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Orange County Government <br /> FY 2011-12 Outside Agency Performance Agreement <br /> Agency Name: Piedmont Health Services, Inc. Quarterly Report <br /> FY 2011-12 Appropriation: $10,000 Quarterly Appropriation: $2,500 (Q4) <br /> OUTCOME MEASURES(OUTLINED IN THE SCOPE OF SERVICES) <br /> Unduplicated Proposed <br /> Measure Quarter 1 Quarter 2 Quarter 3 Quarter 4 Annual Count Year-End <br /> 7/11 -6/12) Outcome <br /> Orange County unduplicated residents <br /> served with sliding-fee primary care 2,260 2,176 2,465 2,361 4,853 5,790 <br /> home services (served at all 6 Piedmont <br /> Health health center sites) <br /> Total Carrboro Health Center site Medical 3,218 3,101 3,433 3,348 <br /> patients served—all counties <br /> Carrboro CHC (Orange County site) <br /> Orange County residents served with 1,768 1,708 1,912 1,812 <br /> Medical services <br /> Carrboro CHC patients living below 200% <br /> of Federal Poverty Guideline(all are 3,135 3,016 3,328 3,262 <br /> eligible for sliding-fee care) <br /> Carrboro CHC uninsured medical 2,184 2,061 2,095 2,041 <br /> patients <br /> Carrboro CHC uninsured medical visits 2,151 2,022 2,408 2,257 <br /> *Unduplicated Orange County Residents Served was the only outcome measure addressed in our original funding application. <br /> Additional grant outcome measures were not discussed in original funding application, but were added as descriptive measures in the <br /> quarterly outcome reports. <br /> QUARTERLY EXPENSES <br /> Explain how your agency spent its Orange County allocation during the quarter. Also complete <br /> the Quarterly Expense Report worksheet. <br /> Piedmont Health Services, Inc. has used the requested funding for uncompensated medical care for <br /> Orange County's most vulnerable populations (i.e. uninsured, <200% Federal Poverty Guideline, <br /> medically underserved). As discussed in our 2011-2012 grant proposal, Piedmont Health Services, Inc.'s <br /> FY2011 budgeted cost per medical visit is$175.79. PHS patients living below 200% of poverty pay for <br /> care on a sliding-fee scale tied to the Federal poverty level (for example, a patient living below poverty <br /> pays just$25 for a medical visit, including lab costs). Thus, PHS uses Federal grant dollars AND the <br /> Orange County allocation to cover the uncompensated care costs associated with the care of the low- <br /> income, uninsured population. The$2,500 in allocated funds was used for physician salary support for <br /> uncompensated medical care at the Carrboro Community Health Center(PHS' Orange County site). <br /> CHALLENGES <br /> Describe any challenges your agency has faced during the quarter.What are your plans for <br /> overcoming these obstacles? (If no challenges exist, please write none.) <br /> We continue to have increased demand for services in the current recessionary economy. With the <br /> Supreme Court decision to uphold the Affordable Care Act, we are hopeful that a significant percentage <br /> of our patients may become insured in 2014; however, we know a significant percentage will not be <br /> eligible. We continue to monitor our fiscal health and pursue additional support for our mission, while <br /> pursuing clinical efficiency initiatives that allow us to serve more individuals in a budget-neutral format. <br /> ADDITIONAL AGENCY COMMENTS <br /> Thank you for your support of Piedmont Health Services, Inc. Local support helps health centers to <br /> leverage Federal support to address local health needs. <br /> FY 2011-12 Outside Agency Performance Agreement <br /> Quarterly Report <br /> Page 1 of 1 <br />