Health Snapshot of District 10

Health Snapshot: District 10
Commissioner Javier Souto
The Office of Countywide Healthcare Planning (OCHP) is the health planning agency tasked with finding real
solutions to critical health problems facing Miami-Dade County.
This snapshot correlates OCHPs key initiatives to the issues and priorities facing residents of District 10
[includes District 10 zip codes: 33144, 33155, 33165, 33172, 33173, 33174, 33175, 33183]
Achieving a Network of Integrated Community-Based Medical Homes
OCHP is leading a MDC-wide comprehensive planning process to develop a roadmap that will become the guide for
leveraging both additional capital and operating dollars to expand our health delivery system. The Goal is to turn
Community Health Systems into full spectrum portals to comprehensive health and services.
Leveraging – $25M in GOB for Primary Care Facilities capital funds to generate nearly 150,000 added
primary care visits (over 3 years) from the County’s existing 7 Federally Qualified Health Centers (FQHCs)
Health Access Snapshot – District 10:
•
•
•
Health Centers Serving District 10: (See map)
o Federally Qualified Healthcare Centers
Borinquen Health Care Center Inc
–
Hospitals (See map):
o Miami Children’s Hospital
o Westchester General Hospital
o Kendall Regional Hospital
BHCC West Dade Health Center
th
10528 SW 8 St, Miami 33174
nd
3100 SW 62 Ave, Miami 33155
7360 Coral Way, Miami 33155
th
11750 SW 40 St, Miami 33175
6
Health Navigators and Community Health Workers (serving included zips) are trained as entry points to
primary care medical homes, chronic disease management, inpatient care and provide assistance with
social service program eligibility and enrollment.
o 3 Health Navigator sites
o 3 Community Health Worker sites
o 22 schools have Health Connect in Our Schools Teams
1,5
ZIP
MEDICAID ENROLLED
% of Residents
District 10
33144
5,244
19.5%
33155
6,286
14.4%
33165
9,882
17.6%
33172
6,533
17.3%
33173
3,734
11.3%
33174
5,416
16.7%
33175
8,346
15.7%
33183
5,195
14.5%
Total
50,636
15.9%
Target Population: Low Income Adults, including the
Parents of Medicaid-Enrolled Children
The Uninsured: District 10
•
About 80,142 residents in District 10 are estimated not
to have Health Insurance. That is 14% of Miami-Dade
2
County’s uninsured– See Map
•
16% of residents of District 10 are enrolled in
1,5
Medicaid
•
Median Household Income – Median income for
District 10 residents was estimated at $43,364, ranging
from $32,258 (zip 33144) to $51,445 (zip 33173).
5
Office of Countywide Healthcare Planning – August 2012
ER Diversion & Chronic Disease Management
Dual initiatives utilizing evidence-based approaches will assist individuals seeking primary care in receiving an
immediate appointment – while still in the ER – for a primary care visit in their neighborhood. For individuals living
with chronic diseases, the initiative focuses electronic-enabled mechanisms for the identification of conditions, case
management by licensed professionals, and guided treatment.
4
Sampling of Chronic Disease Indicators from District 10 :
•
Influenza & Pneumonia – 18% (40) of the County’s deaths due to influenza and/or pneumonia were
District 10 residents.
o
•
Zip code 33165 accounted for 33% (13) of District 10’s deaths due to influenza and/or pneumonia.
Breast Cancer – 17% (52) of the County’s deaths due to breast cancer were residents of District 10.
o
Zip code 33165 accounted for 25% (13) of District 10’s deaths due to breast cancer.
•
Cardiovascular Disease – 16% of the County’s 5,916 deaths due to cardiovascular disease were District
10 residents.
•
Diabetes – 15% of the County’s 637 deaths due to diabetes were residents of District 10.
o
Zip code 33175 accounted for 28% (27) of District 10’s deaths due to diabetes.
3
Emergency Room Visits from District 10 Residents :
•
Over 93,000 visits to Miami-Dade County Emergency Departments were made by District 10 residents in
2011.
•
12% of the total number of ER visits by Miami-Dade County residents was made by residents of District
10.
Health Statistics at Zip Code and District Levels
OCHP has developed critical relationships with State and local data sources to build a comprehensive database of
nationally-comparative health and demographic data, as well as, health utilization and health system infrastructure.
OCHP is able to present this data in baseline, trend analysis, projection and GIS formats. Attached are some of the
maps that have been produced detailing District 10:
•
District 10 Close-up – Details the names and locations of each of the major primary care facilities and
hospitals in District 10
•
Miami-Dade County Safety-Net & Primary Care Centers – Details the names and locations of each of the
County’s Federally Qualified Healthcare Centers and Jackson Health System Primary Care Centers, as well
as, identifies the locations of all county hospitals. District 10 boundaries are outlined in red
•
Miami-Dade County Distributions of the Population and the Uninsured – Describes the areas of highest
to lowest concentrations of the population in all of Miami-Dade County, overlaid by the distribution of
uninsured and specifically outlines Commission District 10
•
Miami-Dade County Distribution Below Poverty – Details the population density of individuals below the
federal poverty level by census tract and outlines Commission District 10 boundaries in red
Sources:
1
Department of Children and Families, 11/2011
2
Florida Health Insurance Study, 2004
3
Florida Agency for Health Care Administration - Florida Emergency Department Data File 2011
4
Florida Department of Health – Resident Deaths database 2010
5
U.S. Census, 2000 & 2010
6
The Children’s Trust, 2012
Note: Data were analyzed based on the included zip code boundaries and are not exclusive of the District boundary
Office of Countywide Healthcare Planning – August 2012
District 10 and Surrounding Districts, Miami-Dade County
33122
Legend
!
Hospital
Y
X
Jackson Primary Care Center
!
(
33126
Federally Qualified Health Center
Rebeca Sosa
Souto 10
Martinez 11
33194
33172
Jose "Pepe" Diaz
33182
33192
Diaz 12
Sosa 6
33174
µ
33184
Bell 8
Moss 9
!
(
Borinquen-West Dade
33144
Westchester General Hospital
Suarez 7
!!
Joe A. Martinez
33185
33152
West Gables Rehabilitation Hospital
33155
33165
33175
!
Kendall Regional Medical Center
Sen. Javier D. Souto
33193
33143
33173
33183
33283
!
33196
Baptist Hospital
Xavier L. Suarez
33186
Dennis C. Moss
33116
33156
33176
Lynda Bell
Source: ITD Commission Districts; U.S. Census 2010 Zip Code Boundaries;
OCHP Health Care facilities.
Note: JHS PCC - Jackson Health System Primary Care Centers;
JT - Jesse Trice Community Health Center; MB - Miami Beach Community Health Center;
0
0.25 0.5
1 Miles
Produced by: Office of Countywide Healthcare Planning, 08/2012
Miami-Dade County Safety-Net Providers
Federally Qualified Health Centers, Free Clinics, & JHS Primary Care Centers
33015
33018
33178
(
!
33174
(
!
33184
33194
Borinquen-North Miami
33181
33147
33013
(
!
JT-North
33141!
Borinquen-Carrie Meek 33138
(
( MB-Beverly Press
!
33150
JT-Flamingo
33010 !
(
JT-Jesse Trice
(!
!
(
JT-Headquarters Care Resource Borinquen
33122
Borinquen-West Dade
33144
33140
(
33142 33127 !
(
!
33137
Ambulatory Care Center
33125
Jefferson Reeves, Sr.
XX
Y
Y!( Camillus 33139!(
33126 Banyan-Flagler
Y
X
33134
33155
33165
33175
33185
33160
33162
Citrus-Maternal & Child
33012
33152
33172
North Dade Health Center
( MB-North Miami
!
33167 33168 33161
(
!
33154
(
Citrus !
33166
33182
33054
33014
33180
33169
(
!
Y
X
33016
33192
33179
JT-Norland
33056
33055
(33135 Peñalver MB-Stanley C. Meyers
!
33146
33145
HB Bentley
33129
33131
33109
33149
(33133
!
Rosie Lee Wesley
33193
33183
33143
33173
33283
33116
33196
33156
33176
33186
Y
X
33158
33157
CHI-West Perrine
33177
33187
(
!
33197
33189 CHI-Doris Ison
(
!
33170
33032
33031
CHI-Naranja
33033
33030
(
!
(
!
33034
(
!
CHI-MLK Jr.
33190
(
!
CHI-South Dade
33039
CHI-Everglades
Legend
(
!
Federally Qualified Health Center
Y
X
Jackson Primary Care Center (PCC)
Y
X
Dr. Rafael Peñalver Clinic
District 10
0
33035
1.25 2.5
µ
5 Miles
7 Current FQHC Section 330 Grantees:
Borinquen - Borinquen Health Care Center
Camillus - Camillus Health Concern
CHI - Community Health Of South Florida, Inc.
Citrus - Citrus Health Network
HB Bentley - Helen B. Bentley Family Health Center
JT - Jessie Trice Community Health Center
MB - Miami Beach Community Health Center
2 New FQHC Section 330 Grantees:
Banyan - Banyan Health System
Care Resource
Produced by: Office of Countywide Healthcare Planning, 08/2012
Miami-Dade County
Distribution of the Population and the Uninsured
33056
33055
33015
33169
33016
33054
33014
33167
33012
33178
33013
33185
33193
33152
33172
33184
33174
33144
33165
33155
33175
33125
33135
33134
33154
33141
33138
33150
33145
33127 33137
33136
33128 33132
33130
33131
33129
33140
33139
33109
33149
33133
33146
33183
33283
33143
33173
33116
33156
33176
33186
33196
33122
33126
33181
33151
33142
33182
33161
33168
33153
33147
33010
33166
33194
33160
33162
33018
33192
33180
33179
33158
33157
33177
33187
33197
33189
33170
33031
33190
Legend
µ
District 10
33032
Zip Codes
Population Distribution
33030
33039
1 - 7,000
33033
7,001 - 23,000
23,001 - 36,000
36,001 - 50,000
50,001 - 72,248
Distribution Uninsured Gradient
33034
33035
66 - 4,668
4,669 - 9,661
9,662 - 19,158
0
1.25 2.5
5 Miles
Source: U.S. Census 2010; Florida Health Insurance Study 2004
Produced by: Office of Countywide Healthcare Planning, 08/2012
Miami-Dade County
Distribution Below the Poverty Level
33180
33180
33179
33179
33015
33015
33056
33056
33055
33055
33169
33169
33054
33054
33014
33014
33016
33016
33167
33167
33012
33012
33178
33178
33010
33010
33194
33194
33185
33185
33144
33144
33174
33174
33134
33134
33155
33155
33165
33165
33175
33175
33127
33127
33140
33140
33137
33137
33136
33136
33128
33128
33135
33135
33130
33130
33145
33145
33129
33129
33139
33139
33132
33132
33131
33131
33109
33109
33149
33149
33133
33133
33143
33143
33173
33173
33183
33183
33141
33141
33138
33138
33146
33146
Sen. Javier D. Souto
33193
33193
33125
33125
33126
33126
33184
33184
33150
33150
33122
33122
33152
33152
33172
33172
33154
33154
33151
33151
33142
33142
33182
33182
33181
33181
33161
33161
33168
33168
33153
33153
33013
33013
33147
33147
33166
33166
33192
33192
33160
33160
33162
33162
33018
33018
33283
33283
33116
33116
33186
33186
33196
33196
33156
33156
33176
33176
33158
33158
33157
33157
33177
33177
33187
33187
33197
33197
33189
33189
33190
33190
33170
33170
33031
33031
33030
33030
33039
33039
33034
33034
33035
33035
Source: U.S. Census, 2010
µ
33032
33032
33033
33033
Legend
Census Tract
Below Poverty Level
0% - 9%
10% - 17%
18% - 27%
28% - 43%
44% - 86%
Zip Codes
District 10
0
1.25
2.5
5 Miles
Produced by: Office of Countywide Healthcare Planning, 08/2012