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Quality Of Care Indicators

October 1st 2016 - December 31st 2016

Rendering Location: Main Clinic

Cervical Cancer Screening

A. Total number of female patients ages 23 to 64 who A.) Had at least one medical visit during the reporting period and B.) Have not had a hysterectomy. 38.1%
1. Number of female patients who had a Pap Test in the Past 3 Years. 42.16%

Weight Assessment and Counseling for Nutrition and Physical Activity of Children & Adolescent

A. Total number of children ages 3 to 17 who A.) Were first seen prior to their 17th birthday and B.) Had a medical visit during the reporting period and C.) Are not pregnant 3.41%
1. Patients who A.) Had BMI Percentile documented and B.) Received counseling for nutrition and C.) Received counseling for physical activity during the reporting period 29.17%

Body Mass Index (BMI) Screening and Follow Up

A. Total number of patients ages 18 and older who A.) Were seen after their 18th birthday and B.) Had at least one medical visit during the reporting period and C.) Are not pregnant and D.) Are not excluded for BMI 93.11%
1. Patients who A.) Had BMI documented during their most recent visit or within the 6 months prior to that visit. and B.) If the most recent BMI is outside parameters, a follow-up plan is documented. 21.22%

Tobacco Use: Screening and Cessation Intervention

A. Total number of patients ages 18 and older who A.) Were seen after their 18th birthday and B.) Had at least one preventive visit or two medical visits during the reporting period 45.84%
1. Patients who were screened for tobacco use during their most recent visit or during the 24 months prior to their most recent visit and received tobacco cessation counseling intervention and/or pharmacotherapy if identified as a tobacco user. 94.19%

Use of Appropriate Medications for Asthma

A. Total number of patients ages 5 to 64 who A.) Had at least one medical visits during the reporting period and B.) Have an active diagnosis of persistent asthma and C.) Are not excluded for use of appropriate medications for asthma. 1.74%
1. Patients who received a prescription for or were provided an inhaled corticosteroid or accepted alternative medication. 97.96%

Coronary Artery Disease (CAD): Lipid Therapy

A. ############################################################ 4.66%
1. Patients who were prescribed or taking lipid lowering therapy. 83.97%

Ischemic Vascular Disease (IVD): Use of Aspirin and Antithrombotic

A. ############################################################ 6.47%
1. Patients with aspirin or other antithrombotic therapy. 75.27%

Colorectal Cancer Screening

A. Total number of patients ages 50 to 75 who A.) Had at least one medical visit during the reporting period. 47.3%
1. Patients with appropriate screening for colorectal cancer. 39.89%

 HIV Linkage to Care

A. Total number of patients whose first ever HIV diagnosis was made by the health center staff between October 1 of the prior year and September 30 of the measurement year. 0.04%
1. Patients who were seen for follow-up within 90 days of that first ever diagnosis by health center provider who initiates treatment for HIV or a visit with a referral resource who initiates treatment for HIV. 0%

Screening for Clinical Depression and Follow-Up Plan

A. Total number of patients ages 12 and older who had at least one medical visit during the reporting period. 96.38%
1. Patients who were screened for depression and, if positive, had a follow-up plan documented. 11.91%

Rendering Location: Mobile Van 1

Childhood Immunization Status

A. Total number of children age 2 in reporting year 0%
1. 4 DTaP/DT 0%
2. 3 IPV 0%
3. 1 MMR 0%
4. 3 HiB 0%
5. 3 Hep B 0%
6. 1 VZV 0%
7. 4 Pneumococcal 0%
8. 1 Hep A 0%
9. 2 or 3 Rotavirus 0%
10. 2 Flu 0%
11. Combo 2 (All but Pneumococcal) 0%
12. Combo 3 (Fully Immunized) 0%

Cervical Cancer Screening

A. Total number of female patients ages 23 to 64 who A.) Had at least one medical visit during the reporting period and B.) Have not had a hysterectomy. 40.23%
1. Number of female patients who had a Pap Test in the Past 3 Years. 52.11%

Weight Assessment and Counseling for Nutrition and Physical Activity of Children & Adolescent

A. Total number of children ages 3 to 17 who A.) Were first seen prior to their 17th birthday and B.) Had a medical visit during the reporting period and C.) Are not pregnant 16.71%
1. Patients who A.) Had BMI Percentile documented and B.) Received counseling for nutrition and C.) Received counseling for physical activity during the reporting period 49.15%

Body Mass Index (BMI) Screening and Follow Up

A. Total number of patients ages 18 and older who A.) Were seen after their 18th birthday and B.) Had at least one medical visit during the reporting period and C.) Are not pregnant and D.) Are not excluded for BMI 81.59%
1. Patients who A.) Had BMI documented during their most recent visit or within the 6 months prior to that visit. and B.) If the most recent BMI is outside parameters, a follow-up plan is documented. 37.85%

Tobacco Use: Screening and Cessation Intervention

A. Total number of patients ages 18 and older who A.) Were seen after their 18th birthday and B.) Had at least one preventive visit or two medical visits during the reporting period 45.61%
1. Patients who were screened for tobacco use during their most recent visit or during the 24 months prior to their most recent visit and received tobacco cessation counseling intervention and/or pharmacotherapy if identified as a tobacco user. 91.93%

Use of Appropriate Medications for Asthma

A. Total number of patients ages 5 to 64 who A.) Had at least one medical visits during the reporting period and B.) Have an active diagnosis of persistent asthma and C.) Are not excluded for use of appropriate medications for asthma. 2.83%
1. Patients who received a prescription for or were provided an inhaled corticosteroid or accepted alternative medication. 100%

Coronary Artery Disease (CAD): Lipid Therapy

A. ############################################################ 4.82%
1. Patients who were prescribed or taking lipid lowering therapy. 70.59%

Ischemic Vascular Disease (IVD): Use of Aspirin and Antithrombotic

A. ############################################################ 6.23%
1. Patients with aspirin or other antithrombotic therapy. 81.82%

Colorectal Cancer Screening

A. Total number of patients ages 50 to 75 who A.) Had at least one medical visit during the reporting period. 31.44%
1. Patients with appropriate screening for colorectal cancer. 48.65%

 HIV Linkage to Care

A. Total number of patients whose first ever HIV diagnosis was made by the health center staff between October 1 of the prior year and September 30 of the measurement year. 0%
1. Patients who were seen for follow-up within 90 days of that first ever diagnosis by health center provider who initiates treatment for HIV or a visit with a referral resource who initiates treatment for HIV. 0%

Screening for Clinical Depression and Follow-Up Plan

A. Total number of patients ages 12 and older who had at least one medical visit during the reporting period. 91.22%
1. Patients who were screened for depression and, if positive, had a follow-up plan documented. 51.55%

Rendering Location: Mobile Van 2

Childhood Immunization Status

A. Total number of children age 2 in reporting year 100%
1. 4 DTaP/DT 66.67%
2. 3 IPV 100%
3. 1 MMR 100%
4. 3 HiB 100%
5. 3 Hep B 100%
6. 1 VZV 100%
7. 4 Pneumococcal 100%
8. 1 Hep A 100%
9. 2 or 3 Rotavirus 100%
10. 2 Flu 66.67%
11. Combo 2 (All but Pneumococcal) 66.67%
12. Combo 3 (Fully Immunized) 66.67%

Cervical Cancer Screening

A. Total number of female patients ages 23 to 64 who A.) Had at least one medical visit during the reporting period and B.) Have not had a hysterectomy. 38.82%
1. Number of female patients who had a Pap Test in the Past 3 Years. 45.6%

Weight Assessment and Counseling for Nutrition and Physical Activity of Children & Adolescent

A. Total number of children ages 3 to 17 who A.) Were first seen prior to their 17th birthday and B.) Had a medical visit during the reporting period and C.) Are not pregnant 24.53%
1. Patients who A.) Had BMI Percentile documented and B.) Received counseling for nutrition and C.) Received counseling for physical activity during the reporting period 39.24%

Body Mass Index (BMI) Screening and Follow Up

A. Total number of patients ages 18 and older who A.) Were seen after their 18th birthday and B.) Had at least one medical visit during the reporting period and C.) Are not pregnant and D.) Are not excluded for BMI 71.43%
1. Patients who A.) Had BMI documented during their most recent visit or within the 6 months prior to that visit. and B.) If the most recent BMI is outside parameters, a follow-up plan is documented. 33.04%

Tobacco Use: Screening and Cessation Intervention

A. Total number of patients ages 18 and older who A.) Were seen after their 18th birthday and B.) Had at least one preventive visit or two medical visits during the reporting period 40.06%
1. Patients who were screened for tobacco use during their most recent visit or during the 24 months prior to their most recent visit and received tobacco cessation counseling intervention and/or pharmacotherapy if identified as a tobacco user. 89.15%

Use of Appropriate Medications for Asthma

A. Total number of patients ages 5 to 64 who A.) Had at least one medical visits during the reporting period and B.) Have an active diagnosis of persistent asthma and C.) Are not excluded for use of appropriate medications for asthma. 2.8%
1. Patients who received a prescription for or were provided an inhaled corticosteroid or accepted alternative medication. 100%

Coronary Artery Disease (CAD): Lipid Therapy

A. ############################################################ 0.31%
1. Patients who were prescribed or taking lipid lowering therapy. 100%

Ischemic Vascular Disease (IVD): Use of Aspirin and Antithrombotic

A. ############################################################ 0.93%
1. Patients with aspirin or other antithrombotic therapy. 66.67%

Colorectal Cancer Screening

A. Total number of patients ages 50 to 75 who A.) Had at least one medical visit during the reporting period. 10.87%
1. Patients with appropriate screening for colorectal cancer. 40%

 HIV Linkage to Care

A. Total number of patients whose first ever HIV diagnosis was made by the health center staff between October 1 of the prior year and September 30 of the measurement year. 0%
1. Patients who were seen for follow-up within 90 days of that first ever diagnosis by health center provider who initiates treatment for HIV or a visit with a referral resource who initiates treatment for HIV. 0%

Screening for Clinical Depression and Follow-Up Plan

A. Total number of patients ages 12 and older who had at least one medical visit during the reporting period. 81.68%
1. Patients who were screened for depression and, if positive, had a follow-up plan documented. 13.31%

Rendering Location: South Tulare

Childhood Immunization Status

A. Total number of children age 2 in reporting year 100%
1. 4 DTaP/DT 80.52%
2. 3 IPV 96.1%
3. 1 MMR 96.1%
4. 3 HiB 94.81%
5. 3 Hep B 97.4%
6. 1 VZV 93.51%
7. 4 Pneumococcal 83.12%
8. 1 Hep A 93.51%
9. 2 or 3 Rotavirus 87.01%
10. 2 Flu 70.13%
11. Combo 2 (All but Pneumococcal) 58.44%
12. Combo 3 (Fully Immunized) 57.14%

Cervical Cancer Screening

A. Total number of female patients ages 23 to 64 who A.) Had at least one medical visit during the reporting period and B.) Have not had a hysterectomy. 14.73%
1. Number of female patients who had a Pap Test in the Past 3 Years. 57.41%

Weight Assessment and Counseling for Nutrition and Physical Activity of Children & Adolescent

A. Total number of children ages 3 to 17 who A.) Were first seen prior to their 17th birthday and B.) Had a medical visit during the reporting period and C.) Are not pregnant 40.15%
1. Patients who A.) Had BMI Percentile documented and B.) Received counseling for nutrition and C.) Received counseling for physical activity during the reporting period 43.79%

Body Mass Index (BMI) Screening and Follow Up

A. Total number of patients ages 18 and older who A.) Were seen after their 18th birthday and B.) Had at least one medical visit during the reporting period and C.) Are not pregnant and D.) Are not excluded for BMI 40.59%
1. Patients who A.) Had BMI documented during their most recent visit or within the 6 months prior to that visit. and B.) If the most recent BMI is outside parameters, a follow-up plan is documented. 25.93%

Tobacco Use: Screening and Cessation Intervention

A. Total number of patients ages 18 and older who A.) Were seen after their 18th birthday and B.) Had at least one preventive visit or two medical visits during the reporting period 24.75%
1. Patients who were screened for tobacco use during their most recent visit or during the 24 months prior to their most recent visit and received tobacco cessation counseling intervention and/or pharmacotherapy if identified as a tobacco user. 92.31%

Use of Appropriate Medications for Asthma

A. Total number of patients ages 5 to 64 who A.) Had at least one medical visits during the reporting period and B.) Have an active diagnosis of persistent asthma and C.) Are not excluded for use of appropriate medications for asthma. 2.58%
1. Patients who received a prescription for or were provided an inhaled corticosteroid or accepted alternative medication. 100%

Coronary Artery Disease (CAD): Lipid Therapy

A. ############################################################ 2.02%
1. Patients who were prescribed or taking lipid lowering therapy. 80.56%

Ischemic Vascular Disease (IVD): Use of Aspirin and Antithrombotic

A. ############################################################ 2.3%
1. Patients with aspirin or other antithrombotic therapy. 75.61%

Colorectal Cancer Screening

A. Total number of patients ages 50 to 75 who A.) Had at least one medical visit during the reporting period. 16.91%
1. Patients with appropriate screening for colorectal cancer. 40.07%

 HIV Linkage to Care

A. Total number of patients whose first ever HIV diagnosis was made by the health center staff between October 1 of the prior year and September 30 of the measurement year. 0%
1. Patients who were seen for follow-up within 90 days of that first ever diagnosis by health center provider who initiates treatment for HIV or a visit with a referral resource who initiates treatment for HIV. 0%

Screening for Clinical Depression and Follow-Up Plan

A. Total number of patients ages 12 and older who had at least one medical visit during the reporting period. 53.92%
1. Patients who were screened for depression and, if positive, had a follow-up plan documented. 9.87%

Rendering Location: Pediactrics

Childhood Immunization Status

A. Total number of children age 2 in reporting year 93.42%
1. 4 DTaP/DT 84.58%
2. 3 IPV 94.27%
3. 1 MMR 96.04%
4. 3 HiB 93.39%
5. 3 Hep B 95.15%
6. 1 VZV 95.59%
7. 4 Pneumococcal 86.78%
8. 1 Hep A 95.15%
9. 2 or 3 Rotavirus 88.55%
10. 2 Flu 67.4%
11. Combo 2 (All but Pneumococcal) 61.23%
12. Combo 3 (Fully Immunized) 60.79%

Cervical Cancer Screening

A. Total number of female patients ages 23 to 64 who A.) Had at least one medical visit during the reporting period and B.) Have not had a hysterectomy. 0.78%
1. Number of female patients who had a Pap Test in the Past 3 Years. 62.5%

Weight Assessment and Counseling for Nutrition and Physical Activity of Children & Adolescent

A. Total number of children ages 3 to 17 who A.) Were first seen prior to their 17th birthday and B.) Had a medical visit during the reporting period and C.) Are not pregnant 58.83%
1. Patients who A.) Had BMI Percentile documented and B.) Received counseling for nutrition and C.) Received counseling for physical activity during the reporting period 43.84%

Body Mass Index (BMI) Screening and Follow Up

A. Total number of patients ages 18 and older who A.) Were seen after their 18th birthday and B.) Had at least one medical visit during the reporting period and C.) Are not pregnant and D.) Are not excluded for BMI 0.39%
1. Patients who A.) Had BMI documented during their most recent visit or within the 6 months prior to that visit. and B.) If the most recent BMI is outside parameters, a follow-up plan is documented. 41.67%

Tobacco Use: Screening and Cessation Intervention

A. Total number of patients ages 18 and older who A.) Were seen after their 18th birthday and B.) Had at least one preventive visit or two medical visits during the reporting period 0.88%
1. Patients who were screened for tobacco use during their most recent visit or during the 24 months prior to their most recent visit and received tobacco cessation counseling intervention and/or pharmacotherapy if identified as a tobacco user. 100%

Use of Appropriate Medications for Asthma

A. Total number of patients ages 5 to 64 who A.) Had at least one medical visits during the reporting period and B.) Have an active diagnosis of persistent asthma and C.) Are not excluded for use of appropriate medications for asthma. 6.63%
1. Patients who received a prescription for or were provided an inhaled corticosteroid or accepted alternative medication. 98.04%

Screening for Clinical Depression and Follow-Up Plan

A. Total number of patients ages 12 and older who had at least one medical visit during the reporting period. 16.88%
1. Patients who were screened for depression and, if positive, had a follow-up plan documented. 15.8%

Rendering Location: Women's Center

Age Categories for Prenatal Patients

B. Age (As of June 30th of the reporting period)
1. Age less than 15 years old. 0.25%
2. Ages 15 to 19. 10.84%
3. Ages 20 to 24. 31.28%
4. Ages 25 to 44. 57.64%
5. Ages 45 and older. 0%
6. Age Unknown 0%
C. Early Entry into Prenatal Care
1. First Trimester 85.47%
a. First seen at grantee location 94.81%
b. First visit at other location 5.19%
c. Site Unknown 0%
2. Second Trimester 12.81%
a. First seen at grantee location 88.46%
b. First visit at other location 11.54%
c. Site Unknown 0%
3. Third Trimester 1.72%
a. First seen at grantee location 28.57%
b. First visit at other location 71.43%
c. Site Unknown 0%
4. Trimester Unknown 0%
a. First seen at grantee location 0%
b. First visit at other location 0%
c. Site Unknown 0%

Cervical Cancer Screening

A. Total number of female patients ages 23 to 64 who A.) Had at least one medical visit during the reporting period and B.) Have not had a hysterectomy. 68.06%
1. Number of female patients who had a Pap Test in the Past 3 Years. 69.82%

Weight Assessment and Counseling for Nutrition and Physical Activity of Children & Adolescent

A. Total number of children ages 3 to 17 who A.) Were first seen prior to their 17th birthday and B.) Had a medical visit during the reporting period and C.) Are not pregnant 2.46%
1. Patients who A.) Had BMI Percentile documented and B.) Received counseling for nutrition and C.) Received counseling for physical activity during the reporting period 6.12%

Body Mass Index (BMI) Screening and Follow Up

A. Total number of patients ages 18 and older who A.) Were seen after their 18th birthday and B.) Had at least one medical visit during the reporting period and C.) Are not pregnant and D.) Are not excluded for BMI 68.21%
1. Patients who A.) Had BMI documented during their most recent visit or within the 6 months prior to that visit. and B.) If the most recent BMI is outside parameters, a follow-up plan is documented. 29.53%

Tobacco Use: Screening and Cessation Intervention

A. Total number of patients ages 18 and older who A.) Were seen after their 18th birthday and B.) Had at least one preventive visit or two medical visits during the reporting period 60.87%
1. Patients who were screened for tobacco use during their most recent visit or during the 24 months prior to their most recent visit and received tobacco cessation counseling intervention and/or pharmacotherapy if identified as a tobacco user. 92.9%

Use of Appropriate Medications for Asthma

A. Total number of patients ages 5 to 64 who A.) Had at least one medical visits during the reporting period and B.) Have an active diagnosis of persistent asthma and C.) Are not excluded for use of appropriate medications for asthma. 0.7%
1. Patients who received a prescription for or were provided an inhaled corticosteroid or accepted alternative medication. 92.86%

Coronary Artery Disease (CAD): Lipid Therapy

A. ############################################################ 0.6%
1. Patients who were prescribed or taking lipid lowering therapy. 66.67%

Ischemic Vascular Disease (IVD): Use of Aspirin and Antithrombotic

A. ############################################################ 0.6%
1. Patients with aspirin or other antithrombotic therapy. 50%

Colorectal Cancer Screening

A. Total number of patients ages 50 to 75 who A.) Had at least one medical visit during the reporting period. 8.79%
1. Patients with appropriate screening for colorectal cancer. 37.14%

 HIV Linkage to Care

A. Total number of patients whose first ever HIV diagnosis was made by the health center staff between October 1 of the prior year and September 30 of the measurement year. 0%
1. Patients who were seen for follow-up within 90 days of that first ever diagnosis by health center provider who initiates treatment for HIV or a visit with a referral resource who initiates treatment for HIV. 0%

Screening for Clinical Depression and Follow-Up Plan

A. Total number of patients ages 12 and older who had at least one medical visit during the reporting period. 99.55%
1. Patients who were screened for depression and, if positive, had a follow-up plan documented. 5.2%

Rendering Location: Woodville

Childhood Immunization Status

A. Total number of children age 2 in reporting year 85.71%
1. 4 DTaP/DT 75%
2. 3 IPV 75%
3. 1 MMR 75%
4. 3 HiB 75%
5. 3 Hep B 75%
6. 1 VZV 75%
7. 4 Pneumococcal 75%
8. 1 Hep A 75%
9. 2 or 3 Rotavirus 75%
10. 2 Flu 41.67%
11. Combo 2 (All but Pneumococcal) 41.67%
12. Combo 3 (Fully Immunized) 41.67%

Cervical Cancer Screening

A. Total number of female patients ages 23 to 64 who A.) Had at least one medical visit during the reporting period and B.) Have not had a hysterectomy. 24.48%
1. Number of female patients who had a Pap Test in the Past 3 Years. 37.18%

Weight Assessment and Counseling for Nutrition and Physical Activity of Children & Adolescent

A. Total number of children ages 3 to 17 who A.) Were first seen prior to their 17th birthday and B.) Had a medical visit during the reporting period and C.) Are not pregnant 10.46%
1. Patients who A.) Had BMI Percentile documented and B.) Received counseling for nutrition and C.) Received counseling for physical activity during the reporting period 31%

Body Mass Index (BMI) Screening and Follow Up

A. Total number of patients ages 18 and older who A.) Were seen after their 18th birthday and B.) Had at least one medical visit during the reporting period and C.) Are not pregnant and D.) Are not excluded for BMI 51.78%
1. Patients who A.) Had BMI documented during their most recent visit or within the 6 months prior to that visit. and B.) If the most recent BMI is outside parameters, a follow-up plan is documented. 24.24%

Tobacco Use: Screening and Cessation Intervention

A. Total number of patients ages 18 and older who A.) Were seen after their 18th birthday and B.) Had at least one preventive visit or two medical visits during the reporting period 26.99%
1. Patients who were screened for tobacco use during their most recent visit or during the 24 months prior to their most recent visit and received tobacco cessation counseling intervention and/or pharmacotherapy if identified as a tobacco user. 93.02%

Use of Appropriate Medications for Asthma

A. Total number of patients ages 5 to 64 who A.) Had at least one medical visits during the reporting period and B.) Have an active diagnosis of persistent asthma and C.) Are not excluded for use of appropriate medications for asthma. 0.84%
1. Patients who received a prescription for or were provided an inhaled corticosteroid or accepted alternative medication. 100%

Coronary Artery Disease (CAD): Lipid Therapy

A. ############################################################ 1.36%
1. Patients who were prescribed or taking lipid lowering therapy. 92.31%

Ischemic Vascular Disease (IVD): Use of Aspirin and Antithrombotic

A. ############################################################ 2.09%
1. Patients with aspirin or other antithrombotic therapy. 75%

Colorectal Cancer Screening

A. Total number of patients ages 50 to 75 who A.) Had at least one medical visit during the reporting period. 16.32%
1. Patients with appropriate screening for colorectal cancer. 38.46%

 HIV Linkage to Care

A. Total number of patients whose first ever HIV diagnosis was made by the health center staff between October 1 of the prior year and September 30 of the measurement year. 0%
1. Patients who were seen for follow-up within 90 days of that first ever diagnosis by health center provider who initiates treatment for HIV or a visit with a referral resource who initiates treatment for HIV. 0%

Screening for Clinical Depression and Follow-Up Plan

A. Total number of patients ages 12 and older who had at least one medical visit during the reporting period. 56.8%
1. Patients who were screened for depression and, if positive, had a follow-up plan documented. 30.39%

Rendering Location: West Tulare

Childhood Immunization Status

A. Total number of children age 2 in reporting year 30.79%
1. 4 DTaP/DT 82.31%
2. 3 IPV 93.88%
3. 1 MMR 94.9%
4. 3 HiB 92.86%
5. 3 Hep B 94.56%
6. 1 VZV 94.22%
7. 4 Pneumococcal 85.03%
8. 1 Hep A 93.54%
9. 2 or 3 Rotavirus 87.07%
10. 2 Flu 66.33%
11. Combo 2 (All but Pneumococcal) 58.84%
12. Combo 3 (Fully Immunized) 58.16%

Cervical Cancer Screening

A. Total number of female patients ages 23 to 64 who A.) Had at least one medical visit during the reporting period and B.) Have not had a hysterectomy. 3.88%
1. Number of female patients who had a Pap Test in the Past 3 Years. 53.54%

Weight Assessment and Counseling for Nutrition and Physical Activity of Children & Adolescent

A. Total number of children ages 3 to 17 who A.) Were first seen prior to their 17th birthday and B.) Had a medical visit during the reporting period and C.) Are not pregnant 3.37%
1. Patients who A.) Had BMI Percentile documented and B.) Received counseling for nutrition and C.) Received counseling for physical activity during the reporting period 41.45%

Body Mass Index (BMI) Screening and Follow Up

A. Total number of patients ages 18 and older who A.) Were seen after their 18th birthday and B.) Had at least one medical visit during the reporting period and C.) Are not pregnant and D.) Are not excluded for BMI 7.09%
1. Patients who A.) Had BMI documented during their most recent visit or within the 6 months prior to that visit. and B.) If the most recent BMI is outside parameters, a follow-up plan is documented. 25.96%

Tobacco Use: Screening and Cessation Intervention

A. Total number of patients ages 18 and older who A.) Were seen after their 18th birthday and B.) Had at least one preventive visit or two medical visits during the reporting period 3.7%
1. Patients who were screened for tobacco use during their most recent visit or during the 24 months prior to their most recent visit and received tobacco cessation counseling intervention and/or pharmacotherapy if identified as a tobacco user. 92.84%

Use of Appropriate Medications for Asthma

A. Total number of patients ages 5 to 64 who A.) Had at least one medical visits during the reporting period and B.) Have an active diagnosis of persistent asthma and C.) Are not excluded for use of appropriate medications for asthma. 0.4%
1. Patients who received a prescription for or were provided an inhaled corticosteroid or accepted alternative medication. 97.74%

Coronary Artery Disease (CAD): Lipid Therapy

A. ############################################################ 0.24%
1. Patients who were prescribed or taking lipid lowering therapy. 81.97%

Ischemic Vascular Disease (IVD): Use of Aspirin and Antithrombotic

A. ############################################################ 0.31%
1. Patients with aspirin or other antithrombotic therapy. 74.29%

Colorectal Cancer Screening

A. Total number of patients ages 50 to 75 who A.) Had at least one medical visit during the reporting period. 2.59%
1. Patients with appropriate screening for colorectal cancer. 40.69%

 HIV Linkage to Care

A. Total number of patients whose first ever HIV diagnosis was made by the health center staff between October 1 of the prior year and September 30 of the measurement year. 0%
1. Patients who were seen for follow-up within 90 days of that first ever diagnosis by health center provider who initiates treatment for HIV or a visit with a referral resource who initiates treatment for HIV. 0%

Screening for Clinical Depression and Follow-Up Plan

A. Total number of patients ages 12 and older who had at least one medical visit during the reporting period. 8.88%
1. Patients who were screened for depression and, if positive, had a follow-up plan documented. 13.57%

Results from patient Surveys

Quarter 4 2016 (10/1/16 - 12/31/16)

Survey Questions

Are you able to see your Provider when you need to? 73.33%
When you call your Provider with a medical question do you get an answer on that same day? 64.29%

Meaningful Use Results

Quarter 3 2016 (7/1/2016 - 9/30/2016)

Meaningful Use

Providers perform medication reconciliation for more than 50% of transitions of care 50.26%
Providers perform laboratory orders electronically for more than 30% of the time 89.53%
Providers review drug formularies and electronically submit prescriptions for more than 50% of prescriptions 89.71%