| PRIMARY MEDICAL CARE
SERVICES |
| 1. General Primary Medical Care (other
than listed below) |
100.0% |
0.0% |
11.1% |
100.0% |
| 2. Diagnostic Laboratory (technical
component) |
44.4% |
44.4% |
94.4% |
100.0% |
| 3. Diagnostic X-Ray Procedures (technical
component) |
5.6% |
22.2% |
94.4% |
100.0% |
| 4. Diagnostic Tests/Screenings (professional
component) |
66.7% |
16.7% |
77.8% |
100.0% |
| 5. Emergency medical services |
50.0% |
0.0% |
77.8% |
100.0% |
| 6. Urgent medical care |
83.3% |
0.0% |
55.6% |
100.0% |
| 7. 24-hour coverage |
94.4% |
11.1% |
33.3% |
100.0% |
| 8. Family Planning |
88.9% |
0.0% |
44.4% |
100.0% |
| 9. HIV testing and counseling |
94.4% |
5.6% |
61.1% |
100.0% |
| 10. Testing for Blood Lead Levels |
72.2% |
5.6% |
61.1% |
100.0% |
| 11. Immunizations |
100.0% |
0.0% |
16.7% |
100.0% |
| 12. Following hospitalized patients |
88.9% |
16.7% |
61.1% |
100.0% |
| OBSTETRICAL AND GYNECOLOGICAL
CARE |
| 13. Gynecological Care |
94.4% |
5.6% |
33.3% |
100.0% |
| 14. Prenatal care |
77.8% |
0.0% |
33.3% |
100.0% |
| 15. Antepartum fetal assessment |
55.6% |
0.0% |
66.7% |
100.0% |
| 16. Ultrasound |
33.3% |
11.1% |
94.4% |
100.0% |
| 17. Genetic counseling and testing |
11.1% |
0.0% |
94.4% |
100.0% |
| 18. Amniocentesis |
5.6% |
0.0% |
94.4% |
100.0% |
| 19. Labor and delivery professional
care |
50.0% |
11.1% |
66.7% |
94.4% |
| 20. Postpartum care |
72.2% |
5.6% |
33.3% |
100.0% |
| SPECIALTY MEDICAL
CARE |
| 21. Directly observed TB therapy |
11.1% |
0.0% |
94.4% |
100.0% |
| 22. Respite Care |
0.0% |
0.0% |
100.0% |
100.0% |
| 23. Other Specialty Care |
38.9% |
22.2% |
94.4% |
100.0% |
| DENTAL CARE SERVICES |
| 24. Dental Care - Preventive |
72.2% |
0.0% |
33.3% |
100.0% |
| 25. Dental Care - Restorative |
66.7% |
0.0% |
33.3% |
100.0% |
| 26. Dental Care - Emergency |
72.2% |
0.0% |
50.0% |
100.0% |
| 27. Dental Care - Rehabilitative |
55.6% |
0.0% |
55.6% |
100.0% |
| MENTAL HEALTH/SUBSTANCE
ABUSE SERVICES |
| 28. Mental Health Treatment/Counseling |
88.9% |
5.6% |
77.8% |
100.0% |
| 29. Developmental Screening |
77.8% |
5.6% |
83.3% |
100.0% |
| 30. 24-hour Crisis Intervention/Counseling |
5.6% |
0.0% |
100.0% |
100.0% |
| 31. Other Mental Health Services |
38.9% |
5.6% |
88.9% |
100.0% |
| 32. Substance Abuse Treatment/Counseling |
55.6% |
5.6% |
83.3% |
100.0% |
| 33. Other Substance Abuse Services |
33.3% |
11.1% |
88.9% |
100.0% |
| 33a. Comprehensive mental health / Substance
abuse screening |
50.0% |
0.0% |
77.8% |
100.0% |
| OTHER PROFESSIONAL
SERVICES |
| 34. Hearing Screening |
94.4% |
0.0% |
50.0% |
100.0% |
| 35. Nutrition Services Other than WIC |
88.9% |
0.0% |
50.0% |
100.0% |
| 36. Occupational or Vocational Therapy |
0.0% |
0.0% |
100.0% |
100.0% |
| 37. Physical Therapy |
0.0% |
0.0% |
100.0% |
100.0% |
| 38. Pharmacy - Licensed Pharmacy staffed
by Registered Pharmacist |
5.6% |
16.7% |
77.8% |
94.4% |
| 39. Pharmacy - Provider Dispensing |
44.4% |
11.1% |
61.1% |
94.4% |
| Total Pharmacy |
44.4% |
22.2% |
88.9% |
100.0% |
| 40. Vision Screening |
100.0% |
5.6% |
33.3% |
100.0% |
| 41. Podiatry |
61.1% |
11.1% |
55.6% |
100.0% |
| 42. Optometry |
16.7% |
5.6% |
94.4% |
100.0% |
| ENABLING SERVICES |
| 43. Case management |
94.4% |
0.0% |
38.9% |
100.0% |
| 44. Child Care (during visit to center) |
0.0% |
0.0% |
66.7% |
66.7% |
| 45. Discharge Planning |
61.1% |
0.0% |
50.0% |
100.0% |
| 46. Eligibility Assistance |
100.0% |
5.6% |
44.4% |
100.0% |
| 47. Environmental Health Risk Reduction
(via detection and/or alleviation) |
27.8% |
0.0% |
83.3% |
100.0% |
| 48. Health education |
100.0% |
0.0% |
38.9% |
100.0% |
| 49. Interpretation/Translation services |
94.4% |
50.0% |
22.2% |
100.0% |
| 50. Nursing home and assisted-living
placement |
11.1% |
0.0% |
77.8% |
88.9% |
| 51. Outreach |
100.0% |
0.0% |
33.3% |
100.0% |
| 52. Transportation |
50.0% |
22.2% |
72.2% |
100.0% |
| 53. Out Stationed Eligibility Workers |
77.8% |
5.6% |
27.8% |
100.0% |
| 54. Home Visiting |
55.6% |
0.0% |
61.1% |
100.0% |
| 55. Parenting Education |
88.9% |
0.0% |
55.6% |
100.0% |
| 56. Special Education Program |
22.2% |
0.0% |
83.3% |
88.9% |
| 57. Other |
5.6% |
0.0% |
0.0% |
5.6% |
| PREVENTATIVE SERVICES
RELATED TO TARGET CLINICAL AREAS |
| I. Cancer |
| 58. Pap Test |
94.4% |
5.6% |
27.8% |
100.0% |
| 59. Fecal occult blood test |
94.4% |
0.0% |
33.3% |
100.0% |
| 60. Sigmoidoscopy |
0.0% |
5.6% |
100.0% |
100.0% |
| 61. Colonoscopy |
5.6% |
11.1% |
100.0% |
100.0% |
| 62. Mammograms |
11.1% |
22.2% |
94.4% |
100.0% |
| 63. Smoking cessation program |
55.6% |
0.0% |
77.8% |
100.0% |
| II. Diabetes |
| 64. Glycosylated hemoglobin measurement
for people with diabetes |
88.9% |
0.0% |
66.7% |
100.0% |
| 65. Urinary microalbumin measurement
for people with diabetes |
61.1% |
5.6% |
61.1% |
100.0% |
| 66. Foot exam for people with diabetes |
100.0% |
5.6% |
50.0% |
100.0% |
| 67. Dilated eye exam for people with
diabetes |
33.3% |
5.6% |
77.8% |
94.4% |
| III. Cardiovascular
Disease |
| 68. Blood pressure monitoring |
100.0% |
0.0% |
11.1% |
100.0% |
| 69. Weight reduction program |
61.1% |
0.0% |
50.0% |
100.0% |
| 70. Blood cholesterol screening |
66.7% |
5.6% |
44.4% |
100.0% |
| IV. HIV/AIDS (See
line 9. HIV testing and counseling) |
| V. Infant Mortality
(See line 14. Prenatal Care) |
| 71. Follow-up testing and related health
care services for abnormal newborn bloodspot
screening |
55.6% |
0.0% |
77.8% |
94.4% |
| VI. Immunizations
(See line 11. Immunizations) |
| OTHER SERVICES |
| 72. WIC Services |
5.6% |
0.0% |
100.0% |
100.0% |
| 73. Head Start services |
11.1% |
0.0% |
94.4% |
94.4% |
| 74. Food bank/delivered meals |
11.1% |
0.0% |
94.4% |
94.4% |
| 75. Employment/Educational Counseling |
27.8% |
0.0% |
88.9% |
94.4% |
| 76. Assistance in obtaining housing |
55.6% |
0.0% |
83.3% |
94.4% |
