2013 TITLE V STATISTICS
SECTION I. IMPROVED PREGNANCY OUTCOME PROGRAM
A. NUMBER OF PRENATAL CLIENTS SERVED
A.1 Total number of prenatal clients you provided any component of service, this reporting period, where a client
chart existed. Include both clients who delivered and those who did not deliver during this reporting period.
Count any client who was pregnant twice during the reporting period as two clients.
4,455
A.2 Total number of prenatal clients who have moved out of your area during this reporting period (# of persons
moved).
241
A.3 Subtotal (Subtract A.2. from A.1.)
4,215
A.4 Unduplicated number of prenatal clients reported under Section I.A.1 that also received family planning
methods this reporting period and are reported in Section II A.1. Medical Family Planning Method services.
9
A.5 Unduplicated number of prenatal clients served and delivered this reporting period by age, race, and ethnicity. Do not include
clients who have moved out of your area. The total number of individuals listed in the Race grid should equal the total number of
individuals listed in the Ethnicity grid.
Age and Race
Black
Am Indian
Native
More
Other
or
or
Hawaiian
than
African
One Race
Native
or other
AGES
and
White
American American
Asian
P. Isle.
Reported
Unknown Total
Ages 14 & under
8
1
0
5
0
1
1
16
Ages 15-17
161
25
12
25
1
3
16
243
Ages 18-19
296
28
32
25
0
5
29
415
Ages 20-21
323
28
28
19
1
9
36
444
Ages 22-24
483
32
33
27
0
2
45
622
Ages 25-34
869
101
25
43
1
7
95 1,141
Ages 35 & over
211
13
10
15
0
0
22
271
Age Unknown
1
0
0
0
0
0
4
5
TOTAL ALL AGES
2,352
228
140
159
3
27
248 3,157
Ethnicity
# Who are
# Who are not
Hispanic Hispanic # Unknown Total
Ages
Ages 14 & under
3
12
1
16
Ages 15-17
46
180
16
242
Ages 18-19
87
295
34
416
Ages 20-21
74
329
45
448
Ages 22-24
105
461
56
622
Ages 25-34
213
790
134
1,137
Ages 35 & over
112
135
24
271
Age Unknown
0
0
5
5
TOTAL ALL AGES
640
2,202
315
3,157
B. PRIMARY MEDICAL COVERAGE FOR MATERNITY CARE.
Include individuals who appear to be eligible and likely to apply for public programs. Record coverage at the women's
first visit of the year. Total of individuals in this area must equal the total in Section I.A.1 total number of prenatal clients
you provided any component of service during this reporting period and where a client chart existed.
Medical
Minnesota
Other
Care
Sources
Insurance Assistance
Women
Eligible
Minnesota Department of Health
476
3,006
282
1
351
Self-pay
Unknown
Total
229
111
4,455
6-5-2014
2013 TITLE V STATISTICS
SECTION I. IMPROVED PREGNANCY OUTCOME PROGRAM
C. PRENATAL/DELIVERY/POSTPARTUM SERVICES BY COMPONENT
C.1 Unduplicated number of prenatal women served through face to face health education/counseling visits where
a client chart exists.
Female
Ages
Ages 14 & under
20
Ages 15-17
313
Ages 18-19
521
Ages 20-21
551
Ages 22-24
780
Ages 25-34
1,415
Ages 35 & over
275
Age Unknown
2
TOTAL ALL AGES
3,877
C.2 Unduplicated number of postpartum women served through face to face health education/counseling visits
where a client chart exists. List only one post partum visit per pregnancy
3,766
C.3 Health education/counseling in group settings. This can include group prenatal and postnatal classes or
group presentations. May include persons where a client chart exists or those for whom no client chart was
opened.
# of individuals served
# of group sessions convened
Minnesota Department of Health
4,662
968
2
6-5-2014
2013 TITLE V STATISTICS
SECTION II. FAMILY PLANNING PROGRAM
A. FAMILY PLANNING METHOD SERVICES
A.1 Unduplicated number of females receiving medical family planning method services where a client chart exists by age, race,
and ethnicity. This number should be equal to or greater than the number listed under Section I. Improved Pregnancy
Outcomes A.4. Medical family planning method services means physical examination by a physician/nurse
practitioner/certified nurse midwife and lab services provided prior to the provision of a family planning method (regardless of
the method chosen). Services may be provided in public clinics or in private offices. Do not include in these statistics
services provided using funds received as a Family Planning Special Project grantee.
Age and Race
Black
Am Indian
Native
More
Other
or
or
Hawaiian
than
African
Native
or other One Race
and
AGES
White
American American
Asian
P. Isle. Reported Unknown
Total
Ages 14 & under
39
75
21
21
0
57
4
217
Ages 15-17
501
361
89
68
3
143
32
1,197
Ages 18-19
669
373
56
83
3
159
61
1,404
Ages 20-21
454
150
12
48
2
54
35
755
Ages 22-24
438
131
5
25
1
51
18
669
Ages 25-34
153
24
6
4
1
7
5
200
Ages 35 & over
23
3
2
0
0
0
1
29
Age Unknown
0
0
0
0
0
0
0
0
TOTAL ALL AGES
2,277
1,117
191
249
10
471
156
4,471
Ethnicity
Ages
Ages 14 & under
Ages 15-17
Ages 18-19
Ages 20-21
Ages 22-24
Ages 25-34
Ages 35 & over
Age Unknown
TOTAL ALL AGES
# Who are
# Who are not
Hispanic Hispanic # Unknown Total
64
152
1
217
246
931
20
1,197
255
1,106
43
1,404
76
650
29
755
61
582
26
669
26
173
1
200
8
21
0
29
0
0
0
0
736
3,615
120
4,471
A.2 Unduplicated number of males receiving family planning services where a client chart exists.
454
B. PRIMARY MEDICAL COVERAGE FOR MEDICAL FAMILY PLANNING METHODS SERVICES
Include females who appear to be eligible and likely to apply for public programs. Record coverage at the
women's first visit of the year. Total must equal the total in Section II. A.1 Unduplicated number of females
receiving medical family planning method services where a client chart exists.
Medical Minnesota
Other
Insurance Assistance
Care
Sources
Persons Eligible
309
2,769
4
35
Self-pay
Unknown
1,263
91
Total
4,471
6-5-2014
Minnesota Department of Health
3
2013 TITLE V STATISTICS
SECTION II. FAMILY PLANNING PROGRAM
C. EDUCATION AND COUNSELING SERVICES
C.1 Unduplicated number of individuals receiving face to face family planning reproductive health counseling services
by age and sex where a client chart exists. Include both clinic and non-clinic settings. Family planning counseling
means the provision, on an individual basis, of factual information on pregnancy planning and all contraceptive
methods, and the use of non-directive interview techniques.
Ages
Ages 14 & under
Ages 15-17
Ages 18-19
Ages 20-21
Ages 22-24
Ages 25-34
Ages 35 & over
Age Unknown
TOTAL ALL AGES
Female
43
693
1,049
790
775
795
252
19
4,416
Male
5
50
106
126
130
60
31
0
508
Unknown
0
0
0
0
0
0
0
0
0
Total
48
743
1,155
916
905
855
283
19
4,924
C.2 Health education/support in group settings. Classes or presentations in group settings that provide factual
information on reproductive health. May include individuals where a client chart exists or those for whom no client
chart was opened.
# of individuals served
# of group sessions convened
39,523
2,393
6-5-2014
Minnesota Department of Health
4
2013 TITLE V STATISTICS
SECTION III. Children with Special Health Care Needs
A. NUMBER OF CLIENTS SERVED
A.1
Unduplicated number of children with special health care needs served by age, race and ethnicity where a client
chart exists. This should include children who have or are at risk for developing a special health care need.
AGES
Birth - 364 days
Ages 1-2
Ages 3-4
Ages 5-6
Ages 7-10
Ages 11-14
Ages 15-17
Ages 18-19
Ages 20-21
Age Unknown
TOTAL ALL AGES
White
1,533
1,952
720
68
74
46
22
5
4
0
4,424
Black
Am Indian
or African
or
American
Native
American
287
106
302
108
53
21
15
6
25
0
8
0
2
0
0
0
1
0
0
0
693
241
Asian
80
94
17
1
0
0
0
2
0
0
194
Native
More
Hawaiian
than
Other
and
or other One Race
P. Isle. Reported Unknown
6
137
241
2
161
443
1
41
119
0
2
6
0
2
9
0
0
6
0
1
2
0
0
1
0
0
0
0
0
0
9
344
827
Total
2,390
3,062
972
98
110
60
27
8
5
0
6,732
Ethnicity
Ages
Birth - 364 days
Ages 1-2
Ages 3-4
Ages 5-6
Ages 7-10
Ages 11-14
Ages 15-17
Ages 18-19
Ages 20-21
Age Unknown
TOTAL ALL AGES
# Who are
# Who are not
#
Hispanic Hispanic Unknown Total
243
1,516
631
2,390
304
2,082
676
3,062
117
711
144
972
13
73
12
98
8
75
27
110
5
40
15
60
3
20
4
27
0
5
3
8
3
1
1
5
0
0
0
0
696
4,523
1,513
6,732
B. MAJOR MEDICAL CARE RESOURCE AVAILABLE FOR MEDICAL SERVICES AT INITIAL INTAKE
Include children who appear to be eligible and likely to apply for public programs. Record coverage at the first
visit of the year. Total must equal the total in Section III. A. Unduplicated number of children with a special health
care need served by age, race and ethnicity where a client chart exists.
Medical Minnesota
Other
Total
Insurance Assistance
Care
Sources Self-pay Unknown
Children Eligible
2,447
Minnesota Department of Health
3,268
127
520
5
92
278
6,732
6-5-2014
2013 TITLE V STATISTICS
SECTION III. Children with Special Health Care Needs
C. SERVICES PROVIDED BY COMPONENT
C.1 Unduplicated number of children receiving case management/care coordination where a client chart exists. Case
management/care coordination refers to a set of activities provided by a health professional to a child
experiencing illness, disability, or impairment, or to their family to assure that necessary care or services are
provided to allow the child as full a life as is possible in the least restrictive environment. Services could include
comprehensive assessment, development and implementation of an individual plan of care, arrangement for
services, monitoring of service delivery, and periodic reassessment.
Ages
Birth - 364 days
Ages 1-2
Ages 3-4
Ages 5-6
Ages 7-10
Ages 11-14
Ages 15-17
Ages 18-19
Ages 20-21
Age Unknown
TOTAL ALL AGES
# of Unduplicated Children
Female
Male
Unknown
372
399
3
315
337
2
77
93
0
33
39
0
41
64
0
30
29
0
7
20
0
3
6
0
4
1
0
0
0
0
882
988
5
Total
774
654
170
72
105
59
27
9
5
0
1,875
C.2 Unduplicated number of children with special health care needs or their families receiving a face to
face visit for education or counseling services and where a client chart exists.
# of children served
# of visits
1,755
6,953
C.3 Number of children with special health care needs or their families receiving health education or
support services provided in group settings, or individual counseling where there is no client chart.
# of children served
# of group sessions convened
466
432
C.4 Individual or group activities such as presentations to professionals, schools, hospitals and Early
Childhood Family Education related the children with special health care needs.
# of children served
# of group sessions convened
896
90
C.5 Unduplicated number of children served by the Follow-Along Program.
# of children served
19,476
C.6 The number of unduplicated children served by age where your agency participated in the development of an
Individual Family Service Plan; Individual Interagency Intervention Plan; Individual Education Plan.)
Birth to 2
3-5
6-13
14-21
Total
IFSP/IIIP
202
30
11
7
250
IEP
4
55
65
16
140
C.7 The number of children by age served for whom your agency participated in the development of and IFSP/IIP/IEP
and where a client chart exists.
Birth to 2
3-5
6-13
14-21
Total
IFSP/IIIP
348
35
11
7
401
Minnesota Department of Health
IEP
4
27
27
7
65
6
6-5-2014
2013 TITLE V STATISTICS
SECTION IV. CHILD AND ADOLESCENT HEALTH PROGRAM
A. NUMBER OF CHILDREN SERVED
Unduplicated number of children or their families served by age, race, and ethnicity where a client chart exists.
RACE
Black
Am Indian
Native
More
AGES
or
or
Hawaiian
than
Other
African
and
Native
or other One Race
White
American American
Asian
P. Isle. Reported Unknown
Total
Ages 1 - 2
1,874
436
78
184
1
114
381
3,068
Ages 3 - 4
825
83
30
50
1
31
184
1,204
Ages 5 - 6
228
88
14
35
2
3
60
430
Ages 7 - 10
97
37
5
33
1
0
49
222
Ages 11 - 12
75
88
2
97
0
12
24
298
Ages 13 - 14
248
330
22
213
2
37
67
919
Ages 15 - 17
1,193
1,265
78
763
6
172
231
3,708
Ages 18 - 19
384
372
18
230
5
27
69
1,105
Ages 20 - 21
103
46
7
31
0
5
19
211
Ages unknown
14
0
0
0
0
0
10
24
TOTAL ALL AGES
5,041
2,745
254
1,636
18
401
1,094
11,189
Ethnicity
# Who are
# Who are
not
#
Hispanic
Hispanic Unknown Total
Ages
Ages 1 - 2
464
2,398
206
3,068
Ages 3 - 4
195
907
103
1,205
Ages 5 - 6
76
311
42
429
Ages 7 - 10
44
147
31
222
Ages 11 - 12
47
234
17
298
Ages 13 - 14
144
755
20
919
Ages 15 - 17
600
3,055
53
3,708
Ages 18 - 19
188
901
15
1,104
Ages 20 - 21
50
153
6
209
Ages unknown
4
10
13
27
TOTAL ALL AGES
1,812
8,871
506
11,189
B. PRIMARY MEDICAL COVERAGE FOR CHILD HEALTH NEEDS
Primary medical coverage for child health needs. Include children who appear to be eligible and likely to apply for public
programs. Record coverage at the first visit of the year. The total must equal the total listed in Section IV. A.
Medical Minnesota
Other
Care
Sources
Insurance Assistance
Children Eligible
Minnesota Department of Health
1,969
5,240
684
7
260
Self
Pay
2,551
Unknown
TOTAL
485
11,189
6-5-2014
2013 TITLE V STATISTICS
SECTION IV. CHILD AND ADOLESCENT HEALTH PROGRAM
C. EDUCATION AND COUNSELING SERVICES
C.1 Unduplicated number of children/adolescents/families provided face to face health education/counseling visits where a client
chart exists.
Female
Male
Unknown Total
Ages
Ages 1 - 2
903
948
3
1,854
Ages 3 - 4
357
402
0
759
Ages 5 - 6
177
183
0
360
Ages 7 - 10
99
117
0
216
Ages 11 - 12
132
144
0
276
Ages 13 - 14
354
271
0
625
Ages 15 - 17
1,765
878
0
2,643
Ages 18 - 19
572
238
0
810
Ages 20 - 21
145
29
0
174
Ages unknown
16
8
0
24
TOTAL ALL AGES
4,520
3,218
3
7,741
C.2 Number of children/adolescents/families receiving health education or support services provided in group settings. May
include individuals where a client chart exists or those where no client chart was opened.
# of individuals served
5,467
# of group sessions convened
Minnesota Department of Health
840
8
6-5-2014
2013 TITLE V STATISTICS
SECTION V. INFANT HEALTH PROGRAM
A. NUMBER OF INFANTS SERVED
A.1 Unduplicated number of infants/families served by age, race, and ethnicity where a client chart exists
White
Infants Eligible
3,312
Black
Am Indian
or
or
African
Native
American American
793
RACE
Native
More
Other
Hawaiian
than
or other One Race
and
P. Isle. Reported Unknown
Asian
167
482
# Who are
# Who are not
#
Hispanic Hispanic Unknown
828
4,365
288
Total
5,481
9
270
448
Total
5,481
Ethnicity
Totals
B. PRIMARY MEDICAL COVERAGE FOR INFANT HEALTH NEEDS
Include infants who appear to be eligible and likely to apply for public programs. Record coverage at the first visit
of the year. Total must equal the total in Section V. A.
Medical Minnesota
Insurance Assistance
Care
Infants Eligible
903
3,432
Other
Sources
417
Self
Pay
225
163
Unknown
TOTAL
341
5,481
C. EDUCATION AND COUNSELING SERVICES
C.1 Unduplicated number of infants/families provide face to face health education/counseling visits where a client chart exists.
# of individuals
4,315
C.2 Number of infants/families receiving health education or support services provided in group settings. May include
individuals where a client chart exists or those for whom no client chart was opened.
Minnesota Department of Health
# of infants and mothers
823
# of group secessions convened
163
9
6-5-2014