1. NCUIH DATA STANDARDS BASELINE SURVEY MAY 17, 2015 05/17/2015 1

2. As reported: Full 16 Limited 6 Outreach 8 05/17/2015 2

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5. STAFFING N=27 05/17/2015 5

6. DEFINITIONS/NOTES Title V & 4:1 staff positions paid for with Title V and 4:1 funds. The survey instrument included both the total FTE and the proportion of FTE paid with Title V & 4:1. For example, a UIHP could have 4 FTEs for nurses, and use Title V and 4:1 funds to pay for 2.4. Other: FTEs funded with other funding sources *Limited: Two limited programs are not included in staffing data, the staffing questions were revised after they submitted Program Type Definitions (77 FR 37415) Full Ambulatory: an organization that has a provider on staff at least 40 hours per week Limited Ambulatory: an organization that has a provider on staff less than 40 hours per week 05/17/2015 6

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24. OVERHEAD & BILLING N=29 05/17/2015 24

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28. MEDICAL SERVICES N=29, MULTIPLE ANSWERS POSSIBLE 05/17/2015 28

29. MET: 1. GOOD GLYCEMIC CONTROL 2. CHILDHOOD IMMUNIZATIONS NOT MET 3. DEPRESSION SCREENING GPRAMA MEASURES FROM 2013 URBAN REPORT: 05/17/2015 29

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33. 33 05/17/2015

34. 34 05/17/2015

35. 35 05/17/2015

36. 36 05/17/2015

37. 37 05/17/2015

38. DATA LIMITATIONS Program Type Adjusted <100% response rate Not weighted for program size 05/17/2015 38 As ReportedPer IHS LimitedFull LimitedFull Outreach & ReferralFull Outreach & ReferralFull

39. EHR, ACCREDITATION & PCMH 39 05/17/2015

40. 40 05/17/2015

41. 41 05/17/2015

42. 42 05/17/2015

43. 43 05/17/2015

44. 44 05/17/2015