2017 Health Center Data

Arkansas Data

:
Tables 3A through 9E

12 Grantees


Table 3A - Patients by Age and by Sex Assigned at Birth

Age Groups Male Patients
(a)
Female Patients
(b)
All Patients
1. Under Age 1 1,560  1,629  3,189 
2. Age 1 1,459  1,418  2,877 
3. Age 2 1,399  1,343  2,742 
4. Age 3 1,470  1,452  2,922 
5. Age 4 1,599  1,527  3,126 
6. Age 5 1,815  1,689  3,504 
7. Age 6 1,504  1,467  2,971 
8. Age 7 1,563  1,507  3,070 
9. Age 8 1,649  1,510  3,159 
10. Age 9 1,636  1,540  3,176 
11. Age 10 1,819  1,660  3,479 
12. Age 11 1,805  1,610  3,415 
13. Age 12 1,795  1,638  3,433 
14. Age 13 1,647  1,662  3,309 
15. Age 14 1,650  1,642  3,292 
16. Age 15 1,687  1,790  3,477 
17. Age 16 1,735  1,891  3,626 
18. Age 17 1,608  1,766  3,374 
Subtotal Patients, Children < 18 Years (Sum lines 1-18)  29,400  28,741  58,141 
19. Age 18 1,246  1,744  2,990 
20. Age 19 915  1,617  2,532 
21. Age 20 831  1,583  2,414 
22. Age 21 855  1,547  2,402 
23. Age 22 791  1,485  2,276 
24. Age 23 806  1,548  2,354 
25. Age 24 895  1,650  2,545 
26. Ages 25 - 29 4,799  8,800  13,599 
27. Ages 30 - 34 5,033  8,769  13,802 
28. Ages 35 - 39 5,466  8,820  14,286 
29. Ages 40 - 44 5,407  8,133  13,540 
30. Ages 45 - 49 5,742  8,415  14,157 
31. Ages 50 - 54 6,290  8,702  14,992 
32. Ages 55 - 59 6,368  8,215  14,583 
33. Ages 60 - 64 5,243  7,058  12,301 
Subtotal Patients, Adults 18-64 Years (Sum lines 19-33)  50,687  78,086  128,773 
34. Ages 65 - 69 3,732  5,449  9,181 
35. Ages 70 - 74 2,550  3,706  6,256 
36. Ages 75 - 79 1,630  2,295  3,925 
37. Ages 80 - 84 920  1,411  2,331 
38. Ages 85 and over 542  1,231  1,773 
Subtotal Patients, Older Adults Age 65 and Older (Sum lines 34-38)  9,374  14,092  23,466 
39. Total Patients (Sum Lines 1–38)   89,461   120,919   210,380  

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Table 3B - Demographic Characteristics

Patients By Race Patients By Hispanic Or Latino Ethnicity
Hispanic/Latino
(a)
Non-Hispanic/Latino
(b)
Unreported/Refused to
Report Ethnicity
(c)
Total (d)
(Sum Columns a+b+c)
Number
(a)
Number
(b)
Number
(c)
% of Total Patients1 Number
(d)
% of Total Patients1 % of Known Race2
1. Asian 28  1,035      1,063  0.51%  0.56% 
2a. Native Hawaiian 19  305      324  0.15%  0.17% 
2b. Other Pacific Islander 607  2,796      3,403  1.62%  1.79% 
2. Total Hawaiian/Other Pacific Islander (Sum lines 2a+2b) 626  3,101       3,727   1.77%  1.96% 
3. Black/African American 262  40,280      40,542  19.27%  21.36% 
4. American Indian/Alaska Native 169  568      737  0.35%  0.39% 
5. White 14,151  127,278      141,429  67.23%  74.53% 
6. More than one race 712  1,558      2,270  1.08%  1.20% 
6a. Total Known (Sum lines 1+2+3+4+5+6) 15,948  173,820      189,768     
7. Unreported/Refused to report Race 13,371  2,301  4,940  2.35%  20,612  9.80%    
 8. Total Patients (Sum lines 1+2+3 through 7)  29,319   176,121   4,940   2.35%   210,380  100.00%    
Total Known Ethnicity (Sum line 8, columns A + B) 205,440
  % of Hispanic/Latino of Total Known Ethnicity3
(a)
% of Non-Hispanic/ Latino of Total Known Ethnicity3
(b)
 
 9.  Total Patients  14.27%   85.73%   
  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'.
 
Patients By Language Number
(a)
% of Total
12. Patients best served in a language other than English 24,438  11.62% 

Percents may not equal 100% due to rounding

 

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Table 4 - Selected Patient Characteristics

Income as Percent of Poverty Guideline Number of Patients
(a)
 
% of Total  % of Known 
1. 100% and Below 54,760  26.03%  60.92% 
2. 101 - 150% 16,278  7.74%  18.11% 
3. 151 - 200% 6,897  3.28%  7.67% 
4. Over 200% 11,949  5.68%  13.29% 
5. Unknown 120,496  57.28%   
6. Total (Lines 1-5)  210,380   100.00%     



Principal Third Party Medical Insurance   0-17 Years old (a)  18 and Older (b)  Total  % of Known 
7. None/Uninsured 7,849  30,508  38,357  18.23% 
8a. Regular Medicaid (Title XIX) 32,354  43,268  75,622  35.95% 
8b. CHIP Medicaid 7,896  276  8,172  3.88% 
8. Total Medicaid (Line 8a + 8b)  40,250  43,544  83,794  39.83% 
9a. Dually Eligible (Medicare and Medicaid)  9,405  9,410  4.47% 
9. Medicare (Inclusive of dually eligible (line 9a) and other Title XVIII beneficiaries)  25  31,062  31,087  14.78% 
10a. Other Public Insurance Non-CHIP 0  0.00% 
10b. Other Public Insurance CHIP 0  0.00% 
10. Total Public Insurance
(Lines 10a+10b) 
0  0.00% 
11. Private Insurance  10,017  47,125  57,142  27.16% 
12. Total (Lines 7+8+9+10+11)  58,141  152,239  210,380   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
13b. Fee-for-service Member Months
13c. Total Member Months
(Lines 13a+13b) 
0  0  0  0  0 


Special Populations  Number of Patients
(a)
 
14. Migratory (330g grantees only) 379 
15. Seasonal (330g grantees only) 228 
16. Total Agricultural Workers or Dependents
(All Health Centers Report This Line) 
1,368 
17. Homeless Shelter (330h grantees only) 21 
18. Transitional (330h grantees only) 396 
19. Doubling Up (330h grantees only)
20. Street (330h grantees only)
21. Other (330h grantees only)
22. Unknown (330h grantees only)
23. Total Homeless
(All Health Centers Report This Line)  
4,648
24. Total School Based Health Center Patients
(All Health Centers Report This Line) 
12,496 
25. Total Veterans
(All Health Centers Report This Line) 
3,393 
26. Total Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site
(All Health Centers Report This Line)
685 


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 52.65   158,650   
2. General Practitioners 6.83  19,200   
3. Internists 5.46  12,714   
4. Obstetrician/Gynecologists 0.38  688   
5. Pediatricians 11.95  38,939   
7. Other Specialty Physicians 0.05  191   
8. Total Physicians (Lines 1-7)  77.32  230,382   
9a. Nurse Practitioners 139.77  365,147   
9b. Physician Assistants 8.58  31,324   
10. Certified Nurse Midwives 0.00   
10a. Total NPs, PAs, and CNMs (Lines 9a–10)   148.35  396,471   
11. Nurses 292.39  26,494   
12. Other Medical Personnel 90.50     
13. Laboratory Personnel 50.61     
14. X-Ray Personnel 35.38     
15. Total Medical (Lines 8+10a through 14)  694.55  653,347  199,130  
16. Dentists 19.24  48,173   
17. Dental Hygienists 15.30  10,593   
17a. Dental Therapists 0.00   
18. Other Dental Personnel 47.57     
19. Total Dental Services (Lines 16-18)  82.11  58,766  26,424 
20a. Psychiatrists 2.16  3,078   
20a1. Licensed Clinical Psychologists 1.02  435   
20a2. Licensed Clinical Social Workers 9.63  7,257   
20b. Other Licensed Mental Health Providers 3.70  2,002   
20c. Other Mental Health Staff 5.43  2,544   
20. Total Mental Health (Lines 20a–c)  21.94  15,316  6,067 
21. Substance Abuse Services  2.00  1,420  200 
22. Other Professional Services  7.49  5,581  2,483 
22a. Ophthalmologists  1.00  1,784   
22b. Optometrists  0.01  53   
22c. Other Vision Care Staff  0.00     
22d. Total Vision Services (Lines 22a-22c)  1.01  1,837  1,311 
23. Pharmacy Personnel  20.73     
24. Case Managers 66.91  42,410   
25. Patient/Community Education Specialists 5.83  14,387   
26. Outreach Workers 10.08     
27. Transportation Staff 14.45     
27a. Eligibility Assistance Workers 46.28     
27b. Interpretation Staff 5.02     
27c. Community Health Workers 1.70     
28. Other Enabling Services 23.83     
29. Total Enabling Services (Lines 24-28)  174.10  56,797  29,589 
29a. Other Programs/Services  37.44     
29b. Quality Improvement Staff  31.07     
30a. Management and Support Staff 137.43     
30b. Fiscal and Billing Staff 107.70     
30c. IT Staff 27.41     
31. Facility Staff 33.09     
32. Patient Support Staff 280.51     
33. Total Facility and Non-Clinical Support Staff (Lines 30a–32)  586.14     
34. Grand Total
(Lines 15+19+20+21+22+22d+23+29+29a+29b+33) 
1,658.58  793,064   


 

Table 5: Staffing and Utilization

Personnel by Major Service Category FTEs Clinic Visits
% Group  % Total  % Group  % Total
1. Family Physicians 7.58%  3.17%  24.28%  20.00% 
2. General Practitioners 0.98%  0.41%  2.94%  2.42% 
3. Internists 0.79%  0.33%  1.95%  1.60% 
4. Obstetrician/Gynecologists 0.05%  0.02%  0.11%  0.09% 
5. Pediatricians 1.72%  0.72%  5.96%  4.91% 
7. Other Specialty Physicians 0.00%  0.00%  0.03%  0.02% 
8. Total Physicians (Lines 1-7)  11.13%   4.66%   35.26%   29.05% 
9a. Nurse Practitioners 20.12%  8.43%  55.89%  46.04% 
9b. Physician Assistants 1.24%  0.52%  4.79%  3.95% 
10. Certified Nurse Midwives 0.00%  0.00%  0.00%  0.00% 
10a. Total NPs, PAs, CNMs(Lines 9a-10)  21.36%   8.94%   60.68%   49.99%  
11. Nurses 42.10%  17.63%  4.06%  3.34% 
12. Other Medical Personnel 13.03%  5.46%     
13. Laboratory Personnel 7.29%  3.05%     
14. X-Ray Personnel 5.09%  2.13%     
15. Total Medical (Lines 8+10a through 14)  100.00%   41.88%   100.00%   82.38%  
16. Dentists 23.43%   1.16%   81.97%   6.07%  
17. Dental Hygienists 18.63%   0.92%   18.03%   1.34%  
17a. Dental Therapists 0.00%   0.00%   0.00%   0.00%  
18. Other Dental Personnel 57.93%   2.87%      
19. Total Dental Services (Lines 16-18)  100.00%   4.95%   100.00%   7.41%  
20a. Psychiatrists 9.85%   0.13%   20.10%   0.39%  
20a1. Licensed Clinical Psychologists 4.65%   0.06%   2.84%   0.05%  
20a2. Licensed Clinical Social Workers 43.89%   0.58%   47.38%   0.92%  
20b. Other Licensed Mental Health Providers 16.86%   0.22%   13.07%   0.25%  
20c. Other Mental Health Staff 24.75%   0.33%   16.61%   0.32%  
20. Mental Health (Lines 20a-c)  100.00%   1.32%   100.00%   1.93%  
21. Substance Abuse Services  100.00%   0.12%   100.00%   0.18%  
22. Other Professional Services  100.00%   0.45%   100.00%   0.70%  
22a. Ophthalmologists  99.01%  0.06%  97.11%  0.22% 
22b. Optometrist  0.99%   0.00%   2.89%   0.00%  
22c. Other Vision Care Staff  0.00%   0.00%      
22d. Total Vision Services (Lines 22a-22c)  100.00%   0.06%   100.00%   0.23%  
23. Pharmacy Personnel  100.00%   1.25%      
24. Case Managers 38.43%   4.03%   74.67%   5.35%  
25. Patient/Community Education Specialists 3.35%   0.35%   25.33%   1.81%  
26. Outreach Workers 5.79%   0.61%      
27. Transportation Staff 8.30%   0.87%      
27a. Eligibility Assistance Workers 26.58%   2.79%      
27b. Interpretation Staff 2.88%   0.30%      
27c. Community Health Workers 0.98%   0.10%      
28. Other Enabling Services 13.69%   1.44%      
29. Total Enabling Services (Lines 24-28)  100.00%   10.50%   100.00%   7.16%  
29a. Other Programs/Services  100.00%   2.26%      
29b. Quality Improvement Staff   100.00%   1.87%      
30a. Management and Support Staff   8.29%      
30b. Fiscal and Billing Staff   6.49%      
30c. IT Staff   1.65%      
31. Facility Staff   2.00%      
32. Patient Support Staff   16.91%      
33. Total Facility and Non-Clinical Support Services (Lines 30a through 32) 100.00%   35.34%      
34. Grand Total (Lines 15+19+20+21+22+22d+23+29+29a+29b+33)    100.00%     100.00%  

 

Clinic 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 Key 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 70 3,620 1 3
2. General Practitioners 7 662 0 0
3. Internists 8 601 0 0
4. Obstetrician/Gynecologists 2 118 0 0
5. Pediatricians 16 841 0 0
7. Other Specialty Physicians 0 0 3 310
9a. Nurse Practitioners 157 5,807 2 49
9b. Physician Assistants 12 528 0 0
10. Certified Nurse Midwives 0 0 0 0
11. Nurses 369 13,397 0 0
16. Dentists 25 1,610 0 0
17. Dental Hygienists 17 952 0 0
17a. Dental Therapists 0 0 0 0
20a. Psychiatrists 2 51 0 0
20a1. Licensed Clinical Psychologists 1 35 0 0
20a2. Licensed Clinical Social Workers 13 252 0 0
20b. Other Licensed Mental Health Providers 6 79 0 0
22a. Ophthalmologists 1 26 0 0
22b. Optometrists 0 0 1 11
30a1. Chief Executive Officer 13 1,985 0 0
30a2. Chief Medical Officer 12 974 0 0
30a3. Chief Financial Officer 12 1,552 0 0
30a4. Chief Information Officer 8 908 0 0

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Table 6A - Selected Diagnoses and Services Rendered

Diagnostic Category Applicable ICD-10-CM Code Number of Visits by Diagnosis Regardless of Primacy
(a)
Number of Patients with Diagnosis
(b)
Selected Infectious and Parasitic Diseases 
1-2. Symptomatic/Asymptomatic HIV B20, B97.35, O98.7-, Z21 2,660  959 
3. Tuberculosis A15- thru A19- 59  43 
4. Sexually transmitted infections A50- through A64- (exclude A63.0), M02.3- 1,824  1,448 
4a. Hepatitis B B16.0 through B16.2, B16.9, B17.0, B18.0, B18.1, B19.10, B19.11, Z22.51 136  85 
4b. Hepatitis C B17.10, B17.11, B18.2, B19.20, B19.21 2,779  1,361 
Selected Diseases of the Respiratory System 
5. Asthma J45- 14,229  7,848 
6. Chronic obstructive pulmonary diseases J40- through J44-, J47- 25,815  11,805 
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, D05-, D48.6-, N63-, R92- 1,709  1,297 
8. Abnormal cervical findings C53-, C79.82, D06-, R87.61-, R87.810, R87.820 545  452 
9. Diabetes mellitus E08- through E13-, O24- (exclude O24.41-) 72,831  21,827 
10. Heart disease (selected) I01-, I02- (exclude I02.9), I20- through I25-, I27-, I28-, I30- through I52- 20,535  8,453 
11. Hypertension I10- through I16- 136,958  53,550 
12. Contact dermatitis and other eczema L23- through L25-, L30- (exclude L30.1, L30.3, L30.4, L30.5), L55- through L59- (exclude L57.0 through L57.4) 6,454  5,249 
13. Dehydration E86- 815  692 
14. Exposure to heat or cold T33-, T34-, T67-, T68-, T69 104  83 
14a. Overweight and obesity E66-, Z68- (exclude Z68.1, Z68.20 through Z68.24, Z68.51. Z68.52) 55,779  27,277 
Selected Childhood Conditions (limited to ages 0 through 17)  
15. Otitis media and Eustachian tube disorders H65- thru H69- 14,994  10,244 
16. Selected perinatal medical conditions A33-, P22- through P29- (exclude P29.3), P35- through P96- (exclude P54-, P91.6-, P92-, P96.81), R78.81, R78.89 395  281 
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- through E46-, E50- through E63-, P92-, R62- (exclude R62.7), R63.2, R63.3 12,106  6,582 
Selected Mental Health and Substance Abuse Conditions 
18. Alcohol related disorders F10-, G62.1 1,595  956 
19. Other substance related disorders (excluding tobacco use disorders) F11- thru F19- (Exclude F17-), G62.0, O99.32- 3,777  1,580 
19a. Tobacco use disorder F17- 25,316  13,412 
20a. Depression and other mood disorders F30- thru F39- 55,007  23,468 
20b. Anxiety disorders including PTSD F06.4, F40- through F42-, F43.0, F43.1-, F93.0 52,662  19,889 
20c. Attention deficit and disruptive behavior disorders F90- thru F91- 9,108  4,292 
20d. Other mental disorders, excluding drug or alcohol dependence F01- through F09- (exclude F06.4), F20- through F29-, F43- through F48- (exclude F43.0- and F43.1-), F50- through F59- (exclude F55-), F60- through F99- (exclude F84.2, F90-, F91-, F98-), R45.1, R45.2, R45.5, R45.6, R45.7, R45.81, R45.82, R48.0 17,727  9,804 
Service 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 through 86703; 87389 through 87391 5,590  5,351 
21a. Hepatitis B test CPT-4: 86704, 86706, 87515 through 87517 810  770 
21b. Hepatitis C Test CPT-4: 86803, 86804, 87520 through 87522 3,775  3,556 
22. Mammogram CPT-4: 77052, 77057, 77065, 77066, 77067 OR ICD-10: Z12.31 4,304  4,110 
23. Pap test CPT-4: 88141 through 88155, 88164 through 88167, 88174, 88175 OR ICD-10: Z01.41-, Z01.42, Z12.4 (exclude Z01.411 and Z01.419) 7,193  6,887 
24. Selected Immunizations: Hepatitis A, Hemophilus Influenzae B (HiB), Pneumococcal, Diphtheria, Tetanus, Pertussis (DTaP) (DTP) (DT), Mumps, Measles, Rubella, Poliovirus, Varicella, Hepatitis B Child) CPT-4: 90633, 90634, 90645 through 90648, 90670, 90696 through 90702, 90704 through 90716, 90718 through 90723, 90743, 90744, 90748 17,343  14,215 
24a. Seasonal Flu vaccine CPT-4: 90654 through 90662, 90672, 90673, 90685 through 90688 14,192  12,777 
25. Contraceptive management ICD-10: Z30- 6,659  4,277 
26. Health supervision of infant or child (ages 0 through 11) CPT-4: 99381 through 99383, 99391 through 99393 17,830  12,387 
26a. Childhood lead test screening (9 to 72 months) CPT-4: 83655 1,496  1,426 
26b. Screening, Brief Intervention, and Referral to Treatment (SBIRT) CPT-4: 99408, 99409 HCPCS: G0396, G0397, H0050 2,490  2,224 
26c. Smoke and tobacco use cessation counseling CPT-4: 99406, 99407 OR HCPCS: S9075 OR CPT-II: 4000F, 4001F 8,054  6,861 
26d. Comprehensive and intermediate eye exams CPT-4: 92002, 92004, 92012, 92014 1,435  1,030 
Service Category Applicable ADA Code Number of Visits
(a)
Number of Patients
(b)
Selected Dental Services 
27. I. Emergency Services ADA: D9110 1,120  991 
28. II. Oral Exams ADA: D0120, D0140, D0145, D0150, D0160, D0170, D0171, D0180 31,203  20,950 
29. Prophylaxis - adult or child ADA: D1110, D1120 16,749  12,337 
30. Sealants ADA: D1351 1,550  1,441 
31. Fluoride treatment – adult or child ADA: D1206, D1208 12,142  9,020 
32. III. Restorative Services ADA: D21xx through D29xx 12,298  6,962 
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 through D7294 8,820  6,345 
34. V. Rehabilitative Services (Endo, Perio, Prostho, Ortho) ADA : D3xxx, D4xxx,D5xxx , D6xxx, D8xxx 3,859  2,584 

Sources of codes:

  • International Classification of Diseases, 2017, (ICD­10­CM). National Center for Health Statistics (NCHS).
  • Current Procedural Terminology (CPT), 2017. American Medical Association (AMA).
  • Current Dental Terminology (CDT), 2017 – Dental Procedure Codes. American Dental Association (ADA).

Note: “X” in a code denotes any number including the absence of a number in that place. “–” (Dashes) in a code indicate that additional characters are required. ICD­10­CM codes all have at least four digits. These codes are not intended to reflect if a code is billable or not. Instead they are used to point out that other codes in the series are to be considered.

 

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Table 6B - Quality of Care Measures

Prenatal Care Provided by Referral Only
Answer Number of Health Centers % Total
Yes  50.00% 
No  50.00% 

Section A - Age Categories for Prenatal Care Patients:
Demographic Characteristics of Prenatal Care Patients
Age Number of Patients
(a)
Percent
(b)
1. Less than 15 Years 0.22% 
2. Ages 15 - 19 392  14.59% 
3. Ages 20 - 24 855  31.83% 
4. Ages 25 - 44 1,426  53.09% 
5. Ages 45 and Over 0.26% 
6. Total Patients (Sum lines 1-5)  2,686  100.00% 

Section B - Early Entry into Prenatal Care
Early Entry into Prenatal Care Women Having First Visit with Health Center Women Having First Visit with Another Provider % Total
(a) % (b) %
7. First Trimester 1,317  49.03%  455  16.94%  65.97% 
8. Second Trimester 621  23.12%  120  4.47%  27.59% 
9. Third Trimester 115  4.28%  58  2.16%  6.44% 

Section C - Childhood Immunization Status
Childhood Immunization Status Total Patients with 2nd Birthday
(a)
Estimated Number of Patients Immunized
(b)
Estimated % patients immunized
(c)
10. Percentage of children 2 years of age who received age appropriate vaccines by their 2nd birthday 2,702  1,306  48.35% 
Section D - Cervical Cancer Screening
Cervical Cancer Screenings Total Female Patients Aged 23 through 64
(a)
Estimated Number of Patients Tested
(b)
Estimated % patients tested
(c)
11. Percentage of women 23-64 years of age, who were screened for cervical cancer 51,489  17,962  34.89% 

 

Section E – Weight Assessment and Counseling for Nutrition and Physical Activity of Children and Adolescents
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents Total Patients Aged 3 through 17
(a)
Estimated Number Patients Assessed and Counseled
(b)
Estimated % Patients Assessed and Counseled
(c)
12. Percentage of patients 3-17 years of age with a BMI percentile, and counseling on nutrition and physical activity documented 41,345  24,315  58.81% 

 

Section F – Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Total Patients Aged 18 and Older
(a)
Estimated Number Patients with BMI Charted and Follow-Up Plan Documented as Appropriate
(b)
Estimated % Patients with BMI Charted and Follow-Up Plan Documented as Appropriate
(c)
13. Percentage of patients 18 years of age and older with (1) BMI documented and (2) follow-up plan documented if BMI is outside normal parameters 135,704  105,410  77.68% 

 

Section G – Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention Total Patients Aged 18 and Older
(a)
Estimated Number of Patients Assessed for Tobacco Use and Provided Intervention if a Tobacco User
(b)
Estimated % Patients Assessed for Tobacco Use and Provided Intervention if a Tobacco User
(c)
14a. Percentage of patients aged 18 years of age 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 100,433  92,621  92.22% 

 

Section H – Use of Appropriate Medications for Asthma
Use of Appropriate Medications for Asthma Total Patients Aged 5 through 64 with Persistent Asthma
(a)
Estimated Number with Acceptable Plan
(b)
Estimated % Patients with Acceptable Plan
(c)
16. Percentage of patients 5 through 64 years of age identified as having persistent asthma and were appropriately ordered medication 2,608  2,071  79.41% 

 

Section I – Coronary Artery Disease (CAD): Lipid Therapy
Coronary Artery Disease (CAD): Lipid Therapy Total Patients Aged 18 And Older With CAD Diagnosis
(a)
Estimated Number Patients Prescribed a Lipid Lowering Therapy
(b)
Estimated % Patients Prescribed a Lipid Lowering Therapy
(c)
17. Percentage of patients 18 years of age and older with a diagnosis of CAD who were prescribed a lipid lowering therapy 3,772  2,796  74.13% 

 

Section J – Ischemic Vascular Disease (IVD): Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antitplatelet
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet Total Patients Aged 18 And Over With IVD Diagnosis or AMI, CABG, or PCI Procedure
(a)
Estimated Number Patients with Aspirin or other Antiplatelet Therapy
(b)
Estimated % Patients with Aspirin or other Antiplatelet Therapy
(c)
18. Percentage of patients 18 years of age and older with a diagnosis of IVD or AMI, CABG, or PCI procedure with aspirin or another antiplatelet 7,310  5,647  77.25% 

 

Section K – Colorectal Cancer Screening
Colorectal Cancer Screening Total Patients Aged 50 through 75
(a)
Estimated Number Patients with Appropriate Screening for Colorectal Cancer
(b)
Estimated % Patients with Appropriate Screening for Colorectal Cancer
(c)
19. Percentage of patients 50 through 75 years of age who had appropriate screening for colorectal cancer 51,116  18,365  35.93% 

 

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 Diagnosis of HIV
(b)
Estimated % Patients Seen Within 90 Days of First Diagnosis of HIV
(c)
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 46  38  82.61% 

 

Section M – Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan
Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan Total Patients Aged 12 and Older
(a)
Estimated Number Patients Screened for Depression and Follow-up Plan Documented as Appropriate
(b)
Estimated % Patients Screened for Depression and Follow-up Plan Documented as Appropriate
(c)
21. Percentage of patients 12 years of age and older who were (1) screened for depression with a standardized tool and, if screening was positive, (2) had a follow-up plan documented 120,061  62,260  51.86% 

 

Section N – Dental Sealants for Children between 6-9 Years
Dental Sealants for Children between 6-9 Years Total Patients Aged 6 through 9 at Moderate to High Risk for Caries
(a)
Estimated Number of Patients with Sealants to First Molars
(b)
Estimated % Patients with Sealants to First Molars
(c)
22. Percentage of children 6 through 9 years of age, at moderate to high risk of caries who received a sealant on a first permanent molar 877  411  46.86% 

% may not equal 100% due to rounding

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Table 7 - Health Outcomes and Disparities

Arkansas Data

:
Tables 3A through 9E

12 Grantees


 Total
(i)
Description Patients
HIV Positive Pregnant Women 3
Deliveries Performed by Health Center Provider 35

 Section A: Deliveries and Birth Weight
Race and Ethnicity  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) 14 1.28% 0 0 13 0.00%
Native Hawaiian (b1) 4 0.37% 0 0 4 0.00%
Other Pacific Islander (b2) 132 12.11% 3 9 119 9.16%
Black/ African American (c) 283 25.96% 5 24 252 10.32%
American Indian/ Alaska Native (d) 2 0.18% 0 0 4 0.00%
White (e) 472 43.30% 4 29 385 7.89%
More than one race (f) 6 0.55% 0 5 8 38.46%
Race Unreported/ Refused to Report (g) 144 13.21% 2 10 155 7.19%
Sub-total (Sum a+b1+b2+c+d+e+f+g) 1,057 96.97% 14 77 940 8.83%
 By Ethnicity
Hispanic/Latino (section 1) 273 25.05%  5 14 248 7.12%
Non-Hispanic/Latino (section 2) 784 71.93% 9 63 692 9.42%
Sub-total (Sum section 1 + section 2) 1,057 96.97% 14 77 940 8.83%
Unreported / Refused to Report Race and Ethnicity (h) 33 3.03% 2 5 39 15.22%
Total (i) 1,090 100.00% 16  82 979  9.10%
 
Section B: Controlling High Blood Pressure
Patients 18 through 85 Years of Age Diagnosed with Hypertension whose Last Blood Pressure was Less than 140/90
Race and Ethnicity  Total Patients 18 through 85 Years of Age with Hypertension
(2a)
Estimated % Patients with Controlled Blood Pressure
(2b)
By Race
Asian (a) 150  
Native Hawaiian (b1) 30  
Other Pacific Islander (b2) 252  
Black/ African American (c) 14,173  
American Indian/ Alaska Native (d) 161  
White (e) 33,123  
More than one race (f) 135  
Race Unreported/ Refused to Report (g) 1,345  
Sub-total (Sum a+b1+b2+c+d+e+f+g) 49,369  
By Ethnicity
Hispanic/Latino (section 1) 3,521  
Non-Hispanic/Latino (section 2) 45,848  
Sub-total (Sum section 1 + section 2) 49,369  
Unreported / Refused to Report Race and Ethnicity (h) 638  
Total (i) 50,007 56.11%
 
Section C: Diabetes: Hemoglobin A1c Poor Control
Patients 18 to 75 years of age diagnosed with Type I or Type II Diabetes: Most Recent Test Results
Race and Ethnicity  Total Patients 18 through 75 Years of Age with Diabetes
(3a)
Estimated % Patients with Hba1c > 9% 
(3b)
Estimated % Patients with Hba1c < 8%  
(3c)
By Race
Asian (a) 90    
Native Hawaiian (b1) 8    
Other Pacific Islander (b2) 311    
Black/ African American (c) 5,364    
American Indian/ Alaska Native (d) 82    
White (e) 13,488    
More than one race (f) 68    
Race Unreported/ Refused to Report (g) 1,196    
Sub-total (Sum a+b1+b2+c+d+e+f+g) 20,607    
By Ethnicity
Hispanic/Latino (section 1) 2,928    
Non-Hispanic/Latino (section 2) 17,679    
Sub-total (Sum section 1 + section 2) 20,607    
Unreported / Refused to Report Race and Ethnicity (h) 533    
Total (i) 21,140  30.02%  54.56%

% shown are rounded to the .01% level for table display purposes; calculations are made using % to 8 decimal places

% by race are low estimates, not adjusted at the Health Center 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 55,597,071  33,507,378  89,104,449
2. Lab and X-ray 8,709,857  4,760,584  13,470,441 
3. Medical/Other Direct 8,207,485  5,323,596  13,531,081 
4. Total Medical Care Services (Sum lines 1-3)  72,514,413  43,591,558  116,105,971 
Financial Costs for Other Clinical Services 
5. Dental 8,723,621  5,200,986  13,924,607 
6. Mental Health 2,140,094  1,059,493  3,199,587 
7. Substance Abuse 194,566  169,142  363,708 
8a. Pharmacy not including pharmaceuticals 3,896,505  1,835,202  5,731,707 
8b. Pharmaceuticals 9,187,166    9,187,166 
9. Other Professional 575,986  317,466  893,452 
9a. Vision 273,419  158,688  432,107 
10. Total Other Clinical Services (Sum Lines 5 through 9a)  24,991,357  8,740,977  33,732,334 
Financial Costs of Enabling and Other Program Related Services 
11a. Case Management 3,893,621    3,893,621 
11b. Transportation 614,951    614,951 
11c. Outreach 840,397    840,397 
11d. Patient and Community Education 793,797    793,797 
11e. Eligibility Assistance 1,932,178    1,932,178 
11f. Interpretation Services 176,564    176,564 
11g. Other Enabling Services 816,715    816,715 
11h. Community Health Workers 64,487    64,487 
11. Total Enabling Services Cost (Sum Lines 11a through 11h) 9,132,710  5,059,835  14,192,545 
12. Other Related Services 1,995,368  1,669,042  3,664,410 
12a. Quality Improvement 2,334,167  1,230,582  3,564,749 
13. Total Enabling and Other Services (Sum Lines 11, 12, and 12a) 13,462,245  7,959,459  21,421,704 
Facility and Non-Clinical Support Services and Totals 
14. Facility 16,305,292     
15. Non-Clinical Support Services 43,986,702     
16. Total Facility and Non-Clinical Support Services
(Sum lines 14 and 15)
60,291,994     
17. Total Accrued Costs (Sum lines 4+10+13+16)  171,260,009    171,260,009 
18. Value of Donated Facilities, Services and Supplies     2,592,323 
19. Total with Donations (Sum lines 17 and 18)      173,852,332 

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Table 9D - Patient Related Revenue (Scope of Project Only)

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 51,546,512  100.00%  29.33%  49,682,661  100.00%  47.28%  96.38% 
2a. Medicaid Managed Care (capitated) 0.00%  0.00%  0.00%  0.00%  0.00% 
2b. Medicaid Managed Care (fee-for-service) 0.00%  0.00%  0.00%  0.00%  0.00% 
3. Total Medicaid (Lines 1+2a+2b)  51,546,512  100.00%  29.33%  49,682,661  100.00%  47.28%  96.38% 
4. Medicare Non-Managed Care 44,247,224  100.00%  25.18%  19,403,194  100.00%  18.46%  43.85% 
5a. Medicare Managed Care (capitated) 0.00%  0.00%  0.00%  0.00%  0.00% 
5b. Medicare Managed Care (fee-for-service) 0.00%  0.00%  0.00%  0.00%  0.00% 
6. Total Medicare (Lines 4+5a+5b)  44,247,224  100.00%  25.18%  19,403,194  100.00%  18.46%  43.85% 
7. Other Public including Non-Medicaid CHIP (Non Managed Care) 68,421  100.00%  0.04%  43,632  100.00%  0.04%  63.77% 
8a. Other Public, including NonMedicaid 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 (Lines 7+8a+8b)  68,421  100.00%  0.04%  43,632  100.00%  0.04%  63.77% 
10. Private Non-Managed Care 45,772,953  100.00%  26.05%  23,874,424  100.00%  22.72%  52.16% 
11a. Private Managed Care (capitated) 0.00%  0.00%  0.00%  0.00%  0.00% 
11b. Private Managed Care (fee-for-service) 0.00%  0.00%  0.00%  0.00%  0.00% 
12. Total Private (Lines 10+11a+11b)  45,772,953  100.00%  26.05%  23,874,424  100.00%  22.72%  52.16% 
13. Self-pay 34,089,632  100.00%  19.40%  12,088,112  100.00%  11.50%  35.46% 
14. Total (Lines 3+6+9+12+13)  175,724,742    100.00%  105,092,023    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 Payments: P4P, Risk Pools, Withholds, etc.
(c3)
Penalty/
Payback
(c4)
Net Retros Net Retros
% of
Charges
Allowances
(d)
Allowances
% of
Charges
1. Medicaid Non-Managed Care 1,025,401  5,906,877  341,036  7,273,314  14.11%  4,214,534  8.18% 
2a. Medicaid Managed Care (capitated) 0.00%  0.00% 
2b. Medicaid Managed Care (fee-for-service) 0.00%  0.00% 
3. Total Medicaid (Lines 1+2a+2b)  1,025,401  5,906,877  341,036  0  7,273,314  14.11%  4,214,534  8.18% 
4. Medicare Non-Managed Care 81,753  256,713  34  338,432  0.76%  20,182,669  45.61% 
5a. Medicare Managed Care (capitated) 0 0.00%  0.00% 
5b. Medicare Managed Care (fee-for-service) 0.00%  0.00% 
6. Total Medicare (Lines 4+5a+5b)  81,753  256,713  0  34  338,432  0.76%  20,182,669  45.61% 
7. Other Public including Non-Medicaid CHIP (Non Managed Care) 0.00%  27,663  40.43% 
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 (Lines 7+8a+8b)  0  0  0  0  0  0.00%  27,663  40.43% 
10. Private Non-Managed Care     0.00%  17,309,287  37.82% 
11a. Private Managed Care (capitated)     0.00%  0.00% 
11b. Private Managed Care (fee-for-service)     0.00%  0.00% 
12. Total Private (Lines 10+11a+11b)      0  0  0  0.00%  17,309,287  37.82% 
13. Self-pay                
14. Total (Lines 3+6+9+12+13)  1,107,154  6,163,590  341,036  34  7,611,746  4.33%  41,734,153  23.75% 

Sliding Discounts
(e)
Bad Debt Write Off
(f)
13. Self-pay 14,976,850  7,110,246 

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 292,684  0.57% 
1b. Community Health Center 49,559,606  96.33% 
1c. Health Care for the Homeless 309,963  0.60% 
1e. Public Housing Primary Care 381,445  0.74% 
1g. Total Health Center Cluster (Sum lines 1a through 1e) 50,543,698  98.25% 
1j. Capital Improvement Program Grants 902,249  1.75% 
1k. Capital Development Grants, including School Based Health Center Capital Grants 0.00% 
1. Total BPHC Grants (Sum lines 1g + 1j + 1k)  51,445,947  100.00% 
Other Federal Grants 
2. Ryan White Part C HIV Early Intervention 530,575  9.35% 
3. Other Federal Grants 3,502,547  61.72% 
3a. Medicare and Medicaid EHR Incentive Payments for Eligible Providers 1,641,413  28.93% 
5. Total Other Federal Grants (Sum lines 2- 3a)  5,674,535  100.00% 
Non-Federal Grants Or Contracts 
6. State Government Grants and Contracts 3,054,312  60.96% 
6a. State/Local Indigent Care Programs 28,823  0.58% 
7. Local Government Grants and Contracts 319,854  6.38% 
8. Foundation/Private Grants and Contracts 1,607,774  32.09% 
9. Total Non-Federal Grants And Contracts (Sum lines 6+6a+7+8)  5,010,763  100.00% 
10. Other Revenue (Non-patient related revenue not reported elsewhere)  1,722,997  100.00% 
11. Grand Total Revenue (Sum lines 1+5+9+10)  63,854,242   

% may not equal 100% due to rounding.

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Health Information Technology Capabilities and Quality recognition

Measures Number of Health centers % of Total
1. Health centers that have an EHR installed and in use
1a. Yes, installed at all sites and used by all providers 12  100.00% 
1b. Yes, but only installed at some sites or used by some providers 0.00% 
  Total Health centers with EHR installed (Sum 1a + 1b) 12  100.00% 
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% 
  Total Health centers with No EHR installed (sum 1c + 1d + 1e + 1f) 0.00% 
Total Health centers reported 12  100.00% 
EHR Functionalities
2 Does your center send prescriptions to the pharmacy electronically? (Do not include faxing)
  Yes 12  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 12  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  91.67% 
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 11  91.67% 
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 12  100.00% 
7 How do you collect data for UDS clinical reporting (Tables 6B and 7)?
  We use the EHR to extract automated reports 25.00% 
  We use the EHR but only to access individual patient charts 0.00% 
  We use the EHR in combination with another data analytic system 75.00% 
  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 11  91.67% 
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 66.67% 
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  91.67% 
11 Has your center received accreditation?
  Yes 25.00% 

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Other Data Elements

Measures Number of Physicians (1a) or Patients(1b) % of Total
1. Medication-Assisted Treatment (MAT) for Opioid Use Disorder
1a. How many physicians, certified nurse practitioners and physician assistants, on-site or with whom the health center has contracts, have 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?  
1b. How many patients received medication-assisted treatment for opioid use disorder from a physician, certified nurse practitioner, or physician assistant, with a DATA waiver working on behalf of the health center? 53  0.03% 
Measures Number of Health Centers % of Total
2. 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 33.33% 
No 66.67% 
2a. If yes (a), how are you using telehealth?    
Provide primary care services 25.00% 
Provide specialty care services 0.00% 
Provide mental health services 100.00% 
Provide oral health services 0.00% 
Manage patients with chronic conditions 0.00% 
Other 25.00% 

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