CHARTing
Health Information for Texas-->Sociodemographic
& Community Characteristics-->Access to Health Care
For an overview of data covering issues that affect access to
health care, County
Overviews.
Demographic
& Socioecomonic Statistics/Indicators (Texas Health and Human
Services Commission; dates of coverage vary; State level
data)
List of Community Health
Centers and Federally Qualified Health Centers (U.S. Health Resources
and Services Administration; current data)
Texas
Medicaid and CHIP Enrollment Statistics and Related Links (TX Health
& Human Services Commission)
Health
Insurance (US Census Bureau: 2005; State level)
Federal
Aid to States (US Census Bureau, 2005; State level;
PDF)
The
Uninsured: A Hidden Burden on Texas Employers and Communities (Texas
Comptroller of Public Accounts; 2005; State and MSA
level)
This excellent report provides a very thorough description of the uninsured
in Texas, with mention of some cities and counties.
A
Vision for Change: Policy Solutions for Increasing Health Coverage in
Texas (Texas Health institute, 2007)
" Texas Health Institute undertook a study to develop feasible public
policy solutions
that, when combined together, could cut the number of Texans without health
coverage almost in half. Using the most recent estimates of uninsured
per county,
the study also examines the corresponding economic and fiscal impact of
increasing
the number of Texans with health coverage. The report, “A Vision
for Change: Policy
Solutions for Increasing Health Coverage in Texas”, provides policymakers
and stake-
holders at all levels a selection of cost-effective and workable policy
solutions
to deploy when solving the issue facing more than 5.6 million Texans."
Code Red: The
Critical Condition of Health in Texas (Task Force on Access to Health
Care in Texas)
"Texas faces an impending crisis regarding the health of its population,
which will profoundly influence the state’s competitive position
nationally and globally... In the state, 25.1 percent of the population
is without health insurance, the highest in the nation and growing. The
increasing discrepancy between growing health needs and access to affordable
health insurance coverage creates the conditions for a “perfect
storm.”
In view of these serious challenges, ten academic health institutions
created a Task Force on these issues. Task Force members also included
small and large business employees, health care providers, insurers and
consumers....."
A
Vision for Change: Policy Solutions for Increasing Health Coverage in
Texas (Texas Health Institute, 2007)
Profile
of the Uninsured in Texas (The Access Project; 2000; State
level)
Provides a synthesis of various studies and data sets.
Disparities
in Health Insurance and Access to Care for Residents Across U.S. Cities
(UCLA Center for Health Policy Research; 2000)
"U.S. metropolitan areas are characterized by pronounced disparities
in rates of health insurance coverage and access to care. While it has
been well documented that people with lower incomes run a greater risk
of being uninsured than those with higher incomes, this study also finds
a strong relationship between a city’s rate of employer-sponsored
health coverage and its overall rates of health coverage and access to
care."
Deep
in the Heart of Texas: Uninsured Children in the Lone Star State (FamiliesUSA)
The report is covers some trends at the state level but it also mentioned
specific regions of Texas. Take note of the list of references, in particular
#15 which reads in part: "No state or national surveys are available
that estimate the number of uninsured children in Texas by county. There
are census data from 1989 and 1993 about the number of children living
below the poverty line by county....."
Uninsured
Data (St. Luke's Episcopal Health Charities; 2003; Harris
County only)
Maps and reports can be generated to show data by age, gender, race/ethnicity,
and poverty status.
Texas
Medicaid Managed Care: Monthly Confirmed Eligibles Report (Texas Health
and Human Services Commission; September 1999-Current Month; CSDA
level data)
Each report shows monthly enrollment and confirmed eligibles by plan and
by CSDA.
Research,
Planning, and Evaluation Monthly Program Statistics Reports (Texas
Health and Human Services Commission; October 2002-August 2003; county
level data)
These statistical reports provide monthly data showing: basic demographics;
employment/unemployment; cost of living indices; population living in
poverty; uninsured by age; Medicaid enrollment;
Medicaid enrollment for children; Medicaid-covered
births; and CHIP enrollment and renewal.
CHIP
Expenditures by County (Texas Health and Human Services Commission;
SFY 2002; county level data)
This document reports the average monthly CHIP enrollment and what it
costs to cover the enrollees for each county in state fiscal year 2002.
This report does not reflect the amount of CHIP funding spent in each
county. Some enrollees obtain services from CHIP providers outside of
their county of residence.
Texas
Medicaid Enrollment (Texas Health and Human Services Commission; previous
month of current year; county level data)
Provides data on all Medicaid enrollees and those under the age of 19.
Medicare
Enrollment Reports (US HHS Centers for Medicare & Medicaid Services;
dates vary; county and state level data)
Covers both aged and disabled by county. Scroll down for county data.
Texas
Hospitals Checkup (Texas Business Group on Health and the Dallas-Ft.
Worth Business Group on Health)
Hospital
Compare (US Health & Human Services; January through June 2004;
hospital level data)
"This website was created through the efforts of the Centers for
Medicare & Medicaid Services (CMS), an agency of the U.S. Department
of Health and Human Services (DHHS) along with the Hospital Quality Alliance
(HQA). The HQA is a public-private collaboration established to promote
reporting on hospital quality of care....." Includes data on Surgical
Infection Prevention, Heart Attack, Heart Failure, and Pneumonia.
Quality
Check (Joint Commission)
The Joint Commission has had a longstanding commitment to providing meaningful
information about the comparative performance of accredited organizations
to the public. In 1994, The Joint Commission first published organization-specific
Performance Reports. In 1996, Quality Check®, a directory of Joint
Commission accredited organizations and performance reports, became available
on the website.
Indicators
of Inpatient Care in Texas Hospitals, 2004 (Texas Department of State
Health Services; hospital level data)
Indicators
of Inpatient Care in Texas Hospitals, 2003 (Texas Department of State
Health Services; hospital level data)
Learn more about the performance of your hospital with these reports.
The Dartmouth
Atlas of Health Care (Dartmouth (US) Medical School; dates vary but
most current is 2003; hospital level data)
- Data
Tools
- Benchmarking
The Benchmarking tool allows you to compare rates in selected areas
or hospitals to each other or the national or state average.
- Data
Tables
The Data Table tool provides an easy way for you to query the database
and save your results.
- Distribution
Graph
The Distribution Graph allows you to display the full range of rates
for an event variable of your choice.
- Medical
Care Cost Equation
The Medical Care Cost Equation table shows the variation in per-
decedent spending for either inpatient hospitalizations or physician
visits, and evaluates the contributions of variation in price and
volume in determining Medicare reimbursements.
- Profile
The Profile allows you to compare the rates of up to 15 events you
choose, in the area or hospital of your choice, to the national
distribution of the unsuppressed rates in the data set.
- Geographic
Query Finder
The Geographic Query Finder allows you to locate ZIP codes and hospitals
by hospital service area (HSA) and referral region (HRR).
- Atlases
& Reports
- Research
Agenda and Findings
Reports
on HMO Performance by Region (Texas Health Care Information Council;
1998 to 2001; regional level data)
Learn more about the performance of your HMO with these reports.
Health
Professional Shortage Areas Database (U.S. Health Resources and Services
Administration; current data; Census tract and county
level data)
This database has the most current data containing information on those
areas that are designated as having a health professional shortage. Data
is listed by date of HPSA designation. The TDSHS reports (below) provide
basic data for the entire county; this tool provides data for Census tracts
where appropriate. Shortages of three professions are recognized by this
program: primary medical care M.D.s and D.O.s, dentists, mental health
professionals. Generally, there are three major components of the federal
HPSA criteria: 1) Rational service area; 2) Population-to-physician ratio;
and 3) Accessibility of populations to primary care resources in surrounding
areas.
MUA/MUP (Medically
Underserved Areas & Medically Underserved Populations) Database
(US Health Resources & Services Administration; Census tract
level)
Medically Underserved status is designated to areas or populations having
a shortage of personal health services according to U.S. Department of
Health and Human Services' rules.
- Areas (MUAs). Eligibility for designation as an MUA is based on the
demographics of the entire population in an area compared to national
statistics for four health care demand/resource indicators:
- Percentage of elderly population (over 65 years)
- Poverty rate
- Infant mortality rate
- Ratio of primary care physicians per 1,000 population
- These four indicators are converted to weighted values. The sum
of the four weighted values equals the Index of Medical Underservice
(IMU) score. Areas with IMU scores equal to or less than the national
average IMU (62.0) are designated as underserved.
- Populations (MUPs). MUP IMU scores are calculated in the same manner
as for MUAs. However, the specific population for whom the MUP is calculated
represents only a portion of the area's entire population. These specific
populations encounter barriers to primary care access. The barriers
may be economic (e.g., low income or Medicaid-eligible populations,
low income population) or sociologic (cultural, linguistic)
Health
Professions Resource Center (HPRC) (Texas Department of State Health
Services)
Indigent
Health Care Spending Data (Texas Department of State Health Services;
2000 - 2004; some county level data)
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Last updated 7/11/2005
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