The AzCRH 2015 Safety Net Health Care in Arizona Report provides data and analysis to inform stakeholders, policymakers and interventions at many levels – community, county, state, federal, providers, practitioners, health professional training institutions and others. Many of the newly insured, including those covered by Arizona’s 2014 Medicaid restoration and expansion (Arizona Health Care Cost Containment System, AHCCCS) and in Arizona’s Marketplace plans, will likely increase demand over time on its health system, including safety net providers.
In addition to data collected and analyzed from publicly available national and state databases, survey data was collected and analyzed from Arizona’s Critical Access Hospitals (CAHs), community health centers – including federally designated Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), and county health departments on their staffing including health care providers, health professional trainee preceptors, and on pharmacists by service site and full-time equivalent (FTE) workers. Additional data was obtained on the number of unduplicated patient encounters, and patients per provider ratios by professional discipline. Data collection, analysis and survey response rates were sufficient to identify trends including opportunities and challenges for Arizona’s safety net providers, and how these providers are adapting to the rapidly evolving health system.