Descriptive Statistics and Trends for Michigan Community Health Centers Region 1

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1 August 2018 Descriptive Statistics and Trends for Michigan Community Health Centers Region 1 Michigan Primary Care Association

2 Overview Demographics Health Center Trends Health Indicators

3 MPCA Region 1 Health Centers Bay Mills Health Center Upper Great Lakes Family Health Center Sault Tribe of Chippewa Indians KBIC Health System

4 Data Sources Unless otherwise noted, all data is derived from the U.S. Health Resources and Services Administration s Uniform Data System, specifically for Michigan. The years captured include Data includes Bay Mills Health Center and Upper Great Lakes Family Health Center. Data was unavailable for our Indian Health Service Providers: Sault Tribe of Chippewa Indians and KBIC Health System.

5 Demographics Patients by Age Patients by Gender Patients by Insurance Status Patients by Race and Ethnicity

6 Patients by Age Group 10,000 9,885 9,876 9,624 9,000 8,000 7,000 6,000 5,559 5,719 5,890 5,678 5,486 5,488 5,000 4,000 3,000 3,044 3,035 2,961 3,087 3,254 3,227 2,000 1,000 0 Under

7 Patients by Gender 14,631 Female 14,763 14,212 12,559 Male 12,607 13,041 11,000 11,500 12,000 12,500 13,000 13,500 14,000 14,500 15,

8 Patients by Insurance Status 16,000 14,000 14,361 14,053 12,738 12,000 10,000 8,000 6,000 5,606 5,722 7,030 6,177 6,207 6,033 4,000 2, ,417 1,389 1, Uninsured Medicaid/CHIP Medicare Private Other Public

9 Patients by Race 25,000 23,942 23,668 23,501 20,000 15,000 10,000 5, More Than One Race 1,502 1,185 1,279 Unknown/Non Responder White 1,497 1,601 1,692 American Indian/Alaska Native African American Asian/Pacific Islander

10 Patients by Ethnicity 30,000 27,098 27,008 26,920 25,000 20,000 15,000 10,000 5, Hispanic/Latino Non-Hispanic/Latino Unreported/Refused to Report

11 Region 1 Trends Total Patients Patients by Service Total Encounters Encounters by Service Total Cost Per Patient

12 Total Patients 28,000 27,253 27,370 27,190 27,000 26,000 25,

13 Patients by Service 25,000 26,449 25,656 24,804 20,000 15,000 10,000 5, ,136 2,737 1, Medical Patients Dental Patients Mental Health Patients Enabling Service Patients Substance Use Disorder Patients

14 Total Encounters 100,000 95,679 92,345 90,000 90,378 80,

15 Encounters by Service 90,000 80,000 82,492 79,451 77,736 70,000 60,000 50,000 40,000 30,000 20,000 10, ,955 6,802 3,442 3,278 3,972 4,510 Medical Encounters Dental Encounters Mental Health Encounters ,316 1, ,101 Enabling Service Encounters Substance Use Disorder Encounters

16 Total Cost Per Patient $ $ $1, $ $ $ CHC Statewide Average CHC National Average Region 1 Average 2015 $ $ $ $0 $100 $200 $300 $400 $500 $600 $700 $800 $900 $1,000 $1,100

17 Healthy People 2020 Goals (Regional Compared to National Averages) Percent Low Birth Weight Babies (<2500 grams) Percent Patients with Prenatal Care in 1st Trimester Percent Females Screened for Cervical Cancer Percent of Patients with Appropriate Screening for Colorectal Cancer Percent Immunized Children Percent Patients Screened for Depression and had a Follow-Up Plan Documented Percent Patients with Controlled Hypertension Percent Patients with Controlled Diabetes Patients Assessed for Tobacco Use Patients with Acceptable Asthma Treatment Plan Percent of Adolescent Patients with Weight Counseling and BMI Documented Percent of Adult Patients with BMI Charted and Follow Up

18 Percent of Low Birth Weight Babies 10% 9% 8% 7% 7.60% 8.70% 8.03% 7.80% 6% 5% 4% 4.00% Region Region Region CHC National Average 2017 CHC Statewide Average HP2020 Goal 3% 2.40% 2% 1% 0%

19 Percent of First Prenatal Visit in 1st Trimester 100% 90% 87% 87% 87% 80% 70% 77.90% 73.97% 71.09% 60% 50% 40% Region Region Region CHC National Average 2017 CHC Statewide Average HP2020 Goal 30% 20% 10% 0%

20 Percent of Females Screened for Cervical Cancer 100% 90% 93.00% 80% 70% 72% 60% 50% 40% 30% 61% 59% 55.67% 55.24% Region Region Region CHC National Average 2017 CHC Statewide Average HP2020 Goal 20% 10% 0%

21 Percent of Patients With Appropriate Screening for Colorectal Cancer 80% 70% 70.50% 60% 60% 60% 58% 50% 40% 30% 44.31% 42.02% Region Region Region CHC National Average 2017 CHC Statewide Average HP2020 Goal 20% 10% 0%

22 Percent of Children Immunized 90% 85% 80% 80.00% 70% 60% 50% 40% 30% 60% 57% 40.24% 39.77% Region Region Region CHC National Average 2017 CHC Statewide Average HP2020 Goal 20% 10% 0%

23 Percent of Patients With Depression Screening and Follow-Up Plan 70% 60% 57% 55% 60% 66.15% 57.82% 50% 40% 30% 20% Region Region Region CHC National Average 2017 CHC Statewide Average HP2020 Goal 10% 0% 2.40%

24 Percent of Patients With Controlled Hypertension 90% 85% 80% 70% 68% 63.21% 60% 59% 62.71% 61.20% Region % Region Region % 2017 CHC National Average 2017 CHC Statewide Average 30% HP2020 Goal 20% 10% 0%

25 Percent of Patients With Controlled Diabetes 90% 80% 80% 79% 75% 83.80% 70% 69.98% 67.05% 60% 50% 40% 30% Region Region Region CHC National Average 2017 CHC Statewide Average HP2020 Goal 20% 10% 0%

26 Percent of Patients Screened for Tobacco Use and Receiving Cessation Intervention 100% 94% 90% 87.50% 80% 82% 87% 84.03% 70% 60% 50% 40% 30% 68.60% Region Region Region CHC National Average 2017 CHC Statewide Average HP2020 Goal 20% 10% 0%

27 Percent of Patients With Acceptable Asthma Treatment Plan 100% 90% 80% 100% 92% 86.62% 85% 86.21% 70% 60% 50% 40% 30% 36.80% Region Region Region CHC National Average 2017 CHC Statewide Average HP2020 Goal 20% 10% 0%

28 Percent of Adolescent Patients With Weight Counseling and BMI Documented 80% 74% 70% 60% 60% 65.85% 60.19% 50% 40% 30% 45% 54.70% Region Region Region CHC National Average 2017 CHC Statewide Average HP2020 Goal 20% 10% 0%

29 Percent of Adult Patients With BMI Charted and Follow Up 70% 60% 50% 40% 30% 20% 57% 65% 44% 63.85% 56.18% 53.60% Region Region Region CHC National Average 2017 CHC Statewide Average HP2020 Goal 10% 0%