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Acute
Bed Study Report (February
2008) In 2006,
the Rochester area was the only region in the state which did not receive
a reduction recommendation from the Commission on Health Care Facilities
for the 21st Century (the “Berger” or “Rightsizing” Commission).
While the rest of the state was suffering from too many hospital beds,
Monroe County hospitals were dealing with overly high occupancy rates. ...
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CT
Scanning in the
Finger Lakes
Region,2006
(August, 2007).
This report provides information on the availability and
utilization of CT scanners in the
Finger Lakes
region of
New York
.
It is based on survey data through the end of 2006.
There are 38 CT scanners serving the region.
Of the total, 26 units are hospital-based and 12 are located at
freestanding imaging centers. While
the Finger Lakes Region has relatively fewer scanners than nationally, its
scanners are newer, of greater capability, staffed for more hours and
produce more studies per unit than CT sites elsewhere in the
U.S.
The region’s CT utilization rate is 16 percent higher than the
national average;
Monroe
County
, specifically, has a CT
utilization rate 12 percent higher than the regional average and 30
percent higher than the national average.(Printed copy $15.00 plus shipping
and handling. Click title to view or print your own copy.)
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MRI
Survey Results in the Finger Lakes Region, 2005 (August
2006). This report provides information on the availability and
utilization of MRI scanners in the
Finger
Lakes
region of
New
York
.
It is based on survey data through the end of 2005. There are
27.7 full-time equivalent machines serving the region, at 24 sites.
MRI utilization increased by 1.4% in 2005 compared to 2004, well below
last year’s increase and the long term average increase but
consistent with trends of the last five years. There does not
appear to be community need for additional MRI capacity beyond the two
units currently approved but not yet operational. Depending on one’s
assumption about future utilization increases, however, two to three
new regional MRI units would be needed per year to meet increased
demand. (Printed copy $15.00 plus shipping and handling.
Click title to view or print your own copy.)
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PET
Scanning in the Finger Lakes Region 2005 (August 2006) This
report provides information on the availability and utilization of PET
scanners in the Finger Lakes region of New York. It is based on survey
data through the end of 2004. There are five PET delivery sites
in the region (three in Rochester, one in Clifton Springs, and one in
Elmira), all presently served by mobile units with an approved
capacity of 2.6 FTE machines. In 2005, a fixed PET/CT unit will begin
to be operated jointly by two providers, and two other mobile units
have replaced their PET services with a like amount of PET/CT
service. PET utilization in the region increased by 12% in 2004.
However, use rates are less than one-half of both national and New
York State averages.(Printed copy $15.00 plus
shipping and handling. Click title to view or print your own
copy.) |
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Radiation Therapy Services Planning Technical Update
(Aug 2005) This report provides information on the
availability and utilization of radiation therapy services in the Finger
Lakes region of New York. It is based on survey data through the end
of 2004. Based on treatments provided per megavoltage unit, the
region has more capacity than needed to meet demand. However, it also
appears that radiation therapy is under-utilized on a
treatments-per-population basis, compared to state and national averages.
Need for additional capacity in the region depends on how the existing
capacity is counted. There may be additional need in the future, however,
given the increase in use of IMRT and other time-intensive services. Even
after adjusting for age, sex, race, and levels of cancer incidence, it
appears inner-city Rochester residents receive less radiation therapy than
needed, while surrounding areas get relatively larger amounts of
radiation. ($40.00 plus shipping and
handling)
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Capacity
and Use of High Tech Medical Services in Upstate New York (June 2005) In
2004, Excellus BlueCross BlueShield contracted with Finger Lakes Health
Systems Agency to compile an inventory of a number of high-tech health
care services in multi-county service areas in Upstate New York. ... There
is substantial evidence in these pages, and elsewhere in the country, that
excess capacity leads to increased use of health care services, increased
costs, and under-utilized facilities.
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Rochester
Hospitals...Can We find More Room Without Adding More Beds? Acute
Care Report (June
2005) This
report is an examination of local trends in inpatient hospital service
utilization for Monroe County residents. It is intended to raise community
awareness about inpatient hospital use in Monroe County and to encourage
the healthcare community leadership to study these trends as they continue
to design and implement actions that will reduce high occupancy rates and
prevent the need for additions to inpatient capacity.
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Non-Acute
Patients in Acute Care Beds (April 2005) ALC
and other non-acute patients are a substantial financial burden on
hospitals and many nursing homes. More important than the cost to the
health care system, however, is the fact that in a community wide hospital
system with no excess hospital beds patients are not getting the best
possible care.
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¡Nuestra
Salud Hoy!: A
Chart Book of Updated Demographic and Health Data of the Latino/Hispanic
Community in the Rochester Area
(October 2004) provides updated health status information based
on the most recent available data and highlights disparities and
socio-demographic issues that have either changed significantly since 1999
or that have persisted in the Latino community.
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Deaf Health Task Force
Report (Aug 2004)This
report, describing barriers to health care experienced by the Deaf
population in
Monroe County
,
NY
, also presents a series of ambitious recommendations which, if
implemented, will improve the quality of health care for the Deaf
population. The report
focuses on Deaf persons who use American Sign Language, ASL, as their
primary language and highlights the Deaf community which shares certain
characteristics with other populations for whom English is not the first
language.
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Monroe
County Hospice Needs Assessment Task Force Report (7/04)
In February, 2004, recognizing the increasing utilization of hospice
services in the Rochester region, Genesee Region Home Care (GRHC)
approached the Finger Lakes Health Systems Agency (FLHSA) to request
the Agency’s technical assistance in projecting future need for
hospice services in Monroe County. Of particular concern were growing
capacity constraints in various components of the hospice continuum of
services and inadequacies of current inpatient facility arrangements.
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Surgery in the Finger Lakes Health Services Area -
2003 Update
(March 2004). Based on survey data provided by the facilities, this publication provides
information on trends in inpatient and ambulatory surgery. The proportion of surgery done
on an ambulatory basis has risen from less than 20 percent in 1980 to nearly
70 percent in 2003. Surgical volume has doubled in that period,
increasing by 3.0 percent per year. Based on a
modest standard, the region was using 86 percent of OR capacity. The use rate was
99%
in Monroe and 65% in the rest of the region. (Printed copy $15.00 plus
shipping and handling. Click title to view or print your own
copy.)
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African-American
Health Status Report (May 2003) |
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This
publication discusses disparities found in the health of the African
American population in the Rochester and Finger Lakes region, compared
to the community as a whole. It provides information on the
demographic, environmental and health behavioral roots of those
disparities. Finally, it provides extensive tables and charts on
the health status of the African American community. The report
contains a number of recommendations. Prioritization and
identification of community partners to influence the recommendations
will be developed in the project's next phase.
(Click title to view or print. Zipped folder contains
three .PDF files that make up the complete report. Blank pages are intentional. Files can
be printed or copied on two sides to make a book). If
the zip file does not open after double clicking, then download WinZip. Go
to http://www.winzip.com/downwzeval.htm
and click on Evaluation. If you need Adobe Reader to read .pdf
files go to http://www.adobe.com/products/acrobat/readstep2.html
. Both are free. Download
the Executive Summary (pdf). |
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Bed Need Study in the Rochester Service Area 2000-2005 (2000)
projects regional need estimates for acute care, incorporating recent experience and
assumptions about future hospitalization rates, payer mix, and migration. Overall
hospitalization in Monroe County has declined by 28 percent in the past five years. The
report forecasts a surplus of 685 to 840 licensed beds in Monroe County and 365 to 400
beds in the adjacent five counties by 2005. The analysis provides a framework within which
community decisions about the future structure of the regions supply of acute care
can be made. ($25.00 plus shipping and handling) |
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Bed Need Study in the Southern Tier Service Area 2000-2005 (2000)
projects estimates for acute care, incorporating recent experience and assumptions about
future hospitalization rates, payer mix, and migration in Chemung, Schuyler and Steuben
counties. The study demonstrates that overall hospitalization has declined by 20 percent
in the past five years. The report forecasts a surplus of 382 to 443 beds by 2005. ($25.00
plus shipping and handling) |
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¡Nuestra Salud!: An Overview of the Health of the
Hispanic Population in the Rochester Area (1999) assesses the health status, service
utilization, and health care resources of the regions Latino population. Developed
in conjunction with FLHSAs Hispanic Health Task Force, the report is a comprehensive
assessment of the health of Hispanics based on available data and the perspectives of
community leaders. The report and its recommendations serve as a platform from which
future activities will be launched and against which progress will be measured. Please
specify if you prefer the English or Spanish version. ($30.00 plus shipping and handling
if request charts in color, $15 plus shipping and handling if in black and white) |
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Obstetric Bed Need Update (1999) Updating a 1992 report, this study
documents trends in birth, hospital obstetric length of stay, and patient migration in
Monroe and Livingston counties. It calculates obstetric bed need through 2005. ($25.00
plus shipping and handling) |
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Radiation Therapy Services Planning Technical Update (1999) updates
the Agencys 1995 Radiation Therapy Plan. The document is based on a survey of the
equipment capabilities, staffing, and utilization of the existing radiation therapy
services in the nine county region that FLHSA conducted in 1998. ($40.00 plus shipping and
handling) |
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Case Management Plan Update for the Rochester Area Task Force on AIDS
(RATFA) (1998) reviews the current status and future needs of the regions case
management system for persons living with HIV/AIDS. Developed in conjunction with the
Rochester Area Task Force on AIDS, this document incorporates the HIV Networks
agreed-upon goals, assumptions and processes for effective case management services. (No
charge) |
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New York State Medicaid Policy Regarding Reimbursement of Nursing Home
Capital Costs: An Analysis and Recommendations. (1996) When FLHSA identified a trend
toward premature and sometimes unnecessary replacement of existing nursing homes, the
Agency convened a Task Force to investigate the causes of this phenomenon and develop
strategies to address it. The Task Force report identifies ten issues raised by NYS
Medicaid capital reimbursement policies for nursing homes and makes a series of
recommendations for how the reimbursement policies might be modified in order to avoid
unnecessary capital expenditures and provide operators with reasonable capital
reimbursement. ($25.00 plus shipping and handling) |
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