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Assessing Healthcare Infrastructure; Supply & Demand


  Decision-Making Information
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  resources and solutions ...
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Healthcare providers and the healthcare delivery system are challenged to determine what resources to make available at what locations and when. Assessing supply-side characteristics of the healthcare market is difficult at best. Current data on locations and capabilities of hospitals, ambulatory health care services (physicians, dentists, other healthcare practitioners, etc.), nursing and residential care facilities, and social assistance are multi-sourced and challenging to integrate.

As the population ages, migrates and otherwise changes, healthcare needs change by location, type and in other ways. Current small area demographics of these demand measures are not readily available -- when knowing about changes in demand over the next several years is even more important. Changing economic circumstances and issues with insurance coverage affect the ability to pay and the demand for various healthcare resources.

Hospital, Nursing Home, Health Center Market Analysis

Proximity develops demographic, economic, and geographic data resources, and tools to use these resources, to assist stakeholders with analysis of wide-ranging issues. This document summarizes resources to facilitate healthcare decision-making information solutions. Watch the monthly DMINews for new healthcare decision-making information topics as this document is updated.

  • HealthCareAnalyst
  • GIS & Health Care ProjectFilesets
  • U.S. by County Demographics Life Expectancy -- Healthcare ProjectFileset
  • U.S. Hospitals, Nursing Homes, Health Care Centers by Location -- Healthcare ProjectFileset
  • GeoDemographic Information System 2 -- annual estimates & projections to 2020
  • Healthcare Industry Establishments, Employment, Earnings -- updated quarterly
  • DemographicMosaic
  • Strategic processes to deploy healthcare decision-making information solutions

HealthCareAnalyst
The HealthCareAnalyst (HCAnalyst) is an integrated software and database Win32 tool. Use HCAnalyst on your computer with the U.S. Health Resources and Services Administration (HRSA) Area Resource File (ARF), updated annually, providing access to multi-sourced data on several thousand health care-related measures at the county level. Acquire the ARF data directly from HRSA; HCAnalyst works directly with the ARF data as distributed by HRSA. Integrate the ARF data with other data for spreadsheet, database, visual analysis, and other applications. Export the data for use with the CommunityViewer software.

Thematic Maps and Pattern Analysis
click for larger view Use HCAnalyst to export the data for use with the CommunityViewer or other mapping software for geospatial analysis of healthcare patterns. The map at the right shows the number of MDs per 1,000 population for the U.S. by county. Darker red: no MDs, light red: 1 MD per 1,000, light blue: 1-3 MDs per 1,000, dark blue: 4 or more MDs per 1,000 population (based on 2005 data). It is easy to see counties and regions that are relatively underserved by the availability of physicians. Click graphic for larger view then press F11 key for best view. Based on ARF sourced data, add other subject matter data for other geography as reviewed below.

GIS & Healthcare ProjectFilesets
Proximity develops generalized and custom 'HealthCare ProjectFilesets' that provide ready-to-use decision-making information solutions. The HealthCare ProjectFilesets are comprised of a GIS project file and a set of shapefiles with integrated healthcare-related data. The HealthCare ProjectFilesets are ready for use with the CommunityViewer (CV) software -- an generalized geographic information system (GIS) designed for use on Win32 computers. CV has specialized demographic analysis features not available in any other GIS resource. However, CV is not required to use the health-related shapefiles and data, any software with ability to use shapefiles may use the HealthCare ProjectFilesets.

U.S. by County Demographics Life Expectancy -- Healthcare ProjectFileset
"Life Expectancy Drops for Some U.S. Women" ... data from PLoS Journal of Medicine (4/22/08). This ProjectFileset is comprised of the GIS project file, U.S. by County Life Expectancy demographics shapefile, U.S. by state boundary file, and U.S. by CBSA boundary shapefile. Integrated time series demographics are included in the county and CBSA shapefiles. Other shapefiles (e.g. streets) can be added using the CommunityViewer GetWebGeodata feature at no fee.

U.S. by County Life Expectancy Demographics. We have used the PLoS study Life Expectancy at Birth by County, 1961-1999, data and merged these data into the U.S. by county shapefile. For each year, 1961-1999, fields include life expectancy for the total population, males, and females.

U.S. Hospitals, Nursing Homes, Health Care Centers by Location -- Healthcare ProjectFileset
This ProjectFileset is comprised of the GIS project file (national scope shapefiles with integrated attributes):
  • Hospitals (point)
  • Nursing homes (point)
  • Community healthcare centers (point)
  • States
  • CBSAs (metros)
  • Counties
  • Census tracts

Integrated time series demographics are included in the county and CBSA shapefiles. Other shapefiles (e.g. streets) can be added using the CommunityViewer GetWebGeodata feature at no fee.

Hospitals. Proximity has geocoded hospital address data collected and developed by the U.S. Department of Health and Human Services (DHHS) Hospital Compare program to enable geospatial analysis of acute care and critical access hospitals and associated attributes (data as of 2006). The geocoded address data were then converted to a U.S. by hospital shapefile and related hospital attributes were integrated into the shapefile.

Nursing Homes. Proximity has geocoded nursing home address data collected and developed by the U.S. Department of Health and Human Services (DHHS) Medicare Nursing Home Compare program to enable geospatial analysis of nursing homes.

Community Health Care Centers. Proximity has geocoded community health care center address data collected and developed by the U.S. Department of Health and Human Services (DHHS) to enable geospatial analysis of these centers.

GeoDemographic Information System 2
Use the Proximity GeoDemographic Information System 2 (GDIS2) to access/analyze U.S. by county detailed demographic trends.

  • Win32 software and database
  • County 5-year age cohort annual estimates and projections 2000 to 2020
      -- with iterations by race/ethnicity and gender
  • County single year of age annual estimates and projections 2000 to 2020
      -- use optional integrated Modeler to set your own assumptions
      -- develop multi-scenario projections
  • Census tract current demographic estimates, quarterly 2008Q1 forward

Integrate these data with healthcare project filesets described above.

Healthcare Industry Establishments, Employment, Earnings
Use the Proximity MetroDynamics to access/analyze healthcare industry establishments, employment and earnings. Updated quarterly, at the county and higher geographic levels, these data provide the most recent measure of healthcare industry composition and trends. Health-related industries include those in NAICS 62 (Excel file) -- Health Care and Social Assistance industries.

DemographicMosaic
Link the more general demographics for geographic areas including block groups, census tracts, places, counties and other areas.

  • General Demographics
  • Social Characteristics
  • Economic Characteristics
  • Housing Characteristics

Contact Proximity for more information.


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