UDS 2012: Descriptive Statistics and Trends for MI FQHCsJon Villasurda, MPHRyan Grinnell, MPAMPCA Data DepartmentOctober 2013

Promoting, supporting, and developing comprehensive, accessible, and affordable community based primary health care services to everyone in Michigan.

Overview

Total Patients Total Encounters (Visits) Demographic Overview Data Trends

DemographicsFinancialsSelect Clinical/Quality Data

Data Sources

Unless otherwise noted, all data is derived from the US Health Resources and Services Administration’s Uniform Data System, specifically for Michigan. The years captured include 2008-2012.

Total Patients

Actual Values Percent Change from Prior Year

2008 2009 2010 2011 2012450,000

475,000

500,000

525,000

550,000

575,000

600,000

570,009

2008 2009 2010 2011 20120.0%

2.0%

4.0%

6.0%

8.0%

10.0%

4.4%

Total Encounters (Visits)

Actual Values Percent Change from Prior Year

2008 2009 2010 2011 20122.0%

4.0%

6.0%

8.0%

10.0%

5.3%

2008 2009 2010 2011 20121,700,000.0

1,800,000.0

1,900,000.0

2,000,000.0

2,100,000.0

2,200,000.0 2,193,202.00

Demographic Statistics

• Age• Insurance Status• Income Level• Race• Ethnicity

Patients by Age - Statewide

Actual Values Percentage of Total

Under 5 5 to 12 13 to 17 18 to 24 25 to 64 65 and Older

61929

94690

47047 54809

275383

36151

Under 5

5 to 12

13 to 17

18 to 24

25 to 64

65 and Older

10.9%

16.6%

8.3%

9.6%

48.3%

6.3%

Patients by Insurance Status - Statewide

Actual Values Percentage of Total

Medicaid/CHIP

Uninsured

Private

Medicare

Other Public

45.4%

31.8%

13.4%

9.2%

0.2%

258,694

181,448

76,461

52,227

1,179

Patients by Income Level - Statewide

Actual Values Percentage of Total

100%

FPL a

nd B

elow

200%

FPL a

nd B

elow

Over 2

00% F

PL

403,129

529,180

40,829

100% FPL and Below

200% FPL and Below

Over 200% FPL

70.7%

92.8%

7.2%

Patients by Income Level - % Below 100% & 200% FPL

100% FPL and Below

200% FPL and Below

70.7%

92.8%

Patients by Race – Statewide (Total)

White

Black

More than one race

Asian/Pacific Islander

American Indian/Alaska Native

Unreported

325,577

156,990

12,070

7,695

3,374

64,303

Patients by Race – Statewide (Percentage)

White

Black

More than one race

Asian/Pacific Islander

American Indian/Alaska Native

Unreported

57.1%

27.5%

2.1%

1.3%

0.6%

11.3%

Patients by Ethnicity- Statewide

Actual Values Percentage of Total

Hispanic/Latino Non-Hispanic/Latino

79,634

472,079

Hispanic/Latino

Non-Hispanic/Latino

14.4%

85.6%

Demographic Trends

• Insurance Status• Income Level

5-Year Statewide Trend for Medicaid and Uninsured Status

2008 2009 2010 2011 2012140,000

160,000

180,000

200,000

220,000

240,000

260,000258,694

181,448

Medicaid/CHIP Uninsured

2008 2009 2010 2011 201230.0%

33.0%

36.0%

39.0%

42.0%

45.0% 45.4%

31.8%

%Medicaid/CHIP %Uninsured

3-Year Statewide Trend for Income Level (Percent of Total)

2010 2011 201265.0%

70.0%

75.0%

80.0%

85.0%

90.0%

95.0%

100.0%

70.7%

92.8%

100% FPL and Below200% FPL and Below

Financial Trends

• Revenue • Revenue by Source (as Percent of Total)• Revenue Collected from Service

• Percent Collected by Payor• Revenue from BPHC

• Total Cost per Total Visit

Revenue Distribution (Percent of Total)

*Other includes Other Federal Grants, Foundation & Private Grants/Contracts, Revenue from Indigent Care Programs, and Other Revenue not otherwise specified.

Service to Patients

BPHC Grants

State/Local

Other

73.1%

17.0%

3.6%

6.4%

5-Year Statewide Trend for Revenue (Amount Collected from Service)

Actual Values Percent Change from Prior Year

2008 2009 2010 2011 2012$180,000,000

$200,000,000

$220,000,000

$240,000,000

$260,000,000

$280,000,000$284,843,658

2008 2009 2010 2011 20128.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

15.8%

Amount Collected by Payor (Percent of Total)

Medicaid

Private Insurance

Medicare

Self Pay

Other Public

67.5%

13.7%

9.8%

8.1%

0.9%

3-Year Statewide Trend for Revenue (from BPHC)

Actual Values Percent Change from Prior Year

2010 2011 2012$49,000,000

$51,000,000

$53,000,000

$55,000,000

$57,000,000

$59,000,000

$61,000,000

$63,000,000

$65,000,000

$67,000,000$66,292,606

2010 2011 20120.0%

5.0%

10.0%

15.0%

20.0%

9.2%

5-Year Statewide Trend for Total Cost per Total Visit

Actual Values Percent Change from Prior Year

2008 2009 2010 2011 20120.0%

2.0%

4.0%

6.0%

8.0%

10.0%

5.2%

2008 2009 2010 2011 2012$150

$155

$160

$165

$170

$175

$180 $175.83

Clinical Data Trends• Prenatal Care in 1st Trimester• Low Birth Weight (<2500 grams)• % of Two Year Olds Immunized• % of Women with Pap Tests• % Hypertensive Patients with BP < 140/90• % Diabetic Patients with HbA1c </= 9

5-Year Trend for Prenatal Care in 1st Trimester

2008 2009 2010 2011 201262.0%

64.0%

66.0%

68.0%

70.0%

72.0%

69.0%

5-Year Trend for Low Birth Weight (<2500 grams)

2008 2009 2010 2011 20127.0%

8.0%

9.0%

10.0%

11.0%

12.0%

7.9%

2-Year Trend for % of Two Year Olds Immunized

2011 201220.0%

30.0%

40.0%

27.2%

3-Year Trend for % of Women with Pap Tests

2010 2011 201253.0%

54.0%

55.0%

56.0%

57.0%

58.0%

59.0%

60.0%

54.1%

3-Year Trend for % of Hypertensive Patients with BP < 140/90

2010 2011 201259.0%

60.0%

61.0%

62.0%

63.0%

64.0%

65.0%

66.0%

65.2%

3-Year Trend for % of Diabetic Patients with HbA1c </= 9

2010 2011 201266.0%

67.0%

68.0%

69.0%

70.0%

71.0%

69.0%

Clinical Measures Established in 2011• Youth Weight Assessment• Adult Weight Screening• Tobacco Assessment• Tobacco Cessation/Intervention• Asthma Treatment Plan

% of Youth Patients (Aged 3-17) Who Received Weight Assessment and Counseling

2011 20120.0%

20.0%

40.0%

31.0%

% of Adult Patients (>18 Years) Who Received Weight Screening and Follow Up

2011 201225.0%

26.0%

27.0%

28.0%

29.0%

30.0%

28.0%

% of Patients Who Received Tobacco Use Assessment

2011 201274.0%

76.0%

78.0%

80.0%

82.0%

84.0%

86.0%

88.0%

86.2%

% of Tobacco Users >18 Years Receiving Tobacco Cessation and Intervention

2011 20120.0%

20.0%

40.0%

60.0%

46.7%

% of Asthmas Patients (Aged 5-40 Years) Who Received Treatment Plan

2011 20120.0%

20.0%

40.0%

60.0%

80.0%

64.7%

New Clinical Measures for 2012• Lipid Lowering Therapy• Antithrombotic Therapy• Colorectal Cancer Screening

% of Patients >18 Years Prescribed a Lipid Lowering Therapy

20120.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

67.1%

% of Patients >18 Years with Aspirin or Other Antithrombotic Therapy

20120.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

68.8%

% of Patients 51-74 Years Who Received Screening for Colorectal Cancer

20120.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

15.4%