Primary Care Office (PCO) Data Overview MDOT May 20, 2015 NA-ECP Meeting

Transcription

1 Primary Care Office (PCO) Data Overview MDOT May 20, 2015 NA-ECP Meeting Elizabeth Vaidya PCO Director Office of Primary Care Access

2 MISSION Maryland Primary Care Office (PCO) A federally funded program which is housed within the Maryland government to improve access to health care services for all Maryland residents. 2

3 PCO Principal Functions Shortage Designations Workforce Development Community Engagement Data Collection Technical Assistance: Data, Maps, etc. 3

4 Shortage Designations Geographic Special Populations Contiguous Area Access Geographic Special Populations Health Professional Shortage Areas (HPSA) Medically Underserved Areas/Medically Underserved Populations (MUA/MUP) Primary Care (3500:1 or 3000:1) Dental Health (5000:1 or 4000:1) Mental Health (30,000:1 psych) or, (9,000:1 psych and CMHP), or (6,000:1 CMHP and 20,000:1 Psych) Primary Care (3500:1 or 3000:1) Facility Type Correctional Institutions/Youth Detentions, Public/Non-Profit Private Facilities, and State/County Mental Hospitals Primary Care Dental Health Mental Health 4

5 Benefits of Designation Component for Eligibility for certain HRSA Grants like: Federally Qualified Health Center or Look-Alike applications Rural Health Center applications CMS Bonuses for Providers Area Health Education Centers National Health Service Corps loan repayment and scholarship programs Maryland state loan repayment program J-1 Visa Waiver & National Interest Waiver Programs 5

6 Shortage Designation: Types of Providers Primary Care Providers General Practice General Internal Medicine Mental Health Providers Psychiatrist Clinical Psychologist Dentists (DDS or DMD) General Dentistry Family Practice Pediatrics Obstetrics and Gynecology Nurses Physician Assistants Clinical Social Worker Psychiatric Nurse Specialist Marriage/Family Therapist Licensed Clinical Professional Counselor Pediatric Dentistry 6

7 Primary Care & Mental Health Provider Data Overview Data Needed: Provider Name Provider Type Number of hours rendering service Site location(s) Accept Medicaid, Medicare, Federal Sliding Fee Scale (SFS) Medicaid Claims Waiting time for an appt for established and first time patients Accepts new patients Provider s % of Patients with Medicaid and SFS Maryland Board of Physicians Provides: Everything except waiting time for patients and % of Medicaid and SFS patients Maryland Medicaid Provides: Primary Care and Mental Health Medicaid Claims Number of residents eligible for Maryland Medicaid per county. 7

8 Primary & Mental Health Data Provider Concerns Not able to do low income population or insufficient capacity designations Only physician data is provided, need data for: Clinical Psychologists Clinical Social Workers Nurses Marriage and Family Therapists Physician Assistants 8

9 Dental Provider Data Overview Data Needed: Provider s Name Provider Type Dental Medicaid Claims Accepts new patients Waiting time for an appt for established and first time patients Number of hours rendering services Site location(s) Number of Auxiliaries Dentist s Age Accept Medicaid, Medicare, Federal Sliding Fee Scale (SFS) Provider s % of Patients with Medicaid and SFS Maryland Board of Dental Examiners Provides: Name of Dentist Provider Type Address which can be either home or site location License Status Maryland Medicaid Provides: Dental Medicaid Claims 9

10 Dental Data Provider Concerns Not able to do geographic, low income population or insufficient capacity designations Rely on community with limited resources to do surveying Inaccurate site locations causes provider to patient ratios to be incorrect 10

11 Data Sources Maryland Board of Physicians data Maryland Board of Physicians data Maryland Vital Statistics Medicaid Claims, Hilltop Institute Maryland Medicaid ehealth Statistics Claritas data Annual Report, Homeless Services in Maryland Maryland Board of Dental Examiners Maryland Transit Administration Washington Metro Transit Maryland Alcohol and Drug Abuse Administration Adolescent Outlook and Outcomes Community Surveys Medicaid Sanctioned Providers Oral Health Program, Water Fluoride Levels GIS Jurisdictional Areas Census Bureau Tourists/Seasonal Residents from Community 11

12 Contact Information Elizabeth Vaidya, PCO Director (410) Primary Care Office OPCA-PHPA-DHMH 201 West Preston Street Baltimore, MD PCO Website: 13