PQI-14 (Uncontrolled diabetes): All non-maternal discharges of age 18 years and older with ICD-9-CM principal diagnosis code for uncontrolled diabetes, without mention of a short-term or long-term complication. PQI-15 (Adult asthma): All non-maternal discharges of age 18 years and older with ICD-9-CM principal diagnosis code of asthma. PQI-16 (Rate of lower-extremity amputation among patients with diabetes): All non-maternal discharges of age 18 years and older with ICD-9-CM procedure code for lower-extremity amputation in any field and diagnosis code of diabetes in any field. Appendix B Health Needs Survey Thank you for taking the time to complete our survey. Your participation is important to learn about your health needs. The results of this survey will help Family Health Centers of Southwest Florida and other area organizations develop services and programs to better serve the health needs in your community. Responses are completely anonymous. How would you rate the general health of residents in your area? Excellent Good Fair Poor How would you rate the quality of healthcare in your area? Excellent Good Fair Poor Do you receive healthcare services at Family Health Centers of Southwest Florida? Yes (specify location) ______________________________________ No If no, where do you go to get healthcare (select all that apply)? Independent Primary Care Specialty doctor Provider/Private Doctor IMA (Internal Medicine Associates) Health department Millennium Physician Group Hospital/emergency room Physicians’ Primary Care (PPC) Lee Community Care Don't know Lee Physicians Group I don’t seek care Out of state/out of area Other Clinic / Other (please specify): ________________________________________________ How do you choose your healthcare providers? Recommendations (Friends/Family) Whatever is on my insurance Shop for cost Media Advertisement Soonest Appointment Referral – Emergency Room Distance Internet Search
PQI-14 (Uncontrolled diabetes): All non-maternal discharges of age 18 years and older with ICD-9-CM principal diagnosis code for uncontrolled diabetes, without mention of a short-term or long-term complication. PQI-15 (Adult asthma): All non-maternal discharges of age 18 years and older with ICD-9-CM principal diagnosis code of asthma. PQI-16 (Rate of lower-extremity amputation among patients with diabetes): All non-maternal discharges of age 18 years and older with ICD-9-CM procedure code for lower-extremity amputation in any field and diagnosis code of diabetes in any field. Appendix B Health Needs Survey Thank you for taking the time to complete our survey. Your participation is important to learn about your health needs. The results of this survey will help Family Health Centers of Southwest Florida and other area organizations develop services and programs to better serve the health needs in your community. Responses are completely anonymous. How would you rate the general health of residents in your area? Excellent Good Fair Poor How would you rate the quality of healthcare in your area? Excellent Good Fair Poor Do you receive healthcare services at Family Health Centers of Southwest Florida? Yes (specify location) ______________________________________ No If no, where do you go to get healthcare (select all that apply)? Independent Primary Care Provider/Private Doctor Health department Hospital/emergency room Lee Community Care Lee Physicians Group Out of state/out of area Specialty doctor IMA (Internal Medicine Associates) Millennium Physician Group Physicians’ Primary Care (PPC) Don't know I don’t seek care Other Clinic / Other (please specify): ________________________________________________ How do you choose your healthcare providers? Recommendations (Friends/Family) Shop for cost Soonest Appointment Distance Whatever is on my insurance Media Advertisement Referral – Emergency Room Internet Search
Family-Health-Centers-Health-Assessment-2017.docx