RHP 14: Our Journey

An Endless Flow of Information $270 Million in DSRIP Funding 16 Counties QPI Phases 1-4 Category 3 58 Projects An Endless Flow of Information

What we are doing

What it feels like we are doing

What We Wish We Had

What Anchors Feel Like

RHP 14 Performing Providers Counties Performing Providers Andrews Permian Regional Medical Center Crane Texas Tech Health Sciences Center-Permian Basin Ector Medical Center Health System Midland Odessa Regional Medical Center Winkler Midland Memorial Hospital Howard Winkler Memorial Hospital Martin Scenic Mountain Medical Center Brewster Big Bend Regional Medical Center Jeff Davis McCamey Hospital and Convalescence Center Loving Rankin County Hospital Upton Reeves County Hospital District Reeves Culberson Hospital Culberson Ward Memorial Hospital Glasscock Permian Basin Community Centers Ward West Texas Centers Presidio Ector County Health Department Midland County Health Department Crane Memorial Hospital Big Spring State Hospital

Community Needs Assessment 26%of adults 25 years or older in RHP 14 did not graduate from high school. About 28% have some kind of college degree. 18% of all people in the RHP fall below the poverty line. The percentage of children living in poverty is 26%. The overall teen pregnancy rate in RHP 14 was higher (29.4/1000) than the Texas rate of 21.4/100. 10 of the 16 counties in RHP 14 are considered Frontier Counties because they have less than seven people per square mile. 40% of people living in RHP 14 have commercial insurance. 29% are uninsured, and the remainder relies on Medicare, Medicaid, or CHIP. 13 out of 16 Counties are designated as Medically Underserved Areas. RHP 14 has higher death rates than Texas for heart disease, chronic lower respiratory disease, accidents, Alzheimer’s disease, motor vehicle accidents, influenza/pneumonia, and cancers of colon, rectum, anus, and suicide.

Key Challenges Rapid Population Growth- the Texas State Data Center and Office of the State Demographer estimated the population in 2012 to be 385,144. According to their estimates, the population will increase by 10% from 2012 to 2030, growing from 385,144 to 424,968. People aged 65 and older will account for a larger percentage of the population in 2030. Limited Available Housing- This is directly related to the population growth. Findings homes for incoming healthcare professionals is very difficult. Provider shortages- We have an aging physician base in RHP 14 and recruitment of providers is sometimes difficult, especially in the frontier counties.

Population Growth

Projects 58 Projects 50 Original Projects 8 Three Year Projects Project Breakdown:

Money Available/Money Earned $270,000,000 in Total Funds $74,022,156.89

Where Do We Go From Here

DY 4 & 5- Present New Challenges Renewal vs. Extension What’s on the Horizon DY 4 & 5- Present New Challenges Renewal vs. Extension Medicaid Expansion/Coverage Expansion Regional Shared Incentive Pools

It’s Been a Journey

But, there is light at the end of the tunnel

Timeline July 25- Last Day to Enroll for Statewide Learning Collaborative July 31- Payment for DY3 April Reporting July 31- Category 3 Feedback due back to HHSC August 6- Plan Modifications Due to Anchor August 8- Plan Modifications due to HHSC September 9-10- Statewide Learning Collaborative September 30- End of DY3

QUESTIONS? John O’Hearn Executive Director of Strategic Planning and Business Development/RHP 14 Program Director Medical Center Health System 432-640-2429 johearn@echd.org