2016 Health Center Data

Wisconsin Data

:
Tables 3A through 9E

17 Grantees


Table 3A - Patients by Age and Gender

Age Groups MALE PATIENTS
(a)
FEMALE PATIENTS
(b)
All Patients
1. Under Age 1 3,075  3,022  6,097 
2. Age 1 2,451  2,265  4,716 
3. Age 2 2,590  2,515  5,105 
4. Age 3 3,000  2,843  5,843 
5. Age 4 3,570  3,450  7,020 
6. Age 5 3,659  3,509  7,168 
7. Age 6 3,804  3,693  7,497 
8. Age 7 4,003  3,838  7,841 
9. Age 8 4,141  3,943  8,084 
10. Age 9 3,780  3,677  7,457 
11. Age 10 3,564  3,426  6,990 
12. Age 11 3,379  3,318  6,697 
13. Age 12 3,179  3,113  6,292 
14. Age 13 2,985  2,852  5,837 
15. Age 14 2,825  2,873  5,698 
16. Age 15 2,773  2,929  5,702 
17. Age 16 2,561  2,894  5,455 
18. Age 17 2,357  2,684  5,041 
Subtotal Patients (sum lines 1-18)  57,696  56,844  114,540 
19. Age 18 1,895  2,559  4,454 
20. Age 19 1,136  2,017  3,153 
21. Age 20 984  2,055  3,039 
22. Age 21 984  1,936  2,920 
23. Age 22 1,016  2,162  3,178 
24. Age 23 1,098  2,275  3,373 
25. Age 24 1,136  2,385  3,521 
26. Ages 25 - 29 6,580  13,141  19,721 
27. Ages 30 - 34 7,644  13,756  21,400 
28. Ages 35 - 39 7,667  12,292  19,959 
29. Ages 40 - 44 7,120  10,148  17,268 
30. Ages 45 - 49 7,536  9,215  16,751 
31. Ages 50 - 54 8,510  9,754  18,264 
32. Ages 55 - 59 8,232  9,189  17,421 
33. Ages 60 - 64 6,370  7,164  13,534 
Subtotal Patients (sum lines 19-33)  67,908  100,048  167,956 
34. Ages 65 - 69 3,596  4,656  8,252 
35. Ages 70 - 74 2,016  2,807  4,823 
36. Ages 75 - 79 1,288  1,991  3,279 
37. Ages 80 - 84 877  1,285  2,162 
38. Ages 85 and over 685  1,569  2,254 
Subtotal Patients (sum lines 34-38)  8,462  12,308  20,770 
39. Total Patients (sum lines 1-38)  134,066   169,200   303,266  
Percent of Total  44.21%   55.79%    

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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 140  7,020      7,160  2.36%  2.57% 
2a. Native Hawaiian 70  116      186  0.06%  0.07% 
2b. Other Pacific Islander 183  292      475  0.16%  0.17% 
2. Total Hawaiian/Pacific Islander (Sum lines 2a+2b) 253  408       661   0.22%  0.24% 
3. Black/African American 1,171  49,559      50,730  16.73%  18.18% 
4. American Indian/Alaska native 1,830  3,925      5,755  1.90%  2.06% 
5. White 53,200  156,304      209,504  69.08%  75.06% 
6. More than one race 2,188  3,117      5,305  1.75%  1.90% 
6a. Total Known (Sum lines 1+2+3+4+5+6) 58,782  220,333      279,115     
7. Unreported/Refused to report Race 8,193  3,643  12,315  4.06%  24,151  7.96%    
 8. Total Patients (Sum lines 1+2+3 through 7)  66,975   223,976   12,315   4.06%   303,266  100.00%    
Total Known Ethnicity (Sum line 8, columns a + b) 290,951
  % of Hispanic/Latino of Total Known Ethnicity3
(a)
% of NonHispanic/ Latino of Total Known Ethnicity3
(b)
 
 9.  Total Patients  23.02%   76.98%   
 
PATIENTS BY LANGUAGE Number
(a)
% of Total
12. Patients best served in a language other than English 49,233  16.23% 
  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 177,860  58.65%  67.44% 
2. 101 - 150% 53,575  17.67%  20.31% 
3. 151 - 200% 19,091  6.30%  7.24% 
4. Over 200% 13,224  4.36%  5.01% 
5. Unknown 39,516  13.03%   
6. Total (sum lines 1-5)  303,266   100.00%     
Principal Third Party Medical Insurance Source  0-17 Years old (a)  18 and Older (b)  TOTAL  % 
7. None/Uninsured 9,695  44,680  54,375  17.93% 
8a. Regular Medicaid (Title XIX) 94,649  92,482  187,131  61.71% 
8b. CHIP Medicaid 0  0.00% 
8. Total Medicaid (Sum lines 8a+8b)  94,649  92,482  187,131  61.71% 
9. Medicare (Title XVIII)  37  22,758  22,795  7.52% 
9a. Dually eligible (Medicare and Medicaid)  11,417  11,417  3.76% 
10a. Other Public Insurance Non-CHIP 5  0.00% 
10b. Other Public Insurance CHIP 0  0.00% 
10. Total Public Insurance
(Sum lines 10a+10b)
 
5  0.00% 
11. Private Insurance  10,158  28,802  38,960  12.85% 
12. Total (Sum Lines 7+8+9+10+11)  114,540  188,726  303,266   100.00%  
Managed Care Utilization 
Payer Category  Medicaid
(a)
 
Medicare
(b)
 
Other Public Including Non-Medicaid CHIP
(c)
 
Private
(d)
 
Total
(e)
 
13a. Capitated Member months 43,546  37,001  80,547 
13b. Fee-for-service Member months 261,939  114,655  20,077  396,671 
13c. Total Member Months
(Sum lines 13a+13b)
 
305,485  114,655  0  57,078  477,218 
Characteristics - Special Populations  Number of Patients
(a)
 
%   
14. Migratory (330g grantees only) 647  63.56%   
15. Seasonal (330g grantees only) 104  10.22%   
  Migratory/Seasonal (non330g Health Centers) 267  26.23%   
16. Total Migratory/Seasonal Agricultral Worker or Dependent
(All Grantees Report This Line)
 
1,018  100.00%   
17. Homeless Shelter (330h grantees only) 2,877  33.84%   
18. Transitional (330h grantees only) 221  2.60%   
19. Doubling Up (330h grantees only) 242  2.85%   
20. Street (330h grantees only) 2,208  25.97%   
21. Other (330h grantees only) 208  2.45%   
22. Unknown (330h grantees only) 197  2.32%   
  Homeless (non-330h grantees) 2,548  29.97%   
23. Total Homeless (All Grantees Report This Line)  8,501 100.00%*  
24. Total School Based Health Center Patients
(All Grantees Report This Line)
 
6,250     
25. Total Veterans (All Grantees Report this Line)  2,904     
26. Total Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site (All Health Centers Report This Line) 8,352     


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 48.48   161,478   
2. General Practitioners 1.41  2,872   
3. Internists 10.38  31,994   
4. Obstetrician/Gynecologists 5.06  15,111   
5. Pediatricians 20.23  69,181   
7. Other Specialty Physicians 20.36  63,551   
8. Total Physicians (Sum lines 1-7)  105.92  344,187   
9a. Nurse Practitioners 53.86  110,761   
9b. Physician Assistants 22.61  64,642   
10. Certified Nurse Midwives 13.42  28,161   
10a. Total NPs, PAs, CNMs (Sum lines 9a - 10)  89.89  203,564   
11. Nurses 101.31  16,451   
12. Other Medical Personnel 234.83     
13. Laboratory Personnel 16.37     
14. X-Ray Personnel 23.58     
15. Total Medical Services (Sum lines 8+10a through 14)  571.90  564,202  167,096  
16. Dentists 116.76  293,777   
17. Dental Hygienists 97.83  89,942   
17a. Dental Therapists 0.00   
18. Dental Assistants, Aides, Techs 251.01     
19. Total Dental Services (Sum lines 16-18)  465.60  383,719  153,029 
20a. Psychiatrists 7.87  17,877   
20a1. Licensed Clinical Psychologists 23.48  21,342   
20a2. Licensed Clinical Social Workers 25.45  16,560   
20b. Other Licensed Mental Health Providers 37.66  35,150   
20c. Other Mental Health Staff 24.70  2,428   
20. Total Mental Health Services (Sum lines 20a-20c)  119.16  93,357  20,162 
21. Substance Abuse Services  8.35  4,753  903 
22. Other Professional Services  22.80  29,380  7,615 
22a. Ophthalmologist  0.52  4,458   
22b. Optometrist  0.67  3,172   
22c. Other Vision Care Staff  2.50     
22d. Total Vision Services (Sum lines 22a-22c)  3.69  7,630  6,037 
23. Pharmacy Personnel  30.97     
24. Case Managers 88.33  59,388   
25. Patient/Community Education Specialists 24.37  5,467   
26. Outreach Workers 22.32     
27. Transportation Staff 0.50     
27a. Eligibility Assistance Workers 61.22     
27b. Interpretation Staff 17.09     
27c. Community Health Workers 8.50     
28. Other Enabling Services 13.38     
29. Total Enabling Services (Sum lines 24-28)  235.71  64,855  15,220 
29a. Other Programs/Services  49.44     
29b. Quality Improvement Staff  21.21     
30a. Management and Support Staff 267.00     
30b. Fiscal and Billing Staff 193.12     
30c. IT Staff 22.32     
31. Facility Staff 49.61     
32. Patient Support Staff 348.96     
33. Total Facility and Non-Clinical Support Services(Lines 30a through 32)  881.01     
34. Grand Total (Lines 15+19+20+21+22+22d+23+29+29a+29b+33)  2,409.84  1,147,896   


 

Table 5: Staffing and Utilization

PERSONNEL BY MAJOR SERVICE CATEGORY FTEs Clinic Visits
% Group  % Total  % Group  % Total
1. Family Physicians 8.48%  2.01%  28.62%  14.07% 
2. General Practitioners 0.25%  0.06%  0.51%  0.25% 
3. Internists 1.82%  0.43%  5.67%  2.79% 
4. Obstetrician/Gynecologists 0.88%  0.21%  2.68%  1.32% 
5. Pediatricians 3.54%  0.84%  12.26%  6.03% 
7. Other Specialty Physicians 3.56%  0.84%  11.26%  5.54% 
8. Total Physicians (Sum lines 1-7)  18.52%   4.40%   61.00%   29.98% 
9a. Nurse Practitioners 9.42%  2.24%  19.63%  9.65% 
9b. Physician Assistants 3.95%  0.94%  11.46%  5.63% 
10. Certified Nurse Midwives 2.35%  0.56%  4.99%  2.45% 
10a. Total Mid-Levels (Sum lines 9a-10)  15.72%   3.73%   36.08%   17.73%  
11. Nurses 17.71%  4.20%  2.92%  1.43% 
12. Other Medical Personnel 41.06%  9.74%     
13. Laboratory Personnel 2.86%  0.68%     
14. X-Ray Personnel 4.12%  0.98%     
15. Total Medical (Sum lines 8+10a through 14)  100.00%   23.73%   100.00%   49.15%  
16. Dentists 25.08%   4.85%   76.56%   25.59%  
17. Dental Hygienists 21.01%   4.06%   23.44%   7.84%  
17a. Dental Therapists 0.00%   0.00%   0.00%   0.00%  
18. Dental Assistants, Aides, Techs 53.91%   10.42%      
19. Total Dental Services (Sum lines 16-18)  100.00%   19.32%   100.00%   33.43%  
20a. Psychiatrists 6.60%   0.33%   19.15%   1.56%  
20a1. Licensed Clinical Psychologists 19.70%   0.97%   22.86%   1.86%  
20a2. Licensed Clinical Social Workers 21.36%   1.06%   17.74%   1.44%  
20b. Other Licensed Mental Health Providers 31.60%   1.56%   37.65%   3.06%  
20c. Other Mental Health Staff 20.73%   1.02%   2.60%   0.21%  
20. Mental Health (Sum lines 20a-c)  100.00%   4.94%   100.00%   8.13%  
21. Substance Abuse Services  100.00%   0.35%   100.00%   0.41%  
22. Other Professional Services  100.00%   0.95%   100.00%   2.56%  
22a. Ophthalmologist  14.09%  0.02%  58.43%  0.39% 
22b. Optometrist  18.16%   0.03%   41.57%   0.28%  
22c. Other Vision Care Staff  67.75%   0.10%      
22d. Total Vision Services (Sum lines 22a-22c)  100.00%   0.15%   100.00%   0.66%  
23. Pharmacy Personnel  100.00%   1.29%      
24. Case Managers 37.47%   3.67%   91.57%   5.17%  
25. Patient/Community Education Specialists 10.34%   1.01%   8.43%   0.48%  
26. Outreach Workers 9.47%   0.93%      
27. Transportation Staff 0.21%   0.02%      
27a. Eligibility Assistance Workers 25.97%   2.54%      
27b. Interpretation Staff 7.25%   0.71%      
27c. Community Health Workers 3.61%   0.35%      
28. Other Enabling Services 5.68%   0.56%      
29. Total Enabling Services (Sum lines 24-28)  100.00%   9.78%   100.00%   5.65%  
29a. Other Programs/Services  100.00%   2.05%      
PERSONNEL BY MAJOR SERVICE CATEGORY FTEs Clinic Visits
% Group  % Total  % Group  % Total 
30a. Management and Support Staff   11.08%      
30b. Fiscal and Billing Staff   8.01%      
30c. IT Staff   0.93%      
31. Facility Staff   2.06%      
32. Patient Support Staff   14.48%      
33. Total Facility and Non-Clinical Support Services (Lines 30a through 32) 100.00%   36.56%      
34. Total (Sum lines 15+19+20+21+22+23+29+29a+33)    100.00%     100.00%  

 

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 136 18,242 7 237
2 General Practitioners 3 108 0 0
3 Internists 66 12,290 0 0
4 Obstetrician/Gynecologists 31 3,353 9 218
5 Pediatricians 49 7,183 4 162
7 Other Specialty Physicians 369 52,059 20 139
9a Nurse Practitioners 189 15,423 1 95
9b Physician Assistants 111 11,645 0 0
10 Certified Nurse Midwives 21 2,804 0 0
11 Nurses 854 80,776 0 0
16 Dentists 145 6,439 4 16
17 Dental Hygienists 136 8,008 1 3
17a Dental Therapists 0 0 0 0
20a Psychiatrists 22 2,165 4 243
20a1 Licensed Clinical Psychologists 41 4,001 0 0
20a2 Licensed Clinical Social Workers 52 3,983 0 0
20b Other Licensed Mental Health Providers 56 2,956 0 0
22a Ophthalmologist 13 2,995 1 36
22b Optometrist 11 1,508 0 0
30a1 Chief Executive Officer 17 2,167 0 0
30a2 Chief Medical Officer 16 889 0 0
30a3 Chief Financial Officer 16 1,411 0 0
30a4 Chief Information Officer 4 278 0 0

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Table 6A - Selected Diagnoses and Services Rendered

Diagnostic Category Applicable ICD-10-CM Codes 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 B20, B97.35, O98.7, Z21 1,785  567 
1-2a First-time diagnosis of HIV      
3. Tuberculosis A15- thru A19- 1,784  444 
4. Syphilis and other sexually transmitted diseases A50- thru A64- (Exclude A63.0), M02.3-, N34.1 1,616  1,268 
4a. Hepatitis B B20, B97.35, O98.7, Z21 210  133 
4b. Hepatitis C B17.10, B17.11, B18.2, B19.20, B19.21, Z22.52 2,145  1,098 
Selected Diseases of the Respiratory System 
5. Asthma J45- 16,548  10,005 
6. Chronic bronchitis and Emphysema J40- thru J44- and J47- 14,040  6,277 
Selected Other Medical Conditions 
7. Abnormal Breast Findings, Female C50.01-, C50.11-, C50.21-, C50.31-, C50.41-, C50.51-, C50.61-, C50.81-, C50.91-, C79.81, D48.6-, R92- 1,984  761 
8. Abnormal Cervical Findings C53-, C79.82, D06-, R87.61-, R87.810, R87.820 1,065  745 
9. Diabetes Mellitus E08- thru E13-, O24- (Exclude O24.41-) 52,424  14,725 
10. Heart Disease (selected) I01-, I02- (exclude I02.9), I20- thru I25, I26- thru I28-, I30- thru I52- 19,516  5,820 
11. Hypertension I10- thru I15- 65,169  26,537 
12. Contact Dermatitis and other Eczema L23- thru L25-, L30- (Exclude L30.1, L30.3, L30.4, L30.5), L55- thru L59 (Exclude L57.0 thru L57.4) 9,236  7,566 
13. Dehydration E86- 1,103  654 
14. Exposure to Heat or Cold T33.XXXX, T34.XXXX, T67.XXXX, T68.XXX, T69.XXXX 84  63 
14a. Overweight and obesity E66-, Z68- (Excluding Z68.1, Z68.20- 24, Z68.51. Z68.52) 37,935  24,177 
Selected Childhood Conditions 
15. Otitis Media and Eustachian Tube Disorders H65- thru H69- 11,775  8,046 
16. Selected Perinatal Medical Conditions A33-, P22- thru P29- (exclude P22.0, P29.3); P35- thru P96- (exclude P50-, P51-, P52-, P54-, P91.6-, P92-, P96.81), R78.81, R78.89 2,023  1,273 
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. E40-E46, E50- thru E63- (exclude E64-), P92-, R62- (exclude R62.7), R63.2, R63.3 8,239  5,473 
Selected Mental Health and Substance Abuse Conditions 
18. Alcohol Related Disorders F10-, G62.1 8,856  3,151 
19. Other Substance Related Disorders (Excluding Tobacco Use Disorders) F11- thru F19- (Exclude F17-), G62.0, O99.32- 11,697  3,685 
19a. Tobacco Use Disorders F17- 8,818  5,303 
20a. Depression and Other Mood Disorders F30- thru F39- 58,431  19,096 
20b. Anxiety Disorders Including PTSD F40- thru F42- F43.0, F43.1- 51,063  16,829 
20c. Attention Deficit and Disruptive Behavior Disorders F90- thru F91- 20,611  6,843 
20d. Other Mental Disorders, Excluding Drug or Alcohol Dependence (includes mental retardation) F01- thru F09-, F20- thru F29-, F43- thru F48- (exclude F43.1-), F50- thru F59- (exclude F55-), F60- thru F99- (exclude F84.2, F90-, F91-, F98-), R45.1, R45.2, R45.5, R45.6, R45.7, R45.81, R45.82, R48.0 43,197  15,476 
Diagnostic Category  Applicable ICD-10-CM Code or CPT-4/II Code  Number of Visits
(a)
 
Number of Patients
(b)
 
Selected Diagnostic Tests/Screening/Preventive Services 
21. HIV Test CPT - 4: 86689;
86701 - 86703;
87390 - 87391
7,886  7,228 
21a. Hepatitis B Test CPT-4: 86704, 86706, 87515-17 4,216  2,179 
21b. Hepatitis C Test CPT-4: 86803-04, 87520-22 2,967  2,898 
22. Mammogram CPT-4: 77052, 77057 OR ICD-10: Z12.31 3,697  3,496 
23. Pap Test CPT - 4: 88141 - 88155;
88164 - 88167; 88174-88175 OR
ICD - 10: Z01.41-, Z01.42, Z12.4
9,986  9,770 
24. Selected Immunizations: Hepatitis A, Hemophilus Influenza B (HiB), Pneumococcal, Diptheria, Tetanus, Pertussis (DTaP) (DTP) (DT), Mumps, Measles, Rubella, Poliovirus, Varicella, Hepatitis B Child) CPT-4: 90633- 90634, 90645 – 90648; 90670; 90696 – 90702; 90704 – 90716; 90718 - 90723; 90743 – 90744; 90748 26,512  20,172 
24a. Seasonal Flu Vaccine CPT-4: 90654 – 90662, 90672-90673, 90685-90688 33,551  30,051 
25. Contraceptive Management ICD-10: Z30- 15,869  9,366 
26. Health Supervision of Infant or Child (ages 0 through 11) CPT-4: 99391 - 99393; 99381 - 99383 86,684  32,330 
26a. Childhood lead test screening (Ages 9 to 72 months) CPT-4: 83655 8,281  6,774 
26b. Screening, Brief Intervention, and Referral to Treatment (SBIRT) CPT-4: 99408-99409 2,325  1,457 
26c. Smoke and tobacco use cessation counseling CPT-4: 99406 and 99407; HCPCS: S9075 OR CPTII: 4000F, 4001F 4,571  3,338 
26d. Comprehensive and Intermediate Eye Exams CPT-4: 92002, 92004, 92012, 92014 4,914  4,383 
Service Category Applicable ADA Codes Number of Visits
(a)
Number of Patients
(b)
Selected Dental Services 
27. I. Emergency Services ADA: D9110 11,429  10,128 
28. II. Oral Exams ADA: D0120, D0140, D0145,
D0150, D0160, D0170, D0180
157,440  121,362 
29. Prophylaxis - Adult or Child ADA: D1110, D1120 113,512  89,447 
30. Sealants ADA: D1351 17,534  15,659 
31. Flouride Treatment - adult or child ADA :, D1206, D1208 99,034  74,681 
32. III. Restorative Services ADA : D21xx – D29xx 94,086  54,397 
33. IV. Oral Surgery
(Extractions and other Surgical Procedures)
ADA : D7111, D7140,D7210, D7220, D7230,D7240, D7241, D7250,D7251, D7260, D7261,D7270, D7272, D7280,D7290-D7294 34,092  26,723 
34. V. Rehabilitative Services (Endo, Perio, Prostho, Ortho) ADA : D3xxx, D4xxx,D5xxx , D6xxx, D8xxx 48,030  24,359 

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

Prenatal Care provided by Referral Only
Answer Number of Health Centers % Total
Yes  17.65% 
No  14  82.35% 

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 0.17% 
2. Ages 15 - 19 528  10.97% 
3. Ages 20 - 24 1,259  26.17% 
4. Ages 25 - 44 3,007  62.50% 
5. Ages 45 and Over 0.19% 
6. Total Patients (Sum lines 1-5)  4,811  100.00% 

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 3,566  74.12%  203  4.22%  78.34% 
8. Second Trimester 795  16.52%  51  1.06%  17.58% 
9. Third Trimester 177  3.68%  19  0.39%  4.07% 

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 3,994  1,901  47.58% 

*Measure was revised in 2016 and is not comparable to calendar year 2015 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 44,416  26,676  60.06% 

 

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 43,340  29,999  69.22% 

 

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 96,745  57,034  58.95% 

 

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 82,442  74,792  90.72% 

 

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 2,857  2,510  87.84% 

 

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 1,290  960  74.45% 

 

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 5,108  3,794  74.28% 

 

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 32,192  12,986  40.34% 

 

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 43  39  90.70% 

 

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 88,893  42,534  47.85% 

 

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 8,640  4,946  57.25% 

% 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

17 Grantees


Total (i)
HIV Positive Pregnant Women 1
Deliveries Performed by Grantee Provider 2,199
 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) 136 4.79% 0 10 116 7.94%
Native Hawaiian (b1) 1 0.04% 0 0 1 0.00%
Pacific Islander (b2) 6 0.21% 0 1 3 25.00%
Black/ African American (c) 458 16.12% 17 49 386 14.60%
Hispanic/Latino 12 0.42% 0 1 11 8.33%
Non-Hispanic/Latino 446 15.69% 17 48 375 14.77%
American Indian/ Alaska Native (d) 99 3.48% 2 7 77 10.47%
White (e) 1,944 68.40% 27 105 1,733 7.08%
Hispanic/Latino 864 30.40% 11 38 831 5.57%
Non-Hispanic/Latino 1,080 38.00% 16 67 902 8.43%
More than one race (f) 49 1.72% 2 6 94 7.84%
Race Unreported/ Refused to Report (g) 140 4.93% 1 1 145 1.36%
Sub-total (Sum a+b1+b2+c+d+e+f+g) 2,833 99.68% 49 179 2,555 8.19%
 By Ethnicity
Hispanic/Latino (section 1) 1,060 37.30%  13 45 1,015 5.41%
Non-Hispanic/Latino (section 2) 1,773 62.39% 36 134 1,540 9.94%
Sub-total (Sum section 1 + section 2) 2,833 99.68% 49 179 2,555 8.19%
Unreported / Refused to Report Race and Ethnicity (h) 9 0.32% 4 2 63 8.70%
Total (i) 2,842 100.00% 53  181 2,618  8.20%

* %'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) 436 74.53%
Native Hawaiian (b1) 19 55.56%
Pacific Islander (b2) 40 68.57%
Black/ African American (c) 9,269 59.35%
Hispanic/Latino 109 57.14%
Non-Hispanic/Latino 9,160 59.38%
American Indian/ Alaska Native (d) 516 64.82%
White (e) 15,732 70.60%
Hispanic/Latino 3,605 64.36%
Non-Hispanic/Latino 12,127 72.41%
More than one race (f) 274 60.98%
Race Unreported/ Refused to Report (g) 665 58.84%
Sub-total (Sum a+b1+b2+c+d+e+f+g) 26,951  
By Ethnicity
Hispanic/Latino (section 1) 4,533 63.52%
Non-Hispanic/Latino (section 2) 22,418 66.92%
Sub-total (Sum section 1 + section 2) 26,951  
Unreported / Refused to Report Race and Ethnicity (h) 314 62.85%
Total (i) 27,265 66.28%

* %'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) 286 23.84%
Native Hawaiian (b1) 10 44.44%
Pacific Islander (b2) 38 42.11%
Black/ African American (c) 4,072 36.06%
Hispanic/Latino 69 27.69%
Non-Hispanic/Latino 4,003 36.19%
American Indian/ Alaska Native (d) 358 40.62%
White (e) 8,150 27.05%
Hispanic/Latino 3,407 31.00%
Non-Hispanic/Latino 4,743 24.15%
More than one race (f) 229 28.63%
Race Unreported/ Refused to Report (g) 674 32.72%
Sub-total (Sum a+b1+b2+c+d+e+f+g) 13,817  
By Ethnicity
Hispanic/Latino (section 1) 4,373 31.00%
Non-Hispanic/Latino (section 2) 9,444 24.15%
Sub-total (Sum section 1 + section 2) 13,817  
Unreported / Refused to Report Race and Ethnicity (h) 192 28.65%
Total (i) 14,009 30.39%

% 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 65,777,505  28,878,338  94,655,843
2. Lab and X-ray 7,066,607  2,617,696  9,684,303 
3. Medical/Other Direct 11,803,821  4,206,601  16,010,422 
4. Total Medical Care Services (Sum lines 1-3)  84,647,933  35,702,635  120,350,568 
Financial Costs for Other Clinical Services 
5. Dental 64,067,517  28,048,177  92,115,694 
6. Mental Health 13,951,660  6,055,993  20,007,653 
7. Substance Abuse 699,253  444,009  1,143,262 
8a. Pharmacy not including pharmaceuticals 4,557,994  2,269,293  6,827,287 
8b. Pharmaceuticals 15,541,103    15,541,103 
9. Other Professional 3,167,810  1,329,362  4,497,172 
9a. Vision 688,363  207,604  895,967 
10. Total Other Clinical Services (Sum lines 5-9a)  102,673,700  38,354,438  141,028,138 
Financial Costs of Enabling and Other Program Related Services 
11a. Case Management 5,930,378    5,930,378 
11b. Transportation 92,619    92,619 
11c. Outreach 1,091,140    1,091,140 
11d. Patient and Community Education 1,352,735    1,352,735 
11e. Eligibility Assistance 2,802,387    2,802,387 
11f. Interpretation Services 1,074,084    1,074,084 
11g. Other Enabling Services 524,431    524,431 
11h. Community Health Workers 430,813    430,813 
11. Total Enabling Services Cost (Sum Lines 11a through 11h) 13,298,587  5,423,672  18,722,259 
12. Other Related Services 2,881,897  1,461,879  4,343,776 
12a. Quality Improvement 1,642,542  342,743  1,985,285 
13. Total Enabling and Other Services (Sum lines 11-12, and 12a) 17,823,026  7,228,294  25,051,320 
Facility and Non-Clinical Support Services and Totals 
14. Facility 16,856,174     
15. Non-Clinical Support Services 64,429,193     
16. Total Facility and Non-Clinical Support Services (Sum lines 14 and 15) 81,285,367     
17. Total Accrued Costs (Sum lines 4+10+13+16)  286,430,026    286,430,026 
18. Value of Donated Facilities, Services and Supplies     2,107,967 
19. Total with Donations (Sum lines 17 and 18)      288,537,993 

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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 226,767,616  93.90%  66.11%  156,191,382  95.85%  76.14%  68.88% 
2a. Medicaid Managed Care (capitated) 2,156,609  0.89%  0.63%  270,985  0.17%  0.13%  12.57% 
2b. Medicaid Managed Care (fee-for-service) 12,568,307  5.20%  3.66%  6,483,357  3.98%  3.16%  51.58% 
3. Total Medicaid (Sum lines 1+2a+2b)  241,492,532  100.00%  70.40%  162,945,724  100.00%  79.43%  67.47% 
4. Medicare Non-Managed Care 9,833,154  66.91%  2.87%  5,418,933  71.64%  2.64%  55.11% 
5a. Medicare Managed Care (capitated) 0.00%  0.00%  0.00%  0.00%  0.00% 
5b. Medicare Managed Care (fee-for-service) 4,862,577  33.09%  1.42%  2,145,108  28.36%  1.05%  44.11% 
6. Total Medicare (Sum lines 4+5a+5b)  14,695,731  100.00%  4.28%  7,564,041  100.00%  3.69%  51.47% 
7. Other Public including Non-Medicaid CHIP (Non Managed Care) 27,484  100.00%  0.00%  2,309  100.00%  0.00%  8.40% 
8a. Other Public including Non-Medicaid CHIP (Managed Care Capitated) 0.00%  0.00%  0.00%  0.00%  0.00% 
8b. Other Public including Non-Medicaid CHIP (Managed Care fee-for-service) 0.00%  0.00%  0.00%  0.00%  0.00% 
9. Total Other Public (Sum lines 7+8a+8b)  27,484  100.00%  0.00%  2,309  100.00%  0.00%  8.40% 
10. Private Non-Managed Care 31,852,599  85.99%  9.29%  21,676,799  89.51%  10.57%  68.05% 
11a. Private Managed Care (Capitated) 2,847,639  7.69%  0.83%  1,509,196  6.23%  0.74%  53.00% 
11b. Private Managed Care (fee-for-service) 2,342,656  6.32%  0.68%  1,030,223  4.25%  0.50%  43.98% 
12. Total Private (Sum lines 10+11a+11b)  37,042,894  100.00%  10.80%  24,216,218  100.00%  11.80%  65.37% 
13. Self Pay 49,781,440  100.00%  14.51%  10,412,487  100.00%  5.08%  20.92% 
14. Total (Sum lines 3+6+9+12+13)  343,040,081    100.00%  205,140,779    100.00%  59.80% 

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 74,353,312  12,494,342  21,700  265,023  86,604,331  38.19%  71,968,599  31.74% 
2a. Medicaid Managed Care (capitated) 81,585  81,585  3.78%  1,886,124  87.46% 
2b. Medicaid Managed Care (fee-for-service) 3,290,130  315,760  46,885  78,727  3,574,048  28.44%  3,762,646  29.94% 
3. Total Medicaid (Sum lines 1+2a+2b)  77,643,442  12,810,102  150,170  343,750  90,259,964  37.38%  77,617,369  32.14% 
4. Medicare Non-Managed Care 22,071  152,002  153,078  327,151  3.33%  3,955,324  40.22% 
5a. Medicare Managed Care (capitated) 0 0.00%  0.00% 
5b. Medicare Managed Care (fee-for-service) 493  8,738  55  9,286  0.19%  2,244,846  46.17% 
6. Total Medicare (Sum lines 4+5a+5b)  22,564  160,740  153,133  0  336,437  2.29%  6,200,170  42.19% 
7. Other Public including Non-Medicaid CHIP (Non Managed Care) 0.00%  10,475  38.11% 
8a. Other Public including Non-Medicaid CHIP (Managed Care Capitated) 0.00%  0.00% 
8b. Other Public including Non-Medicaid CHIP (Managed Care fee-for-service) 0.00%  0.00% 
9. Total Other Public (Sum lines 7+8a+8b)  0  0  0  0  0  0.00%  10,475  38.11% 
10. Private Non-Managed Care     0.00%  8,504,107  26.70% 
11a. Private Managed Care (Capitated)     23,942  23,942  0.84%  1,338,443  47.00% 
11b. Private Managed Care (fee-for-service)     129  129  0.00%  828,408  35.36% 
12. Total Private (Sum lines 10+11a+11b)      24,071  0  24,071  0.06%  10,670,958  28.81% 
13. Self Pay                
14. Total (Sum lines 3+6+9+12+13)  77,666,006  12,970,842  327,374  343,750  90,620,472  26.42%  94,498,972  27.55% 

13. Self Pay Sliding Discounts (e) Bad Debt Write Off (f)
33,922,370  4,908,513 

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 1,168,940  2.85% 
1b. Community Health Center 34,172,270  83.45% 
1c. Health Care for the Homeless 4,181,161  10.21% 
1e. Public Housing Primary Care 0.00% 
1g. Total Health Center Cluster (Sum lines 1a through 1e) 39,522,371  96.51% 
1j. Capital Improvement Program Grants 1,418,244  3.46% 
1k. Affordable Care Act (ACA) Capital Development Grants 10,632  0.03% 
1. Total BHPC Grants (Sum lines 1g + 1j + 1k)  40,951,247  100.00% 
Other Federal Grants 
2. Ryan White Part C HIV Early Intervention 798,770  16.48% 
3. Other Federal Grants 2,664,003  54.95% 
3a. Medicare and Medicaid EHR Incentive Payments for Eligible Providers 1,385,379  28.58% 
5. Total Other Federal Grants (Sum lines 2- 4a)  4,848,152  100.00% 
Non-Federal Grants Or Contracts 
6. State Government Grants and Contracts 10,371,347  24.81% 
6a. State/Local Indigent Care Programs 0.00% 
7. Local Government Grants and Contracts 2,234,879  5.35% 
8. Foundation/Private Grants and Contracts 29,193,315  69.84% 
9. Total Non-Federal Grants Or Contracts (Sum lines 6+6a+7+8)  41,799,541  100.00% 
10. Other Revenue (Non-patient related revenue not reported elsewhere)  3,552,739  100.00% 
11. Total Revenue (Sum lines 1+5+9+10)  91,151,679   

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 16  94.12% 
1b. Installed but only at some sites or for some providers 5.88% 
  Total Health Centers with EHR installed (Sum 1a + 1b) 17  100.00% 
  Health Centers Planning to Install EHR
1c. Health Centers who will install the EHR system in 3 months 0.00% 
1d. Health Centers who will install the EHR system in 6 months 0.00% 
1e. Health Centers who will install the EHR system in 1 year or more 0.00% 
1f. Health Centers who have Not Planned on installing the EHR system 0.00% 
1g. Total Health Centers with No EHR installed (sum 1c + 1d + 1e + 1f) 0.00% 
Total Health Centers reported 17  100.00% 
EHR Functionalities
2 Does your center send prescriptions to the pharmacy electronically? (Do not include faxing)
  Yes 17  100.00% 
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 17  100.00% 
4 Does your center exchange clinical information electronically with other key providers/health care settings such as hospitals, emergency rooms, or subspecialty clinicians?
  Yes 11  64.71% 
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 16  94.12% 
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 17  100.00% 
7 How do you collect data for UDS clinical reporting (Tables 6B and 7)?
  We use the EHR to extract automated reports 41.18% 
  We use the EHR but only to access individual patient charts 0.00% 
  We use the EHR in combination with another data analytic system 10  58.82% 
  We do not use the EHR 0.00% 
8 Are your eligible providers participating in the Centers for Medicare and Medicaid Services (CMS) EHR Incentive Program commonly known as "Meaningful Use"?
  Yes 17  100.00% 
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 12  70.59% 
10 Has your center received or retained patient centered medical home recognition or certification for one or more sites during the measurement year?
  Yes 11  64.71% 
11 Has your center received accreditation?
  Yes 11.76% 
12a. How many physicians, on-site or with whom the health center has contracts, had obtained a Drug Addiction Treatment Act of 2000 (DATA) waiver to treat opioid use disorder with medications specifically approved by the U.S. Food and Drug Administration (FDA) for that indication
    18 
12b. How many patients received medication-assisted treatment for opioid use disorder from a physician with a DATA waiver working on behalf of the health center?
    250  0.08% 
13 Are you using telehealth? Telehealth is defined as the use of telecommunications and information technologies to share information and provide clinical care, education, public health, and administrative services at a distance.
  Yes
13a. If yes (a), how are you using telehealth?
  Provide primary care services 20.00% 
  Provide specialty care services 20.00% 
  Provide mental health services 40.00% 
  Provide oral health services 20.00% 
  Manage patients with chronic conditions 20.00% 
  Other 60.00% 

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