Health Snapshot: District 3
Commissioner Audrey Edmonson
The Office of Countywide Healthcare Planning (OCHP) is the health planning agency tasked with finding real
solutions to critical health problems facing Miami-Dade County.
This snapshot correlates OCHPs key initiatives to the issues and priorities facing residents of District 3
[includes District 3 zip codes: 33101, 33125, 33127, 33128, 33132, 33136, 33137, 33138, 33139, 33140, 33141, 33142, 33147, 33150, 33151,
33153, 33161, 33168]
Achieving a Network of Integrated Community-Based Medical Homes
OCHP is leading a MDC-wide comprehensive planning process to develop a roadmap that will become the guide for
leveraging both additional capital and operating dollars to expand our health delivery system. The Goal is to turn
Community Health Systems into full spectrum portals to comprehensive health and services.
Leveraging – $25M in GOB for Primary Care Facilities capital funds to generate nearly 150,000 added
primary care visits (over 3 years) from the County’s existing 7 Federally Qualified Health Centers (FQHCs)
Federally Qualified Healthcare Centers (See map):
th
Jesse Trice Community Health Center Inc –
Headquarters: 5607 NW 27 Ave, Miami 33142
nd
–
JT Main: 5361 NW 22 Ave, Miami 33142
th
–
JT North Wellness Center:1190 NW 95 St, Miami 33150
Borinquen Health Care Center Inc
–
BHCC Main: 3601 Federal Hwy, Miami 33137
th
-BHCC Behavioral Health: 100 NE 38 St Miami 33137
nd
-BHCC Carrie Meek: 7801 NE 2 Ave Miami 33138
th
–
BHCC North: 708 NE 125 St, North Miami 33161
th
Camillus Health Concern
–
CHC Main: 336 NW 5 St, Miami 33128
Care Resource
–
3510 Biscayne Blvd, Miami 33137
Miami Beach Community Health Center –
MB Stanley C. Meyers: 710 Alton Rd, Miami Beach 33139
st
–
MB Beverly Press/Behavioral Health: 1221 71 St, MB 33141
o Jackson Health System Primary Care Center:
th
Jefferson Reeves, Sr. Health Center
–
1009 NW 5 Ave, Miami 33136
th
Ambulatory Care Center
-1611 NW 12 Ave, Miami 33136
Hospitals (See map):
th
o Miami VA Hospital
1201 NW 16 St, Miami 33125
th
o Jackson Memorial Hospital
1611 NW 12 Ave, Miami 33136
th
o University of Miami Hospital
1400 NW 12 Ave, Miami 33136
o Mt. Sinai Medical Center
4300 Alton Rd, Miami Beach 33140
th
o North Shore Medical Center
1100 NW 95 St, Miami 33150
6
Health Navigators and Community Health Workers are trained as entry points to primary care medical homes,
chronic disease management, inpatient care & provide assistance with social service program eligibility/enrollment.
o 6 Health Navigator sites; 9 Community Health Worker sites; 51 Health Connect in Our Schools Teams
o
•
•
ZIP
MEDICAID ENROLLED1,5
District 3
% of Residents
33101
No info
No info
33125
13,457
25.5%
33127
9,722
33.6%
33128
2,567
33.9%
33132
484
4.3%
33136
4,499
32.6%
33137
3,169
16.3%
33138
5,000
18.1%
33139
3,610
9.3%
33140
1,273
6.0%
33141
33142
33147
33150
33151
33153
33161
33168
Total
5,300
18,009
16,322
9,250
No info
No info
13,185
6,035
111,882
15.0%
34.2%
34.8%
33.3%
No info
No info
24.5%
23.4%
24.2%
Target Population: Low Income Adults, including the
Parents of Medicaid-Enrolled Children
•
•
•
The Uninsured: District 3
About 113,801 residents in District 3 are estimated not
to have Health Insurance. That is 20% of Miami-Dade
2
County’s uninsured– See Map
24% of residents of District 3 are enrolled in
1,5
Medicaid
5
Median Household Income – Median income for
District 3 residents was estimated at $22,969, ranging
from $11,873 (zip 33128) to $50,517 (zip 33140).
Office of Countywide Healthcare Planning – August 2012
ER Diversion & Chronic Disease Management
Dual initiatives utilizing evidence-based approaches will assist individuals seeking primary care in receiving an
immediate appointment – while still in the ER – for a primary care visit in their neighborhood. For individuals living
with chronic diseases, the initiative focuses electronic-enabled mechanisms for the identification of conditions, case
management by licensed professionals, and guided treatment.
4
Sampling of Chronic Disease Indicators from District 2 :.
•
Diabetes – 19% (123) of the County’s deaths due to diabetes were residents of District 2.
o
•
Zip code 33147 accounted for 17% (21) of District 2’s deaths due to diabetes.
Cardiovascular Disease – 15% of the County’s 5,916 deaths due to cardiovascular disease were
residents of District 2.
o
Zip code 33147 accounted for 18% (162) for District 2’s deaths due to cardiovascular disease.
3
Emergency Room Visits from District 2 Residents :
•
Over 126,000 visits to Miami-Dade County Emergency Departments were made by District 2 residents in
2011.
•
16% of the total number of ER visits by Miami-Dade County residents was made by residents of District 2.
Health Statistics at Zip Code and District Levels
OCHP has developed critical relationships with State and local data sources to build a comprehensive database of
nationally-comparative health and demographic data, as well as, health utilization and health system infrastructure.
OCHP is able to present this data in baseline, trend analysis, projection and GIS formats. Attached are some of the
maps that have been produced detailing District 2:
•
District 2 Close-up – Details the names and locations of each of the major primary care facilities and
hospitals in District 2
•
Miami-Dade County Safety-Net & Primary Care Centers – Details the names and locations of each of the
County’s Federally Qualified Healthcare Centers and Jackson Health System Primary Care Centers, as well
as, identifies the locations of all county hospitals. District 2 boundaries are outlined in red
•
Miami-Dade County Distributions of the Population and the Uninsured – Describes the areas of highest
to lowest concentrations of the population in all of Miami-Dade County, overlaid by the distribution of
uninsured and specifically outlines Commission District 2
•
Miami-Dade County Distribution Below Poverty – Details the population density of individuals below the
federal poverty level by census tract and outlines Commission District 2 boundaries in red
1
Department of Children and Families, 11/2011
Florida Health Insurance Study, 2004
3
Florida Agency for Health Care Administration - Florida Emergency Department Data File 2011
4
Florida Department of Health – Resident Deaths database 2010
5
U.S. Census, 2000 & 2010
6
The Children’s Trust, 2012
2
Note: Data were analyzed based on the included zip code boundaries and are not exclusive of the District boundary
Office of Countywide Healthcare Planning – August 2012
District 3 and Surrounding Districts, Miami-Dade County
Barbara J. Jordan
33054 Legend
!
Hospital
Y
X
Jackson Primary Care Center
!
(
Borinquen-North Miami
Federally Qualified Health Center
Edmonson 3
!
33181
33161
33168
33167
Bovo, Jr. 13
St. Catherine Rehabilitation Hospital/ Villa Maria
!
(
!
(
µ
Jordan 1
Monestime 2
Heyman 4
Barreiro 5
Sally A. Heyman
Sosa 6
Suarez 7
Jean Monestime
33013
33153
JT-North
!
(
North Shore Medical Center
!
(
JT-Flamingo
33141
33138
33150
33147
!
(
MB-North Miami
Borinquen-Carrie Meek
33151
!
(
JT-Headquarters
!
(
33010
Audrey M. Edmonson
! Miami Jewish Home & Hospital for the Aged
JT-Jesse Trice
33127
33142
33137
33140
Borinquen-Behavioral Health
Borinquen
!
(!
(
!
(
Care Resource
Rebeca Sosa
Bascom Palmer Eye Institute Jackson Memorial Hospital
!
33126
!!
Department of Veteran's Affairs Medical Center University of Miami Hospital
!! University of Miami Hospital & Clinics
Bruno A. Barreiro
33125
33136
Y
X
Jefferson Reeves, Sr.
33128!
(
33132
Bruno A. Barreiro
Camillus
Source: ITD Commission Districts; U.S. Census 2010 Zip Code Boundaries;
OCHP Health Care facilities.
Note: JHS PCC - Jackson Health System Primary Care Centers;
JT - Jesse Trice Community Health Center; MB - Miami Beach Community Health Center;
!
33139
0
0.25
0.5
1 Miles
Produced by: Office of Countywide Healthcare Planning, 08/2012
Miami-Dade County Safety-Net Providers
Federally Qualified Health Centers, Free Clinics, & JHS Primary Care Centers
33015
33179
33018
33169
(
!
North Dade Health Center
33054
33014
33160
33162
Y
X
33016
33180
JT-Norland
33056
33055
33181
Borinquen-North Miami
( MB-North Miami
!
33167 33168 33161
(
!
33154
Citrus-Maternal & Child
(
JT-North
Citrus !
33147
MB-Beverly Press
(
!
( 33012 33013 Borinquen-Carrie
!
33141!
Meek
(
33178
(33138
!
33010
33166
33182
33192
33174
(
!
33184
33194
(!
!
(
JT-Headquarters Care Resource Borinquen
33122
33125
Y
X
(33135 Peñalver MB-Stanley C. Meyers
!
33134
33155
Jefferson Reeves, Sr.
XX
Y
Y!( Camillus 33139!(
Banyan-Flagler
33126
33144
33140
(
33142 33127 !
(
!
33137
Ambulatory Care Center
Borinquen-West Dade
33165
33175
33185
33152
33172
JT-Flamingo 33150
(
!
JT-Jesse Trice
33146
33145
33129
HB Bentley
33131
33109
33149
(33133
!
Rosie Lee Wesley
33193
33183
33143
33173
33283
33116
33196
33156
33176
33186
Y
X
33158
CHI-West Perrine
33177
33187
(
!
33197
33157
33189 CHI-Doris Ison
(
!
33170
33032
33031
(
!
CHI-Naranja
33033
33030
(
!
CHI-MLK Jr.
(
!
CHI-South Dade
33039
33190
Legend
(
!
Federally Qualified Health Center
Y
X
Jackson Primary Care Center (PCC)
Y
X
Dr. Rafael Peñalver Clinic
µ
District 3
(
!
33034
CHI-Everglades
0
33035
1.25 2.5
5 Miles
7 Current FQHC Section 330 Grantees:
Borinquen - Borinquen Health Care Center
Camillus - Camillus Health Concern
CHI - Community Health Of South Florida, Inc.
Citrus - Citrus Health Network
HB Bentley - Helen B. Bentley Family Health Center
JT - Jessie Trice Community Health Center
MB - Miami Beach Community Health Center
2 New FQHC Section 330 Grantees:
Banyan - Banyan Health System
Care Resource
Produced by: Office of Countywide Healthcare Planning, 08/2012
Miami-Dade County
Distribution of the Population and the Uninsured
33056
33055
33015
33169
33016
33054
33014
33167
33012
33178
33013
33185
33193
33152
33172
33184
33174
33144
33165
33155
33175
33125
33135
33134
33154
33141
33138
33150
33145
33127 33137
33136
33128 33132
33130
33131
33129
33140
33139
33109
33149
33133
33146
33183
33283
33143
33173
33116
33156
33176
33186
33196
33122
33126
33181
33151
33142
33182
33161
33168
33153
33147
33010
33166
33194
33160
33162
33018
33192
33180
33179
33158
33157
33177
33187
33197
33189
33170
33031
Legend
33190
District 3
Zip Codes
33032
µ
Population Distribution
1 - 7,000
33030
33039
7,001 - 23,000
33033
23,001 - 36,000
36,001 - 50,000
50,001 - 72,248
Distribution Uninsured Gradient
33034
66 - 4,668
33035
4,669 - 9,661
9,662 - 19,158
0
1.25 2.5
5 Miles
Source: U.S. Census 2010; Florida Health Insurance Study 2004
Produced by: Office of Countywide Healthcare Planning, 08/2012
Miami-Dade County
Distribution Below the Poverty Level
33180
33180
33179
33179
33015
33015
33056
33056
33055
33055
33169
33169
33054
33054
33014
33014
33016
33016
33167
33167
33012
33012
33178
33178
33194
33194
33185
33185
33144
33144
33174
33174
33134
33134
33155
33155
33165
33165
33175
33175
33141
33141
33138
33138
Audrey M. Edmonson
33125
33125
33126
33126
33184
33184
33150
33150
33127
33127
33140
33140
33137
33137
33122
33122
33152
33152
33172
33172
33154
33154
33151
33151
33010
33010
33142
33142
33182
33182
33181
33181
33161
33161
33168
33168
33153
33153
33013
33013
33147
33147
33166
33166
33192
33192
33160
33160
33162
33162
33018
33018
33136
33136
33128
33128
33135
33135
33130
33130
33145
33145
33129
33129
33139
33139
33132
33132
33131
33131
33109
33109
33149
33149
33133
33133
33146
33146
33143
33143
33173
33173
33183
33183
33193
33193
33283
33283
33116
33116
33186
33186
33196
33196
33156
33156
33176
33176
33158
33158
33157
33157
33177
33177
33187
33187
33197
33197
33189
33189
33190
33190
33170
33170
33031
33031
33032
33032
33030
33030
33039
33039
33034
33034
33035
33035
33033
33033
µ
Legend
Census Tract
Below Poverty Level
0% - 9%
10% - 17%
18% - 27%
28% - 43%
44% - 86%
Zip Codes
District 3
0
Source: U.S. Census, 2010
1.25
2.5
5 Miles
Produced by: Office of Countywide Healthcare Planning, 08/2012