2018 Health Center Data

Indiana Data

:
Tables 3A through 9E

25 Grantees


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

Line Age Groups Male Patients
(a)
Female Patients
(b)
All Patients
1. Under Age 1 10,443  10,195  20,638 
2. Age 1 6,327  6,081  12,408 
3. Age 2 5,932  5,501  11,433 
4. Age 3 5,911  5,612  11,523 
5. Age 4 5,829  5,504  11,333 
6. Age 5 6,279  6,022  12,301 
7. Age 6 5,943  5,549  11,492 
8. Age 7 5,791  5,414  11,205 
9. Age 8 6,095  5,471  11,566 
10. Age 9 5,862  5,308  11,170 
11. Age 10 5,697  5,277  10,974 
12. Age 11 5,975  5,777  11,752 
13. Age 12 5,688  5,398  11,086 
14. Age 13 5,186  5,165  10,351 
15. Age 14 4,801  4,775  9,576 
16. Age 15 4,290  4,498  8,788 
17. Age 16 3,948  4,969  8,917 
18. Age 17 4,005  5,277  9,282 
19. Age 18 2,646  4,698  7,344 
20. Age 19 1,873  4,236  6,109 
21. Age 20 1,531  4,199  5,730 
22. Age 21 1,460  4,260  5,720 
23. Age 22 1,441  4,277  5,718 
24. Age 23 1,511  4,296  5,807 
25. Age 24 1,539  4,382  5,921 
26. Ages 25 - 29 8,883  23,706  32,589 
27. Ages 30 - 34 9,421  22,041  31,462 
28. Ages 35 - 39 10,448  20,374  30,822 
29. Ages 40 - 44 10,180  17,120  27,300 
30. Ages 45 - 49 10,351  16,168  26,519 
31. Ages 50 - 54 11,023  15,323  26,346 
32. Ages 55 - 59 11,735  15,397  27,132 
33. Ages 60 - 64 9,413  12,751  22,164 
34. Ages 65 - 69 5,193  7,705  12,898 
35. Ages 70 - 74 2,627  4,453  7,080 
36. Ages 75 - 79 1,483  2,653  4,136 
37. Ages 80 - 84 779  1,580  2,359 
38. Age 85 and over 546  1,325  1,871 
39. Total Patients (Sum Lines 1–38)   208,085   292,737   500,822  
% of Total 41.55%   58.45%     

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Table 3B : Demographic Characteristics

Patients By Hispanic or Latino Ethnicity

Line Patients by Race 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 194  14,271      14,465  2.89%  3.22% 
2a. Native Hawaiian 101  130      231  0.05%  0.05% 
2b. Other Pacific Islander 996  530      1,526  0.30%  0.34% 
2. Total Native Hawaiian/Other Pacific Islander
(Sum Lines 2a+2b)
1,097  660       1,757   0.35%  0.39% 
3. Black/African American 1,516  136,041      137,557  27.47%  30.63% 
4. American Indian/Alaska Native 208  958      1,166  0.23%  0.26% 
5. White 54,420  227,741      282,161  56.34%  62.83% 
6. More than one race 3,028  8,955      11,983  2.39%  2.67% 
6a. Total Known
(Sum Lines 1+2+3+4+5+6)
60,463  388,626      449,089     
7. Unreported/Refused to report Race 32,259  8,107  11,367  2.27%  51,733  10.33%    
8. Total Patients
(Sum Lines 1+2+3 to 7)
 92,722   396,733   11,367     500,822  100.00%    
Total Known Ethnicity
(Sum line 8, columns a+b)
489,455
  % of Hispanic/Latino of Total Known Ethnicity3
(a)
% of Non-Hispanic/ Latino of Total Known Ethnicity3
(b)
 
9.  Total Patients  18.94%   81.06%   
 
Line Patients by Linguistic Barriers to Care Number
(a)
% of Total
12. Patients Best Served in a Language Other Than English 71,850  14.35% 
  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'.

% 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 218,216  43.57%  70.71% 
2. 101 - 150% 41,845  8.36%  13.56% 
3. 151 - 200% 19,791  3.95%  6.41% 
4. Over 200% 28,769  5.74%  9.32% 
5. Unknown 192,201  38.38%   
6. TOTAL (Sum Lines 1-5)  500,822   100.00%     



Principal Third-Party Medical Insurance   Ages 0-17
(a)
 
Ages 18+
(b)
 
Total  % 
7. None/Uninsured 24,656  64,066  88,722  17.72% 
8a. Medicaid (Title XIX) 146,333  118,994  265,327  52.98% 
8b. CHIP Medicaid 5,966  265  6,231  1.24% 
8. Total Medicaid (Sum Lines 8a + 8b)  152,299  119,259  271,558  54.22% 
9a. Dually Eligible (Medicare and Medicaid)  13  20,932  20,945  4.18% 
9. Medicare (Inclusive of dually eligible and other Title XVIII beneficiaries)  44  38,526  38,570  7.70% 
10a. Other Public Insurance (Non-CHIP) 0  0.00% 
10b. Other Public Insurance CHIP 0  0.00% 
10. Total Public Insurance
(Sum Lines 10a+10b) 
0  0.00% 
11. Private Insurance  28,796  73,176  101,972  20.36% 
12. TOTAL (Sum Lines 7+8+9+10+11)  205,795  295,027  500,822   100.00%  


Managed Care Utilization  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 1,589,020  14,391  1,603,411 
13c. Total Member Months
(Sum Lines 13a+13b) 
1,589,020  14,391  0  0  1,603,411 


Special Populations  Number of Patients
(a)
 
% 
14. Migratory (330g awardees only) 526  32.45% 
15. Seasonal (330g awardees only) 320  19.74% 
  Migrant/Seasonal (non-330g awardees) 775  47.81% 
16. Total Agricultural Workers or Dependents
(All health centers report this line) 
1,621  100.00% 
17. Homeless Shelter (330h awardees only) 1,922  18.55% 
18. Transitional (330h awardees only) 1,724  16.64% 
19. Doubling Up (330h awardees only) 1,966  18.98% 
20. Street (330h awardees only) 295  2.85% 
21. Other (330h awardees only) 550  5.31% 
22. Unknown (330h awardees only) 641  6.19% 
Homeless (non-330h awardees) 3,262  31.49% 
23. Total Homeless
(All health centers report this line)  
10,360 100.00% 
24. Total School Based Health Center Patients
(All health centers report this line) 
15,188 
25. Total Veterans
(All health centers report this line) 
4,542 
26. Total Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site
(All health centers report this line)
26,549 


Percents may not equal 100% due to rounding

 

 

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Table 5 : Staffing and Utilization

Line Personnel by Major Service Category FTEs (a) Clinic Visits (b) Patients (c)
1. Family Physicians 109.26   309,478   
2. General Practitioners 0.86  995   
3. Internists 32.47  85,092   
4. Obstetrician/Gynecologists 26.96  59,279   
5. Pediatricians 71.88  232,091   
7. Other Specialty Physicians 0.13  203   
8. Total Physicians (Sum Lines 1-7)  241.56  687,138   
9a. Nurse Practitioners 231.55  535,848   
9b. Physician Assistants 9.65  20,442   
10. Certified Nurse Midwives 23.57  51,216   
10a. Total NPs, PAs, and CNMs (Sum Lines 9a–10)   264.77  607,506   
11. Nurses 326.33  47,367   
12. Other Medical Personnel 607.49     
13. Laboratory Personnel 34.18     
14. X-ray Personnel 12.23     
15. Total Medical (Sum Lines 8+10a through 14)  1,486.56  1,342,011  454,942  
16. Dentists 44.21  102,845   
17. Dental Hygienists 36.39  32,313   
17a. Dental Therapists 0.00   
18. Other Dental Personnel 91.46     
19. Total Dental Services (Sum Lines 16-18)  172.06  135,158  58,794 
20a. Psychiatrists 14.42  28,402   
20a1. Licensed Clinical Psychologists 11.82  10,559   
20a2. Licensed Clinical Social Workers 69.44  86,194   
20b. Other Licensed Mental Health Providers 33.99  21,975   
20c. Other Mental Health Staff 12.67  4,055   
20. Total Mental Health (Sum Lines 20a–c)  142  151,185  43,700 
21. Substance Use Disorder Services  15.56  15,988  4,158 
22. Other Professional Services  20.31  22,376  11,961 
22a. Ophthalmologists  0.00   
22b. Optometrists  5.69  10,185   
22c. Other Vision Care Staff  6.50     
22d. Total Vision Services (Sum Lines 22a-c)  12.19  10,185  9,472 
23. Pharmacy Personnel  29.71     
24. Case Managers 172.97  61,366   
25. Patient/Community Education Specialists 17.08  18,748   
26. Outreach Workers 35.81     
27. Transportation Staff 4.46     
27a. Eligibility Assistance Workers 97.55     
27b. Interpretation Staff 80.98     
27c. Community Health Workers 8.44     
28. Other Enabling Services 4.80     
29. Total Enabling Services (Sum Lines 24-28)  422.09  80,114  32,336 
29a. Other Programs/Services  83.10     
29b. Quality Improvement Staff  49.79     
30a. Management and Support Staff 353.62     
30b. Fiscal and Billing Staff 168.57     
30c. IT Staff 48.83     
31. Facility Staff 70.95     
32. Patient Support Staff 525.10     
33. Total Facility and Non-Clinical Support Staff
(Sum Lines 30a–32) 
1,167.07     
34. Grand Total
(Sum Lines 15+19+20+21+22+22d+23+29+29a+29b+33) 
3,600.78  1,757,017   


Line Personnel by Major Service Category FTEs Clinic Visits
% Group % Total % Group % Total
1. Family Physicians 7.35%   3.03%  23.06%   17.61% 
2. General Practitioners 0.06%   0.02%  0.07%   0.06% 
3. Internists 2.18%   0.90%  6.34%   4.84% 
4. Obstetrician/Gynecologists 1.81%   0.75%  4.42%   3.37% 
5. Pediatricians 4.84%   2.00%  17.29%   13.21% 
7. Other Specialty Physicians 0.00%   0.00%  0.02%   0.01% 
8. Total Physicians (Sum Lines 1-7)  16.25%   6.71%  51.20%   39.11% 
9a. Nurse Practitioners 15.58%   6.43%  39.93%   30.50% 
9b. Physician Assistants 0.65%   0.27%  1.52%   1.16% 
10. Certified Nurse Midwives 1.59%   0.65%  3.82%   2.91% 
10a. Total NPs, PAs, and CNMs (Sum Lines 9a–10)   17.81%   7.35%  45.27%   34.58% 
11. Nurses 21.95%   9.06%  3.53%   2.70% 
12. Other Medical Personnel 40.87%   16.87%     
13. Laboratory Personnel 2.30%   0.95%     
14. X-ray Personnel 0.82%   0.34%     
15. Total Medical (Sum Lines 8+10a through 14)  100.00%   41.28%  100.00%   76.38% 
16. Dentists 25.69%   1.23%  76.09%   5.85% 
17. Dental Hygienists 21.15%   1.01%  23.91%   1.84% 
17a. Dental Therapists 0.00%   0.00%  0.00%   0.00% 
18. Other Dental Personnel 53.16%   2.54%     
19. Total Dental Services (Sum Lines 16-18)  100.00%   4.78%  100.00%   7.69% 
20a. Psychiatrists 10.13%   0.40%  18.79%   1.62% 
20a1. Licensed Clinical Psychologists 8.30%   0.33%  6.98%   0.60% 
20a2. Licensed Clinical Social Workers 48.78%   1.93%  57.01%   4.91% 
20b. Other Licensed Mental Health Providers 23.88%   0.94%  14.54%   1.25% 
20c. Other Mental Health Staff 8.90%   0.35%  2.68%   0.23% 
20. Total Mental Health (Sum Lines 20a–c)  100.00%   3.95%  100.00%   8.60% 
21. Substance Use Disorder Services  100.00%   0.43%  100.00%   0.91% 
22. Other Professional Services  100.00%   0.56%  100.00%   1.27% 
22a. Ophthalmologists  0.00%   0.00%  0.00%   0.00% 
22b. Optometrists  46.68%   0.16%  100.00%   0.58% 
22c. Other Vision Care Staff  53.32%   0.18%     
22d. Total Vision Services (Sum Lines 22a-c)  100.00%   0.34%  100.00%   0.58% 
23. Pharmacy Personnel  100.00%   0.83%     
24. Case Managers 40.98%   4.80%  76.60%   3.49% 
25. Patient/Community Education Specialists 4.05%   0.47%  23.40%   1.07% 
26. Outreach Workers 8.48%   0.99%     
27. Transportation Staff 1.06%   0.12%     
27a. Eligibility Assistance Workers 23.11%   2.71%     
27b. Interpretation Staff 19.19%   2.25%     
27c. Community Health Workers 2.00%   0.23%     
28. Other Enabling Services 1.14%   0.13%     
29. Total Enabling Services (Sum Lines 24-28)  100.00%   11.72%     
29a. Other Programs/Services  100.00%  2.31%     
29b. Quality Improvement Staff  100.00%   1.38%     
30a. Management and Support Staff   9.82%     
30b. Fiscal and Billing Staff   4.68%     
30c. IT Staff   1.36%     
31. Facility Staff   1.97%     
32. Patient Support Staff   14.58%     
33. Total Facility and Non-Clinical Support Staff
(Sum Lines 30a–32) 
100.00%   32.41%     
34. Grand Total
(Sum 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.
% may not equal 100% due to rounding.

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Table 5A : Tenure for Health Center Staff

Line Health Center Staff Full- and Part-time Locum, On-Call, etc
Persons
(a)
Total Months
(b)
Persons
(c)
Total Months
(d)
1. Family Physicians 152 8,889 34 976
2. General Practitioners 1 29 0 0
3. Internists 70 5,158 28 609
4. Obstetrician/Gynecologists 47 2,992 0 0
5. Pediatricians 101 7,931 69 1,314
7. Other Specialty Physicians 3 201 0 0
9a. Nurse Practitioners 293 14,498 2 98
9b. Physician Assistants 11 492 0 0
10. Certified Nurse Midwives 25 2,370 0 0
11. Nurses 389 22,456 0 0
16. Dentists 58 2,508 3 36
17. Dental Hygienists 46 2,796 0 0
17a. Dental Therapists 0 0 0 0
20a. Psychiatrists 31 1,825 4 397
20a1. Licensed Clinical Psychologists 18 857 0 0
20a2. Licensed Clinical Social Workers 77 3,945 7 260
20b. Other Licensed Mental Health Providers 29 1,448 3 52
22a. Ophthalmologists 0 0 0 0
22b. Optometrists 8 422 0 0
30a1. Chief Executive Officer 25 2,681 0 0
30a2. Chief Medical Officer 24 1,869 0 0
30a3. Chief Financial Officer 21 2,284 2 109
30a4. Chief Information Officer 11 1,181 0 0

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Table 6A : Selected Diagnoses and Services Rendered

Line 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 1,378  726 
3. Tuberculosis A15- through A19-, O98.01 92  70 
4. Sexually transmitted infections A50- through A64- (exclude A63.0) 4,730  3,853 
4a. Hepatitis B B16.0 through B16.2, B16.9, B17.0, B18.0, B18.1, B19.10, B19.11, O98.4- 803  436 
4b. Hepatitis C B17.10, B17.11, B18.2, B19.20, B19.21 5,049  3,116 
Selected Diseases of the Respiratory System 
5. Asthma J45- 45,630  27,149 
6. Chronic lower respiratory diseases J40- through J44-, J47- 34,031  17,773 
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-, D49.3-, N60-, N63-, R92- 4,029  3,301 
8. Abnormal cervical findings C53-, C79.82, D06-, R87.61-, R87.629, R87.810, R87.820 3,552  2,594 
9. Diabetes mellitus E08- through E13-, O24- (exclude O24.41-) 113,600  40,885 
10. Heart disease (selected) I01-, I02- (exclude I02.9), I20- through I25-, I27-, I28-, I30- through I52- 23,623  12,787 
11. Hypertension I10- through I16- 183,723  80,292 
12. Contact dermatitis and other eczema L23- through L25-, L30- (exclude L30.1, L30.3, L30.4, L30.5), L58- 22,339  18,395 
13. Dehydration E86- 860  767 
14. Exposure to heat or cold T33-, T34-, T67-, T68-, T69- 123  101 
14a. Overweight and obesity E66-, Z68- (exclude Z68.1, Z68.20 through Z68.24, Z68.51. Z68.52) 169,410  82,370 
Selected Childhood Conditions (limited to ages 0 through 17) 
15. Otitis media and Eustachian tube disorders H65- through H69- 25,930  17,973 
16. Selected perinatal medical conditions A33-, P19-, P22- through P29- (exclude P29.3), P35- through P96- (exclude P54-, P91.6-, P92- , P96.81), R78.81, R78.89 4,168  2,854 


Line Diagnostic Category Applicable ICD-10-CM Code Number of Visits by Diagnosis Regardless of Primacy (a) Number of Patients with Diagnosis (b)
Selected Childhood Conditions (limited to ages 0 through 17) 
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), R63.3 16,840  11,269 
Selected Mental Health Conditions and Substance Use Disorders 
18. Alcohol-related disorders F10-, G62.1, O99.31 15,922  5,350 
19. Other substance-related disorders (excluding tobacco use disorders) F11- through F19- (exclude F17-), G62.0, O99.32- 32,035  9,088 
19a. Tobacco use disorder F17-, O99.33 43,363  23,435 
20a. Depression and other mood disorders F30- through F39- 149,201  53,142 
20b. Anxiety disorders, including post-traumatic stress disorder (PTSD) F06.4, F40- through F42-, F43.0, F43.1-, F93.0 135,997  49,630 
20c. Attention deficit and disruptive behavior disorders F90- through F91- 63,800  19,152 
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 F99- (exclude F55-, F84.2, F90-, F91-, F93.0, F98-), O99.34, R45.1, R45.2, R45.5, R45.6, R45.7, R45.81, R45.82, R48.0 66,484  30,146 

 

Line Diagnostic Category Applicable ICD-10-CM Code or CPT4/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, 87534 through 87539, 87806 27,738  24,670 
21a. Hepatitis B test CPT-4: 86704 through 86707, 87340, 87341, 87350 7,785  6,658 
21b. Hepatitis C Test CPT-4: 86803, 86804, 87520 through 87522 9,035  6,654 
22. Mammogram CPT-4: 77052, 77057, 77065, 77066, 77067 OR
ICD-10: Z12.31
17,860  16,795 
23. Pap test CPT-4: 88141 through 88153, 88155, 88164 through 88167, 88174, 88175 OR
ICD-10: Z01.41-, Z01.42, Z12.4 (exclude Z01.411 and Z01.419)
26,051  24,544 
24. Selected immunizations: hepatitis A; haemophilus influenzae B (HiB); pneumococcal; diphtheria; tetanus; pertussis (DTaP) (DTP) (DT); mumps; measles; rubella (MMR); poliovirus; varicella; hepatitis B CPT-4: 90632, 90633, 90634, 90636, 90643, 90644, 90645, 90646, 90647, 90648, 90669, 90670, 90696, 90697, 90698, 90700, 90701, 90702, 90703, 90704, 90705, 90706, 90707, 90708, 90710, 90712, 90713, 90714, 90715, 90716, 90718, 90720, 90721, 90723, 90730, 90731, 90732, 90740, 90743, 90744, 90745, 90746, 90747, 90748 97,618  69,522 
24a. Seasonal flu vaccine CPT-4: 90630, 90653 through 90657, 90661, 90662, 90672, 90673, 90674, 90682, 90685 through 90688, 90749, 90756 72,545  66,521 
25. Contraceptive management ICD-10: Z30- 46,002  27,418 
26. Health supervision of infant or child (ages 0 through 11) CPT-4: 99381 through 99383, 99391 through 99393 159,870  101,304 
26a. Childhood lead test screening (9 to 72 months) ICD-10: Z13.88
CPT-4: 83655
15,966  13,570 
26b. Screening, Brief Intervention, and Referral to Treatment (SBIRT) CPT-4: 99408, 99409
HCPCS: G0396, G0397, H0050
5,768  3,235 
26c. Smoke and tobacco use cessation counseling CPT4: 99406, 99407 OR
HCPCS: S9075 OR
CPTII: 4000F, 4001F, 4004F
33,706  20,318 
26d. Comprehensive and intermediate eye exams CPT4: 92002, 92004, 92012, 92014 7,575  7,545 


Line Service Category Applicable ADA Code Number of Visits (a) Number of Patients (b)
Selected Dental Services 
27. Emergency Services ADA: D9110 123  120 
28. Oral Exams ADA: D0120, D0140, D0145, D0150, D0160, D0170, D0171, D0180 63,030  51,057 
29. Prophylaxis - adult or child ADA: D1110, D1120 29,956  24,806 
30. Sealants ADA: D1351 4,277  3,820 
31. Fluoride treatment – adult or child ADA: D1206, D1208
CPT-4: 99188
19,116  16,075 
32. Restorative services ADA: D21xx through D29xx 28,773  16,230 
33. Oral surgery (extractions and other surgical procedures) ADA: D7xxx 13,958  10,328 
34. Rehabilitative services (Endo, Perio, Prostho, Ortho) ADA: D3xxx, D4xxx,D5xxx , D6xxx, D8xxx 11,529  7,478 

Sources of codes:

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  20.00% 
No  20  80.00% 

Section A - Age Categories for Prenatal Care Patients: Demographic Characteristics of Prenatal Care Patients

Line Age Number of Patients (a) Percent
1. Less than 15 Years 31  0.26% 
2. Ages 15 - 19 1,517  12.92% 
3. Ages 20 - 24 3,558  30.31% 
4. Ages 25 - 44 6,615  56.35% 
5. Ages 45 and Over 18  0.15% 
6. Total Patients (Sum lines 1-5)  11,739  100.00% 

Section B - Early Entry into Prenatal Care

Line 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 7,373  62.81%  468  3.99%  66.79% 
8. Second Trimester 3,008  25.62%  216  1.84%  27.46% 
9. Third Trimester 555  4.73%  119  1.01%  5.74% 


Section C - Childhood Immunization Status

Line Childhood Immunization Status Total Patients with 2nd Birthday (a) Estimated Number of Patients Immunized (b) Estimated % of Patients Immunized (c)
10. MEASURE: Percentage of children 2 years of age who received age appropriate vaccines by their 2nd birthday 11,326  2,944  25.99% 

Section D - Cervical Cancer Screening

Line Cervical Cancer Screenings Total Female Patients Aged 23 through 64 (a) Estimated Number of Patients Tested Estimated % of Patients Tested
11. MEASURE: Percentage of women 23-64 years of age, who were screened for cervical cancer 119,651  61,147  51.10% 

 

Section E - Weight Assessment and Counseling for Nutrition and Physical Activity of Children and Adolescents

Line 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 % of Patients with Counseling and BMI Documented (c)
12. MEASURE: Percentage of patients 3-17 years of age with a BMI percentile, and counseling on nutrition and physical activity documented 129,494  90,271  69.71% 

 

Section F – Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Line 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. MEASURE: 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 239,026  166,397  69.61% 

 

Section G – Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Line 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. MEASURE: 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 176,204  152,526  86.56% 

 

Section H – Use of Appropriate Medications for Asthma

Line Use of Appropriate Medications for Asthma Total Patients Aged 5 through 64 with Persistent Asthma (a) Estimated Number of Patients with Acceptable Plan (b) Estimated % Patients with Acceptable Plan (c)
16. MEASURE: Percentage of patients 5 through 64 years of age identified as having persistent asthma and were appropriately ordered medication 9,459  7,795  82.41% 

Section I - Coronary Artery Disease (CAD): Lipid Therapy

Line 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. MEASURE: Percentage of patients 18 years of age and older with a diagnosis of CAD who were prescribed a lipid-lowering therapy 6,736  5,672  84.20% 

 

Section J - Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet

Line 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 % of Patients with Documentation of Aspirin or Other Antiplatelet Therapy (c)
18. MEASURE: 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 8,134  6,743  82.90% 

 

Section K - Colorectal Cancer Screening

Line 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. MEASURE: Percentage of patients 50 through 75 years of age who had appropriate screening for colorectal cancer 82,385  32,324  39.24% 

 

Section L - HIV Linkage to Care

Line 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. MEASURE: 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 55  50  90.91% 

 

Section M – Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Line Preventive Care and Screening: Screening for 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. MEASURE: 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 244,817  151,676  61.95% 

 

Section N – Dental Sealants for Children between 6–9 Years

Line 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. MEASURE: 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 2,228  1,268  56.91% 

% may not equal 100% due to rounding

Estimated % of Patients for Sections C through N are 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.

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Table 7 : Health Outcomes and Disparities

Indiana Data

:
Tables 3A through 9E

25 Grantees


 Section A: Deliveries and Birth Weight

Line Description Total
0. HIV Positive Pregnant Women 32
2. Deliveries Performed by Health Center Provider 6,497

Line 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
 Hispanic/Latino
1a. Asian 8 0 0 7 0.00%
1b1. Native Hawaiian 2 1 0 2 33.33%
1b2. Other Pacific Islander 17 0 1 10 9.09%
1c. Black/ African American 73 0 5 71 6.58%
1d. American Indian/ Alaska Native 8 0 1 2 33.33%
1e. White 1,383 4 83 1,301 6.27%
1f. More than One Race 62 0 6 64 8.57%
1g. Race Unreported/ Refused to Report 416 2 15 404 4.04%
  Subtotal Hispanic/Latino 1,969 7 111 1,861 5.96%
 Non-Hispanic/Latino
2a. Asian 331 1 32 298 9.97%
2b1. Native Hawaiian 6 0 0 6 0.00%
2b2. Other Pacific Islander 9 0 0 8 0.00%
2c. Black/ African American 2,054 36 180 1,796 10.74%
2d. American Indian/ Alaska Native 9 0 1 6 14.29%
2e. White 2,445 16 158 2,040 7.86%
2f. More than One Race 109 2 11 105 11.02%
2g. Unreported Race/Refused to Report Race and Ethnicity 189 3 11 197 6.64%
  Subtotal Non-Hispanic/Latino 5,152 58 393 4,456 9.19%
Unreported/Refused to Report Race and Ethnicity
h. Unreported/Refused to Report Race and Ethnicity 46 9 19 237 10.57%
i. Total 7,167 74 523 6,554 8.35%
 

Section B: Controlling High Blood Pressure

Line Race and Ethnicity  Total Patients 18 through 85 Years of Age with Hypertension
(2a)
Estimated % Patients with Controlled Blood Pressure
(2b)
 Hispanic/Latino
1a. Asian 13  
1b1. Native Hawaiian 4  
1b2. Other Pacific Islander 74  
1c. Black/ African American 139  
1d. American Indian/ Alaska Native 17  
1e. White 4,275  
1f. More than One Race 176  
1g. Race Unreported/ Refused to Report 2,521  
  Subtotal Hispanic/Latino 7,219 59.95%
 Non-Hispanic/Latino
2a. Asian 1,133  
2b1. Native Hawaiian 22  
2b2. Other Pacific Islander 67  
2c. Black/ African American 23,891  
2d. American Indian/ Alaska Native 154  
2e. White 39,231  
2f. More than One Race 420  
2g. Unreported Race/Refused to Report Race and Ethnicity 799  
  Subtotal Non-Hispanic/Latino 65,717 60.61%
 Unreported/Refused to Report Race and Ethnicity
h. Unreported/Refused to Report Race and Ethnicity 1,971  
i. Total 74,907 60.49%
 

 Section C: Diabetes: Hemoglobin A1c Poor Control

Line Race and Ethnicity  Total Patients 18 through 75 Years of Age with Diabetes
(3a)
Estimated % Patients with Hba1c > 9% 
(3b)
 Hispanic/Latino
1a. Asian 17  
1b1. Native Hawaiian 3  
1b2. Other Pacific Islander 78  
1c. Black/ African American 71  
1d. American Indian/ Alaska Native 18  
1e. White 3,819  
1f. More than One Race 154  
1g. Race Unreported/ Refused to Report 2,463  
  Subtotal Hispanic/Latino 6,623 35.86%
 Non-Hispanic/Latino
2a. Asian 804  
2b1. Native Hawaiian 19  
2b2. Other Pacific Islander 38  
2c. Black/ African American 11,769  
2d. American Indian/ Alaska Native 81  
2e. White 18,824  
2f. More than One Race 237  
2g. Unreported Race/Refused to Report Race and Ethnicity 518  
  Subtotal Non-Hispanic/Latino 32,290 32.86%
 Unreported/Refused to Report Race and Ethnicity
h. Unreported/Refused to Report Race and Ethnicity 622  
i. Total 39,535 33.51%

% 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

Line Cost Center 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 of Medical Care 
1. Medical Staff 150,472,201  69,125,361  219,597,562
2. Lab and X-ray 5,410,960  2,688,517  8,099,477 
3. Medical/Other Direct 19,116,779  14,843,562  33,960,341 
4. Total Medical Care Services
(Sum Lines 1-3) 
174,999,940  86,657,440  261,657,380 
Financial Costs of Other Clinical Services 
5. Dental 20,659,511  10,944,858  31,604,369 
6. Mental Health 16,996,098  8,929,497  25,925,595 
7. Substance Use Disorder 1,167,951  521,635  1,689,586 
8a. Pharmacy not including pharmaceuticals 3,991,934  1,971,539  5,963,473 
8b. Pharmaceuticals 12,241,112    12,241,112 
9. Other Professional 1,731,814  782,455  2,514,269 
9a. Vision 1,605,614  723,126  2,328,740 
10. Total Other Clinical Services
(Sum Lines 5-9a) 
58,394,034  23,873,110  82,267,144 
Financial Costs of Enabling and Other Services 
11a. Case Management 9,094,272    9,094,272 
11b. Transportation 144,859    144,859 
11c. Outreach 2,715,904    2,715,904 
11d. Patient and Community Education 476,045    476,045 
11e. Eligibility Assistance 4,869,848    4,869,848 
11f. Interpretation Services 3,538,880    3,538,880 
11g. Other Enabling Services 85,681    85,681 
11h. Community Health Workers 283,561    283,561 
11. Total Enabling Services Cost
(Sum Lines 11a-11h)
21,209,050  10,053,329  31,262,379 
12. Other Related Services 5,191,742  2,438,751  7,630,493 
12a. Quality Improvement 3,758,609  1,500,056  5,258,665 
13. Total Enabling and Other Services
(Sum Lines 11+12+12a)
30,159,401  13,992,136  44,151,537 
Facility and Non-Clinical Support Services and Totals 
14. Facility 30,056,399     
15. Non-Clinical Support Services 94,466,287     
16. Total Facility and Non-Clinical Support Services
(Sum Lines 14+15)
124,522,686     
17. Total Accrued Costs
(Sum Lines 4+10+13+16) 
388,076,061    388,076,061 
18. Value of Donated Facilities, Services and Supplies     9,837,037 
19. Total with Donations
(Sum Lines 17+18) 
    397,913,098 

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Table 9D : Patient Related Revenue

Line Payer 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 49,574,701  26.73%  14.49%  46,855,315  23.44%  17.39%  94.51% 
2a. Medicaid Managed Care (capitated) 0.00%  0.00%  0.00%  0.00% 
2b. Medicaid Managed Care (fee-for-service) 135,877,722  73.27%  39.72%  153,058,735  76.56%  56.82%  112.64% 
3. Total Medicaid (Lines 1+2a+2b)  185,452,423  100.00%  54.21%  199,914,050  100.00%  74.22%  107.80% 
4. Medicare Non-Managed Care 30,496,553  86.07%  8.91%  17,973,523  87.05%  6.67%  58.94% 
5a. Medicare Managed Care (capitated) 0.00%  0.00%  0.00%  0.00% 
5b. Medicare Managed Care (fee-for-service) 4,937,193  13.93%  1.44%  2,673,924  12.95%  0.99%  54.16% 
6. Total Medicare (Lines 4+5a+5b)  35,433,746  100.00%  10.36%  20,647,447  100.00%  7.67%  58.27% 
7. Other Public including Non-Medicaid CHIP (Non-Managed Care) 305,861  99.77%  0.09%  90,324  100.00%  0.03%  29.53% 
8a. Other Public, including NonMedicaid CHIP (Managed Care Capitated) 0.00%  0.00%  0.00%  0.00% 
8b. Other Public including Non-Medicaid CHIP (Managed Care fee-for-service) 705  0.23%  0.00%  0.00%  0.00%  0.00% 
9. Total Other Public (Lines 7+8a+8b)  306,566  100.00%  0.09%  90,324  100.00%  0.03%  29.46% 
10. Private Non-Managed Care 60,019,500  99.78%  17.55%  30,241,557  99.86%  11.23%  50.39% 
11a. Private Managed Care (capitated) 0.00%  0.00%  0.00%  0.00% 
11b. Private Managed Care (fee-for-service) 133,733  0.22%  0.04%  42,494  0.14%  0.02%  31.78% 
12. Total Private (Lines 10+11a+11b)  60,153,233  100.00%  17.58%  30,284,051  100.00%  11.24%  50.34% 
13. Self-pay 60,739,832  100.00%  17.76%  18,433,251  100.00%  6.84%  30.35% 
14. Total (Lines 3+6+9+12+13)  342,085,800    100.00%  269,369,123    100.00%  78.74% 

% may not equal 100% due to rounding.


Line 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 16,182,224  2,489,523  762,968  19,434,715  39.20%  959,265  1.93% 
2a. Medicaid Managed Care (capitated)
2b. Medicaid Managed Care (fee-for-service) 61,665,624  23,843,846  1,540,331  31,898  87,017,903  64.04%  -12,463,120  -9.17% 
3. Total Medicaid (Lines 1+2a+2b)  77,847,848  26,333,369  2,303,299  31,898  106,452,618  57.40%  -11,503,855  -6.20% 
4. Medicare Non-Managed Care 194,923  171,691  2,650  29,920  339,344  1.11%  11,027,317  36.16% 
5a. Medicare Managed Care (capitated) 0
5b. Medicare Managed Care (fee-for-service) 1,749  325  2,074  0.04%  2,237,874  45.33% 
6. Total Medicare (Lines 4+5a+5b)  194,923  173,440  2,975  29,920  341,418  0.96%  13,265,191  37.44% 
7. Other Public including Non-Medicaid CHIP (Non-Managed Care) 0.00%  198,880  65.02% 
8a. Other Public including Non-Medicaid CHIP (Managed Care capitated)
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%  198,880  64.87% 
10. Private Non-Managed Care     250,482  294  250,188  0.42%  25,963,179  43.26% 
11a. Private Managed Care (capitated)    
11b. Private Managed Care (fee-for-service)     0.00%  223,571  167.18% 
12. Total Private (Lines 10+11a+11b)      250,482  294  250,188  0.42%  26,186,750  43.53% 
13. Self-pay                
14. Total (Lines 3+6+9+12+13)  78,042,771  26,506,809  2,556,756  62,112  107,044,224  31.29%  28,146,966  8.23% 

Line Sliding Fee Discounts
(e)
Bad Debt Write Off
(f)
13. Self-pay 29,507,758  10,136,732 

Percents may not equal 100% due to rounding.

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Table 9E : Other Revenues

Line Source Amount (a) % Group Total
BPHC Grants (Enter Amount Drawn Down - Consistent with PMS-272) 
1a. Migrant Health Center 1,506,620  1.99% 
1b. Community Health Center 66,053,626  87.43% 
1c. Health Care for the Homeless 3,663,414  4.85% 
1e. Public Housing Primary Care 993,576  1.32% 
1g. Total Health Center Cluster (Sum Lines 1a-1e) 72,217,236  95.59% 
1j. Capital Improvement Program Grants 726,766  0.96% 
1k. Capital Development Grants, including School Based Health Center Capital Grants 2,603,858  3.45% 
1. Total BPHC Grants (Sum Lines 1g+1j+1k)  75,547,860  100.00% 
Other Federal Grants 
2. Ryan White Part C HIV Early Intervention 14,984  1.04% 
3. Other Federal Grants 588,800  41.04% 
3a. Medicare and Medicaid EHR Incentive Payments for Eligible Providers 831,000  57.92% 
5. Total Other Federal Grants (Sum lines 2- 3a)  1,434,784  100.00% 
Non-Federal Grants Or Contracts 
6. State Government Grants and Contracts 17,967,225  65.76% 
6a. State/Local Indigent Care Programs 598,293  2.19% 
7. Local Government Grants and Contracts 1,017,623  3.72% 
8. Foundation/Private Grants and Contracts 7,738,292  28.32% 
9. Total Non-Federal Grants And Contracts (Sum Lines 6+6a+7+8)  27,321,433  100.00% 
10. Other Revenue (Non-patient related revenue not reported elsewhere)  30,759,622  100.00% 
11. Grand Total Revenue (Lines 1+5+9+10)  135,063,699   

% may not equal 100% due to rounding.

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Health Center Health Information Technology (HIT) Capabilities

Line 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 25  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) 25  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  0.00% 
Total Health centers reported 25  100.00% 
2. Does your center send prescriptions to the pharmacy electronically? (Do not include faxing)    
a.  Yes 25  100.00% 
b.  No 0.00% 
c.  Not Sure 0.00% 
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?    
a.  Yes 25  100.00% 
b.  No 0.00% 
c.  Not Sure 0.00% 
4. Does your center exchange clinical information electronically with other key providers/health care settings such as hospitals, emergency rooms, or subspecialty clinicians?    
  a.  Yes 19  76.00% 
  b.  No 20.00% 
  c.  Not Sure 4.00% 
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?    
  a.  Yes 23  92.00% 
  b.  No 8.00% 
  c.  Not Sure 0.00% 
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?    
  a.  Yes 25  100.00% 
  b.  No 0.00% 
  c.  Not Sure 0.00% 
7. How do you collect data for UDS clinical reporting (Tables 6B and 7)?    
  a.  We use the EHR to extract automated reports 14  56.00% 
  b.  We use the EHR but only to access individual patient charts 0.00% 
  c.  We use the EHR in combination with another data analytic system 11  44.00% 
  d.  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"?   
  a.  Yes 21  84.00% 
  b.  No 12.00% 
  c.  Not Sure 4.00% 
8a. If yes (a or b), at what stage of Meaningful Use (MU) are the majority (more than half) of your participating providers attested (i.e., what is the stage for which they most recently received incentive payments)?
  a. Received MU for Modified Stage 2 16  76.19% 
  b. Received MU for Stage 3 4.76% 
  c. Not sure 19.05% 
8b. If no (c only), are your eligible providers planning to participate? 33.33% 
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?   
  a. Yes 23  92.00% 
  b. No 8.00% 

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Other Data Elements

Line 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? 56   
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? 886  0.18% 

Line Measures Number of Health Centers % of Total
2. Did your organization use telehealth in order to provide remote clinical care service? (The term "telehealth" includes "telemedicine" services, but encompasses a broader scope of remote healthcare services. Telemedicine is specific to remote clinical services whereas telehealth may include remote nonclinical services, such as provider training, administrative meetings, and continuing medical education, in addition to clinical services.)    
a. Yes 12  48.00% 
b. No 13  52.00% 
2a1. Who did you use telehealth to communicate with? (Select all that apply)    
a. Patients at remote locations from your organization (e.g., home telehealth, satellite locations) 10  83.33% 
b. Specialists outside your organization (e.g., specialists at referral centers) 25.00% 
2a2. What telehealth technologies did you use? (Select all that apply)    
a. Realtime telehealth (e.g., video conference) 10  83.33% 
b. Store-and-forward telehealth (e.g., secure email with photos or videos of patient examinations) 16.67% 
c. Remote patient monitoring 0.00% 
d. Mobile Health (mHealth) 0.00% 
2a3. What primary telehealth services were used at your organization (Select all that apply)    
a. Primary Care 41.67% 
b. Oral Health 0.00% 
c. Behavioral Health: Mental Health 10  83.33% 
d. Behavioral Health: Substance Use Disorder 33.33% 
e. Dermatology 0.00% 
f. Chronic Conditions 0.00% 
g. Disaster Management 0.00% 
h. Consumer and Professional Health Education 0.00% 
i. Other 8.33% 
2b. If you did not have telehealth services, please comment why (Select all that apply)    
a. Have not considered/unfamiliar with telehealth service options 0.00% 
b. Lack of reimbursement for telehealth services 15.38% 
c. Inadequate broadband/telecommunication service (Select all that apply) 0.00% 
ci. Cost of Service 0.00% 
cii. Lack of Infrastructure 0.00% 
ciii. Other 0.00% 
d. Lack of funding for telehealth equipment 7.69% 
e. Lack of training for telehealth services 7.69% 
f. Not needed 30.77% 
g. Other 53.85% 

Line Measures Number of Assist4
3. Provide the number of all assists provided during the past year by all trained assisters (e.g., certified application counselor or equivalent) working on behalf of the health center (employees, contractors, or volunteers), regardless of the funding source that is supporting the assisters' activities. Outreach and enrollment assists are defined as customizable education sessions about affordable health insurance coverage options (one-on-one or small group) and any other assistance provided by a health center assister to facilitate enrollment. 122,819 

4 Assists do not count as visits on the UDS tables

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