Park Regional

Medical Center11. Seton Medical Center Hays12. Central Texas Rehabilitation

Hospital

Seton Medical Center Hays

SMCH IS – First Month Census

Patient Discharges

Overnight Stays

Deliveries Surgeries0

100200300400500600700800900

% of Plan 180% 170% 210% 400%

SMCH IS – First Month ER Visits

planned actual0

500

1000

1500

2000

2500

286% of forecast

Mission"to provide comprehensive, affordable, quality

health care while responding to the changing needs of the community and respecting the dignity, values and culture of the individual."

FQHC – Federally Qualified Health Clinic. A clinic that is authorized to provide Medicare / Medicaid services. Services are partially funded by the federal government.

• Family Medicine• Women’s Health• Pediatrics• Internal Medicine• Dental Health• Mental Health

“Problems Require Funding”- Herb Dyer, Seton Medical Center Hays COO

$419 Million

Healthcare District - A local tax base created to direct a portion of tax revenue towards healthcare

Travis County Hays County0%

2%

4%

6%

8%

10%

% of Tax Dollars spent on Charitable Health Care

We must “treat humanity, whether in your own person or in that of any other, in every case as an end and never as merely a means.”

- Immanuel Kant