2012YTD ICC Use and Capacity Survey August 1, 2012
Table of Content Survey Respondents (Organizations/Clinics) Patient Eligibility Requirements Sources of Funding Distinct Physical Locations Current Capacity Provider FTE Shortages Average Available Appointments per Week Appointment Fill Rate Ancillary Medical Services Enabling Services Patient Languages After-Hours Locations and Services Average Wait for an Appointment 2
Survey Respondents Seton Community Health Center Children s Care-A-Van Lone Star Circle of Care CommUnityCare People s Community Clinic El Buen Samaritano Volunteer Health Clinic Austin Travis County Integral Care 3
Patient Eligibility Requirements All clinics are accepting new patients 7 responded they serve patients of all ages, while 1 reported they serve pediatric patients ONLY (0-18 years) Residency 60% of clinics require Travis County residency 40% of clinics have no county residency requirements Income Restrictions Include the following break-down: (Percent of the Federal Poverty Level) 100% to 250% of the FPL (1 respondents) Up to 200% FPL (1 respondents) Accept all patients (6 respondents) Note: n=8 4
Sources of Funding Patient Payment Type Sliding Scale 25% Fixed 12.5% Both 50% Not Required 12.5% Note: YTD 5/2012; n=8 Total # Encounters % Funding Category Funding % Total Local Funding Central Health Payment for MAP enrollees 91,547 26% 13% Central Health Payment for Self Funded 17,763 5% 2% Seton Care Plus 5,080 1% 1% Payment from Unfunded (Self-Pay) 222,335 63% 31% Other 17,773 5% 2% Total Local Funding 354,498 100% 49% State/Federal Funding Children's Health Insurance Program (CHIP) 48,755 15% 7% Medicare 43,062 13% 6% Medicaid 61,273 19% 9% Medicaid Managed Care 142,383 44% 20% Title V (Family Planning and Prenatal/Dental, X, XX 21,960 7% 3% Other 7,572 2% 1% Total State/Federal Funding 325,005 100% 45% Private Funding Private Insurance 29,246 76% 4% No Payment Required 5,260 14% 1% Charity Write-Offs 3,861 10% 1% Total Private Funding 38,367 100% 5% 5
Sources of Funding 5% 49% 5% 26% Central Health Map Central Health Self- Funded 45% Local State Private 63% 1% 5% Local Seton Care Plus Self Pay Other 7% 2% 15% 13% CHIP Medicare 14% 10% Private Insurance Medicaid No Payment Required 44% State 19% Medicaid Management Care Title V, X, XXX Family Planning and Dental Other Note: YTD 5/2012; n=8 76% Charity Write-Offs Private 6
Distinct Physical Locations Children's Care- A-Van, 2 Seton Community Clinics, 3 Volunteer, 1 ATCIC, 3 LSCC, 13 Note: YTD 5/2012; n=8 CommUnityCare, 22 People's Community Clinic, 5 El Buen Samaritano, 1 7
Current Capacity 3 clinics reported having wait lists representing a total of 600 patients Services with wait list: Adult Services Child and Family Intellectual and Development Disabilities Pediatric Care Family Planning Dental 2 clinics reported turning away approximately 440 patients Note: YTD 5/2012; n=8 8
Provider FTE Shortages Provider Type FP IM Pedi OB MH Dental Other MD 1 1 - - 2 - - Mid-Levels 1 - - - 1 - - Nurses 2 - - - 1 - - Social Workers - - - - - 1 - Educators - - - - - - - Other 2 2 3 2 2 2 - Other includes: Bilingual Technology Medical and Front Desk Note: YTD 5/2012; n=8 9
Total Available Appointments per Week 3,500 3,000 2,500 2,000 FP IM Pedi OB MH Dental Other 1,500 1,000 500 - MD Mid-Levels Nurses Social Workers Educators Other Avg # of Available Appointment Slots FP IM Pedi OB MH Dental Other MD 3,188 1,900 3,590 2,418 1,021 2,588 323 Mid-Levels 3,055 125 1,118 1,033 45 176 231 Nurses 780 276 127 20 420-7 Social Workers 60-350 - 1,127-38 Educators 25 - - - - - 1 Other 10 - - 36 336 146 497 10
Appointment Fill Rate 120.0% 100.0% 80.0% 96.8% 92.9% 81.9% 87.3% 79.8% 104.3% 89.6% 60.0% 40.0% 20.0% 0.0% FP IM Pedi OB MH Dental Other Across organizations the average no show rate was16.7% 63% of organizations reported double booking appointments 11
Ancillary Medical Services Offered 100% 80% 100% 88% 60% 40% 20% 0% 38% 38% Pharmacy Radiology Lab Other Pharmacy is the only service offered by all organizations Other includes services other than pharmacy, radiology and lab Note: n=8 12
Enabling Services that are Offered or Referred Enabling Services Offered Referred Outreach 7 Financial Program Screening 8 Financial Program Application Assistance 8 Nutrition 5 2 PharmD Education 5 1 WIC 1 5 Transportation (Taxi, vouchers, van) 4 2 Case Management 7 1 Health Education 8 1 Tobacco Cessation Education 5 4 ATCIC offers and refers health education and tobacco cessation education Note: n=8 13
Patient Languages 3% English Spanish Other 45% 53% Other Languages Include: American Sign Language Arabic Korean Vietnamese Note: n=8 14
After-Hours Locations and Services Organization Location ZIP Service Line LSCC Ben White Health Clinic 78704 Family Practice LSCC Ben White Health Clinic 78704 Family Practice LSCC Ben White Health Clinic 78704 Mental Health LSCC Lake Aire Medical Center 78628 Mental Health LSCC Lake Aire Medical Center 78628 Mental Health LSCC Lake Aire Medical Center 78628 Family Practice LSCC Lake Aire Medical Center 78628 Family Practice LSCC Lake Aire Medical Center 78628 Dental LSCC Lake Aire Medical Center 78628 Pediatrics LSCC Lake Aire Medical Center 78628 Pediatrics LSCC LSCC Behavioral Health at Harker Heights 76548 Mental Health LSCC Round Rock Health Clinic 78664 Mental Health LSCC Round Rock Health Clinic 78664 Family Practice LSCC Circle of Care - TAMHSC 78665 Pediatrics LSCC Circle of Care - TAMHSC 78665 Pediatrics LSCC Circle of Care - TAMHSC 78665 Family Practice LSCC Circle of Care - TAMHSC 78665 Family Practice LSCC Lone Star Circle of Care OB/GYN 78681 OB Seton Seton Topfer Clinic 78758 Primary Care Volunteer Healthcare Clinic Volunteer Healthcare Clinic 78756 All Volunteer Healthcare Clinic VHC - Well Women's Day 78756 All (Twice a Year) Volunteer Healthcare Clinic VHC - Healthy Kid's Day 78756 All (Once a Year) Day Monday - Friday Saturday Tuesday Monday, Tuesday Monday - Friday Monday - Friday Monday - Friday Monday - Friday Saturday Tuesday Tuesday and Monday - Friday Monday - Friday Saturday Monday - Friday Saturday Monday - Friday Mon, Wed, Sat Mon, Tues, Thurs Saturday Saturday Hours 5 pm - 8 pm 9 am - 1 pm 5 pm - 7 pm 5 pm - 8 pm 5 pm - 7 pm 7:30 am - 8 am 5 pm - 7 pm 5 pm - 6 pm 5 pm - 8 pm 9 am - 1 pm 5 pm - 7 pm 5 pm - 8 pm 5 pm - 8 pm 5 pm - 8 pm 9 am - 1 pm 5 pm - 8 pm 9 am - 1 pm 7:30 am - 8 am 6 am-9 pm and 9 am-1 pm 6 pm - 10 pm 9 am - 1 pm 9 am - 1 pm 15
After-Hours Locations and Services Organization Location ZIP Service Line ATCIC Crisis Hotline 472-HELP (Hotline) ATCIC Psychiatric Emergency Services 472-HELP (Hotline) ATCIC Mobile Crisis Outreach 472-HELP (Hotline) El Buen El Buen Samaritano 78745 Family Practice El Buen El Buen Samaritano 78745 Family Practice PCC People's Community Clinic 78722 Pedi, Adult, FP, OB PCC People's Community Clinic 78722 Pedi, Adult, OB CommUnityCare Hancock Center 78751 Walk-in Care CommUnityCare William Cannon Health Center 78744 Walk-in Care CommUnityCare South Austin 78704 Primary Care CommUnityCare South Austin 78704 Primary Care CommUnityCare Ben White Dental 78704 Dental CommUnityCare David Powell 78751 HIV Care Day Sunday - Saturday Sunday - Saturday Mon - Fri; Sat & Sun Monday - Thursday Saturday Monday - Thursday Saturday Daily Mon - Sat Sat Mon - Thur Mon - Fri Tue, Wed Hours 24 hours/day 24 hours/day 8 am - 10 pm (M-F); 10 am - 8 pm (Sat & Sun).; On call 24/7 5 pm - 9 pm 8 am - 12 pm 8 am - 8 pm 8 am - 8 pm 9 am - 5 pm 6:50 am - 7 pm 7:30 am - 6 pm 7:45 am - 7 pm 16
After-Hours by County 17
After Hours by County and Zip 18
After-Hours by Zip Travis 19
After-Hours by Zip Travis and Williamson 20
Clinic System by County 21
Clinic System By Zip 22
After-Hours Service Line All Counties 23
After-Hours Service Line Travis and Williamson
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