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Virginia Primary Care Association 800-966-8272

AN OPPORTUNITY FOR UNPRECEDENTED GROWTH

Over one million Virginians do not have access to the primary health care they need. The cost is simply too high-even though they may work full-time.
Over 2.2 million Virginians are medically underserved. Many Virginia communities simply do not have enough primary health care providers to take care of thier own citizens.
From its western most borders to the Eastern Shore, these fellow residents and areas of the Commonwealth are the focus of the Virginia Primary Care Association's efforts.

Further information about other community health care and resources throughout Virginia, please contact:

Virginia Primary Care Association - 6802 Paragon Place, Suite 625 - Richmond, VA 23230

VPCA Board of Directors

Angela Futrell, President
John Sniezek, Vice President
Carol Dill, Treasurer
Debra Shelor, Secretary
Tracy Causey
Kay Matlock
Peggy Whitehead
Barbara Willis

2006 Access to Community Health Databook
Virginia
Vulnerable Populations Served By Virginia Federally-Funded Health Centers

Percent of Total Population Served by Health Centers, 2004	2%
Percent of Children 18 and Under Served by Health Centers, 2004	3%
Percent of Population Under 100% of Poverty Served by Health Centers, 2004	10%
Percent of Population Under 200% of Poverty Served by Health Centers, 2004	7%
Percent of Medicaid Beneficiaries Served by Health Centers, 2004	6%
Percent of Uninsured Served by Health Centers, 2004	6%
Percent of Low Income, Uninsured Served by Health Centers, 2004	10%
Percent of Non-Metropolitan Residents Served by Health Centers, 2004	10%
Percent of Minority Residents Served by Health Centers, 2004	4%

	HealthCenter Population	State Population	US Population
Percent Medicaid, 2004	20%	8%	14%
Percent Uninsured, 2004	35%	14%	16%
Percent at or Under 100% of Poverty, 2004	60%	14%	17%
Percent Under 200% of Poverty, 2004	83%	29%	36%
Percent Hispanic/Latino, 2004*	6%	6%	14%
Percent African American, 2004*	40%	20%	13%
Percent Asian/Pacific Islander, 2004*	0%	4%	4%
Percent American Indian/Alaska Native, 2004*	0%	0%	1%
Percent White (non-Hispanic), 2004*	53%	69%	67%
* Does not include residents of two or more races. Therefore state population totals may not sum to 100%. 0% may indicate <0.5%. Percents may not total 100% due to rounding.

In 2004, Virginia health centers also served:

177,356 total patients
8,298 patients preferring to be served in languages other than English
4,410 migrant/seasonal farmworkers
5,144 homeless patients
4,661 infants
1,990 prenatal care patients
47,469 women of childbearing age (ages 15 through 44)

NOTE: Includes data from Federally-Qualified Health Centers (FQHCs) who meet federal health center grant requirements and are required to report administrative, clinical and other information to the federal Bureau of Primary Health Care. These figures DO NOT include data from a category of FQHCs that do not receive these funds, known as FQHC Look-Alikes. Data reflected here may consequently underreport the volume of health care delivered by health centers. There are approximately 100 FQHC Look-Alikes across the US. Variations in data may occur from other sources. Virginia Primary Care Association (VPCA) data may from NACHC data. To receive VPCA data for these figures, contact VPCA at (804) 378-8801. ©2006

Access to Care Information

*Unmet Needs*	*State*	US
Number of Residents Without Access to a Primary Care Provider, 2003	963,257	36,048,131
Percent of Residents Without Access to a Primary Care Provider, 2003	13%	12%
Percent of Children Who Did Not Receive Medical and Dental Preventive Care Visits, 2003	39.2%	41.2%
Percent of Children Whose Care Does Not Meet Medical Home Definition, 2003	52.4%	53.9%
*Hospital Utilization*
Wasted Expenditures on Avoidable Emergency Room Visits, 2006	$452,375,606	$18.4 Billion
Hospital Emergency Room Visits per 1,000 Population, 2004	390	383
Inpatient Days per 1,000 Population, 2004	597	673
*Clinicians*
Primary Care Physicians as a Percent of Total Physicians, 2004	41%	40%
Nonfederal Physicians per 100,000 Civilian Population, 2004	264	281
Registered Nurses per 10,000 Population, 2002	70	78
Physician Assistants per 10,000 Population, 2004	1	2
*Demographic Information*
Median Household Income, 2002-2004	$53,275	$44,473
Unemployment Rate, December 2004	3.5%	5.4%
Unemployment Rate, December 2005	3.3%	4.9%

*Medicaid*
Monthly Medicaid Enrollment, June 2004	579,366
Percent Change in Monthly Medicaid Enrollment, June 2003-June 2004	11.4%
Percent Enrolled in Medicaid Managed Care, 2004	64.8%

*Medicaid Matching Rate (FMAP)*
FY 2005	50.00%
FY 2006	50.00%
FY 2007	50.00%

*Medicaid Expenditures*	State Funds (in millions)	Federal Funds (in millions)	Total State & Medicaid Expenditures as % (in millions) of Total State Expenditures
Actual FY 2003	$1,808	$3,644	13.5%
Actual FY 2004	$1,849	$3,826	13.6%
Estimated FY 2005	$2,218	$4,309	13.6%


*Recent Cost Containment Actions Taken*	*FY 2004*	*FY 2005*	*FY 2006*
Provider Payments	Yes	Yes	Yes
Pharmacy Controls	Yes	Yes	Yes
Benefit Reductions	No	No	No
Eligibility Cuts	Yes	No	No
Copays	Yes	No	No
Managed Care Expansions	No	No	Yes
Disease Management/Care Managemen	No	Yes	Yes
Fraud & Abuse	No	Yes	No
Long Term Care	No	No	No


*State Children’s Health Insurance Program*
Current Monthly SCHIP Enrollment, December 2004	68,524
SCHIP Program Type, FY 2005	Combination
SCHIP Matching Rate, FY2006	65.00%

*SCHIP Block Grant*	State Funds (in millions)	Total State & Federal Funds (in millions)
Actual FY 2003	Not Applicable	Not Applicable
Actual FY 2004	Not Applicable	Not Applicable
Estimated FY 2005	Not Applicable	Not Applicable

*State Racial and Ethnic Disparities*
*Age-Adjusted Death Rates per 100,000 Population, 2000-2002*	*State*	US
Total	867.0	853.3
White	833.7	835.7
White, non-Hispanic/Latino	836.4	843.1
Black/African American	1,085.6	1097.7
Hispanic/Latino	490.4	642.7
Asian/Pacific Islander	441.2	486.0
American Indian/Alaska Native	*	687.0
*Indicates data unavailable.

*Percent of Live Births with Early Prenatal Care, 2001-2003*	*State*	US
Total	85.2%	83.4%
White, non-Hispanic/Latino	90.5%	88.6%
Black/African American, non-Hispanic/Latino	76.8%	74.6%
Hispanic/Latino	70.4%	75.7%
Asian/Pacific Islander	85.4%	84.3%
American Indian/Alaska Native	81.5%	69.5%
Note: Includes births with prenatal care beginning in the first trimester. Percents based on fewer than 50 births. *Fewer than 20 births.

*Percent of Low-Birthweight Live Births, 2001-2003*	*State*	US	US Health Centers, 2004
Total	8.0%	7.8%	7.0%
White, non-Hispanic/Latino	6.7%	6.9%	7.0%
Black/African American, non-Hispanic/Latino	12.7%	13.3%	10.3%
Hispanic/Latino	6.1%	6.6%	5.7%
Asian/Pacific Islander	7.5%	7.7%	6.8%
American Indian/Alaska Native	*10.9%	7.3%	6.7%
Note: Includes births weighing less than 2,500 grams. Percents based on fewer than 50 births. *Fewer than 20 births.

*Percent of State Population that Speaks a Language Other than English at Home, 2000*	*State*	US
Total	11.1%	17.9%