1. of the Health Care Sector on the Economy of Atoka County, Oklahoma
The Importance
of the Health Care Sector
on the Economy
of Atoka County, Oklahoma By
Gerald A. Doeksen, Regents Professor and Extension Economist
Cheryl F. St.Clair, Assistant Extension Specialist
Fred C. Eilrich, Assistant Extension Sprcialist
Oklahoma State University
and
Val Schott, Director
Oklahoma Office of Rural Health

2. The Economic Impact of the Health Sector on XYZ County
Community

4. What's the Economic Potential for
Health Care in Your Community

5. Health Services Promote Job Growth

8. Services that Impact Rural Development
Table 1
Services that Impact Rural Development
Services Important
Type of Growth to Attract Growth
Industrial and Business Health and Education
Retirees Health and Safety

9. National Health Expenditures and Employment Data
Table 2
National Health Expenditures and Employment Data
Total Per Capita Expenditures Employment Annual
Expenditures Expenditures as a Percent in Health Sector Increase in
Year ( $$Billions) ($$) of GDP (000 Jobs) Employment
$ $ ,052
, , %
, , %
, , , %
, , , %
, , , %
, , , %
, , , %
, , , %

10. Estimated Potential Primary Care Expenditure
Table 3
Estimated Potential Primary Care Expenditure
For Atoka County, Oklahoma 20011
Percent Primary Atoka County
U.S. Per Primary Care Potential
Health Services Capita Care Per Capita Expenditures
Hospital Care $1,580 61% $964 $13,379,356
Professional Services
Physician/Clinical Services 1,099 75% ,436,296
Dental Services % 171 2,373,309
Other Prof. Services % 113 1,568,327
Other Prof. Health Care % 110 1,526,690
Home Health Care % 127 1,762,633
Nursing Home Care % 351 4,871,529
Prescription Drugs % 377 5,232,383
Other Medical Products % 140 1,943,060
Gov’t Administration and
Net Cost of Insurance 328 0% 0 0
Gov’t Public Health Activities % 88 1,221,352
Investment (Research) 164 0% 0 0
TOTALS $5,039 65% $3,265 $45,314,935

11. Selected Demographic Data for Atoka County and the State of Oklahoma
Table 4
Selected Demographic Data for Atoka County and the State of Oklahoma
Selected Item Atoka County County % State %
Population Growth ( ) 12,748-12, % %
Population Growth ( ) 12,778-13, % %
Population Growth ( ) 12,748-13, % 14.1%
Population Projections: Year 2005 = 14, Year 2010 = 14, Year 2015 = 14,635

12. Selected Demographic Data
(Continued) Table 4
Selected Demographic Data
Selected Item Atoka County County % State %
Population by Race (2000)
White ,
Black
American Indian ,
Other
Two or more races
Hispanic

13. Selected Demographic Data
(Continued) Table 4
Selected Demographic Data
Selected Item Atoka County County % State %
Population by Age (2000) , , , , , ,

14. Economic Indicators for Atoka County, the
Table 5
Economic Indicators for Atoka County, the
State of Oklahoma and the Nation
Indicator County State Nation
Total Personal Income (01) $214,113, $84,049,891, $8,541,068,616,916
Per Capita Income (01) $15, $24, $29,985
Employment (01) 4, ,601, NA
Unemployment (01) , NA Unemployment Rate (01) % 3.8% %
Poverty Rate (98) % % %
Transfer Dollars (01) $54,287, $13,107,079, $1,116,837,268,785
Transfer Dollars as % of Total Personal Income (01) % % %

15. Table 6
Personal Income Data for Atoka County, The State of Oklahoma, and the Nation 2000 & 2001
County County State Nation
Total % of % of % of
Source ($000) Total Total Total
Total Personal Income (01) $214,113,453
Earnings by Place of Residence (01) $131,499,
Transfer Payments (01) $54,287,
Total Earnings (01) $119,826,712
Wages and Salaries (01) $75,008,
Proprietor’s Income (01) $34,331,
Other Labor Income (01) $10,486,
Transfer Payments (00) $52,334,000
Retirement and Disability (00) $20,485,
Medical Payments (00) $18,060,
Other (00) $13,789,

16. Employment by Sector for Atoka County
Figure 1.
Employment by Sector for Atoka County

17. Availability of Selected Medical Providers - Atoka County
Table 7
Availability of Selected Medical Providers - Atoka County
County County State
Provider Number Rate / 1,000 Rate / 1,000
Hospitals (98,99)
Licensed Hospital Beds NA
Staffed Hospital Beds NA
Geriatric Day Services (99)
Number Licensed 0 NA 709
Total Persons Served 0 NA 761
New Referrals 0 NA 402
Estimated Need- Persons Age NA 5699
Nursing Homes
Beds (98)
Health Service Practitioners:
M.D.'s (00)
D.O.'s (00)
Primary Care Physicians (00)
COGME4,5 Midpoint (00)
Physician Assistants (99)
Dentists (98)
Emergency Medical Technicians (99):
First Responders
EMT Basics & Intermediates
Paramedics

18. Heath Status and Health Indicators for
Table 8
Heath Status and Health Indicators for
Atoka County and the State of Oklahoma
County County State
Status of Indicator Number Percent/Rate Percent/Rate
Hospital Admissions/Occupancy Rate (%) n/a
Medicare Enrollment (99):
Aged (65 and over) 1,
Disabled (Under 65)
Medicaid Enrollment (00):
Medicaid Eligible 2,
Medicaid Served 2,
Medicare Discharges (98,99) n/a
Medicaid Discharges (98,99) n/a
TAN-F Recipients (00)
Adult Recipients
Child Recipients
Food Stamps (persons) (00) 1,
Infant Mortality (95-99)
Births to Teens (97-99)
Child Abuse Cases Confirmed (00)
Children Receiving
Medicaid Ages 0-17 (00) 1,

19. Overview of Community Economic System
Households
Industry
Basic
Services
Goods & $
Inputs
Products
Labor
Figure 2.
Overview of Community Economic System

20. Atoka County Health Sector Impact
Table 9a
Atoka County Health Sector Impact
on Employment
IMPLAN
Type III
Health Sectors Employment Multiplier Impact
Hospitals
Medical Professionals
Nursing &
Protective Care
Other Medical & Health Services
Pharmacies
TOTALS

21. Atoka County Health Sector Impact
(Continued) Table 9b
Atoka County Health Sector Impact
on Income
IMPLAN
Type III
Health Sectors Income Multiplier Impact
Hospitals $2,406, $3,682,043 Medical Professionals $1,951, $2,750,910 Nursing & Protective Care $1,806, $2,925,720 Other Hlth & Med Svcs $1,195, $1,637,150 Pharmacy $425, $736,553
TOTALS $7,784,317 $11,732,376

22. Atoka County Health Sector Impact
(Continued) Table 9c
Atoka County Health Sector Impact
on Retail Sales and Sales Tax Collections
1 Cent
Retail Sales Tax
Health Sectors Sales Collection
Hospital $1,489,936 $14,899
Medical Professionals $1,023,904 $10,239
Nursing & Protective Care $1,137,368 $11,374
Other Hlth & Med Svcs $699, $6,995
Pharmacy $275, $2,750
TOTALS $4,625,722 $46,257

23. A. Where is the community now?
NEXT STEPS
If you, the local decision makers, wish to promote your health sector, here is how we can help you:
I. Strategic Health Planning
A. Where is the community now?
B. Where does the community want to go?
C. How will the community get there?

24. II. Feasibility Studies
Primary Care Physician
Obstetrics/Gynecology Physician
Pediatrician
Emergency Medical Services
(Basic and Advanced)
First Responder Systems
Outpatient Rehabilitation
Adult Day Services
Fire Protection
Solid Waste
Transportation Systems

25. Budget Studies Under Construction
Kidney Dialysis
Rural Health Clinics
Federally Qualified Health Centers
Primary Care Physician
Dentist
Pharmacies
Assisted Living Facilities
EMS
Add Others, as Requested