Section A - Age Categories for Prenatal Care Patients: Demographic Characteristics of Prenatal Care Patients
Line
Age
Number of Patients (a)
Percent
1.
Less than 15 Years
-
-
2.
Ages 15–19
300
7.27%
3.
Ages 20–24
1,075
26.04%
4.
Ages 25–44
2,737
66.29%
5.
Ages 45 and Over
-
-
6.
Total Patients (Sum of Lines 1–5)
4,129
100.00%
Section B - Early Entry into Prenatal Care
Line
Early Entry into Prenatal Care
Patients Having First Visit with Health Center (a)
Patients Having First Visit with Another Provider (b)
% Total
(a)
%
(b)
%
7.
First Trimester
2,752
66.65%
190
4.60%
71.25%
8.
Second Trimester
949
22.98%
87
2.11%
25.09%
9.
Third Trimester
-
-
-
-
3.66%
Section C - Childhood Immunization Status
Line
Childhood Immunization Status
Total Patients with 2nd Birthday (a)
Estimated Number of Patients Immunized
Estimated % of Patients Immunized
10.
MEASURE: Percentage of children 2 years of age who received age appropriate vaccines by their 2nd birthday
4,511
1,459
32.34%
Section D - Cervical and Breast Cancer Screening
Line
Cervical Cancer Screening
Total Female Patients Aged 24 through 64 (a)
Estimated Number of Patients Tested
Estimated % of Patients Tested
11.
MEASURE: Percentage of women 24-64 years of age who were screened for cervical cancer
169,473
88,252
52.07%
Line
Breast Cancer Screening
Total Female Patients Aged 52 through 74 (a)
Estimated Number of Patients with Mammogram
Estimated % of Patients with Mammogram
11a.
MEASURE: Percentage of women 52–74 years of age who had a mammogram to screen for breast cancer
101,208
54,592
53.94%
Section E - Weight Assessment and Counseling for Nutrition and Physical Activity of Children and Adolescents
Line
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Total Patients Aged 3 through 17 (a)
Estimated Number of Patients Assessed and Counseled
Estimated % of Patients Assessed and Counseled
12.
MEASURE: Percentage of patients 3-17 years of age with a BMI percentile and counseling on nutrition and physical activity documented
88,530
53,848
60.82%
Section F – Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Line
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Total Patients Aged 18 and Older (a)
Estimated Number of Patients with BMI Charted and Follow-Up Plan Documented as Appropriate
Estimated % of Patients with BMI Charted and Follow-Up Plan Documented as Appropriate
13.
MEASURE: Percentage of patients 18 years of age and older with (1) BMI documented and (2) follow-up plan documented if BMI is outside normal parameters
432,914
291,035
67.23%
Section G – Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Line
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Total Patients Aged 18 and Older (a)
Estimated Number of Patients Assessed for Tobacco Use and Provided Intervention if a Tobacco User
Estimated % of Patients Assessed for Tobacco Use and Provided Intervention if a Tobacco User
14a.
MEASURE: Percentage of patients aged 18 years of age and older who (1) were screened for tobacco use one or more times during the measurement period, and (2) if identified to be a tobacco user received cessation counseling intervention
332,842
283,264
85.10%
Section H - Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Line
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Total Patients Aged 21 And Older at High Risk of Cardiovascular Events (a)
Estimated Number of Patients Prescribed or On Statin Therapy
Estimated % of Patients Prescribed or On Statin Therapy
17a.
MEASURE: Percentage of patients at high risk of cardiovascular events who were prescribed or were on statin therapy
123,971
98,278
79.28%
Section I - Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet
Line
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet
Total Patients Aged 18 And Over With IVD Diagnosis or AMI, CABG, or PCI Procedure (a)
Estimated Number of Patients with Aspirin or Other Antiplatelet Therapy
Estimated % of Patients with Documentation of Aspirin or Other Antiplatelet Therapy
18.
MEASURE: Percentage of patients 18 years of age and older with a diagnosis of IVD or AMI, CABG, or PCI procedure with aspirin or another antiplatelet
25,030
18,766
74.97%
Section J - Colorectal Cancer Screening
Line
Colorectal Cancer Screening
Total Patients Aged 46 through 75 (a)
Estimated Number of Patients with Appropriate Screening for Colorectal Cancer
Estimated % of Patients with Appropriate Screening for Colorectal Cancer
19.
MEASURE: Percentage of patients 46 through 75 years of age who had appropriate screening for colorectal cancer
227,019
101,331
44.64%
Section K - HIV Measures
Line
HIV Linkage to Care
Total Patients First Diagnosed with HIV (a)
Estimated Number of Patients Seen Within 30 Days of First Diagnosis of HIV
Estimated % of Patients Seen Within 30 Days of First Diagnosis of HIV
20.
MEASURE: Percentage of patients whose first-ever HIV diagnosis was made by health center personnel between December 1 of the prior year and November 30 of the measurement period and who were seen for follow-up treatment within 30 days of that first-ever diagnosis
170
138
81.18%
Line
HIV Screening
Total Patients Aged 15 through 65 (a)
Estimated Number of Patients Tested for HIV
Estimated % of Patients Tested for HIV
20a.
MEASURE: Percentage of patients 15 through 65 years of age who were tested for HIV when within age range
375,637
171,113
45.55%
Section L – Depression Measures
Line
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Total Patients Aged 12 and Older (a)
Estimated Number of Patients Screened for Depression and Follow-up Plan Documented as Appropriate
Estimated % of Patients Screened for Depression and Follow-up Plan Documented as Appropriate
21.
MEASURE: Percentage of patients 12 years of age and older who were (1) screened for depression with a standardized tool and, if screening was positive, (2) had a follow-up plan documented
384,952
277,333
72.04%
Line
Depression Remission at Twelve Months
Total Patients Aged 12 and Older with Major Depression or Dysthymia (a)
Estimated Number of Patients who Reached Remission
Estimated % of Patients who Reached Remission
21a.
MEASURE: Percentage of patients 12 years of age and older with major depression or dysthymia who reached remission 12 months (+/- 60 days) after an index event
10,553
1,469
13.92%
Section M – Dental Sealants for Children between 6–9 Years
Line
Dental Sealants for Children between 6-9 Years
Total Patients Aged 6 through 9 at Moderate to High Risk for Caries (a)
Estimated Number of Patients with Sealants to First Molars
Estimated % of Patients with Sealants to First Molars
22.
MEASURE: Percentage of children 6 through 9 years of age at moderate to high risk of caries who received a sealant on a first permanent molar
4,689
2,624
55.96%
Footnotes
'-' Data cannot be calculated or has been suppressed for confidentiality purposes.
Cells that are shaded blue represent data that was not reported or null values.
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