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Bronx Community Health Needs Assessment

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Bronx Community Health Needs Assessment Queens Health Provider Partnership Community Needs Assessment Appendix B. Tables and Charts DRAFT September 5, 2014 Prepared by: 0 Contents SECTION A (Tables Within Community Needs Assessment) ......................................................................... 5 Table 1. Queens Hospitals ............................................................................................................................. 5 Table 2. Queens Service Area Clinics ............................................................................................................ 5 Table 3. Total Population, by Age Group, for Population with No Health Insurance ................................... 7 Table 4. Total Population, by Age Group, for Population With Medicaid/Low Income Medical Assistance ...................................................................................................................................................................... 7 Table 5. Total Population, by Age Group, for Population With Other Insurance ......................................... 8 Table 6. Nativity By Insurance Status ............................................................................................................ 9 Table 7. Populations with Low English Proficiency ....................................................................................... 9 Table 8. Languages Spoken At Home Among Populations with Low English Proficiency With No Health Insurance ..................................................................................................................................................... 10 Table 9. Top Places of Birth Among Foreign Born With No Health Insurance ............................................ 12 Table 10. Top Places of Birth Among Foreign Born with Medicaid/Low Income Medical Assistance ........ 13 Table 11. Educational Attainment for Population with No Health Insurance ............................................ 16 Table 12. Educational Attainment for Population With Medicaid/Low Income Medical Assistance ......... 16 Table 13. Educational Attainment for Population With Other Insurance .................................................. 16 Table 14. Percentage of Renter Households Considered Severe Crowding ............................................... 17 Table 15. Serious Housing Violations by Community District ..................................................................... 18 Table 16. Domain 2.a Metrics. Implementation of Care Coordination and Transitional Care Programs ... 19 Table 17. Risk Adjusted Expected Rates by Major Composite Measure Groupings ................................... 20 Table 18. Risk Adjusted Expected Rates by ACS Chronic Conditions Composite Measures ....................... 20 Table 19. PQI Indicators and Observed/Expected Ratios ........................................................................... 22 Table 20. Potentially Preventable Hospital Visits Among Medicaid Beneficiaries By Region .................... 24 Table 21. Potentially Preventable Readmission (PPR), Queens hospitals .................................................. 25 Table 22. Medicaid Fee for Service Spending by Clinical Risk Grouping Stratification ............................... 26 Table 23 - Correlation Matrix of Clinical Risk Group Conditions Among the Health Home Population ..... 27 Table 24 - Emergency Department and Primary Care Utilization by Medicaid Plan Type ......................... 27 Table 25. Hospital Utilization Among Medicaid Beneficiaries with Asthma ............................................... 29 Table 26. Mental Health Readmissions within 30 Days Among Medicaid Fee for Service Beneficiaries ... 30 Table 27. Mental Health Outpatient Service within 30 Days of Discharge post Mental Health Inpatient Episode Among Adult Medicaid Fee for Service Beneficiaries ................................................................... 31 1 Queens CNA Report Appendix B. Tables and Charts October 2, 2014 Table 28. Mental Health Outpatient Service Follow-up and Continuity of Care post Mental Health Inpatient Episode Among Adult Medicaid Fee for Service Beneficiaries .................................................... 31 Table 29. Medication Fill Rates post Mental Health Discharge Among Medicaid Fee for Service Beneficiaries ................................................................................................................................................ 32 Table 30. Hospital Utilization Among Medicaid Beneficiaries with a Mental Health Condition ................ 32 Table 31. Substance Use Disorder: Readmissions and Other Metrics Among Medicaid Fee For Service Beneficiaries ................................................................................................................................................ 33 Table 32. Hospital Utilization Among Medicaid Beneficiaries with a Substance Abuse Condition ............ 35 Table 33. Hospital Utilization Among Medicaid Beneficiaries with Diabetes ............................................. 36 Table 34. Hospital Utilization Among Medicaid Beneficiaries with a Cardiovascular Condition ................ 37 Domain 3 Metrics: Clinical Improvement: .................................................................................................. 38 Table 35. Domain 3 Metrics, Behavioral Health ......................................................................................... 38 Table 36. Domain 3: Behavioral Health Metrics at uhf neighborhood level.............................................. 39 Table 37. Select Medicaid Managed Care Clinical Improvement Measures: Mental Health ..................... 40 Table 38. Domain 3 Metrics, Diabetes Mellitus .......................................................................................... 41 Table 39. Domain 3: Diabetes Metrics at UHF Neighborhood Level ......................................................... 42 Table 40. Domain 3 Metrics, Cardiovascular Disease ................................................................................. 43 Table 41. Select Clinical Improvement Measures, Asthma......................................................................... 44 Table 42. Select Clinical Improvement Measures, HIV/AIDS ...................................................................... 44 Table 43. Domain 3: HIV/AIDS Metrics at UHF Neighborhood Level ......................................................... 45 Table 44. Select Clinical Measures, Perinatal Care ..................................................................................... 46 Table 45. Domain 3: Perinatal Care Metrics At UHF Neighborhood Level ................................................ 47 Table 46. Select Clinical Improvement Measures, Renal Care .................................................................... 48 Table 47. Domain 3: Other Clinical Improvement Process Metrics ........................................................... 49 SECTION B (Other Tables) .......................................................................................................................... 50 Table 1. Managed Care Organizations ........................................................................................................ 50 Table 2. Domain 2.b Metrics ....................................................................................................................... 50 Table 3. Total Population, by Gender ......................................................................................................... 51 Table 4. Total Population, by Gender And Insurance Status ...................................................................... 51 Table 5. Total Population, by Gender , Insurance Status And PUMA Neighborhood ................................. 51 Table 6. Total Population, by Age ............................................................................................................... 52 Table 7. Total Population, by Race/Ethnicity .............................................................................................. 53 2 Queens CNA Report Appendix B. Tables and Charts October 2, 2014 Table 8. Race/Ethnicity for Population with No Health Insurance ............................................................. 54 Table 9. Race/Ethnicity for Population With Medicaid/Low Income Medical Assistance .......................... 54 Table 10. Race/Ethnicity for Population With Other Insurance ................................................................. 55 Table 11. Income ......................................................................................................................................... 55 Table 12. Educational Attainment .............................................................................................................. 55 Table 13. Immigration and Citizenship Status ............................................................................................ 55 Table 14. English Proficiency ....................................................................................................................... 56 Table 15. Household Type ........................................................................................................................... 56 Table 16. Insurance Status .......................................................................................................................... 57 Table 17. Incarceration ..............................................................................................................................
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