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%
