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Discontinued Measures
Health Centers Program
| Discontinued Measure |
I. IMPROVE ACCESS TO HEALTH CARE
A. Expand the capacity of the health care safety net |
Long-Term Goal: By 2007, establish an additional 1,200 new or expanded sites.
(Baseline - 2002: 0)
(Target - 2007: 1200) |
Measure |
FY |
Target |
Result |
1.D.I.A.2. Increase the infrastructure of the Health Center Program to support an increase in utilization via:
a) New Starts
|
2009 |
NA |
|
2008 |
NA |
|
2007 |
91 |
|
2006 |
53 |
|
2005 |
43 |
|
2004 |
31 |
|
2003 |
40 |
|
b) New Satellite Sites |
2009 |
NA |
|
2008 |
NA |
|
2007 |
91 |
|
2006 |
35 |
|
2005 |
47 |
|
2004 |
30 |
|
2003 |
60 |
|
Total New Sites |
2009 |
NA |
NA |
2008 |
NA |
NA |
2007 |
182 |
202 |
2006 |
88 |
86 |
2005 |
90 |
94 |
2004 |
61 |
63 |
2003 |
100 |
100 |
Total Sites |
2009 |
NA |
NA |
2008 |
NA |
NA |
2007 |
4,013 |
6,990 |
2006 |
3,833 |
3,831 |
2005 |
3,741 |
3,745 |
2004 |
3,649 |
3,651 |
2003 |
3,588 |
3,588 |
c) Expanded Sites |
2009 |
NA |
NA |
2008 |
NA |
NA |
2007 |
120 |
135 |
2006 |
33 |
36 |
2005 |
63 |
64 |
2004 |
63 |
66 |
2003 |
80 |
88 |
d) Total New or Expanded Sites
(Outcome)
|
2009 |
40* |
Dec-09 |
2008 |
62 |
61 |
2007 |
302 |
337 |
2006 |
121 |
122 |
2005 |
153 |
158 |
2004 |
124 |
129 |
2003 |
180 |
188 |
Data Source: The Bureau of Health Care Delivery and Assistance Network (BHCDANET) maintains data on all sites that are included in the Health Center grantee's approved scope of project. HRSA Electronic Handbooks (EHBs), a HRSA-wide web based grants management portal, also compiles and maintains Notice of Grant Awards which are issued when new and expanded site funding is awarded to Health Centers. |
Data Validation: BHCDANET is an agency mainframe system with hard code editing checks built into the operating platform of the mainframe system. |
Cross Reference: HHS Strategic Objective 1.2 |
Notes: * Assumes FY 2009 Presidents Budget funding level. This measure was deleted during the FY07 OMB PART reassessment. |
1.D.I.A.2. Increase the infrastructure of the Health Center Program to support an increase in utilization.
As a result of FY 2008 activities, the Health Center Program created 61 new or expanded sites, only one short of the target. This measure was deleted during the FY 2007 OMB PART reassessment.
Discontinued Measure |
II. IMPROVE HEALTH OUTCOMES
A. Expand the availability of health care, particularly to underserved, vulnerable and special needs populations. |
Long-Term Goal: Increase percent of the Nation’s poor below 200% of poverty level served by the Health Center Program.*
(Baseline - 2002: 11%)
(Original Target: 2006, 16%) |
Measure |
FY |
Target |
Result |
1.D.II.A.1. Continue to assure access to preventive and primary care for low income individuals
(% of Nation’s poor served)
(Outcome)
|
2009 |
NA |
NA |
2008 |
NA |
NA |
2007 |
14% |
16.1% |
2006 |
16% |
15.2% |
2005 |
14% |
14.2% |
2004 |
14% |
13.2% |
2003 |
13% |
12.4% |
Data Source: The Uniform Data System (UDS) collects data on patients and services provided. National Data: Annual Social and Economic Supplement (ASEC) to the Current Population Survey (CPS), U.S. Census Bureau. |
Data Validation: UDS data are validated using over 1,000 edit checks, both logical and specific. These include checks for missing data and outliers and checks against history and norms. |
Cross Reference: HHS Strategic Objective 1.2 |
Notes: This measure was deleted during the FY 2007 PART reassessment. |
Long-Term Goal
Increase percent of the Nation’s poor below 200% of poverty level served by the Health Center Program.
(Baseline - 2002: 11%)
(Original Target: 2006, 16%)
1.D.II.A.1. Continue to assure access to preventive and primary care for low income individuals.
(Indicator: Percent of Nation’s poor served by Health Centers)
In FY 2007, Health Centers served 16.1% of the Nation’s poor, exceeding the target of 14%. This measure was deleted during the FY 2007 OMB PART reassessment.
Discontinued Measure |
II. IMPROVE HEALTH OUTCOMES
B. Increase the utilization of preventive health care and chronic disease management services, particularly among underserved, vulnerable, and special needs populations. |
Long-Term Goal: Reduce low birth weight rates in Health Centers.*
(Baseline - 2002: 6.9%)
(Original Target - 2006: 6.53%) |
Measure |
FY |
Target |
Result |
1.D.II.B.1. Decrease percent of births to health center prenatal care patients below 2500 grams (LBW).
(Outcome)
|
2009 |
NA |
NA |
2008 |
NA |
NA |
2007 |
7.05% |
7.8% |
2006 |
7.05% |
7.7% |
2005 |
7.05% |
7.3% |
2004 |
7.05% |
7.01% |
2003 |
6.89% |
7.05% |
Data Source: The Uniform Data System (UDS) collects data on patients and services provided. |
Data Validation: UDS data are validated using over 1,000 edit checks, both logical and specific. These include checks for missing data and outliers and checks against history and norms. |
Cross Reference: HHS Strategic Objectives 1.2, 1.3; HP 2010 (16) |
Notes: *This measure was deleted during the FY 2007 PART reassessment and was replaced by a similar measure. |
1.D.II.B.1. Decrease the percent of births to Health Center patients below 2500 grams (LBW).
Appropriate prenatal care management can have a significant effect on the incidence of low birth weight (LBW). LBW is the risk factor most closely associated with neonatal mortality; thus improvements in infant birth weight can contribute significantly to reductions in infant mortality rates. In addition, young mothers, particularly under age 15, and African American mothers are more likely to have LBW infants. These risk factors are reported at a higher rate among Health Center mothers, predisposing Health Center births to higher risk for low birth weight and adverse birth outcomes.
According to UDS Health Center data for CY 2007, 7.8% of infants born to mothers who sought their prenatal care at Health Centers were born with LBW. This rate is above the FY 2007 target of 7.05, but is still lower than the 2006 national rate of 8.3%, despite the fact that Health Center mothers and infants are at greater risk of adverse birth outcomes. The Health Center rate continues to follow a steady pattern of under 8%, unlike the increases observed in the national rate (Source: Martin JA, Hamilton BE, Sutton PD, et al. National Center for Health Statistics: 2006). This measure was replaced with a similar measure that is benchmarked to national low birth weight rates, during the FY 2007 OMB PART reassessment.
Discontinued Measure |
II. IMPROVE HEALTH OUTCOMES
B. Increase the utilization of preventive health care and chronic disease management services, particularly among underserved, vulnerable and special needs populations. |
Measure |
FY |
Target |
Result |
1.D.II.B.2. Increase percent of adult diabetic patients with at least one testing of glycohemoglobin annually
(Outcome) |
2009 |
NA |
NA |
2008 |
NA |
NA |
2007 |
71% |
D/N/A |
2006 |
71% |
84.7% 363,474 |
2005 |
71% |
73.8%
258,000* |
2004 |
75% |
72.5%
193,000* |
2003 |
|
70.9%
124,000* |
2002 |
|
74.8%
47,600* |
Data Source: Diabetes data are from the Health Disparities Collaboratives (HDC) Database. |
Data Validation: HDC database is maintained by a coordinator that collects health center participant patient data. |
Notes: NA = Not Applicable D/N/A = Data not available.
*Size of the diabetes patient registry in given year. |
1.D.II.B.2. Increase percent of adult diabetic patients with at least one testing of glycohemoglobin annually.
Health Center patients, including low-income individuals of racial/ethnic minority groups and persons who are uninsured, are more likely to suffer from chronic diseases such as hypertension and diabetes. Clinical evidence indicates that access to appropriate care can improve the health status of patients with chronic diseases and thus reduce or eliminate disparities. Managing the glycohemoglobin levels of individuals with diabetes and the blood pressures of individuals with hypertension can have a pronounced effect on their morbidity and mortality.
Based on information from the Health Disparities Collaboratives Program’s diabetes registry, performance in 2002 through 2006 was 74.8%, 70.9%, 72.5%, 73.8% and 84.7%, respectively. The FY 2007 Health Center target was maintained at 71% of patients with at least one testing of glycohemoglobin annually, well above the HP 2010 goal of 50%. Data is not available for this measure, due to its replacement during the FY07 OMB PART reassessment and to related modifications in Program data collection methods.
Data will no longer be reported for this measure, as beginning in 2009, BPHC will be collecting a core set of clinical quality and outcome measures, including measures that focus on the outcome of appropriate management of chronic conditions including diabetes. These new measures will be aligned with those of national quality measurement organizations such as the Ambulatory Care Quality Alliance and the National Quality Forum and will be reported on annually by all grantees through the Uniform Data System.
Discontinued Measure |
Efficiency Measures |
FY |
Target |
Result |
1.D.E.1. Sustain the average cost per individual served at health centers*
(Approved by OMB) |
2009 |
NA |
NA |
2008 |
NA |
NA |
2007 |
$583 |
$562 |
2006 |
$556 |
$538 |
2005 |
$529 |
$515 |
2004 |
$503 |
$504 |
2003 |
$465 |
$479 |
1.D.E.2. Annual number of encounters per medical provider.
|
2009 |
NA |
NA |
2008 |
NA |
NA |
2007 |
3,475 |
3,446 |
2006 |
3,475 |
3,470 |
2005 |
3,475 |
3,510 |
2004 |
3,475 |
3,501 |
2003 |
3,475 |
3,521 |
Data Source: The Uniform Data System (UDS) collects data on patients and services provided. |
Data Validation: UDS data are validated using over 1,000 edit checks, both logical and specific. These include checks for missing data and outliers and checks against history and norms. |
Cross Reference: No cross reference. |
Notes: *This measure was deleted during the FY 2007 PART reassessment and has been replaced with a similar measure. |
1.D.E.1. Sustain the average cost per individual served at Health Centers.
(Indicator: Total cost divided by total patients)
It is essential that Health Centers maximize the number of patients served per dollar, and tracking their costs is an appropriate process to assure efficiency. Performance once again exceeded the target in 2007 with an annual average cost per patient of $562, $21 better than the target. This measure was replaced with a similar measure that is benchmarked to national cost increases during the FY 2007 OMB PART reassessment process.
1.D.E.2. Annual number of encounters per medical worker.
(Indicator: Total number of encounters to physicians, nurse practitioners, physician assistants, and certified nurse midwives divided by their respective FTEs)
It is important that Health Centers maximize the number of patients served and assess the number of encounters per medical provider to track their productivity. In 2007, Health Centers saw 3,446 encounters per medical provider. This was slightly less than the target of 3,475. This measure was deleted during the FY 2007 PART reassessment process as new measures were defined.
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