ADHS Tools for Community Needs Assessments
Arizona Department of Health Services
Division of Public Health Services
Bureau of Health Systems Development
Tracy Lenartz, Health Planning Consultant
Wes Kortuem, GIS Coordinator
Arizona Department of Health Services
Division of Behavioral
Health Services
Division of Public Health
Services
Public Health Prevention
Tobacco and Chronic Disease
Women’s and Children’s Health
Health Systems Development
Division of Licensing
Public Health Preparedness
Epidemiology and Disease Control
State Laboratory Services
Emergency Medical Services and Trauma
Emergency Preparedness
Nutrition and Physical Activity
Vital Statistics
Mission
To optimize the health of Arizona residents by
developing
and
strengthening
systems
services to expand access to primary care and
other services with emphasis on the health
needs of underserved people and areas.
Bureau of Health Systems Development Core Functions
 Primary Care Office for Arizona
 Develop and implement strategies for strengthening
primary care/health care delivery system
 Administer programs to increase the number of
providers/ improve services in underserved areas
 Identify areas that need improved health services/
assist with federal/state shortage designations
 Provide TA to statewide partners
HSD Tools for Needs Assessments
Reports:
• Primary Care Area Profiles
• Special Area Profiles
• Need for Assistance Worksheets
Designations:
• Arizona Medically Underserved Areas
• Federal Designations
Maps:
• Mapping requests
• Designations Mapper
• Interactive Map in development
Primary Care Area Profiles
• 127 Primary Care Areas (PCAs) in Arizona
• Statistical profiles are published annually
– 2009 currently available, waiting for census data to run 2010
• Include data related to designation status,
demographics, health care services and utilization, and
health status
– Includes county and state comparison data
• Profiles: www.azdhs.gov/hsd/profiles
• Data sources:
http://www.azdhs.gov/hsd/profiles/datadocu.pdf
Primary Care Area Profiles
Primary Care Area Profiles
Special Area Profiles
• Statistical profiles are also posted for “places” (cities)
and legislative districts at www.azdhs.gov/hsd/profiles
• “Special Area” profiles can be requested for a service
area of your choice
– Looks identical to PCA Profile but for your unique area
– Define area by blocks, block groups, census tracts, zip codes or
street boundaries
– Send request to tracy.lenartz@azdhs.gov
– Please allow 2 week turn-around time
Need for Assistance (NFA) Worksheets
• Required component for 2010 Federally Qualified Health
Center (FQHC) New Access Point Application
• Includes data related to:
–
–
–
–
Provider ratio
Diabetes
Pre/Perinatal
Oral Health
-
Poverty
- Uninsurance
Cardiovascular
- Cancer
Child Health
- Behavioral Health
Other health indicators
• Community data compared to national benchmark
• Data availability varies by indicator (census tract, county,
and state level data)
Need for Assistance (NFA) Worksheets
• Data sources and year are on worksheet for each
indicator
• NFA available for PCAs and counties
– Will be posted on HSD website soon
• Can also request NFA for your specific service area
– Define service area by census tracts, zip codes, or street
boundaries
– Submit request to tracy.lenartz@azdhs.gov
– Please allow 2 week turn-around time
Need for Assistance (NFA) Worksheets
Arizona Medically Underserved Areas (AzMUA)
• Biannual designation process per ARS 36-2352
• Utilizes PCA boundaries
• Designation is based on Primary Care Index, consisting
of 14 weighted items:
–
–
–
–
Provider Ratio
Uninsured Births
Infant Mortality
Minorities
-
Poverty
Low Birth Weight
Premature Death
Elderly
-
Transportation
Prenatal Care
ASC
Unemployed
• All federal Primary Care HPSAs also considered AzMUA
Arizona Medically Underserved Areas (AzMUA)
http://www.azdhs.gov/hsd/profiles/reports.htm
Federal Shortage Designations
Purpose:
• Designations identify areas or populations as having a shortage of
or need for dental, mental, and primary health care
providers/services
Types of Federal Designations:
• Medically Underserved Area (MUA) and Medically Underserved
Population (MUP)
– Primary Care only
• Health Professional Shortage Area (HPSA)
– Primary Care, Dental, Mental Health
Federal Shortage Designations
To determine if your community is currently designated, visit:
http://datawarehouse.hrsa.gov/GeoAdvisor/ShortageDesignationAdvisor.aspx
Federal Shortage Designations
Mapping Requests
• HSD can create specialized GIS maps
– Health Planning purposes
– Grant applications
• Tips for Successful Mapping:
– Define service area by zip codes, census tracts or major street
boundaries
– Be very specific about data you would like included on the map
– Send request to tracy.lenartz@azdhs.gov
– Allow plenty of time (HSD IT Specialist works on a limited
contract basis)
Mapping Requests
AHDC Weekly Newsletter
For resources and funding opportunities related to health disparities, sign up for
Arizona Health Disparities Center’s weekly newsletter here:
http://www.azminorityhealth.gov/AHDCweeklyUpdate.htm
Contact Info
For any questions related to HSD resources, or to
submit a request for a report or map, contact:
Tracy Lenartz, MPH
Health Planning Consultant - Designations Coordinator
Bureau of Health Systems Development
Arizona Department of Health Services
Phone: 602-542-1772
Email: tracy.lenartz@azdhs.gov
(Email is best way to contact me)
Designation Mapper
• Live Demo by Wes Kortuem
Designation Mapper →
Web Sites
• Designation Mapper Site
– http://www.azdhs.gov/hsd/designations
• Site up by Monday August 22nd
• Google will replace IA but same URL
• Arizona Cancer Registry Interactive Community
Health Analysis Area (CHAA) Site:
– http://www.azdhs.gov/phs/azchaa/
• Instant Atlas software Website:
– http://www.instantatlas.com/
Wesley Kortuem
GIS Coordinator
Arizona Department of Health Services
602-542-4452
wes.kortuem@azdhs.gov
Any Questions?
Thank You