2010-03-01 Park DuValle Health Center Analysis 2008

The Park DuValle Community Health Centers

Patient Characteristics in 2008

February 10, 2010 In Touch Information Services 1


The Distribution and Characteristics

of Patients in 2008

• Introduction and overview of the research

• Key findings for the general patient population in two geographic areas;

1) Louisville Metro

2) Louisville Metro and surrounding counties

• Key findings for pediatric patients in Louisville Metro and surrounding counties

• Key findings for each Park DuValle Health Center in 2008

• Stand-alone maps, charts and tables for every section of the analysis

• SPSS file of all geocoded patient records with 2000 Census Tracts added


In the Beginning In the early 1960's, the residents of the Park DuValle community began to voice their concern for the lack of medical services provided to this area. At that time the only health care, other than private physicians, was General Hospital. It was located in the east end of town and public transportation was unavailable after 5:00 p.m. These primarily medically indigent residents began to work with several civic-minded groups to make their dreams a reality. A coalition of residents, led by community activist, the late Vernice Hunter, along with the American Friends Service Committee (AFSC), approached the city government about its concerns. Due to these efforts, several buildings in the Cotter Homes subsidized housing area were designated by the City to house the new Health Care facility. Federal Office of Economic Opportunity funding was secured and in 1968 Dr. Harvey I. Sloane became the Center's first Director and provided direction for this most important and sensitive endeavor. Change of Name In January 1987, the Board of Directors of The Neighborhood Health Center, Inc. elected to change the Center's name. The name "Park DuValle Community Health Center, Inc." was selected because it both described the types of services provided at the Center and its location within the community. Growth and Expansion In 1982, the Neighborhood Health Center was asked to open a satellite location to serve the Rural population in Spencer County, Kentucky. So, in 1984, the Spencer County Rural Health Clinic began operating in Taylorsville , KY. It is now known as Park DuValle at Spencer County . In 1985, the Center joined with Family Health Center-Portland and the Louisville and Jefferson County Board of Health to work jointly on establishing more primary health care services in the community. As a result, The Neighborhood Health Center established two more satellite locations. The Community Health Center of West Louisville opened in 1986 at 26 th & Madison and now operates as Park DuValle at City View near downtown in the newly renovated City View Park complex (formerly the old Village West Mall). The Newburg Primary Care Center was opened in the Newburg area in 1987. It is now operated at a newly remodeled location on Hikes Lane as Park DuValle at Newburg. Since 1968, the main health center of Park DuValle had been located in two converted Cotter Homes apartment buildings. In July 2002, Park DuValle Community Health Center began operating in a newly constructed, state-of-the-art $6 million facility located at 3015 Wilson Ave. among the Park DuValle Hope VI Revitalization Development. The federal government through the U.S. Department of Health and Human Services, continues to support the operation of Park DuValle Community Health Center, Inc. in order to provide high quality health services to patients living in medically underserved communities. The cost of health care provided by Park DuValle Community Health Center is based on your ability to pay and a sliding fee scale continues to be available to income eligible patients. With the new facility at our main location and extended health care services being offered through our three satellite locations, Park DuValle Community Health Center has entered a new era of modern health care service delivery. We are all about caring for our community.



Introduction:

• The scope of the study includes a descriptive analysis of the distribution and characteristics of patients who accessed the Park DuValle Family Health Centers in 2008.

• The analysis is framed according to two geographic areas;

(1) patients in Louisville Metro,

(2) patients in Louisville Metro and surrounding counties.

• The study examines characteristics of the patient population by age, race, gender and method of payment.

• Analysis focuses on each geographic area and includes an additional examination of the pediatric patient population 0 to 17 years.

Scope of the Study

Overview:


All Patients in Louisville Metro and Surrounding Counties

Patients in Louisville Metro

Pediatric Patients in Louisville Metro and Surrounding Counties

Appendices

Study Sections

Table of Contents

Patient Demographics by Clinic


Geographic Distribution of All Patients Louisville Metro and Surrounding Counties in 2008; N = 19,370, Average Age = 31


1,092

502

517

543

542

578

569

522

477

583

557

428

270

156

97

55

32

19

5

1,108

553

507

872

1,436

1,217

1,014

862

727

871

842

566

385

239

162

124

89

31

22

0-4

5-9

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

85-89

90+

Male Female


Total Male = 7,544 Total Female = 11,627

Distribution of All Patients by Age and Gender Louisville Metro and Surrounding Counties in 2008, N = 19,370

N = 19,370

Hawaiian

American Indian

Other

Oriental

Hispanic or Latino

White

Black

4 (0.02%)

12 (0.06%)

251 (1%)

349 (2%)

565 (3%)

3,421 (18%)

14,768 (76%)

11,724, 61%

7,646, 39%

Female Male

Characteristics of All Patients Louisville Metro and Surrounding Counties in 2008; N = 19,370

N = 19,370

All Patients in 2008, by Site Accessed All Patients in 2008, by Gender

All Patients in 2008, by Race All Patients in 2008; by Method of Payment


N = 19,370

16,140, 83%

1,667, 9%

958, 5% 605, 3%

Main Site Newburg Spencer County City View

N = 19,370

KCHIP

Medicaid

Medicare

Commercial Insurance

Fee for Service

Passport

Minimum Fee

1 (0.01%)

51 (0.26%)

1,387 (7%)

1,787 (9%)

4,841 (25%)

5,568 (29%)

5,735 (35%)

N = 19,370

Geographic Distribution of Pediatric Patients 0 to 17 Years,

Louisville Metro and Surrounding Counties in 2008; N = 5,222 (27% of all patients)


KCHIP

Medicaid

Medicare


Fee for Service

Minimum Fee

Passport

1 (0.02%)

6 (0.11%)

42 (1%)

360 (7%)

621 (12%)

1,048 (20%)

3,144 (60%)

10

N = 5,222

February 10, 2010 In Touch Information Services

2,680, 51%

2,542, 49%

Female Male

N = 5,222

All Pediatric Patients 2008, by Site Accessed All Pediatric Patients 2008, by Gender

All Pediatric Patients 2008, by Race All Pediatric Patients 2008; by Method of Payment

4,426, 85%

599, 11%157, 3%

40, 1%

Main Site Newburg Spencer County City View

N = 5,222

Hawaiian

American Indian

Oriental

Other

Hispanic or Latino

White

Black

1 (0.02%)

4 (0.08%)

93 (2%)

101 (2%)

158 (3%)

515 (10%)

4,350 (83%)

N = 5,222

Characteristics of Pediatric Patients 0 to 17 Years, Louisville Metro and Surrounding Counties in 2008; N = 5,222 (27% of all patients)

Geographic Distribution of All Patients in Louisville Metro, 2008 N = 18,062 (93% of all patients) Average Age = 31


0-4

5-9

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

85-89

90+

1,077

617

482

826

1,360

1,150

941

778

647

796

756

514

328

214

150

115

86

30

21

1,072

587

488

508

512

534

537

481

446

542

513

386

242

135

86

47

31

17

5

MALE FEMALE

Distribution of All Patients by Age and Gender in Louisville Metro, 2008

N = 18,062 (93% of all patients)

N = 18,062


Total Male =7,169 Total Female =10,888

KCHIP

Medicaid

Medicare


Fee for Service

Minimum Fee

Passport

1 (0.02%)

6 (0.11%)

42 (1%)

360 (7%)

621 (12%)

1,048 (20%)

3,144 (60%)

15,776, 87%

1,635, 9%581, 3% 70, 1%

Main Site Newburg City View Spencer County

Characteristics of All Patients in Louisville Metro, 2008 N = 18,062 (93% of all patients)


N = 18,062

N = 18,062

10,893, 60%

7,169, 40%

Female Male

Hawaiian

American Indian

Other

Oriental

Hispanic or Latino

White

Black

3 (0.02%)

12 (0.07%)

223 (1%)

328 (2%)

491 (3%)

2,421 (13%)

14,584 (81%)

All Patients in Louisville Metro 2008, by Site Accessed All Patients in Louisville Metro 2008, by Gender

All Patients in Louisville Metro 2008, by Race All Patients in Louisville Metro 2008; by Method of Payment

N = 18,062

N = 18,062


Patient Characteristics at Individual Centers

Geographic Distribution of Patients at the Main Site, in 2008 Main Site N= 16,140 (83% of all patients) Average Age = 31


KCHIP

Medicaid

Medicare


Fee for Service

Passport

Minimum Fee

1 (0.006%)

45 (0.3%)

1,221 (8%)

1,546 (10%)

4,094 (25%)

4,613 (29%)

4,620 (29%)

Characteristics of Patients at the Main Site in 2008; N = 16,140 (83% of all patients) Patients Who Accessed the Park DuValle Community Health Center at Main Site; 2008

N = 16,140


Patients at the Main Site in 2008, by Age and Gender Patients at the Main Site in 2008, by Gender

Patients at the Main Site in 2008, by Race Patients at the Main Site in 2008; by Method of Payment

9,569, 59%

6,571, 41%

Female Male

Hawaiian

American Indian

Other

Oriental

Hispanic or Latino

White

Black

3 (0.02%)

9 (0.1%)

130 (0.8%)

309 (2%)

408 (3%)

1,914 (12%)

13,367 (83%)

0-4

5-9

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

85-89

90+

1,022

530

376

701

1,252

1,016

826

668

422

672

646

419

282

197

148

95

80

29

22

1,022

510

387

431

483

519

508

451

405

504

470

358

224

125

84

41

31

16

5

Male Female

N = 16,140 N = 16,140

N = 16,140


Geographic Distribution of Patients at City View, in 2008 City View N= 605 (3% of all patients) Average Age = 38


Characteristics of Patients at City View in 2008; N = 605 (3% of all patients)

Patients at City View in 2008, by Age and Gender Patients at City View in 2008, by Gender

Patients at City View in 2008, by Race Patients at City View in 2008; by Method of Payment

0-4

5-9

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

85-89

90+

55

2

1165

47

4547

3139

4525

14

25

43

1

23

4252423

22

1823

2413

10

3

11

1

Male Female

401, 66%

204, 34%

Female Male

Oriental

Hispanic or Latino

Other

White

Black

2 (0.3%)

10 (2%)

12 (2%)

161 (27%)

420 (69%)

Medicaid

Medicare


Passport

Fee for Service

Minimum Fee

1 (0.2%)

37 (6%)

55 (9%)

107 (18%)

183 (30%)

222 (37%)

N = 605

N = 605

N = 605

N = 605


Geographic Distribution of Patients at Newburg, in 2008 Newburg N= 1,667 (9% of all patients) Average Age = 30

1,110, 67%

557, 33%

Female Male

N = 1,667


Characteristics of Patients at Newburg in 2008; N = 1,667 (9% of all patients)

Patients at Newburg in 2008, by Age and Gender Patients at Newburg in 2008, by Gender

Patients at Newburg in 2008, by Race Patients at Newburg in 2008; by Method of Payment

Hawaiian

American Indian

Oriental

Other

Hispanic or Latino

White

Black

1 (0.06%)

3 (0.2%)

31 (2%)

80 (5%)

89 (5%)

545 (33%)

918 (55%)

Medicaid

Medicare


Fee for Service

Minimum Fee

Passport

3 (0.2%)

62 (4%)

103 (6%)

327 (20%)

574 (34%)

598 (36%)

0-4

10-14

20-24

30-34

40-44

50-54

60-64

70-74

80-84

90+

6777

89109

6899

977981

9691

7644

19325

1

6281

8476

1515

2225

29282725

1613

4

11

Male Female

N = 1,667

N = 1,667

N = 1,667


Geographic Distribution of Patients at Spencer County, in 2008 Spencer County N= 958 (5% of all patients) Average Age = 37

Oriental

Other

Hispanic or Latino

Black

White

7 (1%)

29 (3%)

58 (6%)

63 (7%)

801 (84%)

N = 958


Characteristics of Patients at Spencer County in 2008; N = 958 (5% of all patients)

Patients at Spencer County in 2008, by Age and Gender Patients at Spencer County in 2008, by Gender

Patients at Spencer County in 2008, by Race Patients at Spencer County in 2008; by Method of Payment

0-4

10-14

20-24

30-34

40-44

50-54

60-64

70-74

80-84

90+

1436

2144

5155

4668

6464

6046

4521

6111

711

2130

1920

1624

2528

3632

2015

81

1

Male Female

644, 67%

314, 33%

Female Male

Medicaid

Medicare


Fee for Service

Passport

Minimum Fee

2 (0.2%)

67 (7%)

83 (9%)

237 (25%)

250 (26%)

319 (33%)

N = 958 N = 958

N = 958


Number of Patients by Census Tract in Kentucky, 2008; N = 16,666 (86% of all patients)

TRACT Count TRACT Count TRACT Count

21111001500 675 21215080200 166 21111005200 75

21111002400 523 21111012802 160 21111012501 73

21111001000 474 21111000300 160 21111011406 73

21111001400 454 21111006500 153 21111003700 73

21111001200 454 21111005100 152 21111000200 71

21111011302 453 21111005900 149 21111011005 69

21111003000 445 21111003900 146 21111011705 66

21111001100 438 21111002300 144 21111003800 66

21111000400 384 21111004302 130 21111002100 66

21111000700 375 21111011404 128 21111012702 63

21111012601 368 21111010901 122 21111011905 63

21111001700 360 21111004900 115 21111004400 63

21111012801 356 21111009000 114 21029020100 62

21111001600 346 21111006200 114 21111004600 56

21111002700 335 21111012405 108 21111012302 55

21111012701 325 21111009104 104 21111005000 55

21111000800 312 21211040300 102 21111011800 54

21111001800 289 21111005600 97 21111012502 53

21111000600 263 21111011301 96 21111007100 52

21111011405 255 21111011101 94 21111011506 51

21111000900 255 21111011003 92 21111009400 51

21111003600 233 21111012603 89 21111006600 48

21111011002 227 21111011004 89 21111012202 47

21111004301 223 21111011505 87 21111011904 47

21111003500 213 21111012503 84 21111010004 47

21215080100 200 21111011509 82 21111004000 45

21111012604 188 21111004500 82 21111011906 44

21111002800 186 21111012703 77 21111010310 44

21111011200 183 21111011105 77 21111011504 43

Kentucky PDV

Patients by

Tract in 2008

Kentucky PDV

Patients by

Tract in 2008

Kentucky PDV

Patients by

Tract in 2008

(sorted by highest number of

patients in tract)


patients in tract)


patients in tract)

Appendix A 1



21111011704 42 21111012408 21 21111007502 13

21111010404 42 21111010600 21 21111007000 12

21111011510 41 21111010403 21 21029021200 12

21111007602 40 21111010006 21 21111010705 11

21111004100 39 21111010005 21 21111010402 11

21179990300 38 21111006300 21 21111010008 11

21111011106 38 21029020600 21 21111010001 11

21111010311 38 21111012104 20 21111009300 11

21111012204 37 21111009103 20 21111008200 11

21111010902 37 21111008100 20 21111011109 10

21111012203 36 21029021100 20 21111010306 10

21111010101 35 21111012103 19 21111009700 10

21111007700 35 21111005300 19 21111008900 10

21211040400 34 21029020200 19 21111008400 10

21111012301 33 21111012409 18 21103090300 10

21111010702 32 21111011602 18 21029020500 10

21211040200 31 21111012003 17 21029020400 9

21111012406 29 21111011707 17 21179990400 8

21111011907 29 21111011512 17 21111012001 8

21111012407 28 21111011508 17 21111011706 8

21111012107 28 21111011403 17 21111009900 8

21111011102 28 21111006800 17 21111009600 8

21029020700 27 21111012106 15 21111007400 8

21211040500 26 21111011703 15 21111012105 7

21111012002 25 21111007603 15 21111010701 7

21111011110 25 21029020800 15 21111010308 7

21211040100 23 21179990200 14 21111006900 7

21111011511 23 21111010800 14 21111006400 7

21179990100 22 21111007800 14 21029020900 7

Kentucky PDV

Patients by

Tract in 2008

Kentucky PDV

Patients by

Tract in 2008

Kentucky PDV

Patients by

Tract in 2008


patients in tract)


patients in tract)


patients in tract)


Appendix A 2




21111010500 6 21179990600 2 21107970400 1

21111008800 6 21179990500 2 21103090400 1

21185030300 5 21163970300 2 21093001600 1

21111010307 5 21111013100 2 21093000500 1

21111009800 5 21111010706 2 21087990100 1

21111008300 5 21111010309 2 21085950400 1

21029020300 5 21111008700 2 21085950100 1

21185030700 4 21111008500 2 21073070500 1

21185030501 4 21093000600 2 21073070100 1

21111011601 4 21087990200 2 21059000600 1

21111010007 4 21073070200 2 21047200100 1

21111007601 4 21067002301 2 21041950300 1

21163970400 3 21227011200 1 21027960200 1

21111010303 3 21223100200 1 21011970200 1

21111010102 3 21223100100 1 21005950100 1

21111007900 3 21217980500 1 21059000600 1

21111007501 3 21185030601 1 21047200100 1

21093001400 3 21185030400 1 21041950300 1

21093000700 3 21163970500 1 21027960200 1

21093000400 3 21123960100 1 21011970200 1

21093000300 3 21111011901 1 21005950100 1

21093000100 3

21005950400 3

21005950300 3

21229980200 2

21229980100 2

21185030802 2

21179990700 2


patients in tract)

Kentucky PDV

Patients by

Tract in 2008


patients in tract)

(sorted by highest

number of patients in

tract)

Kentucky PDV

Patients by

Tract in 2008

Kentucky

PDV Patients

by Tract in

2008

Appendix A 3

Methodology

07/15/2015 In Touch Information Services 26

Appendix B 1

→ link Census Tracts to the final database of PDV patients in

GIS

1

• Exploratory analysis of the original data in SPPS

→ frequencies and descriptives

• Conversion of database for import into GIS

• Creation of two address locators to capture data

• Geocoding of database to two geographic areas

→ geocode and reconcile addresses where possible

→ export and clean the data in Excel, converting for GIS and

rerunning the geocodes

→ examination of the data that did and did not geocode in GIS

and SPSS and Excel

• Exploratory analysis of the geocoded and tract-linked data in GIS

→ export new geocoded data to SPSS and Excel

• Create new map file of Jefferson County only with tract ids added

• Export census tract-appended file to Excel

Methodology

07/15/2015 In Touch Information Services 27

Appendix B 2

• Creation of multiple maps at two geographic levels

→ Maps of patient population in Kentucky and Indiana

All patients in Louisville Metro and surrounding counties

Pediatric patients in Louisville Metro and surrounding counties

Patients in Louisville Metro

→ Maps of patient population in Jefferson County

All patients

→ Export of the data for each sub-group into SPPS

→ Maps of the catchment areas for each PDV site

• Analysis of the sub-group populations in SPSS;

→ Run frequencies and descriptives for each group

→ Export to Excel to create charts and tables

• Creation of PowerPoint Presentation

→ import finished charts and tables

→ import final maps

• Creation of Final Wall Maps

All Park DuValle Community Health Center Patients in 2008 in the Database 19,370

Park DuValle Patients in Louisville Metro 2008 = 18,062 (93% of all patients)

Park DuValle Patients in Louisville Metro 2008 that geocoded =17,490

(97% of the patients in Louisville)

Park DuValle Patients outside of Louisville =1,371 (7% of all patients)

Park DuValle Patients outside of Louisville Metro that geocoded= 1,014

(74% of the patients outside of Louisville Metro)

**************************************************************************** 174 without geocodable addresses:

168 PO Boxes 4 Deceased 1 Unknown

1 Changed Address

Summary of the Geocode Results of Park DuValle Patients in Kentucky and Indiana in 2008 N = 19,370


Appendix C 1

2010-03-01 Park DuValle Health Center Analysis 2008

Documents

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