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Publications - Selected Major Pubs

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bluespacer.gif (869 bytes) 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.) 

bluespacer.gif (869 bytes) 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.)
bluespacer.gif (869 bytes) 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.) 
bluespacer.gif (869 bytes) 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)
bluespacer.gif (869 bytes) 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.
bluespacer.gif (869 bytes) 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.
bluespacer.gif (869 bytes) 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.
bluespacer.gif (869 bytes) ¡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.
bluespacer.gif (869 bytes) 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.
bluespacer.gif (869 bytes) 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.)

bluespacer.gif (869 bytes) African-American Health Status Report (May 2003)

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 region’s 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 region’s Latino population. Developed in conjunction with FLHSA’s 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 Agency’s 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 region’s 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 Network’s 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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