Outreach / Quality of Care
Performance Measure: Percentage of pregnant
women beginning prenatal care in the first trimester
Numerator: All female patients who received perinatal
care during the program year (regardless of when they
began care) who initiated care in the first trimester
either at the grantee's service delivery location
or with another provider.
Denominator (Universe): Number of female patients
who received prenatal care during the program year
(regardless of when they began care), either at the
grantee's service delivery location or with another
provider. Initiation of care means the first visit
with a clinical provider (MD, NP, CNM) where the initial
physical exam was done and does not include a visit
at which pregnancy was diagnosed or one where initial
tests were done or vitamins were prescribed.
Percentage of children with 2nd birthday
during the measurement year with appropriate immunizations
Numerator: Number of children in the "universe"
who received all of the following: 4 DTP/DTaP, 3 IPV,
1 MMR, 3 Hib, 3 HepB, 1VZV (Varicella) and 4 Pneumoccocal
conjugate, prior to or on their 2nd birthday whose
second birthday occurred during the measurement year
(prior to 31 December), among those children included
in the denominator.
Denominator (Universe): Number of children with at
least one medical encounter during the reporting period,
who had their second birthday during the reporting
period, who did not have a contraindication for a
specific vaccine. For measurement year 2008, this
includes children with a date of birth on or after
January 1, 2006 and on or before December 31, 2006,
who were seen for the first time in the clinic prior
to their second birthday, regardless of whether or
not they came to the clinic for vaccinations or well
child care.
Percentage of women 21-64 years of age who
received one or more Pap tests during the measurement
year or during the two years prior to the measurement
year
Numerator: Number of female patients 21-64 years
of age receiving one or more Pap tests during the
measurement year or during the two years prior to
the measurement year (for measurement year 2008, patients
born on or after January 1, 1944 and on or before
December 31, 1987), among those women included in
the denominator.
Denominator (Universe): Number of female patients
21-64 years of age during the measurement year (for
measurement year 2008, patients born on or after January
1, 1944 and on or before December 31, 1987) who were
seen for a medical encounter at least once during
2008 and were first seen by the grantee before their
65th birthday.
Health Outcomes / Disparities
Percentage diabetic patients whose HbA1c
levels are less than or equal to 9 percent
Numerator: Number of adult patients age 18 and older
with a diagnosis of Type 1 or Type 2 diabetes whose
most recent hemoglobin A1c level during the measurement
year is ≤ 9%, among those patients included in
the denominator.
Denominator (Universe): Number of adult patients age
18 years and older as of December 31 of the measurement
year (for measurement year 2008, date of birth on
or before December 31, 1990) with a diagnosis of Type
1 or Type 2 diabetes, who have been seen in the clinic
at least twice during the reporting year and do not
meet any of the exclusion criteria.
Percentage of adult patients 18 years and
older with diagnosed hypertension whose most
recent blood pressure was less than 140/90
Numerator: Patients 18 years and older (for measurement
year 2008, date of birth on or before December 31,1990)
with a diagnosis of hypertension with most recent
systolic blood pressure measurement < 140 mm Hg
and diastolic blood pressure < 90 mm Hg.
Denominator (Universe): All patients ≥ 18 years
of age as of December 31 of the measurement year (for
measurement year 2008, date of birth on or before
December 31,1990) with diagnosis of hypertension and
have been seen at least twice during the reporting
year, and have a diagnosis of hypertension.
Percentage of births less than 2,500 grams
to health center patients
Numerator: Women in the "Universe" whose
child weighed less than 2,500 grams during the measurement
year, regardless of who did the delivery.
Denominator (Universe): Total births for all women
who were seen for prenatal care during the measurement
year regardless of who did the delivery.
Financial Viability / Costs
Total cost per patient
Numerator: Total accrued cost before donations and
after allocation of overhead.
Denominator: Total number of patients
UDS Lines: T8AL17CC/TLC for existing grantees
Medical cost per medical encounter
Numerator: Total accrued medical staff and medical
other cost after allocation of overhead (excludes
lab and x-ray cost).
Denominator: Non-nursing medical encounters (excludes
nursing (RN) and psychiatrist encounters).
UDS Lines: T8AL1CC + T8AL3CC/T5L15CB - TT5L11CB for
existing grantees
Change in net assets to expense ratio
Numerator: Ending Net Assets - Beginning Net Assets
Denominator: Total Expense
Note: Net Assets = Total Assets – Total
Liabilities
Working capital to monthly expense ratio
Numerator: Current Assets - Current Liabilities
Denominator: Total Expense / Number of Months in Audit
Long term debt to equity ratio
Numerator: Long Term Liabilities
Denominator: Net Assets
Note
- Health centers must also include one Behavioral
Health (e.g., Mental Health or Substance Abuse)
and one Oral Health performance measure of their
choice in the Health Care Plan.
|