Rural Health Outcomes and Infrastructure in Arizona · 2/26/2019 · Catalina Foothills Picture...
Transcript of Rural Health Outcomes and Infrastructure in Arizona · 2/26/2019 · Catalina Foothills Picture...
Rural Health Outcomes and Infrastructure in Arizona
Factors affecting rural health outcomes include health insurance coverage, socioeconomics, ready access to primary, preventive and other health care services, providers, infrastructure, and technology. Each rural community has unique strengths, opportunities and challenges in terms of the health of its population. In Arizona, key components of the rural health infrastructure include:
n Critical Access Hospitals (CAHs): There are 15 federally designated CAHs in Arizona. These are rural hospitals with 25 hospital beds or less, located 35 miles or more from another facility, and providing 24/7 emergency medicine services. In addition to providing essential health services in Arizona’s vast rural regions CAHs contribute to the local economy.
l Rural Health Clinics (RHCs): There are 24 federally certified RHCs in rural Arizona communities, most are affiliated with CAHs. RHCs increase access to primary, preventive and other health care services in rural communities using interprofessional, team approaches that include physicians, nurse practitioners, physician assistants, certified nurse midwives, and staff.
u Federally Qualified Health Centers (FQHCs): There are 160 FQHCs in Arizona, with 75 located outside of Arizona’s urban areas. FQHCs provide primary, preventive and other health services to all, regardless of ability to pay in areas with access to few health care providers. They are the part of the health safety net providing health services to the uninsured, underserved, and those enrolled in Medicare, Medicaid (AHCCCS), and the Children’s Health Insurance Program (CHIP is KidsCare in Arizona).
Health Insurance CoverageArizona dramatically decreased its population without health insurance since 2013 in every county. In rural Arizona, Medicare, Medicaid (AHCCCS), and CHIP (KidsCare) are important sources of coverage. Source: U.S. Census American Community Survey
0 20 40 60 80 100%
Maricopa
Pima
Yuma
Pinal
Mohave
Santa Cruz
Coconino
Yavapai
Cochise
Gila
Graham
Greenlee
Navajo
La Paz
Apache
Percent Population in Rural, Urban Cluster, and Urban Areas
The entire population in 7 of Arizona’s 15 counties live in Rural or Urban Clusters.
Decrease in percent uninsured from 2008 to 2017 in all counties. Largest decreases were in Santa Cruz & Graham counties
County populations have different rates of public and private health insurance*
Percent of Arizonan children (<19) covered by AHCCCS, 20172 in 5 Children are covered by AHCCCS
*Percentages do not add to 100% due to individuals who are uninsured or have a mix of both private and public health insurance coverage.
Percent of Arizonans covered by AHCCCS, 2017 1 in 5 Arizonans are covered by AHCCCS
0
30%
Yuma
Yavapai
Santa CruzPinal
Pima
Navajo
Mohave
Maricopa
La Paz
Greenlee
GrahamGila
Coconino
Cochise
Apache
2823
139
21
1418
1217
9
16
8
1612 12 12 11 10
15 15 15
22
1316
11
21
1517 17 18
0
80%
Yuma
Yavapai
Santa CruzPinal
Pima
Navajo
Mohave
Maricopa
La Paz
Greenlee
GrahamGila
Coconino
Cochise
Apache
28
32
27
17
49
15
51 22
31
22
47
1259
21
24
15
53 20
32
32
29
17
47
1625
34
1423
393946
0
80%
Yuma
Yavapai
Santa CruzPinal
Pima
Navajo
Mohave
Maricopa
La Paz
Greenlee
GrahamGila
Coconino
Cochise
Apache
24AZ38%
41 34
5441 28
60
3550
57
40 3852
40 46
0
40%
Yuma
Yavapai
Santa CruzPinal
Pima
Navajo
Mohave
Maricopa
La Paz
Greenlee
GrahamGila
Coconino
Cochise
Apache
39
AZ21%
2421
29 28
18
2819
27
39
22 22
34
20
29
Suggested citation: Koch B, Peters J, Coates S, Carter H, Akmajian P, Derksen D: Rural Health Outcomes and Infrastructure in Arizona. Arizona Center for Rural Health Policy Brief. February 25, 2019.
SANTA CRUZ
COCHISEPIMA
YUMA
PINAL
GRAHAM
GREENLEE
MARICOPA
LA PAZ
GILA
YAVAPAI APACHE
MOHAVE
COCONINO
NAVAJO
NewMexico
ColoradoUtah
ARIZONA
Nevada
California
Mexico
Zuni Reservation
Ramah Navajo Reser
Ute MountainReservation
Ft ApacheReser
Navajo Reservation
HopiReservation
Camp VerdeReser
YavapaiReser
San Carlos Reser
Salt RiverReser
Gila RiverReser
Ft McDowell Reser
Tohono O'odham Reservation
San XavierReservation
Maricopa ReserGila Bend
Reser
Ft YumaReser
Cocopah Reser
HavasupaiReservation
HualapaiReservation
Ft MojaveReser
ColoradoRiver Reser
Chemehuevi Reser
PaiuteReser
Kaibab Reser
MoapaRiver Reser
Phoenix
Sierra Vista Southeast
Sierra Vista
Tucson
Yuma
Mesa
Goodyear
Buckeye
Scottsdale
Peoria
Parks
Kaibab
Oljato-Monument Valley
h
Blythe
Needles
Nogales
Rio Rico Southwest
Rio Rico Northwest
Rio Rico Northeast
ElginSonoita
Green Valley
East SahuaritaBenson
SahuaritaVail
Three Points
Drexel HeightsTucson Estates
Tanque Verde
Catalina FoothillsCasas AdobesPicture Rocks
AjoAvra Valley
Oro Valley
Marana
CatalinaSan Luis
San Manuel
Fortuna FoothillsEloy
Gila Bend
Casa GrandeClifton
Buckeye Queen Creek
ChandlerGilbert Gold Camp
Cibola GlobeApache JunctionTempeAvondale
Paradise Valley
Ehrenberg
Fountain HillsSun City
Glendale
Quartzsite
Surprise
SalomeWenden Cave Creek
Tonto BasinWhiteriverNew River
ParkerBlack Canyon City
Young
Congress
Show LowPayson
Peeples Valley
Wilhoit
Pine
Mayer
TaylorSnowflake
Dewey-HumboldtLake Havasu City Camp Verde
Prescott ValleyLake Montezuma
Prescott
CornvilleWilliamson
Chino Valley
Sedona HolbrookPaulden
Munds Park
Mohave Valley
Winslow
Bullhead City
Flagstaff
Golden Valley
Kingman
Houck
Williams
New Kingman-ButlerLeupp
Dilkon
Dolan Springs
Second Mesa
Cameron
Kykotsmovi Village
Hotevilla-Bacavi
Tusayan
Grand Canyon Village
Chinle
Rough Rock Lukachukai
Round RockChilchinbito
Kaibito
Kayenta
Rock Point
Page
Lechee
Teec Nos Pos
Red Mesa
Beclabito
Big River
DouglasBisbee
Tubac
AmadoWhetstone Tombstone
St. DavidSells
Summit
Valencia West
WillcoxSanta Rosa
Tortolita
Oracle
Arizona City
SaffordDudleyville
Ak-Chin Village
Maricopa
Florence
Santan
Queen CreekQueen Valley Peridot
San Carlos
Tolleson
El Mirage
Sun City West
Rio Verde
Carefree
BouseWickenburg
Cibecue
McNaryEagar
SpringervilleYarnell Sun Valley
Parker StripCordes Lakes
Spring Valley
Strawberry
St. JohnsDesert Hills Bagdad
Cottonwood
Clarkdale
Big Park
Mountainaire
Seligman
GreasewoodPeach Springs
Window RockGanado
Burnside Fort DefianceJedditoKeams Canyon
First Mesa
SawmillNazlini
PinonTuba City
TsaileTonalea
Many Farms
Shonto
Bitter Springs
Dennehotso
Colorado CityFredonia
Naco
Flowing Wells
Stanfield
Litchfield Park
Canyon Day
St. Michaels
Hildale
Tse Bonito
Pirtleville
Patagonia
Huachuca City
Pisinemo
South Tucson
GadsdenSomerton
Wellton
Tacna MammothChuichu
Duncan
Pima
Hayden
MorenciKearny
Sacaton
Superior
Miami
Claypool
Youngtown
East Fork
Poston
Gisela
Bluewater
Willow Valley
Kachina Village
Ash Fork
Steamboat
Shongopovi
Moenkopi
Supai
Guadalupe
Winterhaven
Palo Verde
East Blythe
Littletown
Winkelman
Jerome
Winslow West
Heber
Overgaard
Gul f o f Ca l i fo rn ia
North Country HealthCare, Williams
Northern CochiseCommunity HospitalWillcox
White Mountain Regional Medical CenterSpringerville
Benson HospitalBenson
Cobre Valley Regional Medical CenterGlobe
San Carlos Apache Healthcare San Carlos
Banner Payson Medical CenterPayson
Little Colorado Medical CenterWinslow
La Paz Regional HospitalParker
Parker Indian Health Center
Banner HealthHospitalPage
WickenburgCommunity HospitalWickenburg
Hu Hu Kam Memorial HospitalSacaton
Sage MemorialHospitalGanado
Hopi Health Care CenterPolacca
CarondeletHoly Cross HospitalNogales
Critical Access Hospitals Considering CAH status(San Carlos)
Copper QueenCommunity HospitalBisbee
Bouse MedicalClinic, Bouse
Parker Medical Center, Parker
La Paz Medical Services, Quartzsite
Tri-Valley MedicalCenter, Salome
Community HospitalClinic, Congress
Little Colorado Physicians O�ceWinslow
Community Hospital ClinicWickenburg
Kearny ClinicKearny
Sonoran FamilyPractica, Coolidge
Superior ClinicSuperior
Hereford Rural Health ClinicPalominas
Mt. Graham RegionalMedical Center Rural Health Clinic, Sa�ord
Sulphur Springs Medical CenterWillco x
Sunsites MedicalClinic, Pearce
GreasewoodClinic, Ganado
Sage Outpatient Clinic, Ganado
Copper Queen Medical AssociatesBisbee
Copper Queen Medical AssociatesDouglas
Rural Health Clinics
Pleasant Valley Community Medical Center, Young
Summit Healthcare Heber-Overgaard Community ClinicOvergaard
San Luis Walk-in Clinic - Family & Adult CenterSan Luis
North Country HealthCareKingmanNorth Country
HealthCareBullhead City
Adelante HealthcareWickenburg
Adelante HealthcarePeoria
Canyonlands Healthcare, Globe
Mountain Health & Wellness, Kearny Outpatient
Sun Life Maricopa Family Healthcare
Adelante HeathcareGila Bend
Desert Senita Community Health Center & Dental CenterAjo
Sunset CommunityHealth CenterWellton
Sunset CommunityHealth CenterYuma
Sunset CommunityHealth CenterSan Luis
Sunset CommunityHealth CenterSomerton
Canyonlands HealthcareDuncan
North Country HealthCareRound Valley
North CountryHealthCareShow Low
North CountryHealthCareSt. Johns
North CountryHealthCareHolbrook
North Country HealthCare, Winslow
Canyonlands HealthcareSa�ordSun Life San Manuel
Family Healthcare
Sun Life Oracle Family Healthcare
United Community Health Center at Old Vail Middle School
Sun Life Casa Grande Family Healthcare & Center for Children
Sun Life Eloy Family Healthcare
Sun Life Coolidge Family Healthcare
Canyonlands HealthcareUrgent Care & Lake PowellPage
Canyonlands HealthcareFredonia
Canyonlands HealthcareBeaver DamLittle�eld
Tuba City RegionalHealth Care Corporation
North Country HealthCare, Grand Canyon
Canyonlands HealthcareChilchinbeto
North Country HealthCare, Flagsta�
North Country HealthCare, Ash Fork
North Country HealthCareSeligman
Community Health Center of YavapaiPrescott
Community Health Center of YavapaiPrescott Valley
Community Health Center of YavapaiCottonwood
North Country HealthCare, Payson
Chiricahua Community Health CentersBisbee Clinic
ChiricahuaCommunity Health CentersSierra Vista
Chiricahua Community Health Centers: Jennifer 'Ginger' Ryan Clinic & 15th Street Pediatric Center of Excellence, Douglas
Chiricahua CommunityHealth CentersCli� Whetten Clinic, Elfrida
Mariposa Community Health Center Nogales
Federally Quali�ed Health Centersin rural areas
Mariposa Community Health Center Patagonia
Mariposa Community Health CenterRio Rico
United Community Health Center, Arivaca
United Community Health CenterAmado
United Community Health CenterGreen Valley
North Country HealthCareLake Havasu City
For more information visit: crh.arizona.edu | ruralhealthinfo.org | countyhealthrankings.org