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MSFW Analysis - Oklahoma

MSFW Analysis - Oklahoma. National Center for Farmworker Health. MSFW Analysis - Oklahoma. Presentation Controls Legend. Next slide. Previous Slide. County Information. Data. Only buttons in lower right hand corner are operational. Return to presentation. MSFW Analysis - Oklahoma.

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MSFW Analysis - Oklahoma

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  1. MSFW Analysis - Oklahoma National Center for Farmworker Health

  2. MSFW Analysis - Oklahoma Presentation Controls Legend Next slide Previous Slide County Information Data Only buttons in lower right hand corner are operational Return to presentation

  3. MSFW Analysis - Oklahoma Purpose The purpose of this presentation is to conduct spatial data analysis of MSFW enumeration data to enable health planners to target limited resources to areas of greatest MSFW need.

  4. MSFW Analysis - Oklahoma Presentation Outline • Introduction • State Overview • Service Delivery Gaps • Other Data

  5. MSFW Analysis - Oklahoma Introduction • Acronyms • MSFW Enumeration Profiles Studies • Rationale for State Selections • Data Sources • MSFW Population Categories • Rationale for MSFW Population Categories

  6. MSFW Analysis - Oklahoma Acronyms BPHC – Bureau of Primary Health Care CHC – Community Health Center (Section 330 grantee) HRSA – Health Resources and Services Administration MHC – Migrant Health Center (Section 330 grantee) MSFW – Migrant and Seasonal Farmworker NCFH – National Center for Farmworker Health NP – Nurse Practitioner OK PCA – Oklahoma Primary Care Association PA – Physician Assistant UDS – Uniform Data System

  7. MSFW Analysis - Oklahoma MSFW Enumeration Profiles Studies In 1998, the Bureau of Primary Health Care (BPHC) and the Environmental Protection Agency jointly funded a study to estimate MSFW populations at the county level, and awarded a grant to the National Center for Farmworker Health (NCFH). NCFH subsequently contracted with Alice C. Larson, Ph.D., to research and develop state estimates for the MSFW population in ten states: Arkansas, California, Florida, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, and Texas.

  8. MSFW Analysis - Oklahoma Rationale for State Selections Five states were chosen because they are home to the largest MSFW populations (California, Florida, North Carolina, Texas, and Washington). The other five states (Arkansas, Louisiana, Maryland, Mississippi, and Oklahoma) were selected because they were states for which minimal data was available, and they appeared to provide a broad sample of MSFW employment environments.

  9. MSFW Analysis - Oklahoma Data Sources • MSFW numbers are taken from the MSFW Enumeration Profiles Study - Oklahoma, September 2000. • MHC and CHC grantee site locations were taken from the BPHC web site (http://ask.hrsa.gov/pc/) in May 2003, and updated by the Oklahoma Primary Care Association (OK PCA) in May 2003. • User data was provided by the Health Resources and Services Administration (HRSA) and BPHC.

  10. MSFW Analysis - Oklahoma MSFW Population Categories • In this analysis, there are four county MSFW population categories: • 0 to 499 • 500 to 999 • 1,000 to 1,999 • 2,000 and over

  11. MSFW Analysis - Oklahoma Rationale for MSFW Population Categories The four MSFW population categories were selected based on assumptions about deriving a potential clinic user population number from a target population estimate. Potential clinics include existing CHC service sites or a new access point. A new access point is a new delivery site for the provision of comprehensive primary and preventive health care services.  The two types of new access points are (1) new starts and (2) satellites. We assume that a target population will produce a 75% clinic user rate and that a clinic site requires 750 to 1,500 users (based on an average ratio of 750 users per PA/NP and 1,500 per physician).

  12. MSFW Analysis - Oklahoma MSFW Population Category 0 - 499 Counties that have an MSFW population from 0 to 499 are assumed to have an MSFW target population sufficient only to support a user population that would account for less than 25% of the users of an existing CHC service site or a new access point.

  13. MSFW Analysis - Oklahoma MSFW Population Category 500 - 999 Counties that have an MSFW population from 500 to 999 are assumed to have an MSFW target population sufficient to support a user population that would account for 25% to 50% of the users of an existing CHC service site or a new access point.

  14. MSFW Analysis - Oklahoma MSFW Population Category 1,000 – 1,999 Counties that have an MSFW population from 1,000 to 1,999 are assumed to have an MSFW target population sufficient to support a user population that would account for 50% to 100% of the users of an existing CHC service site or a new access point.

  15. MSFW Analysis - Oklahoma MSFW Population Category Over 2,000 Counties that have an MSFW population over 2,000 are assumed to have an MSFW target population sufficient to support a user population that would justify a new access point.

  16. MSFW Analysis - Oklahoma Presentation Outline • Introduction • State Overview • Service Delivery Gaps • Other Data

  17. MSFW Analysis - Oklahoma State Overview • State Data • State Map with Counties • Perspective: Oklahoma vs. Maryland • MSFW Population • MSFW Population – Data Map • MSFW Population – Spatial Map

  18. MSFW Analysis - Oklahoma Oklahoma Data AREA - 70,003 square miles POPULATION (2000) – 3,460,097 TOTAL MSFW POPULATION – 14,202 COUNTIES – 77 counties (ranging in size from 416 to 2,271 square miles) CHC/MHC SITES – 2 Grantees and 2 sites CHC ONLY SITES – 5 Grantees and 8 sites

  19. MSFW Analysis - Oklahoma Oklahoma Counties Washington Cimarron Texas Woods Kay Craig Beaver Harper Grant Alfalfa Nowata Ottawa Osage Rogers Garfield Delaware Woodward Noble Major Pawnee Mayes Ellis Tulsa Payne Dewey Blaine Cherokee King- fisher Creek Wagoner Logan Adair Roger Mills Okmulgee Lincoln Custer Muskogee Canadian Okla- homa Okfuskee Sequoyah McIntosh Beckham Washita Cleveland Seminole Caddo Pottawa-tomie Haskell Greer Grady Hughes Kiowa McClain Latimer Pittsburg Harmon Pontotoc Le Flore Comanche Garvin Jackson Coal Stephens Murray Tillman Pushmat-sha Cotton Atoka Carter Johnston Jefferson Bryan Choctaw McCurtain Love Marshall

  20. MSFW Analysis - Oklahoma Area Perspective: Oklahoma vs. Maryland

  21. MSFW Analysis - Oklahoma MSFW Population The migrant and seasonal farmworker population is estimated at 14,202. This number includes workers and their dependents. The largest concentrations of farmworkers and their families are located in the southwest and east central parts of the state. The next slide will present this data as an overlay on the county. Data source: MSFW Enumeration Profiles Study – OK, Larson, 9/2000

  22. MSFW Analysis - Oklahoma MSFW Total Population14,202 0 0 0 183 0 0 0 33 164 24 119 73 0 0 124 0 0 13 292 48 18 50 66 704 0 191 48 84 79 211 50 1,008 2 137 86 277 444 119 251 237 41 180 166 423 73 231 66 20 1,910 215 131 112 233 162 126 0 432 137 239 380 510 69 86 107 0 401 1 33 155 146 264 643 60 83 93 390 594

  23. MSFW Analysis - Oklahoma MSFW Population The next slide will depict the state’s counties organized into four categories, based on the county’s MSFW population. In addition to the three categories already described, there is a category for counties with an MSFW population below 500.

  24. MSFW Analysis - Oklahoma MSFW Total Population - 14,202 Data source: MSFW Enumeration Profiles Study – OK, Larson, 9/2000

  25. MSFW Analysis - Oklahoma Presentation Outline • Introduction • State Overview • Service Delivery Gaps • Other Data

  26. MSFW Analysis - Oklahoma Service Delivery Gaps • Analysis Process • MHC Grantees • CHC Grantees • Grantee Delivery Area vs MSFW Population • County Analysis by MSFW Population Category

  27. MSFW Analysis - Oklahoma Analysis Process • Service potential will be evaluated in the following order: • MHC grantee in county • CHC grantee in county • MHC grantee in adjoining county • CHC grantee in adjoining county

  28. MSFW Analysis - Oklahoma MHC Grantees There is one Migrant Health Center grantee in the state. This grantee provides services at 2 sites in 2 counties. Data source: BPHC web site, 10/2002; OK PCA Updates 5/2003

  29. MSFW Analysis - Oklahoma MHC Grantee Sites and Service Counties Data source: BPHC web site, 10/2002; OK PCA Updates 5/2003

  30. MSFW Analysis - Oklahoma MHC Delivery Sites Coverage Data source: BPHC web site, 10/2002; OK PCA Updates 5/2003

  31. MSFW Analysis - Oklahoma CHC Grantees There are seven Community Health Center grantees in the state. The two MHC grantees are also CHC grantees. The five additional CHC grantees provide health services at eight sites in six counties (one of which has an MHC grantee site). Data source: BPHC web site, 10/2002; OK PCA Updates 5/2003

  32. MSFW Analysis - Oklahoma CHC Grantee Delivery Areas Data source: BPHC web site, 10/2002; OK PCA Update 5/2003

  33. MSFW Analysis - Oklahoma MHC/CHC Grantee Delivery Areas Data source: BPHC web site, 10/2002; OK PCA Update 5/2003

  34. MSFW Analysis - Oklahoma MHC/CHC Grantee Delivery Areas & MSFW Population Jackson Jefferson Bryan Data source: BPHC web site, 10/2002; OK PCA Update 5/2003

  35. MSFW Analysis - Oklahoma Analysis of Counties with 1,000-1,999 MSFW Population There are two counties that have MSFW populations between 1,000 and 1,999, and one does not have an MHC grantee delivery site in the county.

  36. MSFW Analysis - Oklahoma MSFW Population 1,000 – 1,999 1,008 1,910 Data source: MSFW Enumeration Profiles Study – OK, Larson, 9/2000

  37. MSFW Analysis - Oklahoma County Service Area with no MHC Adair Data source: BPHC web site, 10/2002; OK PCA Updates 5/2003

  38. MSFW Analysis - Oklahoma Adair County MSFW Population 1,008 Adair Adair County adjoins a county with a CHC, but the site does not provide coverage to the MSFWs in the county. 1 MSFW Enumeration Profiles Study – OK, Larson, 9/2000 2 BPHC Web Site, 10/2002; OK PCA Update 5/2003

  39. MSFW Analysis - Oklahoma Analysis of Counties500-999 MSFW Population Of the four counties that have MSFW populations ranging from 500 to 999, none has an MHC or CHC grantee delivery site in the county, nor adjoin counties with MHC or CHC delivery sites.

  40. MSFW Analysis - Oklahoma MSFW Population500 – 1,000 704 510 643 594 Data source: MSFW Enumeration Profiles Study – OK, Larson, 9/2000

  41. MSFW Analysis - Oklahoma Jackson County MSFW Population 510 Jackson Jackson County adjoins a county with an MHC, but the site provides coverage to only a portion of the MSFWs in the county. 1 MSFW Enumeration Profiles Study – OK, Larson, 9/2000 2 BPHC Web Site, 10/2002; OK PCA Update 5/2003

  42. MSFW Analysis - Oklahoma Presentation Outline • Introduction • State Overview • Service Delivery Gaps • Other Data

  43. MSFW Analysis - Oklahoma Other Data • MHC Grantee Service Penetration • MSFW Population Pockets – Southwest OK • MSFW Population Pockets – South Central OK • % Minority Population • Population < 100% Poverty

  44. MSFW Analysis - Oklahoma MHC Grantee Service Penetration The MHC grantee provided services to 359 users1 during 2001, which represents 2.5% of the estimated statewide MSFW population. The estimated MSFW population in the counties where the grantee provided health services is 2,1612. The reported users represent 16.6% penetration of this population. 1 UDS Reports - 2001, BPHC 2 MSFW Enumeration Profiles Study – OK, Larson, 9/2000

  45. MSFW Analysis - Oklahoma MSFW Population Pockets –Southwest Oklahoma Beckham Washita 166 423 Greer Kiowa 131 112 Harmon 137 MSFW Population 1,889 Jackson 510 Tillman 401 Data source: MSFW Enumeration Profiles Study – OK, Larson, 9/2000

  46. MSFW Analysis - Oklahoma MSFW Population Pockets –South Central Oklahoma Johnston Carter 155 264 Jefferson Marshall 643 Bryan Love 83 390 594 MSFW Population 2,129 Data source: MSFW Enumeration Profiles Study – OK, Larson, 9/2000

  47. % Minority Population MSFW Analysis - Oklahoma Data source: US Census 2000

  48. MSFW Analysis - Oklahoma Population < 100% Poverty Data source: US Census 2000

  49. MSFW Analysis - Oklahoma National Center for Farmworker Health

  50. MSFW Analysis - Oklahoma Oklahoma Counties Washington Cimarron Texas Woods Kay Craig Beaver Harper Grant Alfalfa Nowata Ottawa Osage Rogers Garfield Delaware Woodward Noble Major Pawnee Mayes Ellis Tulsa Payne Dewey Blaine Cherokee King- fisher Creek Wagoner Logan Adair Roger Mills Okmulgee Lincoln Custer Muskogee Canadian Okla- homa Okfuskee Sequoyah McIntosh Beckham Washita Cleveland Seminole Caddo Pottawa-tomie Haskell Greer Grady Hughes Kiowa McClain Latimer Pittsburg Harmon Pontotoc Le Flore Comanche Garvin Jackson Coal Stephens Murray Tillman Pushmat-sha Cotton Atoka Carter Johnston Jefferson Bryan Choctaw McCurtain Love Marshall

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