1

LCH Activity Report January 2014

2

Total Unduplicated Clients

LCH Clients (Unduplicated by fiscal year)

FY 10 FY 11 FY 12 FY 13 FY 14 -

1,000

2,000

3,000

4,000

5,000

6,000

4,843

4,050

4,7425,270

3,918

3

Total ClientsHealth Center and Community Services

LCH Clients (Unduplicated over the fiscal year)

Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun July Aug Sept

Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan0

100

200

300

400

500

600

700

800

900

1000

1100

1200

645

392

565

467

290350

436485

347276

316

230

901

701

503

796

360301

337

264 251308 274 274

1112

690

913

473

323283284

FY 2012 FY 2014 FY 2013

4

Community Services

LCH Clients (Unduplicated by fiscal year)

FY 10 FY 11 FY 12 FY 13 FY 14 -

500 1,000 1,500 2,000 2,500 3,000

2,946

2,024 2,404 2,481

1,778

FY 10 FY 11 FY 12 FY 13 FY 14 -

500 1,000 1,500 2,000 2,500 3,000

1,897 2,026 2,338

2,789 2,300

Health Center

5

LCH Clients (Unduplicated over the fiscal year)

Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May June July Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan0

100

200

300

400

500

600

700

800

413

256167 190 186 180 205 198

161 135 16187

574

425

283 254174 176 199

161113

165 145 120

740

446393

278

163 156 124

FY 2013 FY 2012

Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May June July Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan0

100

200

300

400

500

600

700

800

232

136

398

277

104170

231287

186141 155 143

327276

220

542

186125 138 103 138 143 129 154

372

244

520

195 160 127 160

FY 2013 FY 2013 FY 2012

Community Services

Health Center

6

Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan0

100

200

300

400

500

600

700

800

900

1000

314 353461 421

504

635 682

459

663

802

529598

752636

795730 778

846 872

721

879 858

715800 778

886 869

654 608

737

Health Center VisitsHealth Center Visits (NP)

FY 2012 FY 2013

Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan0

100

200

300

400

281

353294.17

374.16

308.59 314 327.42344.93

267321 300

252 267 291348

311

231 215256

Provider Hours

FY 2013

7

Health Center Visits by Quarter

Q1-FY12 Q2-FY12 Q3-FY12 Q4-FY12 Q1-FY13 Q2-FY13 Q3-FY13 Q4-FY13 Q1-FY14 Q2-FY14 Q3-FY140

500

1,000

1,500

2,000

2,500

3,000

667

1386

17761994 1986

23032439 2452 2464

2169

709

Health Center Visits, By Quarter

FY2012 FY2013 FY2014

8

Provider Capacity 2.5 Visits per hour * Capacity change to 3 visit per hour starting Sep 2013

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan0

100

200

300

400

327345

267

321300

252267

291

348

311

231215

256

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan -

0.50

1.00

1.50

2.00

2.50

3.00

3.50

2.58 2.53 2.70 2.74

2.86 2.84 2.99

2.67 2.54

2.79 2.83 2.83 2.88

Provider Hours Visits per Provider Hour

Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan0

200

400

600

800

1000

1200

598

752

636

795

730 778

865 872

721

879858

715800 778

886 869

654 608

737

Gap Target Visits Actual Visits

9

Health Center AppointmentsCancellations, Reschedules, No shows

Jul Aug Sep Oct NovDec Jan Feb MarAprMayJun Jul Aug Sep Oct NovDec Jan0

50

100

150

200

250

300

350

400

10

Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May

Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May

Jun Jul Aug Sep Oct Nov Dec Jan0

100

200

300

400

500

600

700

800

900

1000

412 426355

487 506 527

652716

676 681

810

709618

759

647

789716

776864 883

739

902 877

725801 778

886 869

654608

737

127 131 14199

148180 160 173 176

208 200 218287

227 203265 236

320273 243

344297 292

249 273 287 311

212

334264

No Shows vs. NP Visits

Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan0%

20%

40%

60%

80%

100%

30%24% 22%

17% 21% 24%18%

28%21% 22% 25% 28% 28% 28%

19%26% 24% 28% 24% 24%

30% 26%30%

24% 26% 24% 26% 24%35%

26%

% No Show - Total NP Visits

No Show Rates

11

Health Center Patient Demographics

Female

Male

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

67%

33%

FY 2014FY 2013FY 2012FY 2011 Latino

Other

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

90%

10%

FY 2014FY 2013FY 2012FY 2011

0 - 2 yr 3 - 5 yr 6 - 10 yr 11 - 13 yr 14 - 18 yr 19 - 24 yr 25 - 44 yr 45 - 64 yr 65+ yr0%

10%

20%

30%

40%

50%

60%

0% 1% 2% 2%5%

11%

52%

24%

2%

FY 2011FY 2012FY 2013FY 2014

By Gender By Race/Ethnicity

By Age

12

Health Center Patient Demographics

19348 Kennett

19390 West

Grove

19311 Avondale

19363 Oxford

19374 Tough

kenamon

13950 Landen

berg

19320 Coatesvi

lle

19362 Nottingham

19330 Cochran

ville

19352 Linco

ln University

Other0%

5%

10%

15%

20%

25%

30%

35%

40%

33%

13% 13% 14%

7%

4% 4%2% 2% 1%

7%

Top 10 Zip Codes

FY 2011FY 2012FY 2013FY 2014

CY 2011 information available from Aug to Dec

Other: PA 19380-19382 West Chester, 19365 Parkesburg, 19310 Atglen , 19318 Chatham DE 19805-19808 Wilmington, 19707 Hockessin, 19711 North Start 19720 New Castle

13

Health Center Payer Mix

Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan0%

5%

10%

15%

20%

25%

30%

35%

40%

22%19%

17%16%

29%

16%17%15%

17%15%14%

13%15%16%

13%14%15%16%17%16%

18%16%16%17%

20%18%18%

21%19%18%

21%

Patients with Insurance Coverage

FY2012 FY2013 FY2014

14

Health Exchange Marketplace Assistance

MONTH PERSONS ASSISTED

APPLICATIONS SUBMITTED

ELIGIBILITY DETERMINATION

PERSONS ENROLLED IN INSURANCE

October 2013 331 15 4 1

November 2013

544 17 2 2

December 2013

212 40 36 25

CUMULATIVE TOTAL

1,087 72 42 28

15

LCH Clinical Benchmarks Measurement

Jul Aug Sep Oct Nov Dec Jan35%

40%

45%

50%

55%

60%

65%

70%63.60%

59.90%57.90% 59.20% 57.90% 57.19% 55.00%58.90%

39.80%42.70%

Diabetics HBA1C < 7%

LCH UDS 2012 FQHC 2012 HP 2020

Jul Aug Sep Oct Nov Dec Jan50%

55%

60%

65%

70%

75%70.56% 69.85% 69.70% 68.70% 69.88% 69.66% 68.88%

61.20%63.60%65.20%

Hypertensive BP less than 140/90

LCH UDS 2012 FQHC 2012 HP 2020

16

LCH Clinical Benchmarks Measurement

Jul Aug Sep Oct Nov Dec Jan50%

60%

70%

80%

90%

76.40%80.00% 79.60% 79.60% 79.61% 78.61% 78.92%

93.00%

57.20%

54.40%

Pap test within last three years

LCH UDS 2012 FQHC 2012 HP 2020

Jul Aug Sep Oct Nov Dec Jan0%

10%

20%

30%

40%

50%

60%

70%

37.80% 41.50% 43.90% 45.00% 43.70% 43.81% 44.52%

21.10%

57.60%

37.00%

Tobacco cessation Intervention

LCH UDS 2012 FQHC 2012 HP 2020

17

LCH Clinical Benchmarks Measurement

Jul Aug Sep Oct Nov Dec Jan0%

30%

60%

90%

59.00% 60.50% 59.80% 62.20% 64.10% 64.34% 64.62%81.00%

Breast Cancer Screening

HP 2020

Jul Aug Sep Oct Nov Dec Jan0%1%2%3%4%5%6%7%8%9%

10%

4%2%

3% 3% 3%

5%4%

7.80%

7.10%

2.30%

Low Birth Weight Among Live Birth

LCH UDS 2012 FQHC 2011 HP 2020