C. Scope of Services for Health Care Institutions

Table 5.6, on the following page, illustrates the scope of services provided by institutions in Lompoc. With the exception of the mental health and alcohol and drug treatment services previously discussed, Lompoc's institutions provide a fairly broad spectrum of health services for a community of its size.

The availability of local health care institutions is but one dimension in assessing a community health system. The capacity of these local institutions to meet community needs is another. Two types of facilities for which there are national benchmarks that can be used to assess local capacity are acute hospital beds and nursing home beds. Table 5.7 compares the locally available acute hospital beds per thousand population with the 1996 national average, revealing that Lompoc's capacity is about a third of the national average. Again, local variances from national norms are not necessarily indicative of a capacity issue. Factors such as patient outmigration, age of the population and patterns of medical practice can impact local capacity needs. As previously discussed, Lompoc's population is relatively young and there is a high level of managed care penetration in the area, both of which have the effect of reducing needed acute hospital bed capacity. In addition, there is significant outmigration of Lompoc residents who receive acute hospital care in other communities.

Table 5.8 illustrates local nursing home bed capacity compared to the 1996 national average. Lompoc's available nursing home beds per thousand population is approximately 40% of the national average and 60% of the average of California.

Table 5.6: Scope of Services for Health Care Institutions in Lompoc by Institution

Hospitals TCU # Acute Beds Med/Surgical Acute ICU Neonatal ICU Obstetrics Acute Care Nursery Acute Care Psychiatric Acute Care Drug & Alcohol Acute Care Physical Rehabilitation Services Ambulatory Emergency Services Facility Community                       Lompoc Hospital District Lompoc 8.0   38.0 4.0   10.0 10.0
Licensed LTC Facilities # Skilled Beds # Intermediate Beds Occupational Therapy Physical Therapy Speech Therapy Respiratory Therapy Medical Social Work Facility Community               Lompoc Hospital District Lompoc 110.0   X X X   X
Home Health Agencies Skilled Nursing Care Attended Care Homemaker DME Home IV Therapy Respiratory Therapy Occupa- tional Therapy Speech Therapy Audiology Facility Community                   Visiting Nurse Service No. Lompoc X X X   X X X X   Santa Barbara County                     Apria Healthcare Lompoc   X X             House Calls Lompoc   X X
Community Health Centers General Medicine Public Health Preventative Medicine Dental Services Family Planning Prenatal Care OB Delivery Services STD Treatment HIV Testing / Counseling Mental Health Drug & Alcohol Recovery Tobacco Cessa- tion Facility Community                         Santa Barbara Co. Hlth Svcs   X X X   X X   X X
Public Health Services General Medicine Prenatal Care Family Planning Preventative Medicine STD Treatment HIV Testing / Counseling Mental Health Drug & Alcohol Recovery Tobacco Cessation Facility Community                   Santa Barbara Co. Hlth Svcs* Lompoc X X X X X X
EMS Services Paid Staff (Y/N) Volunteer Staff (Y/N) EMS Service Level Dispatch Source (e.g. Hospital) Means of Dispatch (eg. police radio) Average Response Time from Dispatch to Scene of Rescue Organization Community             American Medical Lompoc Yes No Paramedic Police (911) Police - Medical 8 min or less** Santa Barbara County Lompoc Yes No Paramedic Police (911) Police - Medical 8 min or less**
Source:	OSHPD, 1996, Home Health Agencies - Self Report, Santa Barbara County, Operations Manager.
Notes:	*	Santa Barbara County Health Services is licensed as a Community Clinic.
	**	By contractual obligation, Code 3 response time must be within 8 minutes, 90% of the time (actual compliance is 94%).

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