1. Tracy Lenartz, Health Planning Consultant Wes Kortuem, GIS Coordinator Arizona Department of Health Services Division of Public Health Services Bureau of Health Systems Development ADHS Tools for Community Needs Assessments

2. Arizona Department of Health Services Division of Behavioral Health Services Division of Public Health Services Division of Licensing Tobacco and Chronic Disease Public Health PreventionPublic Health Preparedness Women’s and Children’s Health Nutrition and Physical Activity Health Systems Development Epidemiology and Disease Control Vital Statistics State Laboratory Services Emergency Medical Services and Trauma Emergency Preparedness

4. 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. Mission

5. 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

6. 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

7. 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/profileswww.azdhs.gov/hsd/profiles Data sources: http://www.azdhs.gov/hsd/profiles/datadocu.pdf http://www.azdhs.gov/hsd/profiles/datadocu.pdf

8. Primary Care Area Profiles

10. Special Area Profiles Statistical profiles are also posted for “places” (cities) and legislative districts at www.azdhs.gov/hsd/profileswww.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.govtracy.lenartz@azdhs.gov –Please allow 2 week turn-around time

11. Need for Assistance (NFA) Worksheets Required component for 2010 Federally Qualified Health Center (FQHC) New Access Point Application Includes data related to: –Provider ratio- Poverty- Uninsurance –Diabetes- Cardiovascular - Cancer –Pre/Perinatal- Child Health- Behavioral Health –Oral Health- Other health indicators Community data compared to national benchmark Data availability varies by indicator (census tract, county, and state level data)

12. 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.govtracy.lenartz@azdhs.gov –Please allow 2 week turn-around time

13. Need for Assistance (NFA) Worksheets

14. 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 - Poverty- Transportation –Uninsured Births - Low Birth Weight- Prenatal Care –Infant Mortality - Premature Death- ASC –Minorities - Elderly- Unemployed All federal Primary Care HPSAs also considered AzMUA

15. Arizona Medically Underserved Areas (AzMUA) http://www.azdhs.gov/hsd/profiles/reports.htm

16. 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

17. Federal Shortage Designations To determine if your community is currently designated, visit: http://datawarehouse.hrsa.gov/GeoAdvisor/ShortageDesignationAdvisor.aspx

18. Federal Shortage Designations

19. 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.govtracy.lenartz@azdhs.gov –Allow plenty of time (HSD IT Specialist works on a limited contract basis)

20. Mapping Requests

21. 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

22. 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.govtracy.lenartz@azdhs.gov (Email is best way to contact me)

23. Designation Mapper Live Demo by Wes Kortuem

25. Designation Mapper →

26. Web Sites Designation Mapper Site –http://www.azdhs.gov/hsd/designationshttp://www.azdhs.gov/hsd/designations Site up by Monday August 22 nd Google will replace IA but same URL Arizona Cancer Registry Interactive Community Health Analysis Area (CHAA) Site: –http://www.azdhs.gov/phs/azchaa/http://www.azdhs.gov/phs/azchaa/ Instant Atlas software Website: –http://www.instantatlas.com/http://www.instantatlas.com/

27. Wesley Kortuem GIS Coordinator Arizona Department of Health Services 602-542-4452 wes.kortuem@azdhs.gov

28. Any Questions? Thank You