2018 Winding Waters Medical Clinic Health Center Program Awardee Data

ENTERPRISE, OREGON

3-year project period; end date 5/31/2020

Service Area Map

Total Patients: 4,287

 Access Enhancer  Advancing Health Information Technology (HIT) for Quality PCMH Recognition as of Wednesday, August 28, 2019

UDS Data Comparisons

Expand the tables below to view UDS data comparisons from 2016 to 2018

  2016 2017 2018
Total Patients 3,359 3,863 4,287
Age (% of total patients)
Percentage of Children (< 18 years old) 19.92% 18.48% 19.87%
Number of Children (< 18 years old) 669 714 852
Percentage of Adults (18 to 64) 52.75% 54.57% 52.67%
Number of Adults (18 to 64) 1,772 2,108 2,258
Percentage of Older Adults (Age 65 and over) 27.33% 26.95% 27.46%
Number of Older Adults (Age 65 and over) 918 1,041 1,177
Patients By Race & Ethnicity (% known)
Percentage of Racial and/or Ethnic Minority Patients 2.97% 3.71% 4.05%
Number of Racial and/or Ethnic Minority Patients 93 132 158
Percentage of Hispanic/Latino Ethnicity Patients 1.83% 2.56% 3.06%
Number of Hispanic/Latino Ethnicity Patients 58 92 121
Percentage of Non-Hispanic White Patients 98.06% 97.41% 97.45%
Number of Non-Hispanic White Patients 3,038 3,422 3,747
Percentage of Asian Patients 1 0.55% 0.40% 0.31%
Number of Asian Patients1 17 14 12
Percentage of Native Hawaiian / Other Pacific Islander Patients 1 0.13% 0.11% 0.08%
Number of Native Hawaiian/Other Pacific Islander Patients 1 4 4 3
Percentage of Black/African American Patients1 0.16% 0.14% 0.23%
Number of Black/African American1 5 5 9
Percentage of American Indian/Alaska Native Patients 1 0.23% 0.37% 0.23%
Number of American Indian/Alaska Native Patients1 7 13 9
Percentage of Patients with More than one race 1 0.16% 0.17% 0.23%
Number of Patients with More than one race 1 5 6 9
Total Patients with Known Race Ethnicity (Denominator) 3,098 3,513 3,845
Total Racial and/or Ethnic Minority Patients (Denominator) 3,131 3,554 3,905
Total Hispanic/Latino & Non-Hispanic Latino Patients (Denominator for Hispanic/Latino Ethnicity) 3,173 3,595 3,957
Language (% known)
Percentage of Patients Best Served in a Language Other Than English 1.37% 1.22% 1.12%
Number of Patients Best Served in a Language Other Than English 46 47 48
  2016 2017 2018
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 1,807 2,231 2,299
Percentage of Patients at or below 200% of Federal Poverty Guideline 62.70% 60.24% 63.42%
Number of Patients at or below 200% of Poverty 1,133 1,344 1,458
Percentage of Patients at or below 100% of Poverty 32.65% 31.33% 34.28%
Number of Patients at or below 100% of Poverty 590 699 788
Insurance Status (% of total patients)
Percentage of Uninsured Patients 6.61% 15.97% 15.79%
Number of Uninsured Patients 222 617 677
Percentage of Children Uninsured (age 0-17 years) 4.78% 8.40% 9.04%
Number of Children Uninsured (age 0-17 years) 32 60 77
Percentage of Medicaid/CHIP Patients2 28.31% 27.00% 28.55%
Number of Medicaid/CHIP Patients 2 951 1,043 1,224
Percentage of Medicare Patients 29.56% 25.89% 24.59%
Number of Medicare Patients 993 1,000 1,054
Percentage of Dually Eligible (Medicare and Medicaid) Patients 5.06% 3.91% 3.80%
Number of Dually Eligible (Medicare and Medicaid) Patients (included in above) 170 151 163
Percentage of Patients with Other Third Party Payer 35.52% 31.14% 31.07%
Number of Patients with Other Third Party Payer 1,193 1,203 1,332
Total Insurance Source Patients (Denominator) 3,359 3,863 4,287
Total Insurance Source Patients Aged 0 - 17 (Denominator) 669 714 852
Special Populations
Percentage of Homeless Patients 0.33% 0.26% 0.19%
Number of Homeless Patients 11 10 8
Percentage of Agricultural Worker Patients 1.73% 0.47% 0.16%
Number of Agricultural Worker Patients 58 18 7
Percentage of Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 0.00% 0.00% 0.00%
Number of Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 0 0 0
Percentage of School-Based Health Center Patients 0.00% 0.00% 0.00%
Number of School-Based Health Center Patients 0 0 0
Percentage of Veterans Patients 6.91% 6.39% 5.83%
Number of Veteran Patients 232 247 250
Gender of Patients by Age (% Female)
Percentage of Female Patients (ages 15-44) 31.05% 30.54% 32.40%
Number of Female Patients (ages 15-44) 549 627 729
Percentage of Patients Under 15 Who are Female 15.61% 14.42% 15.33%
Number of Patients Under 15 Who are Female 276 296 345
Percentage of Patients 15-64 Who are Female 58.60% 60.64% 59.56%
Number of Patients 15-64 Who are Female 1,036 1,245 1,340
Percentage of Patients 65 and Over Who are Female 25.79% 24.94% 25.11%
Number of Patients 65 and Over Who are Female 456 512 565
Total Female Patients (Denominator) 1,768 2,053 2,250
Services (% of patients) 2016 2017 2018
Percentage of Medical Patients 99.58% 92.70% 87.57%
Number of Medical Patients 3,345 3,581 3,754
Percentage of Dental Patients 0.68% 9.99% 25.01%
Number of Dental Patients 23 386 1,072
Percentage of Mental Health Patients 3.39% 15.07% 6.32%
Number of Mental Health Patients 114 582 271
Percentage of Substance Use Disorder Patients 0.00% 0.70% 3.55%
Number of Substance Use Disorder Patients 0 27 152
Percentage of Vision Patients 0.00% 0.00% -
Number of Vision Patients 0 0 -
Percentage of Enabling Patients 0.00% 1.71% 0.98%
Number of Enabling Services Patients 0 66 42
Total Patients (Denominator) 3,359 3,863 4,287
  2016 2017 201811
Patients
Medical Conditions (% of Patients with Medical Conditions)
Percentage of Hypertension Patients4 36.77% 35.84% 38.07%
Number of Hypertension Patients4 936 1,001 1,094
Percentage of Diabetes Patients5 9.86% 9.32% 9.09%
Number of Diabetes Patients5 221 232 231
Percentage of Asthma Patients 5.26% 4.89% 5.33%
Number of Asthma Patients 176 175 200
Percentage of Symptomatic/Asymptomatic HIV Patients 0.03% 0.14% 0.05%
Number of Symptomatic/Asymptomatic HIV Patients 1 5 2
Prenatal
Number of Prenatal Patients 6 59 50 51
Number of Prenatal Patients who Delivered 27 27 18
  2016 2017 2018 Adjusted Quartile Ranking 7
2017 2018
Quality of Care Measures
Perinatal Health
Percentage of Prenatal Patients with Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 79.66% 76.00% 86.27% - 2
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 47 38 44 - -
Percentage of Newborns with Low and Very Low Birth Weight 0.00% 0.00% 5.56% - -
Number of Newborns with Low Birth Weight 0 0 1 - -
Preventive Health Screening & Services
Percentage of Patients Screened for Cervical Cancer12 53.35% 61.80% 57.54% - 1
Number of Patients Screened for Cervical Cancer12 382 500 492 - -
Percentage of Children Age 3-17 for Weight Screening and Counseling on Nutrition and Physical Activity 45.36% 60.57% 56.16% - 3
Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity 249 321 319 - -
Percentage of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 37.41% 53.02% 62.36% - 3
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 893 1,441 1,771 - -
Percentage of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling13 98.94% 98.28% 97.94% - 1
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling 2,057 2,234 2,285 - -
Percentage of Patients Screened for Colorectal Cancer14 55.82% 58.89% 61.00% - 1
Number of Patients Screened for Colorectal Cancer 691 765 804 - -
Percentage of Children 2 Years of Age Who Received Age Appropriate Vaccines by Their 2nd Birthday 8 30.56% 32.61% 28.21% - 2
Number of Children 2 Years of Age Who Received Age Appropriate Vaccines by Their 2nd Birthday 8 11 15 11 - -
Percentage of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 15 58.36% 63.50% 60.26% - 3
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 15 1,385 1,660 1,551 - -
Percentage of Children 6 through 9 Years of Age at Moderate to High Risk of Caries Who Received a Sealant on a First Permanent Molar16 - 100.00% 100.00% - -
Number of Children 6 through 9 Years of Age at Moderate to High Risk of Caries Who Received a Sealant on a First Permanent Molar16 - 1 1 - -
Chronic Disease Management
Percentage of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention17 84.85% 88.89% 78.85% - 4
Number of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention17 28 32 41 - -
Percentage of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 77.11% 59.63% 72.36% - 4
Number of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 64 65 89 - -
Percentage of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 76.92% 57.43% 81.36% - 3
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 230 143 192 - -
Percentage of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg)18 59.51% 60.74% 57.86% - 4
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) 18 557 608 633 - -
Percentage of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year19 22.17% 27.16% 27.27% - 3
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year 19 49 63 63 - -
Percentage of Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 100.00% 100.00% - - -
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 1 1 - - -
  2016 2017 2018
Cost Data
Health Center Service Grant Expenditures $647,586 $697,516 $986,962
Total Accrued Costs (Excluding Donations) $3,719,217 $5,675,569 $6,707,051
Total Accrued Cost per Total Patient $1,107.24 $1,469.21 $1,564.51
Program Conditions 10

There are no conditions for this grantee

Footnotes

'-' - Data cannot be calculated or has been suppressed for confidentiality purposes.

  1. Includes Hispanic/Latino and Non-Hispanic/Latino.
  2. Includes Medicaid, Medicaid CHIP, and Other Public Insurance CHIP.
  3. Measure revised in 2014 UDS to include patients served in health centers with and without Public Housing Primary Care funding.
  4. Hypertensive adults as a percent of estimated adult medical patients of ages 18-85.
  5. Diabetic adults as a percent of estimated adult medical patients of ages 18-75.
  6. All health centers who provide prenatal care directly or by referral are included in the prenatal care calculations, effective 2014.
  7. Adjusted Quartile Rankings: Provides a health center's adjusted quartile ranking compared to health centers nationally for each of the clinical performance measures. Clinical performance for each measure is ranked from quartile 1 (highest 25% of reporting health center) to quartile 4 (lowest 25% of reporting health centers). Adjusted quartile ranking is not calculated when there are fewer than 30 patients in the universe count. To learn more about the Health Center Adjusted Quartile Ranking please refer to https://bphc.hrsa.gov/datareporting/reporting/ranking.html and for FAQ's please refer to https://bphc.hrsa.gov/datareporting/reporting/rankingfaq.html.
  8. Childhood Immunization Status: Change to the denominator in 2016 may affect 2015-2017 trends: Children 2 years of age (previously 3 years of age). Change to the exclusions criteria: No longer permits exclusion of patients not seen ever prior to turning 2. Change to the numerator: Adds 1 Hepatitis A (Hep A), 2 or 3 rotavirus (RV), and 2 influenza (flu) vaccines. Please see: https://ecqi.healthit.gov/ecqm/measures/cms117v5
  9. Measure changed in 2015 to address uncontrolled diabetes for patients with Hba1c > 9.
  10. Program conditions are based on non-compliance with Health Center Program requirements and are updated daily. To learn more about the Health Center Program requirements, please visit https://bphc.hrsa.gov/programrequirements/compliancemanual/index.html.
  11. Effective with calendar year 2016 reporting, clinical quality measures (CQMs) were changed to align with the Centers for Medicare & Medicaid Services’ electronic specified clinical quality measures (eCQMs) and therefore caution should be used for trends between 2015 and 2016 UDS CQMs. Health centers are encouraged to review the year over year differences before using for comparisons.
  12. Cervical Cancer Screening: Change to the denominator in 2016 may affect 2015-2017 trends: Women age 23 through 64 years (previously age 24 through 64 years). Change to the numerator: No longer includes concurrent human papillomavirus (HPV) and Pap test for those ages 30 and older. Please see: https://ecqi.healthit.gov/ecqm/measures/cms124v5
  13. Tobacco Use: Screening and Cessation Intervention: Change to the denominator in 2016 may affect 2015-2017 trends: Includes patients seen twice for medical care or at least once for a preventive visit. Change to the exclusions criteria: Documentation of medical reason(s) for not screening for tobacco use (e.g., limited life expectancy, other medical reason). Please see: https://ecqi.healthit.gov/ecqm/measures/cms138v5
  14. Colorectal Cancer Screening: Change to the denominator in 2016 may affect 2015-2017 trends: Patients age 50 through 75 (previously 51 through 74). Please see: https://ecqi.healthit.gov/ecqm/measures/cms130v5
  15. Screening for Depression and Follow Up Plan: Change to the denominator in 2016 may affect 2015-2017 trends: Do not include patients who refuse to participate, urgent or emergent situations, or if the patient's functional capacity or motivation to improve impacts the accuracy of results. Please see: https://ecqi.healthit.gov/ecqm/measures/cms002v6
  16. The Dental Sealants Screening measure was introduced in 2015 and is not comparable to prior years.
  17. Use of Appropriate Medications for Asthma: Change to the denominator in 2016 may affect 2015-2017 trends: Patients age 5 through 64 years (previously age 5 through 40 years), eligibility not limited to individuals with 2 medical visits ever. Change to the exclusions criteria: Patients with emphysema, chronic obstructive pulmonary disease, cystic fibrosis, or acute respiratory failure during or prior to the measurement period, patients with allergic reactions to asthma medications are no longer excluded from the measure denominator. Please see: https://ecqi.healthit.gov/ecqm/measures/cms126v5
  18. Controlling High Blood Pressure: Change to the denominator in 2016 may affect 2015-2017 trends: Age 18 through 85 years (previously age 18 through 84 years), eligibility no longer limited to patients with at least 2 medical visits during the measurement, must be essential diagnosis. Change to the exclusions criteria: Exclude patients with dialysis or renal transplant before or during the measurement period and chronic kidney disease, Stage 5 (in addition to evidence of end state renal disease), and patients with a diagnosis of pregnancy during the measurement period year. Please see: https://ecqi.healthit.gov/ecqm/measures/cms165v5
  19. Diabetes: Hemoglobin A1c Poor Control: Change to the denominator in 2016 may affect 2015-2017 trends: Age 18 through 75 years (previously age 18 through 74), eligibility no longer limited to patients with at least 2 medical visits during the measurement year. Please see https://ecqi.healthit.gov/ecqm/measures/cms122v5

*Note: Health center profile data are aggregated to the health center parent organizational level, which may be comprised of multiple service delivery sites.

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