Rank MSO HO ER HO ER Visits Well Child Well Child Well Child Immunization Rate Cumulative

Visits Without PCP Exam Rate Exam Rate Exam Rate for 6-year olds Rank
Visit 0-15 months 3-6 years 12-21 years

1 Moses Lake 3 5 3 1 1 2 15
CHC
2 Columbia Basin 4 1 14 2 2 1 24
Health
Association
3 International 1 5 5 3 5 5 24
Comm. Health
Services
4 PS 6 8 8 4 4 5 35
Neighborhood
Health Centers
5 Columbia Valley 2 9 8 6 7 4 36
Community
Health
6 5 2 17 7 3 6 40

7 8 4 1 8 6 15 42

8 12 7 13 5 8 4 49

9 10 12 7 8 10 8 55

10 14 14 2 10 12 5 57

11 7 13 9 10 11 10 60

12 13 6 11 7 13 12 62

13 15 7 10 9 15 7 63

14 Interfaith Family 9 10 12 12 9 13 65
Health Center
15 18 9 6 12 11 12 68

16 16 9 16 13 14 3 71

17 19 11 4 14 16 9 73

18 17 3 12 11 17 14 74
19 11 13 15 9 15 11 74

In these cumulative rankings, Interfaith placed 14th out of 19 Health Centers.

Clearly there is room for improvement.

There are a few principles that the management team and Board will be discussing
to guide our efforts to improve quality of care. Those principles include:

• All patients are assigned to a particular provider team.

• Provider teams are accountable for continuously improving the quality of care
and service provided

• Provider teams will be measured on their performance and provided regular

feedback.

• Managers are accountable for improving the performance of our clinic system
as a whole and for creating clinic processes and systems that enhance quality
of care and service.

• Financial incentives for top performing teams