Primary Care Clinic Annual Utilization Data
The clinic annual utilization data includes two types of clinics: primary care clinics and specialty clinics. Primary care clinics, which include community and free clinics, offer a full range of primary care services to the uninsured and underinsured in their communities. Specialty clinics include freestanding surgical, chronic dialysis, and rehabilitation clinics as well as alternative birth centers. All licensed clinics must file either an Annual Utilization Report of Primary Care Clinics or an Annual Utilization Report of Specialty Clinics with the Office at the end of each calendar year.
Beginning in 2002, clinics began submitting data to OSHPD through an Internet based reporting system known as ALIRTS (Automated Licensing Information and Report Tracking System). Once a report is submitted and meets edit criteria, it immediately becomes available to the public via ALIRTS (Advanced Search). After all individual clinic reports are received and approved, OSHPD creates the Primary Care Clinic Data Set and the Specialty Clinic Data Set from which the following products are produced.
Complete Data Set
The complete Data Set of annual utilization data reported by primary care clinics contains basic clinic identification information including community services, clinic staffing data, and patient and staff language data; financial information including gross revenue, itemized write-offs by program, an income statement, and selected capital project items; and information on encounters by service, principal diagnosis, and procedure codes (CPT codes). The documentation, including report forms, is available for each reporting year.
Important note about preliminary and final utilization data:
Starting with the 2005 annual utilization data file, there will be two phases of data released. The preliminary data file released in the spring will contain data that has passed the prescribed set of fatal errors in the ALIRTS system and was therefore accepted into OSHPD. The second data file released in the fall will be the desk-audited data and is considered the final version of the annual utilization data file. Please note that this preliminary set of data will only be live and downloadable on the web page up and to the point that the final version is released and then the preliminary data file will be replaced by the final data file. The pivot tables will be created in the fall for the desk audited data.
These products provide trend utilization information for primary care clinics in the form of tables and pivot tables. The primary care clinic trends include information on the number of clinics by type, the number of patients (by race, ethnicity, gender and age), the number of encounters by payer source; and revenues by payer source including the average revenue per encounter.
This page was last updated on Wednesday, March 28, 2018.