2014 Title V Statistics
I. Improved Pregnancy Outcome Program
A. NUMBER OF PRENATAL CLIENTS SERVED
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: 3,975
2. Total number of prenatal clients who have moved out of your area during this reporting period
(number of persons moved): 224
3. Subtotal (subtract 224 from 3,975): 3,751
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: 5
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 Chart
Ages
Black or
African
American
White
14 and under
15 – 17
18-19
20-21
22-24
25-34
35 and over
Age unknown
TOTAL ALL AGES
Ethnicity Chart
Ages
14 and under
15 – 17
18-19
20-21
22-24
25-34
35 and over
Age unknown
TOTAL ALL AGES
11
97
213
265
405
790
208
1
1,990
3
24
22
40
30
97
21
1
238
American
Indian or
Native
American
1
8
16
11
26
34
3
1
100
Number who are
Hispanic
1
27
71
72
96
223
96
0
586
Minnesota Department of Health
Asian
Native
Hawaiian or
other Pacific
Islander
3
20
19
20
25
45
6
1
139
Number who are
not Hispanic
19
126
212
277
397
792
144
3
1,970
1
More than
one race
reported
Other
and
Unknown
0
10
18
8
5
13
2
1
57
1
3
20
29
40
71
21
10
195
0
0
0
0
0
2
1
0
3
Number
Unknown
Total
19
162
308
373
531
1,052
262
15
2,722
Total
20
158
306
372
518
1,071
264
13
2,722
0
5
23
23
25
56
24
10
166
October 2015
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 Coverage for Maternity Care Chart
Insurance
Medical
Minnesota
Assistance
Care
Women
397
2,418
259
Eligible
Other
Sources
481
Self-pay
157
Unknown
Total
263
3,975
C. PRENATAL/DELIVERY/POSTPARTUM SERVICES BY COMPONENT
1. Unduplicated number of prenatal women served through face to face health education/counseling
visits where a client chart exists.
Prenatal Women Services Chart
Ages
14 and under
15 – 17
18-19
20-21
22-24
25-34
35 and over
Age unknown
TOTAL ALL AGES
Number of Females
23
242
405
433
618
1,267
234
9
3,231
2. Unduplicated number of postpartum women served through face to face health
education/counseling visits where a client chart exists. List only one postpartum visit per pregnancy:
3,011
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.
Number of individuals served: 2,305
Number of group sessions convened: 282
Minnesota Department of Health
2
October 2015
II. FAMILY PLANNING PROGRAM
A. FAMILY PLANNING METHOD SERVICES
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 Chart
Ages
Black or
African
American
White
14 and under
15 – 17
18-19
20-21
22-24
25-34
35 and over
Age unknown
TOTAL ALL AGES
Ethnicity Chart
Ages
14 and under
15 – 17
18-19
20-21
22-24
25-34
35 and over
Age unknown
TOTAL ALL AGES
3
354
506
706
394
153
57
1
2,174
1
352
243
219
151
91
82
0
1,139
American
Indian or
Native
American
0
39
10
12
9
22
2
0
94
Number who are
Hispanic
0
89
239
161
66
48
53
1
657
Asian
Native
Hawaiian or
other Pacific
Islander
0
62
50
43
36
15
1
0
207
Number who are
not Hispanic
4
667
927
709
562
256
128
1
3,254
More than
one race
reported
Other
and
Unknown
1
55
71
52
52
24
4
1
260
1
29
37
27
29
13
2
0
138
0
0
1
2
2
2
0
0
7
Number
Unknown
Total
6
891
918
1,061
673
320
148
2
4,019
Total
6
768
1,196
899
650
315
183
2
4,019
2
12
30
29
22
11
2
0
108
2. Unduplicated number of males receiving family planning services where a client chart exits: 604
Minnesota Department of Health
3
October 2015
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 medial family planning method services where a client chart exists.
Insurance
Persons
Eligible
317
Medical
Assistance
2,191
Minnesota
Care
787
Other
Sources
22
Self-pay
Unknown
638
Total
4,019
64
C. EDUCATION AND COUNSELING SERVICES
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
14 and under
15 – 17
18-19
20-21
22-24
25-34
35 and over
Age unknown
TOTAL ALL AGES
Females
Males
31
846
1,077
891
898
1,058
334
4
5,139
Unknown
0
62
145
135
141
71
50
0
604
Total
31
908
1,222
1,026
1,039
1,129
384
4
5,743
0
0
0
0
0
0
0
0
0
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.
Number of individuals served: 41,421
Number of group sessions convened: 2,377
Minnesota Department of Health
4
October 2015
III. Children with Special Health Care Needs
A. NUMBER OF CLIENTS SERVED
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.
Age and Race Chart
Ages
Black or
African
American
White
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
741
1,974
832
102
89
63
26
10
10
13
3,860
Ethnicity Chart
86
430
81
23
19
10
4
1
1
4
659
American
Indian or
Native
American
40
65
15
5
6
3
1
1
0
1
137
Number who are
Hispanic
116
317
126
31
11
8
2
2
2
1
616
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
Asian
Native
Hawaiian or
other Pacific
Islander
32
133
24
3
1
3
0
0
0
0
196
Number who are
not Hispanic
797
2,530
898
103
113
77
31
11
9
16
4,585
More than
one race
reported
Other
and
Unknown
51
161
47
3
1
1
0
0
0
0
264
52
187
50
6
13
10
2
1
0
0
321
0
5
0
0
0
0
0
0
0
0
5
Number
Unknown
Total
1,002
2,955
1,049
142
129
90
33
13
11
18
5,442
Total
991
2,965
1,050
141
130
90
33
13
11
18
5,442
78
118
26
7
6
5
0
0
0
1
241
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.
Insurance
Children
Eligible
2,118
Minnesota Department of Health
Medical
Assistance
2,629
Minnesota
Care
256
Other
Sources
150
5
Self-pay
143
Unknown
Total
146
October 2015
5,442
C. SERVICES PROVIDED BY COMPONENT
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.
Unduplicated Children Chart
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
Females
Males
233
296
107
36
40
34
12
3
8
12
781
Unknown
281
419
131
55
65
34
12
9
3
1
1,010
Total
514
715
239
91
106
68
24
12
11
22
1,802
0
0
1
0
1
0
0
0
0
9
11
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.
Number of children served: 1,763
Number of visits: 6,509
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.
Number of children served: 295
Number of group sessions convened: 5
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.
Number of children served: 568
Number of group sessions convened: 88
5. Unduplicated number of children served by the Follow-Along Program.
Number of children served: 20,162
Minnesota Department of Health
6
October 2015
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.)
ISFP/IIIP
IEP
Birth to 2
183
3
3-5
26
42
6-13
36
33
14-21
20
9
Total
265
87
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.
ISFP/IIIP
Birth to 2
3-5
6-13
14-21
Total
Minnesota Department of Health
IEP
278
70
2
0
350
7
3
25
26
10
64
October 2015
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.
Age and Race Chart
Ages
Black or
African
American
White
Ages 1-2
Ages 3-4
Ages 5-6
Ages 7-10
Ages 11-12
Ages 13-14
Ages 15-17
Ages 18-19
Ages 20-21
Age unknown
TOTAL ALL AGES
Ethnicity Chart
Ages
Ages 1-2
Ages 3-4
Ages 5-6
Ages 7-10
Ages 11-12
Ages 13-14
Ages 15-17
Ages 18-19
Ages 20-21
Age unknown
TOTAL ALL AGES
1,989
925
188
150
178
416
1,480
375
132
4
5,837
508
115
88
93
222
555
1,478
402
66
0
3,527
American
Indian or
Native
American
71
14
7
8
6
30
86
17
1
0
240
Number who are
Hispanic
467
205
71
50
97
230
792
208
78
0
2,198
Minnesota Department of Health
Asian
Native
Hawaiian or
other Pacific
Islander
200
52
39
59
142
296
836
257
71
0
1,952
Number who are
not Hispanic
2,626
1,003
272
260
474
1,123
3,260
876
202
4
10,100
8
More than
one race
reported
Other
and
Unknown
150
45
3
4
14
38
137
30
7
0
428
284
129
47
27
22
38
80
33
19
0
679
6
6
4
0
1
2
7
1
0
0
27
Number
Unknown
Total
3,208
1,286
376
341
585
1,375
4,104
1,115
296
4
12,690
Total
121
73
32
31
14
22
52
31
16
0
392
3,214
1,281
375
341
585
1,375
4,104
1,115
296
4
12,690
October 2015
B. PRIMARY MEDICAL COVERAGE FOR CHILD HEALTH NEEDS
Primary medical coverage for child health needs. Includes 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.
Insurance
Children
Eligible
2,061
Medical
Assistance
6,011
Minnesota
Care
812
Other
Sources
372
Self-pay
Unknown
2,624
810
Total
12,690
C. EDUCATION AND COUNSELING SERVICES
1. Unduplicated number of children/adolescents/families provided face to face health
education/counseling visits where a client chart exists.
Ages
Ages 1-2
Ages 3-4
Ages 5-6
Ages 7-10
Ages 11-12
Ages 13-14
Ages 15-17
Ages 18-19
Ages 20-21
Age unknown
TOTAL ALL AGES
Females
Males
803
333
184
177
179
350
1,044
336
144
2
3,552
Unknown
888
348
178
159
213
313
481
157
39
1
2,777
Total
1,693
681
362
336
392
663
1,525
493
183
3
6,331
2
0
0
0
0
0
0
0
0
0
2
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.
Number of individuals served: 9,155
Number of group session convened: 783
Minnesota Department of Health
9
October 2015
V. INFANT HEALTH PROGRAM
A. NUMBER OF INFANTS SERVED
Unduplicated number of infants/families served by age, race, and ethnicity where a client chart exists.
Race Chart
White
INFANTS
ELIGIBLE
2,556
Ethnicity Chart
Black or
African
American
American
Indian or
Native
American
Asian
653
109
479
Number who are
Hispanic
733
TOTALS
Native
Hawaiian or
other Pacific
Islander
Number who are
not Hispanic
3,315
More than
one race
reported
Other
and
Unknown
236
291
5
Number
Unknown
Total
4,329
Total
4,329
281
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.
Insurance
Infants
Eligible
728
Medical
Assistance
2,412
Minnesota
Care
374
Other
Sources
447
Self-pay
116
Unknown
Total
252
4,329
C. EDUCATION AND COUNSELING SERVICES
1. Unduplicated number of infants/families provide face to face health education/counseling visits where a
client chart exists.
Number of individuals: 4,098
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.
Number of infants and mothers: 1,227
Number of group sessions convened: 145
Minnesota Department of Health
10
October 2015