1. FY 2012 State and Regional Primary Care Associations (PCA) Funding Opportunity Announcement (FOA) Data Clarification TA Call April 5, 2012

2. Overview Health Center Conditions Report State Performance Profile A.Health Center Program Requirement Goal B.Clinical Performance Improvement Goals B2. Financial Performance Improvement Goals 2

3. Health Center Conditions Report Number of Health Center Programs Grantees with Conditions State Total number of unique grantees with conditions7 Health Center Program Conditions# of grantees** R.1.1 Updated Needs Assessment1 R.2.2 Documentation of After Hours Coverage1 R.2.4 Revised Sliding Fee Scale Discount Plan1 R.3.1 Revised Clinical Performance Measures Forms2 R.3.1 Revised Financial Performance Measures Forms2 R.4.1 Board Approved Continuity of Care Plan1 R.5.1 Contractual/Affiliation Agreements1 R.5.4 Board Approved Corrective Action Plan to Address Audit Findings1 R.5.5 Documentation of Accounting Policies and Procedures1 R.6.1 Revised Board Approved Budget1 R.7.1 Documentation of Appropriate Board Authority2 R.7.3 Board Approved Plan for Recruiting a Representative Patient Majority1 Conditions related to the 19 key program requirements can be found at http://bphc.hrsa.gov/about/requirements/index.html http://bphc.hrsa.gov/about/requirements/index.html A grantee can have multiple conditions (do not add the last column to total unique grantees) 3

4. Health Center Program Requirement Goal Metric: % of Health Center Program grantees with no program conditions on their Notice of Awards (NoAs) Definition: Currently funded H80 Grantees that do not have any program conditions in the last 12 months –Program conditions relate to compliance with the 19 key program requirements (http://www.bphc.hrsa.gov/about/requirements/index.html)http://www.bphc.hrsa.gov/about/requirements/index.html 4

5. Clinic Performance Improvement Goals Metric: % of Health Center Program grantees in the state/region that meet or exceed performance on one or more Healthy People (HP) 2020 performance measure goal(s) Definition: Met or exceeded the ‘Healthy People (HP) 2020’ performance measure goals on at least one of the clinical measures Formula: 5

6. Clinical Performance Improvement Goals (cont’d) Metric: % Children Immunized is 80.0% or higher Definition: Met or exceeded the HP 2020 performance measure goal(s) of 80.0% or higher for ‘% Children Immunized’ clinical measure in the 2010 UDS Formula: 6

7. Clinical Performance Improvement Goals (cont’d) Metric: % Diabetic Patients with HbA1c less than or equal to 9% is 85.4% or higher Definition: Met or exceeded the HP 2020 performance measure goal(s) of 85.4% or higher for ‘% Diabetic Patients with HbA1c less than or equal to 9%’ clinical measure in the 2010 UDS Formula: 7

8. Clinical Performance Improvement Goals (cont’d) Metric: % Female Patients with PAP Test is 93.0% or higher Definition: Met or exceeded the HP 2020 performance measure goal(s) of 93.0% or higher for ‘% Female Patients with PAP Test’ clinical measure in the 2010 UDS Formula: 8

9. Clinical Performance Improvement Goals (cont’d) Metric: % Hypertensive Patients with BP less than 140/90 is 61.2% or higher Definition: Met or exceeded the HP 2020 performance measure goal(s) of 61.2% or higher for ‘% Hypertensive Patients with BP less than 140/90’ clinical measure in the 2010 UDS Formula: 9

10. Clinical Performance Improvement Goals (cont’d) Metric: % Low Birth Weight is 7.8% or lower Definition: Met or exceeded the HP 2020 performance measure goal(s) of 7.8% or lower for ‘% Low Birth Weight’ clinical measure in the 2010 UDS Formula: 10

11. Clinical Performance Improvement Goals (cont’d) Metric: % Prenatal Patients Served in the 1st Trimester is 77.9% or higher Definition: Met or exceeded the HP 2020 performance measure goal(s) of 77.9% or higher for ‘% Prenatal Patients Served in the 1st Trimester’ clinical measure in the 2010 UDS Formula: 11

12. Clinical Performance Improvement Goals (cont’d) Metric: % of Health Center Program grantees with Patient-Centered Medical Home (PCMH) recognition Definition: Grantees as of March 12, 2012 that currently have PCMH recognition for at least one site. Only sites recognized within the past 3 years will be considered to be PCMH recognized. Data includes PCMH Recognition through NCQA, The Joint Commission, and AAAHC. Formula: 12

13. Financial Performance Improvement Goals Metric: % of Health Center Program grantees with cost increase less than National average Definition: Grantees whose ‘percent increase in cost per patient’ is less than the CMS National Health Expenditure rate (NHE) –The CMS NHE is 3.94% ( http://www.cms.gov/NationalHealthExpendData/03_NationalHealth AccountsProjected.asp#TopOfPage) http://www.cms.gov/NationalHealthExpendData/03_NationalHealth AccountsProjected.asp#TopOfPage Formula: 13

14. Financial Performance Improvement Goals (cont’d) Metric: % of Health Center Program grantees without going concern issues Definition: Grantees that currently have no going concern issues identified in their audit report for the 2010 submission year and the report has been reviewed as of March 28, 2012 Formula: 14