1. R National Center for Rural Health Works Community Health Needs Assessment H W AGENDA – Community Meeting #1

2. Overview – Community Health Needs Assessment  Involves two meetings  We are resource team and provide data, analysis and facilitation.  You are the community steering committee and decision makers.

3. Facilitated by: Gerald Doeksen and Val Schott National Center for Rural Health Works Community Health Needs Assessment R National Center for Rural Health Works Community Health Needs Assessment Template H W

4. WHAT are we doing? A community-based assessment of health care needs in the medical service area of Ocean Beach Hospital and Medical Clinics. From the community’s perspective as to health care needs From analysis of data and information from public health department, other data sources, survey results, and economic impact study

5. (Cont’d) WHAT are we doing? Outcomes of the community-based assessment will depend on: Community recommendations to Ocean Beach Hospital and Medical Clinics Resource availability Results of the community needs assessment will be reported to the IRS on Form 990 and related schedules by Ocean Bean Hospital and Medical Clinics R National Center for Rural Health Works Community Health Needs Assessment Template H W

6. WHY are we doing this? The Patient Protection and Affordable Care Act (PPACA) requires not-for-profit hospitals to provide a Community Health Needs Assessment, as follows: The organization must conduct a “community health needs assessment” not less frequently than every three years and adopt an implementation strategy to meet the community health needs identified through the assessment.

7. (Cont’d) WHY are we doing this? A “community health needs assessment” must include input from persons “represent[ing] the broad interests of the community served by the hospital facility,” including those “with special knowledge of or expertise in public health.” The assessment must be made widely available to the public. Hospitals are required to fulfill these requirements to preserve their status as not- for-profit facilities.

8. (Cont’d) WHY are we doing this? The legislation also includes: Financial Assistance Policy Requirements Requirements regarding Charges Billing and Collection Requirements Ocean Beach Hospital and Medical Clinics will fulfill these requirements internally. R National Center for Rural Health Works Community Health Needs Assessment Template H W

9. WHY we WANT to do this? Regardless of the legislative requirements, Ocean Beach Hospital and Medical Clinics wants community-based assessment to become a part of the hospital strategic plan on a long-term, continuing basis. Community will provide input to Ocean Beach Hospital and Medical Clinics as to the community’s needs. Ocean Bean Hospital and Medical Clinics will develop communications and relationships with the community to plan and provide for the community’s needs. R National Center for Rural Health Works Community Health Needs Assessment Template H W

10. WHAT is required from the Community Group? 1.To review and analyze data and information provided during process:  From Ocean Beach Hospital & Medical Clinics: Medical service area Services and community benefits currently provided  From State or Local Public Health: Data on health indicators and outcomes

11.  From other sources: U. S. Census Bureau and County Business Patterns ESRI U. S. Department of Commerce, Regional Economic Information System, Bureau of Economic Analysis Other agencies and foundations that provide relevant health data (Cont’d) WHAT is required from the Community Group?

12.  Information will also be provided concerning : The economic impact of the hospital Jobs and salaries, wages, and benefits generated locally A summary of the importance of the hospital to the local economy (Cont’d) WHAT is required from the Community Group?

13. 2.Provide input through health survey questionnaire and have other community members complete survey. 3. Review and analyze results of survey. 4.Provide input and recommendations on local community needs in the medical service area. (Cont’d) WHAT is required from the Community Group? R National Center for Rural Health Works Community Health Needs Assessment Template H W

14. SUMMARY of Community Group Responsibilities Community members are here to participate in a two-meeting community-based needs assessment Community members will review data and information and identify the health needs of the community Community members will make recommendations to Ocean Beach Hospital and Medical Clinics R National Center for Rural Health Works Community Health Needs Assessment Template H W

15. AGENDA - Community Meeting #1 R National Center for Rural Health Works Community Health Needs Assessment Template H W

17. Hospital Services and Community Benefits Ocean Beach Hospital and Medical Clinics - Services and Community Benefits Presented by: Alan Craft, Director, Public Relations & Business Development

20. What's the Economic Potential for Health Care in Your Community

21. Health Services Promote Job Growth

22. To attract business and industry, research indicates the area needs quality: Health services and Education services

23. To attract retirees, research indicates the area needs quality: Health services and Safety services

24. Direct Activities of Ocean Beach Hospital and Medical Clinics in Pacific County, Washington, 2011 Employment Number of Full-time & Part-Time Employees Ocean Beach Hospital and Medical Clinics182 Income Wages, Salaries, and Benefits (Income) Ocean Beach Hospital and Medical Clinics$14,314,468

25. Community Economic System

26. Economic Impact of Ocean Beach Hospital and Medical Clinics on Pacific County, Washington, 2011 Employment Impact NumberEmploymentSecondaryTotal EmployedMultiplierImpact Ocean Beach Hospital & Medical Clinics1821.4073255

27. Economic Impact of Ocean Beach Hospital and Medical Clinics on Pacific County, Washington, 2011 Income Impact DirectIncomeSecondaryTotal IncomeMultiplierImpact Ocean Beach Hospital and Medical Clinics$14,314,4681.19$2,719,749$17,034,217 Local Sales Tax Impact Local1.3% Local RetailRetail Sales Tax Sales Impact Collection Impact Ocean Beach Hospital and Medical Clinics$2,555,133$33,217

28. Businesses and industries locate in areas with high quality medical facilities and educational systems; Retirees locate in areas with accessible and comprehensive health care services and law enforcement services; The health sector is a growing sector and will continue to generate more jobs, and; The health sector generally pays above-average salaries and wages. In summary, Ocean Beach Hospital & Medical Clinics contribute to economic development: Local leaders must continue to support Ocean Beach Hospital and Medical Clinics to ensure development of economic growth and opportunities in Pacific County.

30. Table 1a Population by Zip Code for Medical Service Area of Ocean Beach Hospital & Medical Clinics Populations Zip Code Area 2000 Census2000 ESRI2009 ESRI2014 ESRI Medical Service Area 98614, Chinook556N/A 98624, Ilwaco1,3371,2831,3451,375 98631, Long Beach3,4114,0784,3484,443 98638, Naselle/Nachotta1,3702,0112,2202,278 98640, Ocean Park3,8113,7623,9233,966 98641, Oysterville48N/A Total Medical Service Area10,53311,13411,83612,062 % Change from 2000 ESRI 6.3%8.3%

31. Table 1b Populations of Pacific County and State of Washington Populations 2000 Census 2009 Estimated 2010 Census % Change '00 to '09 % Change '00 to '10 Pacific County Ilwaco city9509939364.5%-1.5% Long Beach city1,2831,3651,3926.4%8.5% Raymond city2,9752,8522,882-4.1%-3.1% South Bend city1,807 1,6370.0%-9.4% Rural Area Total13,96914,25514,0732.0%0.7% Pacific County Totals20,98421,27220,9201.4%-0.3% State of Washington5,894,1216,664,1956,724,54013.1%14.1%

32. Table 2 Zip Code Populations by Race and Hispanic Origin for the Medical Service Area of Ocean Beach Hospital & Medical Clinics Zip NativeTwo or more Hispanic CodeZip Code AreaWhiteBlackAmerican 1 Races 2 Other 3 TotalsOrigin 4 2000 Census Totals9,8322517128122410,533404 Combined categories452 2000 % of Total93.3%0.2%1.6%2.7%2.1%100.0%3.8% Combined categories4.3% 2009 ESRI Totals10,8693381212211,836658 2009 % of Total91.8%0.3%6.9%1.0%100.0%5.6%

33. Table 3 Zip Code Populations by Age Group for the Medical Service Area of Ocean Beach Hospital and Medical Clinics ZipZip CodeAge Groups CodeArea0-1415-1920-2425-4445-6465+Totals 2000 Census Totals1,5366932922,0313,2822,69910,533 2000 % of Total14.6%6.6%2.8%19.3%31.2%25.6%100.0% 2009 ESRI Totals1,3657524461,9214,0003,35211,836 2009 % of Total11.5%6.4%3.8%16.2%33.8%28.3%100.0%

34. Table 4 Population, Projections, and Percent Change for Pacific County and the State of Washington CensusPopulation Projections County/State20102015202020252030 Pacific County20,92021,70522,20722,65722,985 % Change from 2010 3.8%6.2%8.3%9.9% State of Washington6,724,5407,255,6727,698,9398,120,5108,509,161 % Change from 2010 7.9%14.5%20.8%26.5%

35. Table 5a Employment for Pacific County and the State of Washington Employment CountyHealth Services as a HealthTotal% of Total ServicesCountyCounty EmploymentState Employment 20005624,37112.9%12.4% 20015824,25613.7%12.5% 20027094,08017.4%13.6% 20037254,24017.1%13.4% 20047594,26817.8%13.6% 20057434,57116.3%13.7% 20067444,74015.7%13.6% 20077614,77215.9%13.7% 20088094,54317.8%13.9% 20097714,16718.5%15.1% % Change 2000 to 2009 27.1%-4.9%

36. Table 5b Payroll for Pacific County and the State of Washington Payroll ($1,000s) CountyHealth Services as a HealthTotal% of Total ServicesCountyCounty PayrollState Payroll 200012,29384,11914.6%10.1% 200112,89884,29215.3%10.9% 200217,03084,92620.1%12.4% 200317,70586,37320.5%11.8% 200418,37590,69420.3%12.6% 200519,76398,62620.0%12.8% 200620,731107,50519.3%12.9% 200722,591120,16918.8%12.6% 200823,596116,68120.2%13.2% 200923,115110,42020.9%14.6% % Change 2000 to 2009 88.0%31.3%

37. Table 8 Transfer Receipts for Pacific County and the State of Washington, 2009 Pacific CountyState of Washington Receipts% ofReceipts% of Transfer Receipt Categories($1,000s)Total($1,000s)Total Total personal current transfer receipts226,579100.0%44,836,679100.0% Transfer receipts of individuals from govts222,71498.3%43,630,43097.3% Retirement & disab ins benefits95,30942.1%16,238,69236.2% Old-age, surv & disab ins (OASDI) benefits90,78040.1%14,012,77131.3% Railroad ret & disab benefits1,2250.5%226,7740.5% Workers' compensation2,9591.3%1,945,4734.3% Other govt ret & disab ins benefits 1 3450.2%53,6740.1% Medical benefits82,96036.6%15,592,85034.8% Medicare benefits51,07922.5%8,589,38519.2% Public assist medical care benefits 2 31,23313.8%6,779,16515.1% Military medical insurance benefits 3 6480.3%224,3000.5% Income maintenance benefits20,7369.2%4,817,95010.7% Suppl security income (SSI) benefits3,6341.6%805,0581.8% Family Assistance 4 3,3671.5%834,4871.9% Suppl Nutrition Asst Program (SNAP)5,6222.5%1,155,6372.6% Other income maintenance benefits 5 8,1133.6%2,022,7684.5% Unemployment ins compensation11,2104.9%3,707,7548.3% Veterans benefits6,9283.1%1,438,4793.2%

38. Table 9 Economic Indicators for Pacific County, the State of Washington, and the United States PacificState ofUnited IndicatorCountyWashingtonStates Total Personal Income (2009)$646,736,000$285,696,255,000$12,168,161,000,000 Per Capita Income (2009)$30,403$42,870$39,635 Employment (2010)8,0603,192,117139,064,000 Unemployment (2010)1,184339,50914,825,000 Unemployment Rate (2010)12.8%9.6% Employment (June 2011)7,7063,152,763139,079,000 Unemployment (June 2011)1,150330,10814,101,000 Unemployment Rate (June 2011)13.0%9.5%9.2% % of People in Poverty (2009)17.9%12.3%14.3% % of Under 18 in Poverty (2009)26.5%16.2%20.0% Transfer Receipt Dollars (2009)$226,579,000$44,836,679,000$2,131,880,000,000 Transfer Dollars as Percentage of 35.0%15.7%17.5% Total Personal Income (2009)

40. Health Survey Questionnaire  Community Committee Members complete a survey TODAY  Each Community Committee Member takes five more surveys to have completed  Additional surveys are to be completed by the constituents that the Community Member represents  Return completed surveys to Alan Craft at Ocean Beach Hospital and Medical Clinics by September 16, 2011

42. Community Meeting #2, October 20, 2011, at Noon R National Center for Rural Health Works Community Health Needs Assessment Template H W

43. Community Health Needs Assessment - Summary Recommendations to the Hospital

45. HOSPITAL REPORTING REQUIREMENTS Community Health Needs Assessment Reporting to Meet IRS Requirements IRS Forms: Form 990 & Schedule H Summary Report Outline Community Health Needs Assessment Community Members Need to include name, organization and contact information for: Hospital Administrator Steering Committee or Leadership Group Facilitator Community Advisory Committee Members Medical Service Area Describe by county or zip code areas Include populations and projected populations of medical service area Include demographics of population of medical service area Community Meeting #1 Date Agenda List reports presented with short summary of each Community Meeting #2 Date Agenda List reports presented with short summary of each Community Needs and Implementation Strategies Include community needs and implementation strategies with responsibilities from community group Hospital Final Implementation Plan Include which needs hospital can address and the implementation strategies Include which needs hospital cannot address and reason(s) why Community Awareness of Assessment Describe methodology for making assessment widely available to the community

46. For Additional Information: Please contact: Gerald Doeksen, Executive Director National Center for Rural Health works Oklahoma State University Phone: 405-744-6083 Email: gad@okstate.edu or Val Schott, Director Oklahoma Center for Rural Health OSU College of Health Sciences Phone: 405-840-6500 Email: val.schott@okstate.edu R National Center for Rural Health Works Community Health Needs Assessment Template H W