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Publications - Health Matters Series

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Tackling the Needs of the Uninsured in the Finger Lakes Region (September 2006) PDF file.  The purpose of this paper is to examine how the Finger Lakes Region, in Central New York, is working towards addressing the needs of the uninsured and the underinsured through discourse and collaboration among key stakeholders.
Healthcare Workforce Study of the Finger Lakes Region (March 2006) PDF file.  Over the next 15 years, one of the greatest challenges that the regional health system will face is developing and maintaining a qualified workforce. Changing demographics and a rapidly evolving health system present significant challenges in meeting the current and future needs of the population.
Healthcare Workforce Study of the Finger LakesRegion (Feb. 2006) Chart book   PDF file.  In 2005, the Finger Lakes Health Systems Agency conducted a personnel survey to determine the supply of the healthcare workforce in the FLHSA region.   This chart book is a presentation of the numerical analysis of that study, including vacancy and turnover rates by provider type, region sub-area and selected titles.
Charity Care in Rochester (Sept 2005) PDF file.  Are Rochester  hospitals doing everything they can to facilitate the uninsured and underinsured receiving charity care; can this process be improved at the local level, or are changes needed at the state level?  In 2003, it is estimated that the four Rochester hospitals received $12 million from the Indigent Care Pool.1 All four local hospitals are not-for-profit, receiving tax exempt status in exchange for the community benefit they provide, yet little research has been done locally to analyze the effectiveness and accessibility of their charity care policies.
Capacity Matters (Revised June 2005)  PDF file.  There is substantial evidence in the Rochester region and elsewhere in the country that excess capacity leads to increased use of health care services, increased costs, and under-utilized facilities. Additionally, excessive capacity and utilization may jeopardize quality of care, lead to heightened competition and loss of cooperation among providers, may result in a loss of medical management to non-physician reviewers, and may lead to a loss in community control of the local health care system.

How Will an Aging Population Affect Health Care? (March 2004)  PDF file.  The Finger Lakes Health Systems Agency has published this Health Matters to focus the discussion on some of the issues expected to affect, and be affected by, the aging population in the 12-county Genesee region: health care workforce, access, financing of health care.  (click to view)

The Health of Women in the Finger Lakes Region (November 2003) PDF file, discusses the increasing recognition among health care researchers, policymakers and clinicians that women's health care utilization and health issues vary significantly from men's.  These differences must be considered when providing health services to women or developing strategies for improving women's health status.  (click to view)

The Potential Effects of Hospital Consolidation on Access to Care: Questions for the Rochester Community (June, 2003) describes the experiences with hospital consolidation of other U.S. cities, and poses a series of questions for local policy makers to consider, from the perspective of access to care, when asked to respond to potential consolidation. It also provides a history of hospital consolidation in Rochester.

Leading Health Indicators, Monroe County (October 2002) This 8 page pamphlet, jointly published with the Monroe County Health Department, presents information on measures of health and health care in Monroe County, reflecting the set of Leading Health Indicators developed in Healthy People 2010 and the priorities in HEALTH ACTION.  (No charge)

AIDS in the Finger Lakes Region (April 2002) highlights the changing epidemiology of HIV/AIDS in the nine county region, including growing rates among women and communities of color.

Long Term Care It’s Not Just Nursing Homes Anymore (January 2001) calculates the capacity of each component of the long term care system in the region. The growth in total capacity is charted, and the shift from institutional settings (e.g., nursing homes) to community settings (e.g., community residences plus home care) is explored. The implications of these trends on current health care issues, such as staffing shortages, is raised.

Capacity Matters (June 2000) argues that excess health care capacity does exist in the Rochester region, that excess capacity has an effect on health care costs, quality of care, and the access to care, and that it is in the public interest to consciously match the supply of health care to the need of the region’s population.

Maternal and Infant Health in the Finger Lakes Region (February 2000) presents an analysis of recent trends and changes in the population of women of childbearing age, coupled with an analysis of pregnancy outcomes. The 10 page publication assists in identifying maternal and infant health needs in the nine county Finger Lakes region.

ˇNuestra Salud! An Overview of the Health of the Hispanic Community in the Rochester Area (in English or Spanish) (November 1999) assesses health status of and the barriers faced by the Hispanic population in this region. This 13 page pamphlet summarizes the findings and recommendations of a community task force convened in mid-1998 to provide leadership in defining health status indicators and outcomes of Rochester’s Latino community.

Medicaid Managed Care in the Six County Finger Lakes Region (September 1999) reviews the history, current status and projected implementation of Medicaid managed care in this region. The 13 page publication covers related topics such as potential changes in access to care and the effect of welfare reform on this program.

Why Should the Rochester Area be Concerned About the Uninsured? (March 1999) reviews the reasons why the numbers of uninsured individuals in the six-county Finger Lakes region has likely increased in the past few years from the once low rate of six percent of the population. Primary reasons discussed include welfare reform, the changing job market, and changing employee benefits.

Insurance Terms: A Health Insurance Primer (January 1999) provides definitions of thirty-five health insurance terms. More importantly, it then discusses how each term is relevant to the changes which are happening in the Rochester health insurance market, including the decision by Eastman Kodak to establish a self-insured health insurance program.

The Evolving Integration of Health Care Systems in the Rochester Area ( January 1999) discusses the development and purposes of integrated delivery systems in Rochester. The six page pamphlet features a diagram of the developing Rochester health care scene, showing the relationships by name among the area hospitals, physician services, nursing homes and other long term care services and the available health insurance options.

Medicare + Choice: A Consumer Guide 1999 (December 1998) explains the "who, what, when, where and how" of the Medicare + Choice program. Available in both standard and large print formats, the publication also contains a glossary and lists the options available to Rochester’s seniors.

Options for Long Term Care: A Patient and Family Guide (June 1998) describes both the range of long term care options available in the region and the broad patient characteristics that are considered when evaluating an individual’s need for service. The 13 page publication uses the analogy of a Rubic’s Cube to convey the complexity of long term care.

Mortality in the Finger Lakes Region: Men vs. Women (January 1998) presents male and female mortality rates from 1980 through 1994 for heart disease, lung cancer, motor vehicle accidents and homicide. The data demonstrate that, while mortality rates for men have historically been substantially higher than for women, those differentials have begun to narrow.

Flu and Pneumonia in the Finger Lakes Region (November 1997) presents comparative mortality data for flu and pneumonia in 22 sub-county areas in this region trended over time. This publication contains national, state and upstate comparison rates.

Breast Cancer in the Finger Lakes Region (September 1997) presents morbidity and mortality data for breast cancer. Issued in conjunction with Breast Cancer Awareness Month, this five page pamphlet contains age-adjusted rates trended over time for 22 sub-county areas in this region; national, state and upstate comparisons are also included.

Ordering Information:
Health Matters publications are $2.00 per copy plus shipping & handling (see publication order form);
Volume discounts are available, please refer to the  chart below.

VOLUME DISCOUNTS - HEALTH MATTERS PUBLICATIONS:

NUMBER OF COPIES

PRICE PER COPY

1 - 25 COPIES

$2.00 EACH

26 - 35 COPIES

$1.75 EACH

36 - 50 COPIES

$1.50 EACH

51 COPIES OR MORE

$1.00 EACH

Click Here for Order Form
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