oklahoma primary care association total patients served at chcs statewide 2002-2011
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Oklahoma Primary Care Association Uniform Data System Data for Oklahoma Community Health Centers (2011 and Other Selected Years). Oklahoma Primary Care Association Total Patients Served at CHCs Statewide 2002-2011. + 2.8%. + 10.8%. - PowerPoint PPT PresentationTRANSCRIPT
Oklahoma Primary Care Association Uniform Data System Data for Oklahoma Community Health Centers
(2011 and Other Selected Years)
Oklahoma Primary Care Association Total Patients Served at CHCs Statewide
2002-2011
Source: Annual State UDS Rollup Reports, 2002 to 2011, EHB Center reports
Number of Grantees: 5 6 7 9 11 13 13 17 17 17
Produced by OKPCA, 08/12
2002 2003 2004 2005 2006 2007 2008 2009 2010 20110
20,000
40,000
60,000
80,000
100,000
120,000
140,000
160,000
59,442
72,35679,154 82,719
98,580107,411
101,954
118,810
131,649135,272
Patients
+10.8% +2.8%
2002 2003 2004 2005 2006 2007 2008 2009 2010 20110
100,000
200,000
300,000
400,000
500,000
600,000
157,276
207,403
272,090 274,359
329,489348,158
369,836396,672
468,468487,088
Visits
Visits
Oklahoma Primary Care Association Total Patient Encounters at CHCs Statewide
2002-2011
Source: Annual State UDS Rollup Reports, 2002 to 2010; 2011 estimates from preliminary Center reports
Number of Grantees: 5 6 7 9 11 13 13 17 17 17
Produced by OKPCA, 08/12
+18.1%+4.0%
Who Oklahoma’s CHCs Serve
Oklahoma Primary Care Association 2002-2011
Oklahoma Primary Care Association Total Patients Served at Oklahoma CHCs by Age Group
2002-2011
Source: Annual State UDS Rollup Reports, 2002 to 2011
<Ages 5 5-14 15-19 20-44 45-64 Ages 65+0%
50%
100%
150%
200%
250%
10% 13% 7%
35%24%
11%9% 12%
7%
36%
27%
11%8%
12%
7%
36%
27%
10%9%13%
7%
37%
26%
9%11%
14%
7%
36%
25%
7%12%
14%
6%
35%
25%
7%
201120102009200820072002-2006
Oklahoma Primary Care Association Percent of Patients by Payer Sources
at Oklahoma CHCs, 2002-2011
Source: Annual State UDS Rollup Reports, 2002 to 2011
Produced by OKPCA, 08/12
2002 2003 2004 2005 2006 2007 2008 2009 2010 20110%
20%
40%
60%
80%
100%
120%
9% 10% 9% 11% 11% 11% 14% 15% 12% 15%
24%28% 28% 26% 26% 24%
28% 30% 35%37%
10%12% 13% 12% 12% 20% 11% 9% 8%
8%
57%51% 50% 50% 51%
45% 48% 46% 45% 40%
UninsuredMedicareMedicaidPrivate
Oklahoma Primary Care Association Percent of CHC Patients Receiving Medicaid
2002-2011
Produced by OKPCA, 08/12
Oklahoma Primary Care Association4300 N Lincoln Blvd, Ste 203Oklahoma City, OK 73105
Source: Annual State UDS Rollup Reports, 2002 to 2011
2002 2003 2004 2005 2006 2007 2008 2009 2010 20110%
5%
10%
15%
20%
25%
30%
35%
40%
45%
24%
28% 28%26% 26%
24%
28%30%
35%
40%
Medicaid
Oklahoma Primary Care Association Patients by Federal Poverty Level (FPL)* Served at OK CHCs,
2011
Source: Annual State UDS Rollup Reports, 2011*Patients with “Unknown” income sources not reflected; does not reflect the data of CHC patients statewide not reporting incomes.
Produced by OKPCA, 08/12
Oklahoma Primary Care Association4300 N Lincoln Blvd, Ste 203Oklahoma City, OK 73105
70%
19%
9%
8%
≤ 100% FPL101-150% FPL151-200 FPL201%+ FPL
Oklahoma Primary Care Association Patients by Federal Poverty Level (FPL)* Served at OK CHCs,
2010
Source: Annual State UDS Rollup Reports, 2010*Patients with “Unknown” income sources not reflected; does not reflect the data of CHC patients statewide not reporting incomes.
65%
19%
8%
8%
≤100% FPL101-150FPL151-200FPL201+FPL
Oklahoma Primary Care Association Distribution of Oklahoma CHC Staff,
Clinicians & Other Specialists, Clinical Mid-Level, Other Clinical & All Other, 2011
Source: Annual State UDS Rollup Reports, 2011
Clinicians: Physicians, Dentists,PsychiatristsLicensed Behavioral Specialists Clinical Mid-Level: NPs, PA, CNM, Dental HygienistsAll Other Clinical: Nurses, Dental Assistants,Other Behavioral Health Specialists (Non-Licensed), Case Managers & Other enabling specialists, Pharmacy
8%
2%
8%
38%
43%ClinicalLicensed BehavMid-LevelAll Othr ClinOther
Oklahoma Primary Care Association Distribution of Oklahoma CHC Staff,
Clinicians & Other Specialists, Clinical Mid-Level, Other Clinical & All Other, 2010
Source: Annual State UDS Rollup Reports, 2010
Clinicians: Physicians, Dentists,PsychiatristsLicensed Behavioral Specialists Clinical Mid-Level: NPs, PA, CNM, Dental HygienistsAll Other Clinical: Nurses, Dental Assistants,Other Behavioral Health Specialists (Non-Licensed), Case Managers & Other enabling specialists, Pharmacy
9%3%
16%
39%
22%
ClinicalLicensed BehavMid-LevelAll Othr ClinOther
Profiles of Quality of Care
Oklahoma Primary Care Association 2010-2011
• CHCs report health outcomes data. These QUALITY OF CARE measures are being reported by every CHC in the nation:– Percent of pregnant women beginning prenatal care in the first
trimester.– Percent of toddlers (age 2 and older) with appropriate immunizations– Percent of women age 21-64 who received 1 or more Pap tests during
the year– Percent of persons with diabetes whose HbA1c levels are ≤ 9%– Percent of adults age 18 and older+ diagnosed with hypertension– Percent of births less than 2500 grams to health center patients
Oklahoma Primary Care Association
Oklahoma Primary Care Association Clinical Outcomes for State CHCs vs. CHCs Nationwide, 2011
Source: Annual State and National UDS Rollup Reports, 2011
Prenatal 1st Trimester
Required Immunization by Age 2
Women 1+ PAPs
HbA1c<≤9
Hypertension<LT140/90
Low Birth Weight
0% 10% 20% 30% 40% 50% 60% 70% 80%
67%
46%
42%
68%
61%
7%
70%
44%
58%
71%
63%
7%
CHCs NationwideState CHCs
Oklahoma Primary Care Association Clinical Outcomes for State CHCs vs. CHCs Nationwide, 2010
Prenatal 1st Trimester
Required Immunization by Age 2
Women 1+ PAPs
HbA1c ≤ 9%
Hypertension<140/90
Low Birth Weight
0% 10% 20% 30% 40% 50% 60% 70% 80%
69%
71%
37%
70%
61%
6%
69%
74%
58%
71%
63%
7%
CHCs NationwideState CHCs
Source: Annual State UDS Rollup Reports, 2010
• Newest required health outcomes data: – Asthma Treatment Plan (Asthma patients ages 5-40 have acceptable
pharmacological treatment plan)– Tobacco Cessation Intervention (Tobacco patients ages 18 & older
have received cessation advice or medication)– Tobacco Assessment (Patients have been asked about tobacco use one
ore more times in measurement or prior year)– Adult Weight Screening and Follow-up (Patients ages 18 & older with
BMI charted and follow-up plan documented if overweight or underweight)
– Child and Adolescent Weight Assessment and Counseling (Children and adolescent ages 3-17 with a BMI percentile, and counseling on nutrition and physical activity documented for the current year)
Oklahoma Primary Care Association
Oklahoma Primary Care Association Newest Clinical Outcomes
for State CHCs vs. CHCs Nationwide, 2011
Youth Weight Assessment/Counseling
Adult Weight Assessment/Counseling
Tobacco Use Assessment
Tobacco Cessation Intervention
Asthma Treatment Plan
0% 10% 20% 30% 40% 50% 60% 70% 80% 90%
8%
31%
81%
41%
54%
39%
39%
79%
53%
69%
CHCs NationwideState CHCs
Source: Annual State and National UDS Rollup Reports, 2011
Revenue and Cost Data
Oklahoma Primary Care Association 2008-2011
Oklahoma Primary Care Association State CHC Revenue Mix by Payer Sources,
2011
Source: Annual State UDS Rollup Reports, 2011
Oklahoma CHCs $96,421,032
42.1%
4.8%
7.9%7.8%
31.0%
4.9% 0.1% 1.4%
FedGrantState&LocFoundtPrvPatientSelfMedicaidMedicareOth3rdPtyOther Revenue
Oklahoma Primary Care Association Patient Service Revenue for CHCs Nationwide vs. State CHCs
2011
2011 RevenueCHCs Nationwide $13,880,314,144
2011 RevenueOklahoma CHCs
$96,421,032
42.1%
4.8%7.9%7.8%
31.0%
4.9% 0.1% 1.4% FedGrantState&LocFoundtPrvPatientSelfMedicaidMedicareOth3rdPtyOther Revenue
23.8%
10.4%
10.4%
5.9%
38.1%5.8%
2.4% 3.2% FedGrantState&LocFoundtPrvPatientSelfMedicaidMedicareOth3rdPtyOther Revenue
Source: Annual State & National UDS Rollup Reports, 2011
Oklahoma Primary Care Association State CHC Revenue Mix by Payer Sources,
2009 and 2010
Source: Annual State UDS Rollup Reports, 2009 and 2010
23.2%
11.3%
3.5%5.9%
37.7%
5.8%9.5% 3.1% FedGrant
State&LocFoundtPrvPatientSelfMedicaidMedicarePrivate InsurOther Revenue
2009 RevenueOklahoma CHCs
$65,987,635
36.2%
7.2%
1.6%8.1%
32.1%5.3%
4.9% 4.7%FedGrantState&LocFoundtPrvPatientSelfMedicaidMedicarePrivate InsurOther Revenue
2010 RevenueOklahoma CHCs
$85,772,814
Oklahoma Primary Care Association State vs. National Medical Care Costs per Encounter
2002 to 2011
Source: Annual State & National UDS Rollup Reports, 2002 to 2011Oklahoma Primary Care Association4300 N Lincoln Blvd, Ste 203Oklahoma City, OK 73105
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
$0 $20 $40 $60 $80 $100 $120 $140 $160
$82
$91
$108
$108
$108
$112
$121
$132
$131
$141
$91
$102
$109
$111
$117
$123
$129
$131
$139
$144
Medical Cost Per Encounter (CHCs Nationwide)Medical Cost Per Encounter (CHCs Statewide)
Oklahoma Primary Care Association State vs. National Total Care Costs per Patient
2002 to 2011
Source: Annual State & National UDS Rollup Reports, 2002 to 2011
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
$0 $100 $200 $300 $400 $500 $600 $700
$306
$318
$403
$421
$451
$464
$562
$561
$604
$629
$455
$479
$504
$515
$572
$600
$627
$600
$630
$654
Medical Cost Per Patient (CHCs Na-tionwide)Medical Cost Per Patient (CHCs Statewide)
Access to Care: Oklahoma Maps
Oklahoma Primary Care Association 2011
Oklahoma Primary Care AssociationCommunity Health Centers (18) and Satellites (22), and Other (Non-CHC) FQHCs (8)
Produced by: OKPCA [Updated 08/2012]
Oklahoma Primary Care Association4300 N Lincoln Blvd, Ste 203Oklahoma City, OK 73105405.424.2282 ~ Fax 405.424.1111 Sources: HRSA, OKPCA, ESRI
Oklahoma Primary Care AssociationCHCs (18) and Satellites (28), with Other (Non-CHC) FQHCs (7)
Oklahoma Primary Care Association
Population-to-Physician FTE Ratio by County & Congressional Districts (2011)
Produced by: OKPCA, 1/12
Oklahoma Primary Care Association4300 N Lincoln Blvd, Ste 203Oklahoma City, OK 73105405.424.2282 ~ Fax 405.424.1111
Sources: HRSA, OKPCA, Census, ESRI
Oklahoma Primary Care Association Population by Census Tract and Congressional Districts (2011)
Produced by: OKPCA, 1/12
Oklahoma Primary Care Association4300 N Lincoln Blvd, Ste 203Oklahoma City, OK 73105405.424.2282 ~ Fax 405.424.1111
Sources: HRSA, OKPCA, Census, ESRI