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Wisconsin Department of Health ServicesJanuary 2014 P-00522P
Healthiest Wisconsin 2020 Baseline and Health Disparities Report
Access to High-Quality Health Services
ACCESS TO CARE
Background• Overview of Healthiest Wisconsin 2020 Baseline and Health Disparities
Report • Healthiest Wisconsin 2020 objectives and indicators• Rationale• Key points
Data• Health insurance coverage among adults• Health insurance coverage among youth• Health care access among adults• Health care access among youth• Emergency room utilization• Health professional shortages
References
Links to additional reports and resources
Contacts
Chapter Outline
2
Chapter outline
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Report Overview
• This chapter is part of a larger report created by the Wisconsin Department of Health Services to track progress on the objectives of Healthiest Wisconsin 2020 (HW2020) and identify health disparities in the state. The full report is available at: http://www.dhs.wisconsin.gov/publications/P0/p00522.pdf
• The report is designed to address the Health Focus Areas in HW2020. Where direct measures exist, data are presented; where direct measures are not available, related information may be included.
• Information about populations experiencing health disparities is provided in the Health Focus Area chapters and is summarized in separate chapters devoted to specific populations.
• Technical notes are available at: http://www.dhs.wisconsin.gov/publications/P0/p00522y.pdf
Report overview
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Report Format
Full Report• Format: PDF • Intended use: reference document
Chapters• Format: Annotated PowerPoint slide set• Intended uses: presentations to
– Decision-makers– Service providers– Community leaders– The public
Sample annotated slide
Report overview
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Report Outline
Executive Summary
Section 1: Introduction
Section 2: Demographic overview
Section 3: Health focus areas
Section 4: Infrastructure focus areas
Section 5: Data summaries by population
Section 6: Technical notes
Report overview
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Report Outline: Detail
Section 3: Health focus areas
• Alcohol and other drug use• Chronic disease prevention and management• Communicable diseases• Environmental and occupational health• Healthy growth and development• Injury and violence• Mental health• Nutrition and healthy foods• Oral health• Physical activity• Reproductive and sexual health• Tobacco use and exposure
Section 4: Infrastructure focus areas• Access to health care
Report overview
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Report Outline: Detail
Section 5: Data summaries by population
Racial/ethnic minority populationso American Indianso Asianso Blackso Hispanics
People of lower socioeconomic status People with disabilities Lesbian, gay, bisexual, and transgender populations Geography
Report overview
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Data notes
• Please refer to the Technical Notes chapter for a more detailed description of limitations and methods: http://www.dhs.wisconsin.gov/publications/P0/p00522y.pdf
• The 95% confidence intervals are denoted by error bars. Where
confidence intervals do not overlap, as shown in the example on
the right, differences are statistically significant. Larger confidence
intervals may indicate less reliable estimates that should be
interpreted with caution.
• Population estimates that are considered unreliable are excluded.
• Misclassification of racial/ethnic groups may affect the accuracy of rates.
• Unless otherwise indicated, the Hispanic population may include people of various races; Whites, Blacks, Asians, and American Indians are non-Hispanic.
Report overview
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Factors that influence health
Social determinants
of health
Source: University of Wisconsin Population Health Institute. County Health Rankings 2013, http://www.countyhealthrankings.org/our-approach
Report overview
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Objective 1
By 2020, assure all residents have affordable access to comprehensive, patient-centered health services that are safe, effective, affordable, timely, coordinated, and navigable.
Objective 1 Indicators
• Proportion of people with health insurance.
• Proportion of people with a specific source of ongoing care.
• Number of National Committee for Quality Assurance (NCQA) – certified medical home practices in state.
• Proportion of counties with more than one full-time equivalent dentist providing Medicaid services per 4,000 low-income persons.
• Proportion of health plan members receiving care meeting National Committee for Quality Assurance (NCQA) or Healthcare Effectiveness Data and Information Set [HEDIS] standards.
Healthiest Wisconsin 2020 objectives and indicators
Source: Wisconsin Department of Health Services, Healthiest Wisconsin 2020, Access to High-Quality Health Services Focus Area Profile.10
HW2020 objectives
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Objective 2
By 2020, assure that populations of differing races, ethnicities, sexual identities and orientations, gender identities and educational or economic status, and those with disabilities, have access to comprehensive, patient-centered health services that are safe, effective, affordable, timely, coordinated and navigable.
Objective 2 Indicators
• Proportion of people in each population group with health insurance.
• Proportion of people in each population group with an ongoing source of care.
• Proportion of adults with and without a disability who report difficulties or delays in obtaining needed health care.
• Proportion of Wisconsin children who report inadequate health insurance.
Source: Wisconsin Department of Health Services, Healthiest Wisconsin 2020, Access to High-Quality Health Services Focus Area Profile.11
HW2020 objectives
Healthiest Wisconsin 2020 objectives and indicators
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Rationale
• Access to high-quality health services means universal access to affordable high-quality health services for all people in Wisconsin to promote optimal physical and mental health and to prevent illness, disease, injury, disability, and premature death.
• High-quality health services include the full range of health care services, including medical, dental, mental health, and long term care. Access to high-quality health services means they are available to the people of Wisconsin when, where, and how services are needed. This includes equitable access to health promotion and disease prevention services across the life span that are coordinated, culturally competent, and linguistically appropriate.
• To be effective in producing good health outcomes, health services must be integrated, equitable, patient-centered, safe, timely, and efficient to effectively meet the needs of diverse populations.
• To ensure the health and economic security of Wisconsin families, everyone in the state needs access to affordable and high-quality health services, regardless of health, employment, financial, or family status.
Rationale
Source: Wisconsin Department of Health Services, Healthiest Wisconsin 2020, Access to High-Quality Health Services Focus Area Profile.12
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Key points
Adults
• In Wisconsin,16% of adults ages 18-64 did not have health insurance coverage.
o More than one in three Hispanic (35%) and low-income (34%) adults ages 18-64 lacked health insurance coverage.
o Lesbian, gay and bisexual adults (25%) were significantly more likely to lack coverage compared to heterosexual adults (13%).
• Blacks, Hispanics, and Asians were significantly more likely to be unable to obtain medical care due to cost compared to Whites.
• Nearly one-quarter of Black residents (23%) were treated in the emergency room in the past year, as were 27% of residents living below the federal poverty level (FPL).
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Key points
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Key points
Adults
• Significant differences existed in use of and barriers to health care by population:
o Sex: Males were more likely than females to not have a doctor’s visit in the past year and to not have a personal doctor.
o Age: Younger adults were more likely than older adults to not have a doctor’s visit in the past year, to not have a personal doctor, and to be unable to obtain care due to costs.
o Race/Ethnicity: Whites, Hispanics, and American Indians were more likely than Blacks to not have a doctor’s visit in the past year; while Blacks, Hispanics, and Asians were more likely than Whites to be unable to obtain care due to costs.
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Key points
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Key points
o Income: Adults with low household incomes were more likely to not have a doctor’s visit in the past year, to not have a personal doctor, and to be unable to obtain care due to costs than were adults with higher incomes.
o Geography: Residents of nonmetropolitan counties were more likely to not have a doctor’s visit in the past year and to not have a personal doctor than those in Milwaukee County; however, residents of Milwaukee County were more likely to be unable to obtain care due to costs.
o Disability status: Among adults ages 18-64, those without a disability were more likely to not have a doctor’s visit in the past year and to not have a personal doctor than were those with a disability; however, adults with a disability were more likely to be unable to obtain care due to costs.
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Key points
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Youth
• During 2008-2010, an estimated 4% of children in Wisconsin ages 0-17 were uninsured.
• In 2011-2012:
o Approximately one in four parents/guardians in Wisconsin felt that their child’s health insurance coverage was inadequate and one in three children did not receive both routine medical and dental visits in the past year.
o About half of Wisconsin children living in households below the federal poverty level did not see a health provider for preventive medical and dental care during the past 12 months.
o Compared to other children, children with special health care needs were significantly more likely to have unmet medical or dental needs.
o Nearly half of Black and Hispanic children in Wisconsin did not receive coordinated, ongoing, comprehensive care within a medical home.
Key points
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Key points
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Health insurance coverage among adults
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Lack of health insurance coverage and Medicaid enrollment among Wisconsin adults, by sex, 2009-2011
Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2009-2011 landline-cellphone combined dataset.
Health insurance coverage among adults
18
No health insurance cov-erage, ages 18-64
Receive Medicaid or BadgerCare, all adults
0%
10%
20%
30%
40%
50%
60%
20% 15%12% 18%
Total
Male
Female
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Lack of health insurance coverage and Medicaid enrollment among Wisconsin adults, by age, 2009-2011
Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2009-2011 landline-cellphone combined dataset.Note: Estimates that are unreliable (based on Relative Standard Error or small sample size) are not shown; this means an estimate may not be presented for every population group.
Health insurance coverage among adults
19
No health insurance cov-erage, ages 18-64
Receive Medicaid or BadgerCare, all ages
0%
10%
20%
30%
40%
50%
60% 18 - 2425 - 4445 - 6465+
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Lack of health insurance coverage and Medicaid enrollment among Wisconsin adults, by race/ethnicity, 2008-2011
Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011 landline-only dataset.Note: Estimates that are unreliable (based on Relative Standard Error or small sample size) are not shown; this means an estimate may not be presented for every population group.
Health insurance coverage among adults
20
No health insurance coverage, ages 18-64
Receive Medicaid or BadgerCare, all adults
0%
10%
20%
30%
40%
50%
60%
13% 12%19% 39%35% 21%19% 27%
WhiteBlackHispanicAmerican Indian
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Lack of health insurance coverage among Wisconsin adults ages 18-64, by household income, 2008-2011
Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011 landline-only dataset.
Health insurance coverage among adults
No health insurance coverage, ages 18-640%
10%
20%
30%
40%
50%
60%
34% 16%
4%
Low income (<$20,000)Middle income ($20,000-$74,999)High income ($75,000+)
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Lack of health insurance coverage and Medicaid enrollment among Wisconsin adults, by level of urbanization, 2008-2011
Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011 landline-only dataset.
Health insurance coverage among adults
22
No health insurance cov-erage, ages 18-64
Receive Medicaid or BadgerCare, all ages
0%
10%
20%
30%
40%
50%
60%
13% 14%18% 18%
Milwaukee County
Smaller metropolitan counties
Non-metropolitan counties
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Lack of health care coverage among Wisconsin adults ages 18-64, by disability status, 2008-2011
Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011 landline-only dataset.
Health insurance coverage among adults
No health insurance coverage, ages 18-640%
10%
20%
30%
40%
50%
60%
14% 15%
No disability
Disability
23
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Lack of health care coverage and Medicaid enrollment among Wisconsin adults, by sexual orientation, 2008-2011
Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011 landline-only dataset.
Health insurance coverage among adults
No health insurance cov-erage, ages 18-64
Receive Medicaid or BadgerCare, all ages
0%
10%
20%
30%
40%
50%
60%
25% 21%
Heterosexual
Lesbian, gay, bisexual
24
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Health insurance coverage among youth
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Health insurance coverage among Wisconsin children ages 0-17 years, 2008-2010
4%
96%
Uninsured children
Insured children
Source: Wisconsin Department of Health Services, Family Health Survey, 2008-2010.
Health insurance coverage among youth
26
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Public health insurance coverage and inadequacy of health insurance among children ages 6-17, by race/ethnicity, Wisconsin, 2011-2012
Source: 2011-2012 National Survey of Children's Health. Note: Wisconsin estimates were only available for White, Black, and Hispanic children.
Public insurance Current insurance not adequate0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
27% 26%71% 26%51% 22%
WhiteBlackHispanic
Health insurance coverage among youth
27
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Public health insurance coverage and inadequacy of health insurance among children ages 6-17, by highest education level of adult in household, Wisconsin, 2011-2012
Source: 2011-2012 National Survey of Children's Health.
Public insurance Current insurance not adequate0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
57% 26%61% 28%26% 24%
Less than high school educationHigh school graduateMore than high school education
Health insurance coverage among youth
28
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Public health insurance coverage and inadequacy of health insurance among children ages 6-17, by special health care need status, Wisconsin, 2011-2012
Public insurance Current insurance not adequate0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
32% 23%43% 30%
Children with no special health care needs
Children with special health care needs
Source: 2011-2012 National Survey of Children's Health. .
Health insurance coverage among youth
29
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Percentage of children who have a medical home and percentage of children who have problems getting specialist care, by disability status, Wisconsin, 2011-2012
Children who receive coordinated, ongoing, com-prehensive care within a medical home
Children who needed or received specialist care and who had some problem getting specialist care
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
68%3%
61% 10%
Children with no special health care needs
Children with special health care needs
30Source: National Survey of Children’s Health, 2011-2012
Health insurance coverage among youth
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Health care access among adults
31
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Use of and barriers to health care among Wisconsin adults, by sex, 2009-2011
Did not have a doctor's visit in past year
Do not have a personal doctor Unable to obtain medical care due to cost
0%
10%
20%
30%
40%
50%
60%
33% 17% 12%41% 24% 12%25% 11% 13%
Total Male
Female
Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2009-2011 landline-cellphone combined dataset.
Health care access among adults
32
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Use of and barriers to health care among Wisconsin adults, by age, 2009-2011
Did not have a doctor's visit in past year
Do not have a personal doctor Unable to obtain medical care due to cost
0%
10%
20%
30%
40%
50%
60%
40% 30% 13%43% 25% 16%31% 12% 13%12% 5% 4%
18 - 2425 - 4445 - 6465+
Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2009-2011 landline-cellphone combined dataset.
Health care access among adults
33
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Age-adjusted rate of use of and barriers to health care among Wisconsin adults, by race/ethnicity, 2008-2011
Did not have a doctor's visit in past year
Do not have a personal doctor Unable to obtain medical care due to cost
0%
10%
20%
30%
40%
50%
60%
35% 16% 10%21% 16% 18%33% 20% 20%25% 17% 21%33% 16%
White Black
Hispanic Asian
American Indian
Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011 landline-only dataset.Note: Estimates that are unreliable (based on Relative Standard Error or small sample size) are not shown; this means an estimate may not be presented for every population group.
Health care access among adults
34
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Age-adjusted rate of use of and barriers to health care among Wisconsin adults, by household income, 2008-2011
Did not have a doctor's visit in past year
Do not have a personal doctor Unable to obtain medical care due to cost
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
36% 22% 27%35% 17% 13%31% 12%2%
Low income (<$20,000)Middle income ($20,000-$74,999)High income ($75,000+)
Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011 landline-only dataset.
Health care access among adults
35
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Age-adjusted rate of use of and barriers to health care among Wisconsin adults, by level of urbanization, 2008-2011
Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011 landline-only dataset.
Did not have a doctor's visit in past year
Do not have a personal doctor Unable to obtain medical care due to cost
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
28% 15% 14%34% 15% 11%37% 19% 11%
Milwaukee CountySmaller metropolitan countiesNon-metropolitan counties
Health care access among adults
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Use of and barriers to health care among Wisconsin adults ages 18-64, by disability status, 2008-2011
Did not have a doctor's visit in past year
Do not have a personal doctor Unable to obtain medical care due to cost
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
38% 19% 10%31% 11% 24%
No disability
Disability
Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011 landline-only dataset.
Health care access among adults
37
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Use of and barriers to health care among Wisconsin adults, by sexual orientation, 2009-2011
Did not have a doctor's visit in past year
Do not have a personal doctor
Unable to obtain medical care due to cost
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
33% 15% 11%36% 19% 15%
Heterosexual
Lesbian, gay, bisexual
38Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011 landline-only dataset.
Health care access among adults
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Health care access among youth
39
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Source: 2011-2012 National Survey of Children's Health.Note: Wisconsin estimates were only available for White, Black, and Hispanic children.
Lack of routine preventive medical and dental care among children, by race/ethnicity, Wisconsin, 2011-2012
Health care access among youth
Did not receive routine preventive medical and dental care during the past 12 months 0%
10%
20%
30%
40%
50%
60%
70%
30% 42% 41%
WhiteBlackHispanic
40
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Lack of routine preventive medical and dental care and unmet medical and dental needs among children, by poverty status, Wisconsin, 2011-2012
Source: 2011-2012 National Survey of Children's Health.Note: Estimates were not available for all groups. FPL is the Federal Poverty Level, based on household size and income.
Health care access among youth
41
Did not receive both routine preven-tive medical and dental care visits dur-
ing the past 12 months
Had one or more unmet dental and medical needs during the past 12
months
0%
10%
20%
30%
40%
50%
60%
70%
51% 13%38% 8%28%4%
0.201
0-99% FPL100-199% FPL200-399% FPL400% FPL or higher
ACCESS TO CARE
Source: 2011-2012 National Survey of Children's Health.
Health care access among youth
Lack of routine preventive medical and dental care and unmet medical and dental needs among children, by special health care need status, Wisconsin, 2011-2012
0%
10%
20%
30%
40%
50%
60%
70%
16%4%
8% 14%
Children with no special health care needs
Children with special health care needs
42
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Lack of access to care within a medical home among children, by race/ethnicity, Wisconsin, 2011-2012
Children who do not receive coordinated, ongoing, comprehensive care within a medica...0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
29% 49% 49%
WhiteBlackHispanic
Source: 2011-2012 National Survey of Children's Health.Note: Wisconsin estimates were only available for White, Black, and Hispanic children.
Health care access among youth
43
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Lack of access to care within a medical home among children, by poverty status, Wisconsin, 2011-2012
Children who do not receive coordinated, ongoing, comprehensive care within a medica...0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
55% 35% 30% 24%
0 - 99% FPL100 - 199% FPL200 - 399% FPL400% FPL or higher
Source: 2011-2012 National Survey of Children's Health.Note: FPL is the Federal Poverty Level, based on household size and income.
Health care access among youth
44
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Children who do not receive coordinated, ongoing, comprehensive care within a med-
ical home
Children who needed or received specialist care and who had some problem getting
specialist care
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
32%3%
39% 10%
Children with no special health care needs
Children with special health care needs
Lack of access to care within a medical home and problems getting specialist care among children, by special health care need status, Wisconsin, 2011-2012.
Source: 2011-2012 National Survey of Children's Health.
Health care access among youth
45
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Emergency room utilization
46
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Emergency room utilization among Wisconsin residents, by race/ethnicity, 2008-2010
Source: Wisconsin Department of Health Services, Family Health Survey, 2008-2010.
Treated in emergency room during past year0%
5%
10%
15%
20%
25%
30%
35%
40%
15% 23% 16% 6% 19%
White Black
Hispanic Asian
American Indian
Emergency room utilization
47
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Emergency room utilization among Wisconsin residents, by poverty status, 2008-2010
Source: Wisconsin Department of Health Services, Family Health Survey, 2008-2010.
Treated in emergency room during past year0%
5%
10%
15%
20%
25%
30%
35%
40%
27% 18% 13%
Poor (<100% FPL)
Near-poor (100-199% FPL)
Not poor (200% FPL or more)
Emergency room utilization
48
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Emergency room utilization among Wisconsin residents, by level of urbanization, 2008-2010
Source: Wisconsin Department of Health Services, Family Health Survey, 2008-2010.
Treated in emergency room during past year0%
5%
10%
15%
20%
25%
30%
35%
40%
17% 15% 17%
Milwaukee CountySmaller metropolitanNon-metropolitan
Emergency room utilization
49
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Health professional shortages
50
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Number of full-time equivalent dentists needed to reduce significant shortages for Medicaid members, by county, 2009
Source: Wisconsin Department of Health Services, Primary Care Office, Shortage Designation Program.
Health professional shortage areas
Dentists needed to reduce significant shortages
≤0.0
>0.0 to 2.0
>2.0 to 8.1
35.3
51
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Number of full-time equivalent psychiatrists needed to remove significant shortages for the resident population, by county, 2011
Source: Wisconsin Department of Health Services, Primary Care Office, Shortage Designation Program.
Psychiatrists needed toreduce significant shortages
≤0.0
>0.0 to <2.0
2.0 to <10.0
10.0 to 22.9
Not available
Not available
52
Health professional shortage areas
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References1. University of Wisconsin Population Health Institute. County Health Rankings, 2013.
http://www.countyhealthrankings.org/our-approach
2. Center for Urban Population Health. Milwaukee Health Report, 2011. http://www.cuph.org/mhr/2011-milwaukee-health-report.pdf
3. LaVeist TA, Gaskin DA, Richard P (2009). The Economic Burden of Health Inequalities in the United States. Joint Center for Political and Economic Studies. http://www.jointcenter.org/sites/default/files/upload/research/files/The%20Economic%20Burden%20of%20Health%20Inequalities%20in%20the%20United%20States.pdf
4. Thomas JC, Sage M, Dillenberg J, Guillory VJ (2002). A Code of Ethics for Public Health. Am Journal of Public Health. 92(7):1057–1059. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1447186/
5. Wisconsin Department of Health Services (DHS). Healthiest Wisconsin 2020. http://www.dhs.wisconsin.gov/publications/P0/P00187.pdf
6. Centers for Disease Control and Prevention (CDC). Health Care: See Why Being Insured Matters. http://www.cdc.gov/features/vitalsigns/HealthcareAccess/
7. Cheung PT, Wiler JL, Lowe RA, Ginde AA. (2012). National Study of Barriers to Timely Primary Care and Emergency Department Utilization Among Medicaid Beneficiaries. Annals of Emergency Medicine. 60(1). http://www.annemergmed.com/webfiles/images/journals/ymem/FA-PTCheung.pdf
8. Kaiser Commission on Medicaid and the Uninsured. Next Steps in Covering Uninsured Children. Findings from the Kaiser Survey of Children’s Health Coverage. http://kaiserfamilyfoundation.files.wordpress.com/2013/01/7844.pdf 53
References
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9. CDC. Regular Check-Ups Are Important. http://www.cdc.gov/family/checkup/10. United States Department of Health and Human Services (HHS). The 2011 HHS
Poverty Guidelines. http://aspe.hhs.gov/poverty/11poverty.shtml11. Data Resource Center for Child and Adolescent Health. Indicator details. http://
www.childhealthdata.org/browse/survey/results?q=2507&r=112. RAND Corporation. The Evolving Role of Emergency Departments in the United
States. http://www.rand.org/content/dam/rand/pubs/research_reports/RR200/RR280/RAND_RR280.pdf
13. Gindi RM, Cohen RA, Kirzinger WK. Emergency room use among adults aged 18–64: Early release of estimates from the National Health Interview Survey, January–June 2011. National Center for Health Statistics. May 2012. Available from: http://www.cdc.gov/nchs/nhis/releases.htm
14. Wisconsin Department of Health Services (DHS).Wisconsin Health Facts: Poverty and Health, 2010 Results from the Wisconsin Family Health Survey. http://www.dhs.wisconsin.gov/publications/p0/p00381.pdf
15. DHS. Wisconsin Primary Care Office: Number of Dentists Needed to Reduce Significant Shortages for Medicaid Members. http://www.dhs.wisconsin.gov/publications/p0/p00368.pdf
16. DHS. Wisconsin Primary Care Office: Number of Psychiatrist FTEs Needed to Reduce Significant Shortages for the Resident Population. http://www.dhs.wisconsin.gov/publications/p0/p00376.pdf
54
References
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Links to additional reports and resources
• Wisconsin Health Facts: Poverty and Health, 2010. http://www.dhs.wisconsin.gov/publications/p0/p00381.pdf
• Wisconsin Health Insurance Coverage, 2010. http://www.dhs.wisconsin.gov/publications/p4/p45369.pdf
• Wisconsin Primary Care Programs. Maps and data. http://www.dhs.wisconsin.gov/health/primarycare/maps.htm
55
Links
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Contacts
56
Family Health SurveyAnn BuedelResearch AnalystOffice of Health InformaticsDivision of Public Health Wisconsin Department of Health ServicesEmail: [email protected]
Wisconsin Primary Care ProgramsTraici Brockman, MPHCoordinatorOffice of Policy and Practice AlignmentDivision of Public Health Wisconsin Department of Health ServicesEmail: [email protected]
Behavioral Risk Factor SurveyAnne Ziege, PhDBehavioral Risk Factor Survey Coordinator/Project Director Office of Health Informatics Division of Public Health Wisconsin Department of Health ServicesEmail: [email protected]
National Survey of Children’s HealthElizabeth Oftedahl, MPHCYSHCN EpidemiologistMaternal and Child Health ProgramDivision of Public HealthWisconsin Department of Health ServicesEmail: [email protected]
Contacts
