Uniform Data System

(UDS)
2009
 UDS
 UDS is a standardized report submitted annually
by all federally funded community health centers.

 Permits comparisons about how we are changing

as an organization

 Permits benchmarking performance against other,

similar organizations
 Unduplicated patients increased 17%

• 2008: 11,297
• 2009: 13,196

• Children age 19 and under increased 14%

• Adults age 20 to 64 increased by 25%
• Adults age 65 and over increased 21%
 Uninsured increased 41%

 2008: 1,738 2009: 2,452

 Uninsured kids increased 33%

 Most should be Medicaid eligible.

 Uninsured adults increased 44%

 Insurance
 Medicare increased 39%

 Medicaid increased 41%

 Other insurances decreased by 42%

 BHP
 Visits
Medical visits increased 31%
• 2008: 19,409 2009: 25,400

Dental visits increased 17%

• 2008: 17,801 2009: 20,826

Behavioral health visits increased 26%

2008: 5,465 2009: 6,913
 Medical Panel Size
ICHC:
2008: 636 patients/FTE
2009: 713 patients/FTE

Washington State
2008: 1,027 patients/FTE
 Dental Panel Size
ICHC:
2008: 854 patients/FTE
2009: 775 patients/FTE

Washington State
2008: 1,006 patients/FTE
 Medical Visits/FTE
 ICHC
Physicians ARNP/PA
2008: 2,335 1,846
2009: 3,028 2,056
2010 (January) 3,219 2,640

 Washington State
2008 3,456 3,104
 Dental Visits/FTE
 ICHC
Dentists Hygienists
2008: 2,815 1,050
2009: 2,597 897
2010 January: 2,951 1,173

 Washington State
2008 2,836 1,071
 Agency FTE and Visits
 ICHC
FTE Visits Visits/FTE
2008: 97 42,808 441
2009: 103 53,192 516

 Washington
2008: 5,372 2,687,747 500
 Medical Conditions
(per 1,000 Medical Patients)

ICHC Washington

 Abnormal Pap: 7 7

 Contact Dermatitis 20 20

 Chronic Bronchitis/
Emphysema 7 14
 Medical Conditions
(per 1,000 medical patients)

ICHC Washington
 Diabetes 70 68
 Heart Disease 22 15
 Hypertension 89 83
 HIV Infection 17 2
 Asthma 34 28
 Abnormal Breast
Findings 3 1
 Mental Health Conditions
(per 1000 Medical Patients)

ICHC Washington
 Alcohol Disorders 9 10
 Other Substance
Abuse 13 6
 Depression/Mood
Disorders 134 64
 Anxiety Disorders 88 30
 Mental Health Conditions
(per 1000 Medical Patients)

ICHC Washington

Attention Deficit &

Disruptive Behavior 59 10

Other Mental
Disorders 58 28
 Selected Services
(visits/1000 medical patients)

ICHC Washington
 Child Health
Supervision 111 328

 Contraception 40 81

 Pap Tests 42 119

 Selected Services
ICHC Washington

 Mammogram 80 13

 HIV Testing 82 25
 Quality of Care
ICHC Washington
% of Hypertensives
In control: 77% 55%

% of Diabetes with
HgbA1c < 7 40% 43%
 Quality of Care
ICHC Washington

 2 year olds fully

immunized 50% 76%

 Pap Smears done

to protocol 51% 62%
 Cost/Medical Visit
ICHC
• 2008: $198
• 2009: $165

Washington
• 2008: $151
 Cost/Dental Visit
ICHC:
2008: $140
2009: $149

Washington:
2008: $175
 Cost/Behavioral Health Visit
ICHC:
2008: $170
2009: $138

Washington:
2008: $168
 Admin Cost/Visit
ICHC:
2008: $52
2009: $47

Washington:
2008: $47
 Self Pay
(% of Charges)

Collections Discounts Bad Debt

ICHC 31% 33% 26%

Washington 35% 53% 15%

Charges/Costs
ICHC Washington

84% 82%