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 _i.3%i.ai)_i.3%i.5.i._i.3%i.ai)_i.3%i.5.i._i.3%i.ai)_i.3%i.5.i._i.3%i.ai)_i.3%i.5.i._i.3%i.ai)_i.3%i.5.i._i.3%i.ai)_i.3%i.5.i._i.3%i.ai)_i.3%i.5.i._i.3%i.5.i._i.ai)_i.3%i.5.i._i.3%i.ai)_i.3%i.5.i._i.3%i.3%i.ai)_i.3%i.5.i._i.3%i.ai)_i.3%i.5.i._i.3%i.ai)_i.3%i.5.i._i.3%i.۠M8(ontrac3|xU\\UTSTATE\PCRHS-HP8100DN.PRINTERS.CB.HL.UT0 f!X ZXXXX ZXXX Z       _Xdx *,XXX*PROGRESSREPORTPURPOSES  D ProgressReportshavetwo(2)purposes:    1cj /0(Lx3a"c3"  c3 2L3  0    ProgressReportsprovideinformationthattheOfficeofPrimaryCareandRuralHealth   (_PCRH_)mustprovidetotheLegislatureinanannualreport.c3 8݌ T$T$ Ќ  "c3"  c32L3  0    ProgressReportsareintendedtoevaluatetheProjectsprogress.IftheLegislature  P appropriatesfundsforStateFiscalYear(_SFY_)20082009,theProgressReportdue z6 April15,2008maybearequiredpartofthe_SFY_Ԁ20082009grantapplication.Oneof `  thecriteriaforfuturegrantawardswillbethetimelinessandcompletenessofthe F  submittedProgressReports.c3݌, T$T$ Ќ  PROGRESSREPORTDUEDATES    @XX Z*/ddd Xdd Xdd XT$T$,0 dd,dd, dd +  ;///i&   **;CONTINUATIONPROJECTS:CumulativeProgressReportScheduleandCoverage V//iA* " ** ///i **VDateProgressReportDuetoDEPARTMENT D///i/$"//i DGrantPeriodCoveredbyProgressReport I//:'" ** ///i **IFirstReportingPeriodProgressReport: ^//O! 3// H@39492H@^February15,2008 a///NC  H@39492 H@// aDecember1,2007thruJanuary31,2008 I//:'  ** /// **ISecondReportingPeriodProgressReport: ^//O!23// P@39552P@^April15,2008 a///NC2 P@39552 P@// aDecember1,2007thruMarch31,2008 I//:'2 ** /// **IThirdReportingPeriodProgressReport: ^//O!D3// W@39613W@^June15,2008 a///NCD W@39613 W@// aDecember1,2007thruMay31,2008 K///:'D ** /// **KFinalReportingPeriodProgressReport: `///O!V3/// `[@39643`[@`July15,2008 a////NCV `[@39643 `[@/// aDecember1,2007thruJune30,20087-+V **  //// 7*e/fdd0 dd0 dd dd /T$T$, dd,dd, dd +  ;///i& **;NEWPROJECTS:CumulativeProgressReportScheduleandCoverage V//iA*& " ** ///i **VDateProgressReportDuetoDEPARTMENT D///i/$@!"//i DGrantPeriodCoveredbyProgressReport I//:'@"" ** ///i **IFirstReportingPeriodProgressReport: ^//O!R#3// @@39430@@^December15,2007 a///NCR$ @@39430 @@// aOctober1,2007thruNovember30,2007 I//:'R% ** /// **ISecondReportingPeriodProgressReport: ^//O!d &3// H@39492H@^February15,2008 a///NCd ' H@39492 H@// aOctober1,2007thruJanuary31,2008 I//:'d ( ** /// **IThirdReportingPeriodProgressReport: ^//O!v 2)3// P@39552P@^April15,2008 a///NCv 2* P@39552 P@// aOctober1,2007thruMarch31,2008 I//:'v 2+ ** /// **IFourthReportingPeriodProgressReport: ^//O!!D,3// W@39613W@^June15,2008 a///NC!D- W@39613 W@// aOctober1,2007thruMay31,2008 K///:'!D. ** /// **KFinalReportingPeriodProgressReport: `///O!"V/3/// `[@39643`[@`July15,2008 a////NC"V0 `[@39643 `[@/// aOctober1,2007thruJune30,20087-+"V1 **  //// 7#X ZX@q#The_PCRH_Ԁreservestherighttorequestadditionalinformationand/orcorrectionstothe h$$2 ProgressReportsbeforeGRANTpaymentsareauthorized.TheProgressReportsmayalso N% 3 besubmittedbythefollowingmethods, aslongastheyarefollowedbytheoriginal 6&4 ProgressReportbyU.S.mail : "'5 "c3"  c32L3  0    FacsimileProgressReportswillbeacceptedasmeetingthedeadlineifthetimestamp (!7 onthefacsimileasitisreceivedat_PCRH_Ԁispriorto12:00midnightonthedaythe )"8 ProgressReportisdue.Thismaybedifferentfromthedatestampoftheoutgoingfax *z#9 _machine,soallowadditionaltimeforthedifference.Thefaxnumberis (801)5386387 .c3 ݌DT$T$ Ќ  "c3"  c3]2L3  0    Hardcopieswillbeacceptedasmeetingthedeadlineiftheyarereceivedthroughthe   U.S.mailonthedatetheyaredue.Themailingaddressis:c3]݌ T$T$ Ќ  0  04T$T$ OfficeofPrimaryCareandRuralHealth 4T$4T$ 0  04T$T$UtahDepartmentofHealth p4T$4T$ 0  04T$T$P.O.Box142005 \4T$4T$ 0  04T$T$SaltLakeCity,Utah841142005 H4T$4T$ 0  Hardcopieswillbeacceptedasmeetingthedeadlineiftheyarereceivedthrougha ^  nonU.S.MailpackagesystemorhanddeliveredtoPCRHby5:00p.m.onthedue D  date.Thestreetaddressis:* T$T$ 0  04T$T$ OfficeofPrimaryCareandRuralHealth 4T$4T$ 0  04T$T$UtahDepartmentofHealth 4T$4T$ 0  04T$T$288North1460West,SecondFloor4T$4T$ 0  04T$T$SaltLakeCity,Utah84116 v4T$4T$  PENALTIES  H Apenaltyof$100.00perworkdaymaybeassessedforlateorincompleteProgressReports. ^ Apenaltyof$150.00perworkdaymaybeassessedforalateorincompleteFinalProgress D Report(duenolaterthanJuly15,2008).Thepenaltymaybeassesseduntilacomplete, * accuratereporthasbeensubmittedandapproved.Itmustcontain all theinformationspecified  intheseProgressReportInstructionsandTablesincludingtheidentifyinginformation,financial  information,allthenarrativeinformationrequiredforthatreportingperiod,andcorrect  statisticaltables.IfGRANTEEfundshavealreadybeenexpended,thesepenaltiesmaybe  appliedtofuturegrantawardsgiventoaGRANTEEundertheStatePrimaryCareGrants  h Program. !N A"n) xdE]#^ A ^# PleaserememberthatinformationontheProgressReportisrequiredandmustbesubmitted $]! inone(1)completepacket. %C"   m&)# p9X,` X,XX9@XX Z*/dd dd dd dd e/fT$T$, dd,Xdd+  3ihh Z3PleaseCheckONLYOne(1)Box: Ai,!@"i AReportingPeriodCoveredbyThisProgressReport: @6'@" Z0 i Z@DueDate:December15,2007TT&#X ZX@.'#@XX ZԈ 0/// 0 NEWPROJECTSONLY: October1,2007thruNovember30,2007 @6' Z0 /// Z@DueDate:February15,2008TT& 0///^ 0 ALLPROJECTS: December1,2007thruJanuary31,2008 @6'^ Z0 /// Z@DueDate:April15,2008TT& 0///, 0 ALLPROJECTS: #X ZX@w)#@XX ZDecember1,2007thruMarch31,2008 @6',  Z0 /// Z@DueDate:June15,2008TT& 0///|  0 ALLPROJECTS: #X ZX@+#@XX ZDecember1,2007thruMay31,2008 @6'|  Z0 /// Z@DueDate:July15,2008TT& 0////N  0 ALLPROJECTS: #X ZX@,#@XX ZDecember1,2007thruJune30,20087-+N  Z0  //// 7 1.0  Encounter1information  T$T$ *xq/rdd dd XddX/T$T$x,HH ,(HH ,HH ,l HH +  ,"   Z,BaselineDataforYourAgency .$^ " .PrimaryCareGrantEncounters 4*^ " Z0  Z4#X ZX@-#{XX ZTotalnumberofencounters1 0  foryour" Agencys " X  mostrecentfiscalyear ' " 'Projectedtotalnumber 0  ofpatientencounters1for X  theprimarycaregrant ** '" 'Totalnumberofprimarycare 0  grantpatientencounters1 X  fortheReportingPeriod '" 'Numberof new primarycare 0  grantpatientencounters1 \  fortheReportingPeriod#X ZX{0#@XX Z 1'" Z0 Z1 '@" ' @ "   @! @" Z0   **0  Note: DonotincludeprimarycaregrantencountersforwhichSFY20062007fundingwasrequested.n#T$T$ @   FortheTables2through5,PleaseUseActualFigures,or p% @ BestEstimatesofUsersFundedbytheGrant  6& 2.0  Users2byAge D"(T$T$ *s/tdd4HH HH (4HH HH l q/rT$T$,P dd ,P dd +  (#F*#F Z(AgeGroups '"$+" 'NumberofUsers2 ("$," Z0 Z(019  r%-  r%. Z0 Z2064  &8/  &80 Z0 Z65andover  (1  (2 Z0 Z TotalUsers2  J)3 J)4 Z0    @*4  3.0  Users2byIncomeLevel  T$T$ *xu/vddP dd P P dd P s/tT$T$x,P dd ,P dd +  ( T(PercentofPovertyLevel 'Z" 'NumberofUsers2 1'Z" T0 T1100%andbelow "  " T0 T101200%  d  d T0 TAbove200%  (   (  T0 TUnreported/unknown  j   j  T0 T TotalUsers2  *  * T0   4.0  TotalUsers2byInsuranceStatus ` T$T$ *xw/yddP dd P P dd P u/vT$T$x,P dd ,P dd +  (b b  T(NumberUsers2Uninsured '8 " 'NumberUsers2Underinsured (8 " T0 T(      T0   5.0  Users2byRace/Ethnicity .T$T$ *x/ddP dd P P dd P w/yT$T$x,dd ,P dd +  (00 T(Race/Ethnicity '" 'NumberofUsers2 (" T0 T(Asian  P  P T0 TAmericanIndianorAlaskaNative       T0 TBlackorAfricanAmerican  !R  !R  T0 TNativeHawaiianorOtherPacificIslander  #!  #" T0 TWhite  X$#  X$$ T0 THispanicorLatino  %%  %& T0 TOther  &Z'  &Z( T0 TUnreportedorUnknown  ()  (* T0 T TotalUsers2  `)+ `), T0   V*, #X ZX@U3#&{%XX Z9,Fr4XX,` X9@   ForQuestions6through10,   @ooPleaseLimitYourResponsetoEachQuestiontoNoMorethanOnePage ^ .P XT$T$.6. 0 F CheckONLYOne(1)Box:F F  &Yes  &No. h Doyoucontinuetomaintaina"specifiedaccount"for  fundingawardedundertheGRANT?IfNo,please h explain. <  7. 0 F CheckONLYOne(1)Box:fF F  &Yes f &No. : Doyoucontinuetouseandmaintaina"tracking f methodology"forpatientsandencountersprovided : servicesundertheGRANT?IfNo,pleaseexplain.   .P X  . 8. 0 F Pleasesummarize, todate ,eachofyourProjectspecificactivitiesandoutcomesrelatedtothe 4  #X ZX%&{A#&{%XX ZProjectservicesandobjectivesoutlinedinthisGRANT.Inresponding,pleaserevieweach   #X ZX%&{F#&{%XX ZProjectserviceandobjectiveaslistedinthisGRANTunderSectionC.SERVICES,items6.and f  7.YoushouldalsorefertootherProgressReport(s)youhaveprovidedduringthecurrent :  GRANTPERIOD. FT$FT$  9. 0 F Pleasedescribe"how"yourAgencyhasmetyour#X ZX%&{RG#&{%XX ZProjectservicesandobjectives,asoutlinedin 4 thisGRANT,byprovidingspecificmeasuresandevaluationofsuccess.Ifthe#X ZX%&{H#&{%XX ZProjectservices  andobjectiveshavenotbeenmet,pleasestateanyconcernsthatyoumayhaveinmeetingthose f #X ZX%&{I#&{%XX ZProjectservicesandobjectives,andprovideanexplanationofyourplanofactiontomeetthe : #X ZX%&{J#&{%XX ZProjectservicesandobjectives.Inansweringthisquestion,youshouldrefertootherProgress  Report(s)providedduringthecurrentGRANTPERIOD.`FT$FT$  10. 0 F Optional:Ifthereisotherinformationthatyouwouldliketoprovideaboutyour#X ZX%&{vK#&{%XX ZProjectservices ! andobjectives,implementationofthose#X ZX%&{L#&{%XX ZProjectservicesandobjectives,ortheneedforyour f" #X ZX%&{M#&{%XX ZProject,pleasedescribe.:#FT$FT$ #X ZX%&{N#