2014 Health Center Data

Wisconsin Data

:
Tables 3A through 9E

16 Grantees


Table 3A - Patients by Age and Gender

Age Groups MALE PATIENTS
(a)
FEMALE PATIENTS
(b)
All Patients
1. Under Age 1 2,841  2,760  5,601 
2. Age 1 2,204  2,081  4,285 
3. Age 2 2,426  2,379  4,805 
4. Age 3 2,998  2,855  5,853 
5. Age 4 3,476  3,334  6,810 
6. Age 5 3,455  3,511  6,966 
7. Age 6 3,533  3,336  6,869 
8. Age 7 3,553  3,418  6,971 
9. Age 8 3,485  3,530  7,015 
10. Age 9 3,239  3,196  6,435 
11. Age 10 3,071  3,012  6,083 
12. Age 11 3,007  2,885  5,892 
13. Age 12 2,782  2,737  5,519 
14. Age 13 2,686  2,584  5,270 
15. Age 14 2,510  2,623  5,133 
16. Age 15 2,436  2,494  4,930 
17. Age 16 2,200  2,469  4,669 
18. Age 17 1,955  2,414  4,369 
Subtotal Patients (sum lines 1-18)  51,857  51,618  103,475 
19. Age 18 1,571  2,229  3,800 
20. Age 19 1,026  1,934  2,960 
21. Age 20 890  1,945  2,835 
22. Age 21 963  2,060  3,023 
23. Age 22 1,019  2,204  3,223 
24. Age 23 1,078  2,296  3,374 
25. Age 24 1,087  2,356  3,443 
26. Ages 25 - 29 6,400  13,126  19,526 
27. Ages 30 - 34 7,561  13,458  21,019 
28. Ages 35 - 39 7,070  11,195  18,265 
29. Ages 40 - 44 7,007  9,797  16,804 
30. Ages 45 - 49 7,228  8,979  16,207 
31. Ages 50 - 54 8,054  9,644  17,698 
32. Ages 55 - 59 7,096  8,400  15,496 
33. Ages 60 - 64 5,263  6,221  11,484 
Subtotal Patients (sum lines 19-33)  63,313  95,844  159,157 
34. Ages 65 - 69 2,694  3,599  6,293 
35. Ages 70 - 74 1,690  2,313  4,003 
36. Ages 75 - 79 1,141  1,627  2,768 
37. Ages 80 - 84 732  1,170  1,902 
38. Ages 85 and over 615  1,361  1,976 
Subtotal Patients (sum lines 34-38)  6,872  10,070  16,942 
39. Total Patients (sum lines 1-38)  122,042   157,532   279,574  
Percent of Total  43.7%   56.3%    

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Table 3B - Patients by Hispanic or Latino Ethnicity /Race/ Language

PATIENTS BY RACE PATIENTS BY HISPANIC OR LATINO ETHNICITY
Hispanic/Latino
(a)
Non-Hispanic/Latino
(b)
Unreported/Refused to
Report Ethnicity
(c)
Number
(a)
Number
(b)
Number
(c)
% of Total Patients1 Number
(d)
% of Total Patients1 % of Known Race2
1. Asian 110  5,218      5,328  1.9%  2.1% 
2a. Native Hawaiian 86  132      218  0.1%  0.1% 
2b. Other Pacific Islander 281  324      605  0.2%  0.2% 
2. Total Hawaiian/Pacific Islander (Sum lines 2a+2b) 367  456       823   0.3%  0.3% 
3. Black/African American 1,113  47,506      48,619  17.4%  18.7% 
4. American Indian/Alaska native 1,962  2,303      4,265  1.5%  1.6% 
5. White 49,322  147,999      197,321  70.6%  76.0% 
6. More than one race 1,390  1,728      3,118  1.1%  1.2% 
6a. Total Known (Sum lines 1+2+3+4+5+6) 54,264  205,210      259,474     
7. Unreported/Refused to report Race 8,314  2,910  8,876  3.2%  20,100  7.2%    
 8. Total Patients (Sum lines 1+2+3 through 7)  62,578   208,120   8,876   3.2%   279,574  100.0%    
Total Known Ethnicity (Sum line 8, columns a + b) 270,698
  % of Hispanic/Latino of Total Known Ethnicity3
(a)
% of NonHispanic/ Latino of Total Known Ethnicity3
(b)
 
 9.  Total Patients  23.1%   76.9%   
 
PATIENTS BY LANGUAGE Number
(a)
% of Total
12. Patients best served in a language other than English 48,637  17.4% 
  1. Total Patients is reported on line 8, column D.
  2. Known Race is reported on line 6a, column D.
  3. Known Ethnicity is shown on the line titled ‘Total Known Ethnicity'.

Percents may not equal 100% due to rounding

 

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Table 4 - Selected Patient Characteristics

Characteristic Number of Patients
(a)
 
% of Total  % of Known 
Income as Percent of Poverty Level 
1. 100% and Below 153,657  55.0%  66.9% 
2. 101 - 150% 46,975  16.8%  20.5% 
3. 151 - 200% 15,107  5.4%  6.6% 
4. Over 200% 13,845  5.0%  6.0% 
5. Unknown 49,990  17.9%   
6. Total (sum lines 1-5)  279,574   100.0%     
Principal Third Party Medical Insurance Source  0-17 Years old (a)  18 and Older (b)  TOTAL  % 
7. None/Uninsured 8,375  47,754  56,129  20.1% 
8a. Regular Medicaid (Title XIX) 85,693  84,894  170,587  61.0% 
8b. CHIP Medicaid 0  0.0% 
8. Total Medicaid (Sum lines 8a+8b)  85,693  84,894  170,587  61.0% 
9. Medicare (Title XVIII)  16  19,491  19,507  7.0% 
9a. Dually eligible (Medicare and Medicaid)  -  - 
10a. Other Public Insurance Non-CHIP 0  0.0% 
10b. Other Public Insurance CHIP 0  0.0% 
10. Total Public Insurance
(Sum lines 10a+10b)
 
0  0.0% 
11. Private Insurance  9,391  23,960  33,351  11.9% 
12. Total (Sum Lines 7+8+9+10+11)  103,475  176,099  279,574   100.0%  
Managed Care Utilization 
Payer Category  Medicaid
(a)
 
Medicare
(b)
 
Other Public Including Non-Medicaid CHIP
(c)
 
Private
(d)
 
Total
(e)
 
13a. Capitated Member months 31,753  9,949  41,702 
13b. Fee-for-service Member months 179,466  13,448  45,252  238,166 
13c. Total Member Months
(Sum lines 13a+13b)
 
211,219  13,448  0  55,201  279,868 
Characteristics - Special Populations  Number of Patients
(a)
 
%   
14. Migratory (330g grantees only) 642  69.2%   
15. Seasonal (330g grantees only) 124  13.4%   
  Migratory/Seasonal (non330g Health Centers) 162  17.5%   
16. Total Migratory/Seasonal Agricultral Worker or Dependent
(All Grantees Report This Line)
 
928  100.0%   
17. Homeless Shelter (330h grantees only) 5,981  52.0%   
18. Transitional (330h grantees only) 429  3.7%   
19. Doubling Up (330h grantees only) 1,267  11.0%   
20. Street (330h grantees only) 367  3.2%   
21. Other (330h grantees only) 113  1.0%   
22. Unknown (330h grantees only) 1,439  12.5%   
  Homeless (non-330h grantees) 1,910  16.6%   
23. Total Homeless (All Grantees Report This Line)  11,506 100.0%*  
24. Total School Based Health Center Patients
(All Grantees Report This Line)
 
1,715     
25. Total Veterans (All Grantees Report this Line)  2,429     
26. Total Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site (All Health Centers Report This Line) 89     


Percents may not equal 100% due to rounding

 

 

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Table 5 - Staffing and Utilization

PERSONNEL BY MAJOR SERVICE CATEGORY FTEs
(a)
Clinic Visits
(b)
Patients
(c)
1. Family Physicians 42.05   155,039   
2. General Practitioners 0.00  41   
3. Internists 8.99  29,132   
4. Obstetrician/Gynecologists 2.84  9,708   
5. Pediatricians 19.04  73,088   
7. Other Specialty Physicians 18.40  44,156   
8. Total Physicians (Sum lines 1-7)  91.32  311,164   
9a. Nurse Practitioners 40.07  79,330   
9b. Physician Assistants 24.42  59,699   
10. Certified Nurse Midwives 13.23  23,847   
10a. Total NPs, PAs, CNMs (Sum lines 9a - 10)  77.72  162,876   
11. Nurses 82.47  21,602   
12. Other Medical Personnel 219.44     
13. Laboratory Personnel 18.48     
14. X-Ray Personnel 18.59     
15. Total Medical Services (Sum lines 8+10a through 14)  508.02  495,642  154,483  
16. Dentists 109.35  298,761   
17. Dental Hygienists 99.75  82,714   
18. Dental Assistants, Aides, Techs 223.68     
19. Total Dental Services (Sum lines 16-18)  432.78  381,475  147,525 
20a. Psychiatrists 8.79  18,996   
20a1. Licensed Clinical Psychologists 16.47  18,715   
20a2. Licensed Clinical Social Workers 19.25  15,512   
20b. Other Licensed Mental Health Providers 25.81  23,004   
20c. Other Mental Health Staff 12.14  2,372   
20. Total Mental Health Services (Sum lines 20a-20c)  82.46  78,599  18,223 
21. Substance Abuse Services  5.27  5,772  779 
22. Other Professional Services  13.31  18,158  5,281 
22a. Ophthalmologist  0.25  2,988   
22b. Optometrist  0.58  2,574   
22c. Other Vision Care Staff  2.08     
22d. Total Vision Services (Sum lines 22a-22c)  2.91  5,562  4,213 
23. Pharmacy Personnel  29.06     
24. Case Managers 68.75  61,609   
25. Patient/Community Education Specialists 28.47  10,397   
26. Outreach Workers 25.19     
27. Transportation Staff 0.00     
27a. Eligibility Assistance Workers 88.84     
27b. Interpretation Staff 13.72     
28. Other Enabling Services 1.52     
29. Total Enabling Services (Sum lines 24-28)  226.49  72,006  19,498 
29a. Other Programs/Services  37.88     
30a. Management and Support Staff 239.24     
30b. Fiscal and Billing Staff 138.77     
30c. IT Staff 16.51     
31. Facility Staff 37.77     
32. Patient Support Staff 313.74     
33. Total Facility and Non-Clinical Support Services(Lines 30a through 32)  746.03     
34. Grand Total (Lines 15+19+20+21+22+22d+23+29+29a+29b+33)  2,084.21  1,057,214   


 

Table 5: Staffing and Utilization

PERSONNEL BY MAJOR SERVICE CATEGORY FTEs Clinic Visits
% Group  % Total  % Group  % Total
1. Family Physicians 8.3%  2.0%  31.3%  14.7% 
2. General Practitioners 0.0%  0.0%  - 
3. Internists 1.8%  0.4%  5.9%  2.8% 
4. Obstetrician/Gynecologists 0.6%  0.1%  2.0%  0.9% 
5. Pediatricians 3.7%  0.9%  14.7%  6.9% 
7. Other Specialty Physicians 3.6%  0.9%  8.9%  4.2% 
8. Total Physicians (Sum lines 1-7)  18.0%   4.4%   62.8%   29.4% 
9a. Nurse Practitioners 7.9%  1.9%  16.0%  7.5% 
9b. Physician Assistants 4.8%  1.2%  12.0%  5.6% 
10. Certified Nurse Midwives 2.6%  0.6%  4.8%  2.3% 
10a. Total Mid-Levels (Sum lines 9a-10)  15.3%   3.7%   32.9%   15.4%  
11. Nurses 16.2%  4.0%  4.4%  2.0% 
12. Other Medical Personnel 43.2%  10.5%     
13. Laboratory Personnel 3.6%  0.9%     
14. X-Ray Personnel 3.7%  0.9%     
15. Total Medical (Sum lines 8+10a through 14)  100.0%   24.4%   100.0%   46.9%  
16. Dentists 25.3%   5.2%   78.3%   28.3%  
17. Dental Hygienists 23.0%   4.8%   21.7%   7.8%  
18. Dental Assistants, Aides, Techs 51.7%   10.7%      
19. Total Dental Services (Sum lines 16-18)  100.0%   20.8%   100.0%   36.1%  
20a. Psychiatrists 10.7%   0.4%   24.2%   1.8%  
20a1. Licensed Clinical Psychologists 20.0%   0.8%   23.8%   1.8%  
20a2. Licensed Clinical Social Workers 23.3%   0.9%   19.7%   1.5%  
20b. Other Licensed Mental Health Providers 31.3%   1.2%   29.3%   2.2%  
20c. Other Mental Health Staff 14.7%   0.6%   3.0%   0.2%  
20. Mental Health (Sum lines 20a-c)  100.0%   4.0%   100.0%   7.4%  
21. Substance Abuse Services  100.0%   0.3%   100.0%   0.5%  
22. Other Professional Services  100.0%   0.6%   100.0%   1.7%  
22a. Ophthalmologist  8.6%  0.0%  53.7%  0.3% 
22b. Optometrist  19.9%   0.0%   46.3%   0.2%  
22c. Other Vision Care Staff  71.5%   0.1%      
22d. Total Vision Services (Sum lines 22a-22c)  100.0%   0.1%   100.0%   0.5%  
23. Pharmacy Personnel  100.0%   1.4%      
24. Case Managers 30.4%   3.3%   85.6%   5.8%  
25. Patient/Community Education Specialists 12.6%   1.4%   14.4%   1.0%  
26. Outreach Workers 11.1%   1.2%      
27. Transportation Staff 0.0%   0.0%      
27a. Eligibility Assistance Workers 39.2%   4.3%      
27b. Interpretation Staff 6.1%   0.7%      
27c. Community Health Workers        
28. Other Enabling Services 0.7%   0.1%      
29. Total Enabling Services (Sum lines 24-28)  100.0%   10.9%   100.0%   6.8%  
29a. Other Programs/Services  100.0%   1.8%      
PERSONNEL BY MAJOR SERVICE CATEGORY FTEs Clinic Visits
% Group  % Total  % Group  % Total 
30a. Management and Support Staff   11.5%      
30b. Fiscal and Billing Staff   6.7%      
30c. IT Staff   0.8%      
31. Facility Staff   1.8%      
32. Patient Support Staff   15.1%      
33. Total Facility and Non-Clinical Support Services (Lines 30a through 32) 100.0%   35.8%      
34. Total (Sum lines 15+19+20+21+22+23+29+29a+33)    100.0%     100.0%  

 

Visits are shown only for personnel that generate reportable Visits
Subtotals may differ from the sum of cells due to rounding
Percents may not equal 100% due to rounding

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Table 5A - Tenure for Health Center Staff

Health Center Staff Full and part time Locum, On-call, etc
Persons (a) Total months (b) Persons (c) Total months (d)
1 Family Physicians 139 20,613 3 116
2 General Practitioners 0 0 0 0
3 Internists 72 12,410 2 180
4 Obstetrician/Gynecologists 36 4,530 2 13
5 Pediatricians 51 6,706 6 530
7 Other Specialty Physicians 368 53,691 14 88
9a Nurse Practitioners 159 13,315 3 246
9b Physician Assistants 112 12,875 0 0
10 Certified Nurse Midwives 20 2,651 0 0
11 Nurses 63 3,358 0 0
16 Dentists 135 5,542 4 19
17 Dental Hygienists 125 6,727 0 0
20a Psychiatrists 27 2,912 0 0
20a1 Licensed Clinical Psychologists 34 4,023 0 0
20a2 Licensed Clinical Social Workers 41 3,584 0 0
20b Other Licensed Mental Health Providers 126 14,005 0 0
22a Ophthalmologist 15 2,973 0 0
22b Optometrist 9 1,283 0 0
30a1 Chief Executive Officer 16 2,096 0 0
30a2 Chief Medical Officer 11 634 0 0
30a3 Chief Financial Officer 16 1,119 0 0
30a4 Chief Information Officer 4 328 0 0

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Table 6A - Selected Diagnoses and Services Rendered

Diagnostic Category Number of Visits by Primary Diagnosis
(a)
Number of Patients with Primary Diagnosis
(b)
Selected Infectious and Parasitic Diseases 
1-2 Symptomatic and Asymptomatic HIV 1,966  543 
1-2a First-time diagnosis of HIV      
3. Tuberculosis 171  131 
4. Syphilis and other sexually transmitted diseases 734  526 
4a. Hepatitis B 176  96 
4b. Hepatitis C 1,681  923 
Selected Diseases of the Respiratory System 
5. Asthma 15,484  9,134 
6. Chronic bronchitis and Emphysema 3,035  1,824 
Selected Other Medical Conditions 
7. Abnormal Breast Findings, Female 1,484  616 
8. Abnormal Cervical Findings 1,316  950 
9. Diabetes Mellitus 44,814  13,609 
10. Heart Disease (selected) 16,080  5,391 
11. Hypertension 56,412  24,525 
12. Contact Dermatitis and other Eczema 6,514  5,432 
13. Dehydration 895  542 
14. Exposure to Heat or Cold 165  76 
14a. Overweight and obesity 31,510  19,813 
Selected Childhood Conditions 
15. Otitis Media and Eustachian Tube Disorders 10,149  7,098 
16. Selected Perinatal Medical Conditions 1,723  1,061 
17. Lack of expected normal physiological development (such as delayed milestone; failure to gain weight; failure to thrive); Nutritional deficiencies in children only. Does not include sexual or mental development. 8,167  5,056 
Selected Mental Health and Substance Abuse Conditions 
18. Alcohol Related Disorders 9,015  3,078 
19. Other Substance Related Disorders (Excluding Tobacco Use Disorders) 8,164  2,863 
19a. Tobacco Use Disorders 13,685  8,444 
20a. Depression and Other Mood Disorders 58,354  18,211 
20b. Anxiety Disorders Including PTSD 38,243  11,959 
20c. Attention Deficit and Disruptive Behavior Disorders 23,849  7,019 
20d. Other Mental Disorders, Excluding Drug or Alcohol Dependence (includes mental retardation) 37,146  13,736 
Diagnostic Category  Number of Visits
(a)
 
Number of Patients
(b)
 
Selected Diagnostic Tests/Screening/Preventive Services 
21. HIV Test 6,231  5,700 
21a. Hepatitis B Test 2,812  2,801 
21b. Hepatitis C Test 2,215  2,175 
22. Mammogram 2,815  2,716 
23. Pap Test 10,073  9,813 
24. Selected Immunizations: Hepatitis A, Hemophilus Influenza B (HiB), Pneumococcal, Diptheria, Tetanus, Pertussis (DTaP) (DTP) (DT), Mumps, Measles, Rubella, Poliovirus, Varicella, Hepatitis B Child) 31,503  23,600 
24a. Seasonal Flu Vaccine 25,045  23,216 
25. Contraceptive Management 13,675  8,001 
26. Health Supervision of Infant or Child (ages 0 through 11) 41,755  28,289 
26a. Childhood lead test screening (Ages 9 to 72 months) 8,041  7,914 
26b. Screening, Brief Intervention, and Referral to Treatment (SBIRT) 88  87 
26c. Smoke and tobacco use cessation counseling 1,213  682 
26d. Comprehensive and Intermediate Eye Exams 2,954  2,703 
Service Category Applicable ADA Codes Number of Visits
(a)
Number of Patients
(b)
Selected Dental Services 
27. I. Emergency Services 15,591  13,399 
28. II. Oral Exams 154,977  119,413 
29. Prophylaxis - Adult or Child 102,329  81,859 
30. Sealants 15,569  14,280 
31. Flouride Treatment - adult or child ADA: D1203, D1204, D1206 83,652  63,152 
32. III. Restorative Services 92,370  53,153 
33. IV. Oral Surgery
(Extractions and other Surgical Procedures)
ADA: D7111, D7140, D7210,
D7220, D7230, D7240, D7241,
D7250, D7260, D7261, D7270,
D7272, D7280
35,500  27,118 
34. V. Rehabilitative Services (Endo, Perio, Prostho, Ortho) ADA: D3xxx, D4xxx, D5xxx,
D6xxx, D8xxx
47,860  23,832 

Sources of codes:

  • International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM), Volumes 1 and 2, 2014. American Academy of Professional Coders
  • International Classification of Diseases, 2014, Complete Draft Code Set (ICD-10-CM). American Academy of Professional Coders
  • Current Procedural Terminology, (CPT) 2014. American Medical Association.
  • Current Dental Terminology, (CDT) 2015. American Dental Association.

NOTE: x in a code denotes any number including the absence of a number in that place.

 

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Table 6B - Quality of Care Measures

Section A: Age Categories for Prenatal Patients
(Grantees Who Provide Prenatal Care Only)
Demographic Characteristics of Prenatal Care Patients
AGE Number of Patients
(a)
Percent
1. Less than 15 Years 0.0% 
2. Ages 15 - 19 500  12.2% 
3. Ages 20 - 24 1,179  28.7% 
4. Ages 25 - 44 2,424  58.9% 
5. Ages 45 and Over 0.2% 
6. Total Patients (Sum lines 1-5)  4,112  100.0% 

Section B - Trimester of Entry Into Prenatal Care
Trimester of First Known Visit for Women Receiving Prenatal Care During Reporting Year Women Having First Visit with Grantee Women Having First Visit with Another Provider % Total
(a) % (b) %
7. First Trimester 2,955  71.9%  176  4.3%  76.1% 
8. Second Trimester 784  19.1%  55  1.3%  20.4% 
9. Third Trimester 128  3.1%  14  0.3%  3.5% 

Section C: Childhood Immunization
Childhood Immunization Total Number Patients with 3rd Birthday
During Measurement Year
(a)
Estimated number patients immunized
(b)
Estimated % patients immunized
(c)
10. Percentage of children 2 years of age who received age appropriate vaccines by their 2nd birthday 3,230  2,626  81.3% 

*Measure was revised in 2014 and is not comparable to calendar year 2013 and prior.

 

Section D - Cervical Cancer Screening
Pap Tests Total number of female patients 24-64 years of age
(a)
Estimated number patients tested
(b)
Estimated % patients tested
(c)
11. Percentage of women 21-64 years of age, who received one or more Pap tests to screen for cervical cancer 43,095  25,108  58.3% 

 

Section E – Weight Assessment and Counseling for Nutrition and Physical Activity of Children and Adolescents
Child and Adolescent Weight Assessment and Counseling Total Patients Aged 3 – 17 on December 31
(a)
Estimated Number Patients Assessed and Counseled Estimated % Patients Assessed and Counseled
12. Percentage of patients 3- 17 with a BMI percentile, and counseling on nutrition and physical activity documented 40,248  23,475  58.3% 

 

Section F – Adult Weight Screening and Follow-Up
Adult Weight Screening and Follow-Up Total Patients 18 and Over
(a)
Estimated Number Patients with BMI Charted and Follow-Up Plan Documented as Appropriate Estimated % Patients with BMI Charted and Follow-Up Plan Documented as Appropriate
13. Percentage of patients aged 18 and older with (1) BMI documented and (2) follow-up plan documented if BMI is outside normal parameters 93,034  43,432  46.7% 

 

Section G – Tobacco Use Screening and Cessation Intervention
Tobacco Use Screening and Cessation Intervention Total Patients Aged 18 and Older
(a)
Number Charts Sampled or EHR Total Number of Patients Assessed for Tobacco Use and Provided Intervention if a Tobacco User
14a. Percentage of patients aged 18 years and older who (1) were screened for tobacco use one or more times within 24 months and if identified to be a tobacco user (2) received cessation counseling intervention 82,482  72,953  88.4% 

 

Section H – Asthma Pharmacological Therapy
Asthma Treatment Plan Total Patients Aged 5-40 with Persistent Asthma
(a)
Estimated Number with Acceptable Plan Estimated % Patients with Acceptable Plan
16. Percentage of patients aged 5 through 64 years of age identified as having persistent asthma and were appropriately prescribed medication during the measurement period 1,973  1,762  89.3% 

 

Section I – Coronary Artery Disease (CAD): Lipid Therapy
Lipid Therapy Total Patients Aged 18 and Older with CAD Diagnosis
(a)
Estimated Number Patients Prescribed a Lipid Lowering Therapy Estimated % Patients Prescribed a Lipid Lowering Therapy
17. Percentage of patients aged 18 and older with a diagnosis of CAD who were prescribed a lipid lowering therapy 1,616  1,354  83.8% 

 

Section J – Ischemic Vascular Disease (IVD): Aspirin or Antithrombotic Therapy
Aspirin or Other Antithrombotic Therapy Total Patients Aged 18 And Over With IVD Diagnosis or AMI, CABG, or PTCA Procedure
(a)
Estimated Number Patients with Aspirin or other Antithrombotic Therapy Estimated % Patients with Aspirin or other Antithrombotic Therapy
18. Percentage of patients aged 18 and older with a diagnosis of IVD or AMI, CABG, or PCI procedure with aspirin or another antithrombotic therapy 4,020  3,340  83.1% 

 

Section K – Colorectal Cancer Screening
Colorectal Cancer Screening Total Patient 51 through 74 Years of Age
(a)
Estimated Number Patients with Appropriate Screening for Colorectal Cancer Estimated % Patients with Appropriate Screening for Colorectal Cancer
19. Percentage of patients 50 through 75 years of age who had appropriate screening for colorectal cancer 30,980  10,676  34.5% 

 

Section L – HIV Linkage to Care
HIV Linkage to Care Total Patients First Diagnosed with HIV
(a)
Estimated Number Patients Seen Within 90 Days of First Diagnosisof HIV Estimated % Patients Seen Within 90 Days of First Diagnosis of HIV
20. Percentage of patients whose first ever HIV diagnosis was made by health center staff between October 1, of the prior year and September 30, of the measurement year and who were seen for follow-up treatment within 90 days of that first ever diagnosis 39  35  89.7% 

 

Section M – Patients Screened for Depression and Follow-up
Patients Screened for Depression and Follow-up Total Patients Aged 12 and Older(a) Estimated Number Patients Screened for Depression and Follow-up Plan Documented as Appropriate Estimated % Patients Screened for Depression and Follow-up Plan Documented as Appropriate
21. Percentage of patients aged 12 and older who were (1) screened for depression with a standardized tool and, if screening was positive, (2) had a follow-up plan documented 90,033  26,739  29.7% 

 

Section N – Dental Sealants
Dental Sealants Total Patients Aged 6 through 9 Identified as Moderate to High Risk for Caries (a) Charts Sampled or EHR Total (b) Number of patients with Sealants to First Molars (c)
22. Percentage of children aged 6 through 9 years, at moderate to high risk of caries who received a sealant on a first permanent molar

% may not equal 100% due to rounding

Estimated % Patients for the Childhood Immunization, Pap Tests, Weight Assessment and Counseling, Weight Screening and Follow up, Tobacco Assessment and Counseling, Tobacco Cessation Advice, Asthma Treatment Plan, Coronary Artery Disease (CAD): Lipid Therapy, Ischemic Vascular Disease: Aspirin or Antithrombotic Therapy, Colorectal Cancer Screening, HIV Cases and Depression follow up is based on the total of the estimated number of patients included in column b for each Health Center, for each measure, divided by the total number of patients in the applicable category (i.e., the Universe) for each measure.

* Measure was revised in 2014. Changes in measure criteria limit comparability to prior years.

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Table 7 - Health Outcomes and Disparities

Wisconsin Data

:
Tables 3A through 9E

16 Grantees


Total (i)
HIV Positive Pregnant Women 1
Deliveries Performed by Grantee Provider 1,990
 Section A: DELIVERIES AND BIRTH WEIGHT
  Prenatal care patients who delivered during the year
(1a)
Live Births < 1500 grams
(1b)
Live Births 1500-2499 grams
(1c)
Live Births >= 2500 grams
(1d)
% Low and Very Low Birth Weight
 By Race
Asian (a) 69 2.9% 1 4 62 7.5%
Native Hawaiian (b1) 2 0.1% 0 0 0 -
Pacific Islander (b2) 2 0.1% 0 1 2 33.3%
Black/ African American (c) 477 19.9% 9 34 432 9.1%
Hispanic/Latino 10 0.4% 0 0 8 0.0%
Non-Hispanic/Latino 467 19.5% 9 34 424 9.2%
American Indian/ Alaska Native (d) 108 4.5% 0 4 95 4.0%
White (e) 1,545 64.4% 26 80 1,382 7.1%
Hispanic/Latino 879 36.6% 17 36 821 6.1%
Non-Hispanic/Latino 666 27.8% 9 44 561 8.6%
More than one race (f) 29 1.2% 0 2 47 4.1%
Race Unreported/ Refused to Report (g) 158 6.6% 2 5 151 4.4%
Sub-total (Sum a+b1+b2+c+d+e+f+g) 2,390 99.6% 38 130 2,171 7.2%
 By Ethnicity
Hispanic/Latino (section 1) 1,109 46.2%  19 44 1,056 5.6%
Non-Hispanic/Latino (section 2) 1,281 53.4% 19 86 1,115 8.6%
Sub-total (Sum section 1 + section 2) 2,390 99.6% 38 130 2,171 7.2%
Unreported / Refused to Report Race and Ethnicity (h) 10 0.4% 1 7 51 13.6%
Total (i) 2,400 100.0% 39  137 2,222  7.3%

* %'s shown are rounded to the .1% level for table display purposes; calculations are made using %'s to 8 decimal places

 
 
 SECTION B: HYPERTENSION
Patients 18 to 85 diagnosed with hypertension whose last blood pressure was less than 140/90
  Total Hypertensive Patients
(2a)
Estimated % Patients with Controlled Blood Pressure
By Race
Asian (a) 332 69.9%
Native Hawaiian (b1) 11 55.6%
Pacific Islander (b2) 41 66.7%
Black/ African American (c) 6,874 62.9%
Hispanic/Latino 102 62.6%
Non-Hispanic/Latino 6,772 62.9%
American Indian/ Alaska Native (d) 234 61.0%
White (e) 12,005 70.5%
Hispanic/Latino 2,790 69.4%
Non-Hispanic/Latino 9,215 70.9%
More than one race (f) 124 69.0%
Race Unreported/ Refused to Report (g) 373 65.0%
Sub-total (Sum a+b1+b2+c+d+e+f+g) 19,994  
By Ethnicity
Hispanic/Latino (section 1) 3,391 68.8%
Non-Hispanic/Latino (section 2) 16,603 67.4%
Sub-total (Sum section 1 + section 2) 19,994  
Unreported / Refused to Report Race and Ethnicity (h) 128 53.6%
Total (i) 20,122 67.5%

* %'s shown are rounded to the .1% level for table display purposes; calculations are made using %'s to 8 decimal places
** Percents by race are low estimates, not adjusted at the grantee level for samples with zero patients in racial categories.

 
 SECTION C: DIABETES
Patients 18 to 75 diagnosed with Type I or Type II diabetes: Most recent test results
  Total Patients With Diabetes
(3a)
Estimated % Patients with Hba1c > 9%
By Race
Asian (a) 226 -
Native Hawaiian (b1) 8 -
Pacific Islander (b2) 32 -
Black/ African American (c) 3,132 -
Hispanic/Latino 56 -
Non-Hispanic/Latino 3,076 -
American Indian/ Alaska Native (d) 216 -
White (e) 6,788 -
Hispanic/Latino 2,639 -
Non-Hispanic/Latino 4,149 -
More than one race (f) 130 -
Race Unreported/ Refused to Report (g) 428 -
Sub-total (Sum a+b1+b2+c+d+e+f+g) 10,960  
By Ethnicity
Hispanic/Latino (section 1) 3,271 -
Non-Hispanic/Latino (section 2) 7,689 -
Sub-total (Sum section 1 + section 2) 10,960  
Unreported / Refused to Report Race and Ethnicity (h) 76 -
Total (i) 11,036 -

% shown are rounded to the .1% level for table display purposes; calculations are made using % to 8 decimal places

% by race are low estimates, not adjusted at the grantee level for samples with zero patients in racial categories.

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Table 8A - Financial Costs

Accrued Cost
(a)
Allocation of Facility and Non-Clinical Support Services
(b)
Total Cost After Allocation of Facility and Non-Clinical Support Services
(c)
Financial Costs for Medical Care 
1. Medical Staff 47,514,641  25,360,194  72,874,835
2. Lab and X-ray 5,140,455  2,239,843  7,380,298 
3. Medical/Other Direct 12,723,608  5,328,499  18,052,107 
4. Total Medical Care Services (Sum lines 1-3)  65,378,704  32,928,536  98,307,240 
Financial Costs for Other Clinical Services 
5. Dental 56,784,078  25,647,793  82,431,871 
6. Mental Health 9,343,985  4,096,355  13,440,340 
7. Substance Abuse 768,294  296,900  1,065,194 
8a. Pharmacy not including pharmaceuticals 4,336,164  1,712,702  6,048,866 
8b. Pharmaceuticals 9,380,029    9,380,029 
9. Other Professional 1,643,909  1,154,759  2,798,668 
9a. Vision 303,829  153,913  457,742 
10. Total Other Clinical Services (Sum lines 5-9a)  82,560,288  33,062,422  115,622,710 
Financial Costs of Enabling and Other Program Related Services 
11a. Case Management 4,288,282    4,288,282 
11b. Transportation 67,210    67,210 
11c. Outreach 1,226,203    1,226,203 
11d. Patient and Community Education 1,975,075    1,975,075 
11e. Eligibility Assistance 2,903,197    2,903,197 
11f. Interpretation Services 997,061    997,061 
11g. Other Enabling Services 121,819    121,819 
11. Total Enabling Services Cost (Sum Lines 11a through 11h) 11,578,847  4,006,859  15,585,706 
12. Other Related Services 2,401,361  1,291,616  3,692,977 
13. Total Enabling and Other Services (Sum lines 11-12, and 12a) 13,980,208  5,298,475  19,278,683 
Facility and Non-Clinical Support Services and Totals 
14. Facility 18,962,297     
15. Non-Clinical Support Services 52,327,136     
16. Total Facility and Non-Clinical Support Services (Sum lines 14 and 15) 71,289,433     
17. Total Accrued Costs (Sum lines 4+10+13+16)  233,208,633    233,208,633 
18. Value of Donated Facilities, Services and Supplies     1,262,110 
19. Total with Donations (Sum lines 17 and 18)      234,470,743 

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Table 9D - Patient Related Revenue

Payor Category Charges Collections
Full Charges
This Period
(a)
% of payer % of Total Amount Collected
This Period
(b)
% of payer % of Total % of Charges
1. Medicaid Non-Managed Care 175,079,234  91.0%  60.6%  118,984,824  89.2%  71.5%  68.0% 
2a. Medicaid Managed Care (capitated) 1,648,356  0.9%  0.6%  1,682,977  1.3%  1.0%  102.1% 
2b. Medicaid Managed Care (fee-for-service) 15,597,892  8.1%  5.4%  12,725,075  9.5%  7.6%  81.6% 
3. Total Medicaid (Sum lines 1+2a+2b)  192,325,482  100.0%  66.6%  133,392,876  100.0%  80.2%  69.4% 
4. Medicare Non-Managed Care 7,550,237  70.5%  2.6%  3,145,577  62.3%  1.9%  41.7% 
5a. Medicare Managed Care (capitated) 0.0%  0.0%  0.0%  0.0% 
5b. Medicare Managed Care (fee-for-service) 3,166,287  29.5%  1.1%  1,900,230  37.7%  1.1%  60.0% 
6. Total Medicare (Sum lines 4+5a+5b)  10,716,524  100.0%  3.7%  5,045,807  100.0%  3.0%  47.1% 
7. Other Public including Non-Medicaid CHIP (Non Managed Care) 21,554  100.0%  7,848  100.0%  36.4% 
8a. Other Public including Non-Medicaid CHIP (Managed Care Capitated) 0.0%  0.0%  0.0%  0.0% 
8b. Other Public including Non-Medicaid CHIP (Managed Care fee-for-service) 0.0%  0.0%  0.0%  0.0% 
9. Total Other Public (Sum lines 7+8a+8b)  21,554  100.0%  -  7,848  100.0%  -  36.4% 
10. Private Non-Managed Care 26,121,578  88.4%  9.0%  15,180,315  92.4%  9.1%  58.1% 
11a. Private Managed Care (Capitated) 975,203  3.3%  0.3%  434,335  2.6%  0.3%  44.5% 
11b. Private Managed Care (fee-for-service) 2,452,218  8.3%  0.8%  822,085  5.0%  0.5%  33.5% 
12. Total Private (Sum lines 10+11a+11b)  29,548,999  100.0%  10.2%  16,436,735  100.0%  9.9%  55.6% 
13. Self Pay 56,323,889  100.0%  19.5%  11,511,502  100.0%  6.9%  20.4% 
14. Total (Sum lines 3+6+9+12+13)  288,936,448    100.0%  166,394,768    100.0%  57.6% 

payer Category Retroactive Settlements, Receipts, and Paybacks (c) Allowances
Collection of
recon./wrap
around Current
Year
(c1)
Collection of
recon./wrap
around
Previous Years
(c2)
Collection of
other
retroactive
payments
(c3)
Penalty/
Payback
(c4)
Net Retros Net Retros
% of
Charges
Allowances
(d)
Allowances
% of
Charges
1. Medicaid Non-Managed Care 61,794,857  11,783,420  8,077  73,570,200  42.0%  50,655,095  28.9% 
2a. Medicaid Managed Care (capitated) 1,141,554  116,036  1,257,590  76.3%  -34,621  -2.1% 
2b. Medicaid Managed Care (fee-for-service) 7,580,078  644,390  8,224,468  52.7%  8,636,239  55.4% 
3. Total Medicaid (Sum lines 1+2a+2b)  70,516,489  12,543,846  0  8,077  83,052,258  43.2%  59,256,713  30.8% 
4. Medicare Non-Managed Care 12,950  406  21,508  -8,152  -0.1%  4,023,761  53.3% 
5a. Medicare Managed Care (capitated) 0 14,267 
5b. Medicare Managed Care (fee-for-service) 1,051  1,051  0.0%  1,124,056  35.5% 
6. Total Medicare (Sum lines 4+5a+5b)  0  14,001  406  21,508  -7,101  -0.1%  5,162,084  48.2% 
7. Other Public including Non-Medicaid CHIP (Non Managed Care) 0.0%  41,644  193.2% 
8a. Other Public including Non-Medicaid CHIP (Managed Care Capitated)
8b. Other Public including Non-Medicaid CHIP (Managed Care fee-for-service)
9. Total Other Public (Sum lines 7+8a+8b)  0  0  0  0  0  0.0%  41,644  193.2% 
10. Private Non-Managed Care     50,237  4,483  45,754  0.2%  9,372,223  35.9% 
11a. Private Managed Care (Capitated)     0.0%  540,868  55.5% 
11b. Private Managed Care (fee-for-service)     1,650  1,650  0.1%  1,042,530  42.5% 
12. Total Private (Sum lines 10+11a+11b)      51,887  4,483  47,404  0.2%  10,955,621  37.1% 
13. Self Pay                
14. Total (Sum lines 3+6+9+12+13)  70,516,489  12,557,847  52,293  34,068  83,092,561  28.8%  75,416,062  26.1% 

13. Self Pay Sliding Discounts (e) Bad Debt Write Off (f)
40,768,950  4,850,366 

Percents may not equal 100% due to rounding

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Table 9E - Other Revenues

Source Amount (a) % Group Total
BPHC Grants (Enter Amount Drawn Down - Consistent with PMS-272) 
1a. Migrant Health Center 882,266  2.7% 
1b. Community Health Center 22,607,356  69.9% 
1c. Health Care for the Homeless 2,272,276  7.0% 
1e. Public Housing Primary Care 0.0% 
1g. Total Health Center Cluster (Sum lines 1a through 1e) 25,761,898  79.7% 
1j. Capital Improvement Program Grants 0.0% 
1k. Affordable Care Act (ACA) Capital Development Grants 6,570,997  20.3% 
1. Total BHPC Grants (Sum lines 1g + 1j + 1k)  32,332,895  100.0% 
Other Federal Grants 
2. Ryan White Part C HIV Early Intervention 973,767  22.0% 
3. Other Federal Grants 1,709,226  38.7% 
3a. Medicare and Medicaid EHR Incentive Payments for Eligible Providers 1,738,548  39.3% 
4a. American Recovery and Reinvestment Act (ARRA) Capital Improvement Project (CIP) and Facility Investment Program (FIP) 0.0% 
5. Total Other Federal Grants (Sum lines 2- 4a)  4,421,541  100.0% 
Non-Federal Grants Or Contracts 
6. State Government Grants and Contracts 9,229,870  30.7% 
6a. State/Local Indigent Care Programs 0.0% 
7. Local Government Grants and Contracts 2,311,178  7.7% 
8. Foundation/Private Grants and Contracts 18,535,535  61.6% 
9. Total Non-Federal Grants Or Contracts (Sum lines 6+6a+7+8)  30,076,583  100.0% 
10. Other Revenue (Non-patient related revenue not reported elsewhere)  3,820,276  100.0% 
11. Total Revenue (Sum lines 1+5+9+10)  70,651,295   

Percents may not equal 100% due to rounding

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Electronic Health Record Capabilities and Quality Recognition

Measures Number of Health Centers % of Total
1. Health Centers that have an EHR installed and in use
1a. Installed at all sites and for all providers 14  87.5% 
1b. Installed but only at some sites or for some providers 12.5% 
  Total Health Centers with EHR installed (Sum 1a + 1b) 16  100.0% 
  Health Centers Planning to Install EHR
1c. Health Centers who will install the EHR system in 3 months 0.0% 
1d. Health Centers who will install the EHR system in 6 months 0.0% 
1e. Health Centers who will install the EHR system in 1 year or more 0.0% 
1f. Health Centers who have Not Planned on installing the EHR system 0.0% 
1g. Total Health Centers with No EHR installed (sum 1c + 1d + 1e + 1f) 0.0% 
Total Health Centers reported 16  100.0% 
EHR Functionalities
2 Does your center send prescriptions to the pharmacy electronically? (Do not include faxing)
  Yes 15  93.8% 
3 Does your center use computerized, clinical decision support such as alerts for drug allergies, checks for drug-drug interations, reminders for preventive screening tests, or other similar functions?
  Yes 15  93.8% 
4 Does your center exchange clinical information electronically with other key providers/health care settings such as hospitals, emergency rooms, or subspecialty clinicians?
  Yes 43.8% 
5 Does your center engage patients through health IT such as patient portals, kiosks, secure messaging (i.e., secure email) either through the EHR or through other technologies?
  Yes 12  75.0% 
6 Does your center use the EHR or other health IT system to provide patients with electronic summaries of office visits or other clinical information when requested?
  Yes 14  87.5% 
7 How do you collect data for UDS clinical reporting (Tables 6B and 7)?
  We use the EHR to extract automated reports 56.3% 
  We use the EHR but only to access individual patient charts 0.0% 
  We use the EHR in combination with another data analytic system 43.8% 
  We do not use the EHR 0.0% 
8 Are your eligible providers participating in the Centers for Medicare and Medicaid Services (CMS) EHR Incentive Program commonly known as "Meaningful Use"?
  Yes 15  93.8% 
9 Does your center use health IT to coordinate or to provide enabling services such as outreach, language translation, transportation, case management, or other similar services?
  Yes 56.3% 
10 Has your center received or retained patient centered medical home recognition or certification for one or more sites during the measurement year?
  Yes 10  62.5% 
11 Has your center received accreditation?
  Yes 18.8% 

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