Las Vegas Review-Journal

Health group gives state D

Nonprofit seeks to improve care access

- JANE ANN MORRISON COMMENTARY By Paul Harasim Las Vegas Review-journal

A new nonprofit created by heavy hitters from Nevada’s business and medical communitie­s gave the state a D grade on its first report card on the state’s health care system.

The report card was released Wednesday by the Nevada Medical Center and is intended to focus attention on improving access to quality health care in the state.

Larry Matheis, the NMC’S CEO, said the report card will help state leaders focus on the gaps that must be filled to improve Nevada’s medical standing. Currently, he said, the state’s medical system “resembles a series of isolated communitie­s … due to the lack of collaborat­ion among medical profession­als and the dearth of thought given to enhancing our community’s reputation.”

The report card’s grades, based on analysis of data supplied by the Centers for Disease Control and Prevention and other government agencies, show how Nevada fares in the categories of health care access, chronic disease, nutrition and activity, mental health and substance abuse. The grades weren’t all bad, with the state receiving a passing

“C” grade on chronic disease and a better-than-average “B” on nutrition and activity.

The report is online at http:// nvmedicalc­enter.org/nevadaheal­thcare-statistics/.

HEALTH CARE

Matheis, former executive director of the Nevada State Medical Associatio­n, said the report is intended to guide policymake­rs and recommend new approaches.

“We are creating a Nevada Health Commission to use the report as a basis for recommendi­ng health policy priorities to the private and public sectors,” said Matheis, “We also are working with the UNLV School of Medicine to explore the potential for integrativ­e medicine.”

Integrativ­e medicine is an approach to care that puts the patient at the center and addresses the full range of physical, emotional, mental, social, spiritual and environmen­tal influences that affect a person’s health.

The report card, unveiled Wednesday evening at Delta Point, a community health center near downtown Las Vegas, is among the NMC’S first major public initiative­s. The organizati­on was founded in 2013 by Eric Hilton, who died in 2016 after 49 years directing the Hilton hotel chain establishe­d by his father, Conrad Hilton.

Earlier this month, NMC partnered with the Las Vegas-clark County Library District to organize play camps at two area libraries, aimed at demonstrat­ing the impact of “purposeful play on physical and mental health to young children,” Matheis said. It also is developing a similar demonstrat­ion program with the Clark County School District to be rolled out at elementary schools in the fall, he said.

Though NMC boosts some high-profile talent — board members include New York-new York CEO Cynthia Kiser Murphey and Dr. Florence Jameson, founder of the nonprofit Volunteers in Medicine of Southern Nevada — the organizati­on had largely stayed out of the public spotlight before the release of the report card.

The rankings, based on statistics from the 50 states and the District of Columbia, gave the state an F for access to health care through primary care doctors and insurance availabili­ty.

Only Mississipp­i had a worse rate of primary care providers, 53 per 100,000 people, compared with Nevada’s 56. The nation’s capitol, with 116 providers per 100,000 people, fared best.

No quick fix For Doctor shortage

Given that Nevada’s explosive growth — the population nearly doubled from 1.5 million in 1995 to nearly 3 million in 2016 — is expected to continue, the NMC set a modest target for access improvemen­t : only one more provider per 100,000 by 2020. Even the creation of the new UNLV School of Medicine — its 60 graduates won’t be entering residencie­s for graduate medical education for four years — can’t do much to help offset retirement­s by doctors in the near future.

Nevada did its best on nutrition and activity, largely because of exercise opportunit­ies and physically active adults.

The NMC’S report card is similar to rating systems used by other organizati­ons to measure Nevada’s health care delivery system, including recent reports that found the state lacking on hospital safety and the overall health of its senior citizens.

Contact Paul Harasim at pharasim@reviewjour­nal.com or 702 387-5273. Follow @paulharasi­m on Twitter.

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