Rural Health Works:

Evaluate the Impact of your Health Sectoras a Key to Successful Rural Development

Joette LangianeseGrand County, UtahPhone: 435-259-1346

Email: joettel@frontiernet.net

County Commissioners

H W Rural Health WorksR National Center for

Rural Health Works:Evaluate the Impact of your Health Sectoras a Key to Successful Rural Development

Gerald A. Doeksen, PhDRegents Professor/Extension EconomistOklahoma Cooperative Extension ServiceNational Center for Rural Health WorksPhone: 405-744-6083Email: gad@okstate.edu

By

Paper presented at 2007 Utah NACo Annual Conference, in St. George on November 16, 2007

Val Schott, MPHDirectorCenter for Rural Health Oklahoma State University Center for Health SciencesPhone: 405-945-9197Email: val.schott@okstate.edu

H W Rural Health WorksR National Center for

NACo Rural Health Works Project 2007

Grand County – Utah

Adams County - Ohio

Linn County - Missouri

H W Rural Health WorksR National Center for

Overall Objectives

To demonstrate the importance of the health sector to a rural county

To discuss the process of county health engagement

H W Rural Health WorksR National Center for

NACo Rural Health Works Project

Grand County, UtahApproximate Population = 8,743

Joette LangianeseCounty Commissioner

Beaver

Box Elder

Cache

Carbon

Daggett

Davis

Duchesne

Emery

Garfield

Grand

Iron

Juab

Kane

Millard

Morgan

Piute

Rich

Salt Lake

San Juan

Sanpete

Sevier

Summit

Tooele

Uintah

Utah

Wasatch

Washington

Wayne

Weber

State of Utah

GrandCounty

Moab, Grand

County, Utah

Grand County

County Health Engagement Process

Brief overview of county and health services in county

Participants

- Who do they represent

- How they were invited

Series of noon meetings

Participants – All Inclusive Grand County Rural Health Network Board Members Health Care Providers Board of County Commissioners

Town mayors/managers Emergency Medical Services Clergy

Chamber Executive Directors County Home Health/Public Health Large Employers/Realtors/Developers/Bankers/Resort Owners

Colorado Rural Health Center Northwest Colorado Council of Governments State of Colorado Department of local Affairs

Series of Meetings

I. Economic Impact and Process

II. Directory of Health Services

III. County Health Survey

IV. County Data and Health Statistics

Health Services Promote Job Growth

Health Services Foster Rural DevelopmentHealth Services Foster Rural Development

Health Services Attract RetireesHealth Services Attract Retirees

Grand County, UtahDirect Economic Activities of Health Sector

  Estimated EstimatedComponents Employees Income

Hospital 141 $7,082,452

Offices of Physicians, Dentists, & Other Health Practitioners 78 $4,569,339

Other Medical & Health Services 129 $2,855,138

TOTALS 348 $15,226,929

Figure 3.Overview of County Economic

System

Households

IndustryBasic

Goods &Services

$

Labor Inputs

ProductsInputs

$ $

$

$

Services

$ $

Hospital 141 1.46 206Offices of Physicians, Dentists & Other Hlth Practitioners 78 1.40 109 Other Med & Hlth Services 129 1.18 152

TOTALS 348 467

Grand County, UtahHealth Sector Impact on Employment

Health Sectors Employment Multiplier Impact

Grand County, Utah Health Sector Impact on Income

Health Sectors Income Multiplier Impact

Hospital $7,802,452 1.33 $10,377,261

Offices of Physicians, Dentists & Other Hlth Practitioners $4,569,339 1.23 $5,620,287

Other Med & Hlth Svcs $2,855,138 1.23 $3,511,820

TOTALS $15,226,929 $19,509,368

Grand County, Utah - Health Sector Impact on Retail Sales and Sales Tax Collections

1¼ Cent Health Employment Income Retail Sales Tax Component Impact Impact Sales Collection

Hospital 206 $10,377,261 $1,985,543 $24,819

Physicians, Dentists & Other . . . 109 $5,620,287 $1,075,363 $13,442

Other Med & Hlth Svcs 152 $3,511,820 $671,937 $8,399

TOTALS 467 $19,509,368 $3,732,843 $46,660

Summary of Directory Process

I. Create draft from Yellow Pages

II. Committee revises at meeting

III. Committee reviews & revises

IV. Publish directory

V. Set up process to mass produce and update for future

Summary of Directory Contents

I. Emergency Numbers

II. Health Services by Providers Examples:

PhysiciansDentistsHospital

Summary of Directory Contents

III. Local Government – Community – Social Services

Examples:Department of Human ServicesCounty Offices

IV. State and National Information Services - Support Groups - Help Lines

Summary of Survey Process

I. Ask utilization questions

II. Calls completely random

III. Publicize the event

IV. Complete in one week

Summary of Data & Information Material

I. Economic Examples:

PovertyEmployment

II. DemographicExamples:

Age Race/Ethnic Groups

Summary of Data & Information Material

III. Health BehaviorExamples:

Maternal & Child Health DataInjury IncidenceLeading Causes of Death

Process will yield at least four products

NACo Website

Products located at:http://www.naco.org/

At bottom left corner of page, CLICK ON: Training and Technical Assistance

CLICK ON: Health

CLICK ON: 6/26/2007 - 2007 Rural Health Works Technical Assistance County Products

Rural Health Works Websites:

National Rural Health Works:

www.ruralhealthworks.org

Oklahoma Rural Health Works:

www.okruralhealthworks.org

NACo Website

http://www.naco.org/

CLICK ON: Training & Technical Assistance

CLICK ON: Health