1. Rural Health Works: Evaluate the Impact of your Health Sector as a Key to Successful Rural Development Joette Langianese Grand County, Utah Phone: 435-259-1346 Email: joettel@frontiernet.net County Commissioners H W Rural Health Works R National Center for

2. Rural Health Works: Evaluate the Impact of your Health Sector as a Key to Successful Rural Development Gerald A. Doeksen, PhD Regents Professor/Extension Economist Oklahoma Cooperative Extension Service National Center for Rural Health Works Phone: 405-744-6083 Email: gad@okstate.edu By Paper presented at 2007 Utah NACo Annual Conference, in St. George on November 16, 2007 Val Schott, MPH Director Center for Rural Health Oklahoma State University Center for Health Sciences Phone: 405-945-9197 Email: val.schott@okstate.edu H W Rural Health Works R National Center for

3. NACo Rural Health Works Project 2007 Grand County – Utah Adams County - Ohio Linn County - Missouri H W Rural Health Works R National Center for

4. Overall Objectives  To demonstrate the importance of the health sector to a rural county  To discuss the process of county health engagement H W Rural Health Works R National Center for NACo Rural Health Works Project

5. Grand County, Utah Approximate Population = 8,743 Joette Langianese County Commissioner Beaver Box Elder Cache Carbon Daggett Davis Duchesne Emery Garfield Grand Iron Juab Kane Millard Morgan Piute Rich Salt Lake San Juan Sanpete Sevier Summit Tooele Uintah Utah Wasatch Washington Wayne Weber State of Utah Grand County

6. Moab, Grand County, Utah Grand County

7. County Health Engagement Process  Brief overview of county and health services in county  Participants - Who do they represent - How they were invited  Series of noon meetings

8. Participants – All Inclusive  Grand County Rural Health Network Board Members  Health Care Providers  Board of County Commissioners  Town mayors/managers  Emergency Medical Services  Clergy  Chamber Executive Directors  County Home Health/Public Health  Large Employers/Realtors/Developers/Bankers/Resort Owners  Colorado Rural Health Center  Northwest Colorado Council of Governments  State of Colorado Department of local Affairs

9. Series of Meetings I. Economic Impact and Process II. Directory of Health Services III. County Health Survey IV.County Data and Health Statistics

10. Health Services Promote Job Growth

11. Health Services Foster Rural Development

13. Grand County, Utah Direct Economic Activities of Health Sector EstimatedEstimated ComponentsEmployeesIncome Hospital 141$7,082,452 Offices of Physicians, Dentists, & Other Health Practitioners78$4,569,339 Other Medical & Health Services129$2,855,138 TOTALS348$15,226,929

14. Figure 3. Overview of County Economic System Households Industry Basic Goods & Services $ Labor Inputs Products Inputs $$ $ $ Services $$

15. Hospital1411.46206 Offices of Physicians, Dentists & Other Hlth Practitioners781.40109 Other Med & Hlth Services1291.18 152 TOTALS348 467 Grand County, Utah Health Sector Impact on Employment Health Sectors EmploymentMultiplier Impact

16. Grand County, Utah Health Sector Impact on Income Health Sectors Income Multiplier Impact Hospital $7,802,4521.33$10,377,261 Offices of Physicians, Dentists & Other Hlth Practitioners$4,569,3391.23$5,620,287 Other Med & Hlth Svcs$2,855,1381.23 $3,511,820 TOTALS $15,226,929$19,509,368

17. Grand County, Utah - Health Sector Impact on Retail Sales and Sales Tax Collections 1¼ Cent Health Employment Income Retail Sales Tax Component Impact Impact Sales Collection Hospital 206$10,377,261$1,985,543$24,819 Physicians, Dentists & Other...109$5,620,287$1,075,363$13,442 Other Med & Hlth Svcs152$3,511,820$671,937$8,399 TOTALS 467$19,509,368$3,732,843$46,660

19. Summary of Directory Process I. Create draft from Yellow Pages II. Committee revises at meeting III. Committee reviews & revises IV. Publish directory V. Set up process to mass produce and update for future

20. Summary of Directory Contents I.Emergency Numbers II.Health Services by Providers Examples: Physicians Dentists Hospital

21. Summary of Directory Contents III.Local Government – Community – Social Services Examples: Department of Human Services County Offices IV.State and National Information Services - Support Groups - Help Lines

23. Summary of Survey Process I. Ask utilization questions II. Calls completely random III. Publicize the event IV. Complete in one week

26. Summary of Data & Information Material I. Economic Examples: Poverty Employment II. Demographic Examples: Age Race/Ethnic Groups

27. Summary of Data & Information Material III.Health Behavior Examples: Maternal & Child Health Data Injury Incidence Leading Causes of Death

29. Process will yield at least four products

31. NACo Website Products located at: http://www.naco.org/ At bottom left corner of page, CLICK ON: Training and Technical Assistance CLICK ON: Health CLICK ON: 6/26/2007 - 2007 Rural Health Works Technical Assistance County Products

32. Rural Health Works Websites: National Rural Health Works: www.ruralhealthworks.org Oklahoma Rural Health Works: www.okruralhealthworks.org

33. NACo Website http://www.naco.org/ CLICK ON: Training & Technical Assistance CLICK ON: Health