“How To” Derive the Economic Impact of the Health Sector.
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Transcript of “How To” Derive the Economic Impact of the Health Sector.
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“How To” Derive the Economic Impactof the Health Sector
Community
Pharmacies
Doctors &Other Professionals
Other Medical Services
Hospitals
Nursing Home
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“How to” Derive the Economic Impact of the Health Sector
MAIN OBJECTIVE:
Derive the direct economic impact and total economic impact of the five health sectors and the total health sector
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Overview
Create the Economic Impact of a Sample County
Derive the data from the IMPLAN program
Create a Shadow Industry (Hospitals)
Modify IMPLAN data (Pharmacies)
Derive the Local Retail Sales Capture Ratio
The Total Economic Impact of the Health Sector
Use of Health Sector Impact tool in Community
Health Planning
Mold the model for YOUR STATE
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Create the Economic Impact of a Sample County
What we are trying to accomplish:
To complete the Health Sector Impact Table
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Sample CountyHealth Sector Impact on Employment and Income, Retail Sales and Sales Tax
Employment Income Retail SalesIMPLAN IMPLAN 1 Cent Type III Total Type III Total Retail Sales Tax
Health Sectors Employed Multiplier Impact Income Multiplier Impact Sales Collection
Hospitals (492) _____ _____ _____ _____ _____ _____ _____ _____
Physicians, Dentists, and Other Professionals (490) _____ _____ _____ _____ _____ _____ _____ _____
Nursing & Protective Care (491) _____ _____ _____ _____ _____ _____ _____ _____
Other Medical & Health Services (493) _____ _____ _____ _____ _____ _____ _____ _____
Pharmacies (455) _____ _____ _____ _____ _____ _____ _____ _____
Total _____ _____ _____ _____ _____ _____
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Data needed to complete the Health Sector Impact Table:
For all five Health Sectors
NEED: Type III Employment MultipliersType III Income MultipliersEmploymentPersonal Income (Includes employee compensation & proprietor income)
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Data Needed For the Sample County
Local Retail Sales Capture Ratio
(Derived from total personal income and local retail sales collections)
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‘HOW TO” derive the data from the IMPLAN program
START IMPLAN
Select Start <click>
Select Programs <click>
Select IMPLAN Professional 2.0 <click>
Select IMPLAN Professional 2.0 <click>
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BUILD THE STUDY AREA
Select “File” <click>
Select “New Model” <click>
Select “File Name” <click>
Type in the county name as the file name
<Atoka County>
Select “Save” <click>
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Select the IMPLAN File
Next Screen Pops Up - "Select Region"
Select "Drives," Select (CD-ROM Drive) <d:> <click>
Select "Directory Info Box" <IMPLAN data> <double click>
Select "Available IMPLAN Data Files"
Select "County File" <ATOKA> <double click>
Select "Continue" <click>
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STUDY AREA IS BUILT
WAIT until County Study Area is built Study Area is built! OK <click>
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CONSTRUCT THE MODEL
Select "Construct Model" <click> Select from "Model Construction" Options
“Advanced” <Next> <click> “Production Functions” <Next> <click> “ByProducts” <Next> <click> “Trade Flows” <Next> <click> “Institutional Transfers” <Next> <click> “Multipliers”
Select ”Type III (CPPM)" <Check box>
<Next> <click>
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COMPLETE CONSTRUCTION MODEL
WAIT until Model is constructed “Model Construction is Complete.” Select "OK"
<click>
Select "Close" <click>
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REPORT RESULTS (Download Reports)
Select “Reports…” <click>
Select “1: Study Area” “Output, VA, Employment” <check box>
To Download, Select "To File" <check box> Select “Tab Delimited” <check box> Select "Continue" <click>
"Enter Location to Save Report File" will pop up.
Select "File Name" Type a file name <Atoka County op va emp> Select "Save" <click>
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REPORTS
For next report, download “6. Multipliers” “Labor Income”
For next report, download “6: Multipliers” “Employment”
When finished downloading, Select "Close" <click>
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Run State IMPLAN Model
1. Build a Study Area of the STATE (Follow Instructions to “Build a Study Area”)
2. Construct the STATE Model
3. Report the STATE results
a. Need "Output, VA, Employment” Report ONLY
b. Download results. Name file <OK op va emp>
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Summary of data completed from above steps:
Atoka County – Employment – Type III Multipliers - Report
Atoka County – Labor Income – Type III Multipliers - Report
Atoka County – Output, VA, Employment - Report
Oklahoma – Output, VA, Employment - Report
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EXCERPTS from the IMPLAN Data Reports:
Atoka County - Type III EMPLOYMENT MULTIPLIERS for Five Health Sectors
Direct Indirect Induced Total Type I Type III
Sector Effects Effects Effects Effects MultiplierMultiplier
Miscellaneous Retail 455 42.440136 0.975899 20.029514 63.445549 1.022995
1.494942
Doctors, Dentists and Other Medical Professionals 490 13.558041 3.059330 7.666243 24.283614 1.225647
1.791086
Nursing and Protective Care491 41.137875 2.270790 20.026114 63.434778 1.055200
1.542004
Hospitals492 0.000000 0.000000 0.000000 0.000000 0.000000
0.000000
Other Medical and Health Services493 22.775555 2.469120 11.646356 36.891030 1.108411
1.619764
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EXCERPTS from the IMPLAN Data Reports:
Atoka County - Type III LABOR INCOME MULTIPLIERS for Five Health Sectors
Direct Indirect Induced Total Type I Type III
Sector Effects Effects Effects Effects MultiplierMultiplier
Miscellaneous Retail 455 0.550883 0.021740 0.312651 0.885274 1.039464
1.607009
Doctors, Dentists and Other Medical Professionals 490 0.5311031 0.061200 0.119666 0.711969 1.115231
1.340548
Nursing and Protective Care491 0.542267 0.042761 0.312598 0.897627 1.078857
1.655321
Hospitals492 0.000000 0.000000 0.000000 0.000000 0.000000
0.000000
Other Medical and Health Services493 0.377285 0.050605 0.181794 0.609684 1.134131
1.615979
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EXCERPTS from the IMPLAN Data Reports:
Atoka County - Output, VA, Employment for Five Health Sectors
Other IndirectIndustry Employee Proprietor Property Business Total
Industry Output* Employment Compensation* Income* Income* Tax* Value Added*
Miscellaneous Retail455 4.408 187 1.759 0.670 0.554 0.710 3.692
Doctors, Dentists and Other Medical Professionals490 4.924 67 2.114 0.501 0.228 0.031 2.874
Nursing and Protective Care 491 4.659 192 2.121 0.405 0.079 0.053 2.657
Hospitals492 0.000 00 0.000 0.000 0.000 0.000 0.000
Other Medical and Health Services493 6.312 144 1.826 0.556 0.357 0.049 2.788
* Millions of Dollars
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EXCERPTS from the IMPLAN Data Reports:
State of Oklahoma - Output, VA, Employment for Five Health Sectors
Other IndirectIndustry Employee Proprietor Property Business Total
Industry Output* Employment Compensation* Income* Income* Tax* Value Added*
Miscellaneous Retail455 1,431.035 63,250 561.822 226.544 179.903 230.450
1,198.719
Doctors, Dentists and Other Medical Professionals490 2,870.086 31,765 1,464.537 198.668 145.128 19.546
1,827.879
Nursing and Protective Care 491 806.178 30,662 399.372 56.848 14.184 9.504
479.908
Hospitals492 2,364.065 42,947 1,255.026 170.338 81.166 4.328
1,510.859
Other Medical and Health Services493 1,415.471 27,371 517.849 90.668 91.325 12.627
712.469
* Millions of Dollars
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Apply Data to Health Sector Impact Table
Insert the IMPLAN data in the Health Sector Impact Table, as follows:
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Sample County: Atoka CountyHealth Sector Impact on Employment and Income, Retail Sales and Sales Tax
Employment Income Retail Sales IMPLAN IMPLAN 1 Cent Type III Total Type III Total Retail Sales Tax
Health Sectors Employed Multiplier Impact Income Multiplier Impact Sales Collections
Hospitals (492) _____ ____ _____ _____ ____ _____ _____ _____
Physicians, Dentists, and Other
Professionals (490) 67 1.79 _____ $2,615,000 1.34 _____ _____ _____
Nursing & Protective Care
(491) 192 1.54 _____ $2,526,000 1.66 _____ _____ _____
Other Medical & Health Services
(493) 144 1.62 _____ $2,382,000 1.62 _____ _____ _____
Pharmacies (455) _____ 1.49 _____ _____ 1.61 _____ _____ _____
Total _____ _____ _____ _____ _____ _____
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Missing Data
Hospital Sector employment and income
Hospital Sector Type III Multipliers for both employment and income
Pharmacies (Derived from Sector 455) employment and income
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Create a Shadow Industry (Hospitals - Sector 492)
In other words, develop a hospital sector industry to derive the Type III multipliers specifically for the missing hospital industry.
From the existing Atoka County Model, create the shadow industry
Start IMPLAN, Select “Open Existing Model,” <click> Select “Atoka County” <double click>
In the IMPLAN model ”Atoka County
Type III Multipliers…" screen Select "Edit" "Region Data" “Study Area Data"
Select "Sectors" - Arrow down to "492: Hospitals" <click>
All values are currently at -0-.
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From Oklahoma Hospital Utilization Data Reports, actual data shows:
Atoka County Hospital employment = 120
Type under "Employment" <120>
Atoka County Hospital payroll = $2,406,564
Type in "Employee Compensation" <$2.407>
(converted to millions)
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(Continued)
To determine the Industry output for the Atoka County Hospital Sector (Sector 492), use the following formula:
[State of OK Industry Output (Sector 492)/State of OK Employment (Sector 492)]
x Atoka County Employment =
Industry Output for Atoka County Hospital Sector
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For Atoka County, calculate as follows:
[2,364,065,000/42,947] x 120 = $6,605,532= $6.606 (Converted to millions)
Type <$6.606> under "Industry Output" Select<X> in upper right hand corner of Region Data Screen
(Data from “Oklahoma – Output, VA, Employment” Report)
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Screen will pop up "Data has been changed. The model is invalid until it is rerun!"
Select <OK>
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After inputting the shadow hospital industry (Sector 492), the model must be re-constructed.
Select "Construct Model…" <click> Select from "Model Construction" Options
“Advanced” <Next> <click> “Production Functions” <Next> <click> “ByProducts” <Next> <click>
“Trade Flows” <Next> <click> “Institutional Transfers” <Next> <click>
“Multipliers”
Select ”Type III (CPPM)" <Check box>
<Next> <click>
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WAIT until Model is constructed
Pop up Box, “Model Construction is Complete.”
Select "OK" <click>
Select "Close" <click>
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Report Results
Download Reports for Re-Constructed Atoka County Model for:
Type III Employment MultipliersType III Income Multipliers
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Information from the Atoka County Revised Reports.
Sector 492 Hospitals - Type III Employment Multiplier = 1.70
Sector 492 Hospitals - Type III Income Multiplier = 1.47
Also, use the hospital employment and income to complete the hospital sector information in the Health Sector Impact Table.
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Sample County: Atoka CountyHealth Sector Impact on Employment and Income, Retail Sales and Sales Tax
Employment Income Retail Sales IMPLAN IMPLAN 1 Cent Type III Total Type III Total Retail Sales Tax
Health Sectors Employed Multiplier Impact Income Multiplier Impact Sales Collections
Hospitals (492) 120 1.70 $2,406,564 1.47 _____ _____
Physicians, Dentists, and Other
Professionals (490) 67 1.79 _____ $2,615,000 1.34 _____ _____ _____
Nursing & Protective Care
(491) 192 1.54 _____ $2,121,000 1.66 _____ _____ _____
Other Medical & Health Services
(493) 144 1.62 _____ $1,826,000 1.62 _____ _____ _____
Pharmacies (455) _____ 1.49 _____ _____ 1.61 _____ _____ _____
Total _____ _____ _____ _____ _____ _____
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Modify the IMPLAN data (Pharmacies)
A. Need Employment and Income for Pharmacies (or Drug stores and proprietary stores)
B. Review Options for finding this data
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Data from County Business Patterns 1999 Oklahoma, U.S. Dept. of Commerce, Economics and Statistics Administration, Bureau of the Census
Website: <http://www.census.gov/prod/www/abs/cbptotal.html>
NOT ENOUGH DETAIL
Need to find a Federal Depository Library
Complete CD-ROM – 1999 County Business Patterns
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OPEN CD-ROM
SELECT LAUNCH BROWSER
The Key to using the Launch Browser is in the
Dimension Menu
Zoom IN
or
Zoom OUT
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To analyze the Pharmacies and Drug Stores Data:NAICSCODE Category
44-45 Retail trade
446 Health & personal care stores
4461 Health & personal care stores
44611 Pharmacies & drug stores
446110 Pharmacies & drug stores
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Download from County Business Patterns
446110 NAICS Pharmacies and Drug Stores
GIVEN:
• No. of Pharmacy Establishments by County
• Total No. of Establishments in the State
• Total Employment for the State
• Total Employee Compensation (Payroll) for the State
• All data for selected Counties (larger, more urban)
NEED:
• Pharmacy Employment by County for ALL Counties
• Pharmacy Employee Compensation + Proprietor’s Income by County for ALL Counties
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NAICS CODE: 446110 Pharmacies and Drug Stores
ATOKA COUNTY EXAMPLE
1999 1999
1999 Counties Counties
Pharmacies & Drug Stores State WITH Data WITHOUT Data
Totals Totals Totals
No. of Establishments 606 460 146Employment 7,645 6,516
1,129
Compensation $126,753,000 $108,083,000 $18,760,000
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USE RATIOS TO ESTIMATE COUNTY DATA FOR MISSING EMPLOYMENT & EMPLOYEE COMPENSATION
AverageEmployment =Per Pharmacy
Total Employment WITHOUT DataTotal # Pharmacies WITHOUT Data
=
1,129 146
= 7.73 Average Number of Employees Per Pharmacy
EMPLOYMENT
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USE RATIOS TO ESTIMATE COUNTY DATA FOR MISSING EMPLOYMENT & EMPLOYEE COMPENSATION
Average Payroll =Per Pharmacy
Total Payroll WITHOUT Data Total # of Pharmacies WITHOUT Data
=
$18,670,000 146
= $127,877Average Payroll Per Pharmacy
EMPLOYEE COMPENSATION OR PAYROLL
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APPLY RATIOS TO ATOKA COUNTY –Estimated Number of Pharmacy Employees
GIVEN: No. of Pharmacies for Atoka County = 2
To estimate Number of Pharmacy Employees:
Number ofAtoka County Pharmacies
xAverage Number of Employees Per Pharmacy
=
2 x 7.73 =
15 ESTIMATEDNumber of Pharmacy Employees for Atoka County
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APPLY RATIOS TO ATOKA COUNTY –Estimated Payroll or Employee Compensation
GIVEN: No. of Pharmacies for Atoka County = 2
To estimate Payroll:
Number ofAtoka County Pharmacies
xAverage Payroll Per Pharmacy =
2 x $127,877 =
$255,754 ESTIMATED Payroll for Atoka County
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APPLY RATIOS TO ATOKA COUNTY –Estimated Proprietor’s Income
GIVEN: No. of Pharmacies for Atoka County = 2
To estimate Proprietor’s Income:
Number ofAtoka County Pharmacies
xAverage Proprietor’s Income Per Pharmacy =
2 x $85,000 =
$170,000 ESTIMATEDProprietor’s Income for Atoka County
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APPLY RATIOS TO ATOKA COUNTY –Estimated Total Pharmacy Income
To estimate Total Pharmacy Income:
Atoka County ESTIMATED Payroll
+ Atoka County ESTIMATED Proprietor’s Income
=
$255,754 $170,000 =
$425,754 ESTIMATEDTotal Pharmacy Income for Atoka County
+
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Insert the employment and income to the Pharmacy Sector and
calculate the total impacts of the Health Sectors
on the Health Sector Impact Table.
Total Impact = Sector data x Type III multiplier
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Sample County: Atoka CountyHealth Sector Impact on Employment and Income, Retail Sales and Sales Tax
Employment Income Retail Sales IMPLAN IMPLAN 1 Cent Type III Total Type III Total Retail Sales Tax
Health Sectors Employed Multiplier Impact Income Multiplier Impact Sales Collections
Hospitals (492) 120 1.70 204 $2,406,564 1.47 $3,537,649 _____
Physicians, Dentists, and Other Professionals (490) 67 1.79 120 $2,615,000 1.34 $3,504,100 _____ _____
Nursing & Protective Care (491) 192 1.54 296 $2,526,000 1.66 $4,193,160 _____ _____
Other Medical & Health Services (493) 144 1.62 233 $2,382,000 1.62 $3,858,840 _____ _____
Pharmacies (455) __16 1.49 24 $425,753 1.61 $685,463 _____ _____
Total 539 877 $10,355,317 $15,779,212
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Derive the Local Retail Sales Capture Ratio
To calculate the amount of retail sales that is produced by the Health Sector, need to calculate the local retail sales capture ratio.
Total Retail Sales (Sales Subject to Sales Tax)/Total Personal Income = Local Retail Sales Capture Ratio
Atoka County Local Retail Sales Capture Ratio
For Atoka County, the Local Retail Sales Capture Ratio = 40.37%
(Retail Sales from OK State Tax Commission, "State Payments to Local Governments” and Total Personal Income from BEA data.)
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Apply Local Retail Sales Capture Ratio to the Health Sector Impact Table.
Multiply the Local Retail Sales Capture Ratio x the Total Income Impact for each Sector and sum the total
From the Retail Sales, calculate a 1-cent sales tax, by multiplying .01 x Retail Sales for each Health Sector,
and sum the total
Insert the retail sales and sales tax in the Health Sector Impact Table.
The Health Sector Impact Table is complete!!
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Sample County: Atoka CountyHealth Sector Impact on Employment and Income, Retail Sales and Sales Tax
Employment Income Retail Sales IMPLAN IMPLAN 1 Cent Type III Total Type III Total Retail Sales Tax
Health Sectors Employed Multiplier Impact Income Multiplier Impact Sales Collections
Hospitals (492) 120 1.70 204 $2,406,564 1.47 $3,537,649 $1,428,149 $14,281
Physicians, Dentists, and Other Professionals (490) 67 1.79 120 $2,615,000 1.34 $3,504,100 $1,414,605 $14,146Nursing & Protective Care (491) 192 1.54 296 $2,526,000 1.66 $4,193,160 $1,692,779 $16,928
Other Medical & Health Services (493) 144 1.62 233 $2,382,000 1.62 $3,858,840 $1,557,814 $15,578 Pharmacies (455) __16 1.49 24 $425,753 1.61 $685,463 $276,721 $2,767
Total 539 877 $10,355,317 $15,779,212 $6,370,068 $63,700
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The Total Economic Impact of the Health Sector
Use of Health Sector Impact Tool in Community Health Planning
1. When working with a specific community, primary data are used.
2. The following table is given to the local steering committee to collect current local data.
3. The Health Sector Impact Table is then completedfor presentation to the community.
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Table 3Direct Economic Activities of Health Sector
in ___________ Community
Component Estimated Employees Estimated Payroll
Hospital (#) _____ _____
Doctors and Dentists _____ ____ _ Physicians (#)
Dentists (#) Other
Nursing & Protective Care (#) _____ ____ _
Other Medical & Health Services _____ ____ _ Home Health Care (#) County Health Department
Pharmacies (#) _____ ____ _
TOTALS _____ ____ _
SOURCE: Local survey and estimated from research
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Mold the model to fit for YOUR STATE
Process must be modified, depending on available data in each State.