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Key Performance Indicators

Department of Health

Mission

To promote and protect the health and well-being of Alaskans. AS 47.05.101 Priority 1. Health & Wellness Across the Lifespan Priority 2. Health Care Access, Delivery & Value Priority 3. Safe & Responsible Individuals, Families & Communities

Key Performance Indicators

FY2025 Management Plan as of 05/23/2025 (in thousands)
Department of Health Totals FundingPositions
UGF
Funds		DGF
Funds		Other
Funds		Federal
Funds		Total
Funds		Full
Time		Part
Time		Non
Perm
$1,029,592.9$54,815.8$104,609.7$2,527,453.5$3,716,471.91,5523121
1:  Protect and promote the health of Alaskans.
Funding Positions
UGF
Funds		 DGF
Funds		 Other
Funds		 Federal
Funds		 Total
Funds		 Full
Time		 Part
Time		 Non
Perm
$618,290.8 $43,610.3 $46,424.7 $1,709,576.4 $2,417,902.1 626 2 36
2:  Provide quality of life in a safe living environment for Alaskans.
Funding Positions
UGF
Funds		 DGF
Funds		 Other
Funds		 Federal
Funds		 Total
Funds		 Full
Time		 Part
Time		 Non
Perm
$118,019.4 $2,878.5 $16,996.3 $204,449.4 $342,343.6 332 0 24
3:  Manage health care coverage for Alaskans in need.
Funding Positions
UGF
Funds		 DGF
Funds		 Other
Funds		 Federal
Funds		 Total
Funds		 Full
Time		 Part
Time		 Non
Perm
$74,391.4 $697.1 $3,057.6 $210,789.7 $288,935.8 23 0 1
4:  Facilitate access to affordable health care for Alaskans.
Funding Positions
UGF
Funds		 DGF
Funds		 Other
Funds		 Federal
Funds		 Total
Funds		 Full
Time		 Part
Time		 Non
Perm
$77,132.0 $2,404.9 $5,868.4 $214,069.2 $299,474.4 82 0 3
5:  Strengthen Alaska families.
Funding Positions
UGF
Funds		 DGF
Funds		 Other
Funds		 Federal
Funds		 Total
Funds		 Full
Time		 Part
Time		 Non
Perm
$59,466.7 $944.3 $12,444.7 $63,468.1 $136,323.8 180 0 24
6:  Protect vulnerable Alaskans.
Funding Positions
UGF
Funds		 DGF
Funds		 Other
Funds		 Federal
Funds		 Total
Funds		 Full
Time		 Part
Time		 Non
Perm
$74,518.6 $4,240.0 $17,844.0 $116,301.5 $212,904.1 281 0 28
7:  Promote personal responsibility and accountable decisions by Alaskans.
Funding Positions
UGF
Funds		 DGF
Funds		 Other
Funds		 Federal
Funds		 Total
Funds		 Full
Time		 Part
Time		 Non
Perm
$7,774.0 $40.7 $1,974.0 $8,799.2 $18,588.0 28 0 4

Performance Detail

Priority 1: Protect and promote the health of Alaskans.
    Target #1: Percentage of Vacancies within the Division of Public Health

Methodology: Percent of vacancies within the Division of Public Health.
Numerator: Total number of vacant permanent PCNs
Denominator: Total number of permanent PCNs in the division
Source of data: IRIS
Perspective: Organizational Capacity
Type of measure: Capacity
Target or Goal: Reduce to 20%
What tool will be used to collect these data? Excel, Alder
How often will the data be analyzed and reported? Bi-Annual/fiscal year
Baseline measurement dates: 6/30/2022
1st remeasurement dates: 12/31/2022
DPH Strategic Plan or HA2030 Alignment: Strategic Plan- Admin/Leadership goal
Percentage of Vacancies within the Division of Public Health
Fiscal Year
YTD
Target
FY 2024
18.3%
20%
FY 2023
20.7%
20%
FY 2022
17.4%
20%
FY 2021
13.7%
20%
FY 2020
13.1%
20%
FY 2019
13.3%
20%

Target Last Modified: 09/11/2024

    Target #2: Percentage of 1115 behavioral health regions that are receiving funding from DPH for activities towards achieving health and equitable communities

Methodology: Percent of 1115 behavioral health regions that are receiving funding from DPH for activities towards achieving healthy and equitable communities within the current fiscal year.
Numerator: Number of 1115 behavioral health regions receiving funding for healthy and equitable community activities
Denominator: Total number of behavioral health regions
Source of data: Healthy and Equitable Communities program records (Contracts, grants, MOUs, etc.)
Perspective: Public benefit
Type of measure: Process
Target or Goal: 100% of behavioral health regions
Who will collect this information: Healthy and Equitable Communities Unit in DO
What tool will be used to collect these data? Evaluation of funding agreements, spend plan
How often will the data be analyzed and reported? Bi annually (October 1, April 1)
Baseline measurement dates: 4/1/2022
1st remeasurement dates: 10/1/2022
DPH Strategic Plan or HA2030 Alignment: Strategic Plan Goal 1; Healthy and Equitable Communities
Percentage of 1115 Behavioral Health Regions That Are Receiving Funding from DPH for Activities Towards Achieving Health and Equitable Communities
Year
Percent
Target
2024
100%
100%
2023
100%
100%
2022
100%
100%

Target Last Modified: 05/30/2024

    Target #3: Number of Alaskan adults who enroll in tobacco Quitline services

Methodology: Methodology: The department has seen a national decline in quit line enrollments during the COVID-19 pandemic.
In 2021, the North American Quitline Consortium published a report demonstrating a significant decline (27%) in call volume to state quit lines during 2020 which mirrored the timeline of the pandemic. The report identified stress, anxiety, and increased cigarette sales as possible factors that could have contributed to the decrease in calls to state quit lines during the pandemic. Similarly, there was a decline in enrollments in Alaska`s Tobacco Quit Line during the pandemic.

The Tobacco Prevention and Control Program is currently evaluating Quit Line services through several methods to improve services and increase enrollment.

In FY22, the TPC program began a 3-year project to complete satisfaction surveys with 1,000 Alaskans who enrolled in the Quit Line. The results will be used to improve Quit Line services and accessibility. (Findings will be available in Fall 2024).

Statewide Survey of 2,400 Alaskans to assess system and individual barriers to calling the Quit Line Key finding - A majority of surveyed tobacco users saw a health care provider in the past year, but fewer than half were advised to quit. 68% of tobacco users who were advised to quit by a healthcare professional felt that their advice was effective.
This emphasizes the importance of ongoing work by community grantees and contractors to support health systems changes, such as universal tobacco screening and referral to treatment.
Evidence shows provider counseling on quitting tobacco is an effective tool to support people trying to quit

Numerator: Number of Alaskan adults who enroll in tobacco Quitline services in one calendar year. Only one enrollment per client is counted (excludes re-enrollments).
Denominator: N/A
Source of data: Tobacco Prevention and Control Program
Section: Chronic Disease Prevention and Health Promotion
Perspective: Customer
Numerator: Number of Alaskan adults who enroll in tobacco Quitline services in one calendar year. Only one enrollment per client is counted (excludes re-enrollments).
Denominator: N/A
Source of data:Tobacco Prevention and Control Program
Section:Chronic Disease Prevention and Health Promotion
Perspective: Customer Focus
Type of measure:Outcome Measure — The total number of Alaskans who have enrolled in a Quitline cessation program in a calendar year. Alaskans can enroll more than once in a calendar year. For reporting purposes re-enrollments are excluded.
Target or Goal: For calendar year 2024 the goal is 1700 enrollments.
Who will collect this information: TPC Evaluator/Epidemiologist
What tool will be used to collect these data: Quitline Quarterly Reports
DPH Strategic Plan or HA2030 Alignment: Healthy Alaskans 2030 Objective 27 - Reduce the percentage of adults (aged 18 and older) who currently smoke cigarettes or use electronic vapor products, smokeless tobacco, or other tobacco products.
Number of Alaska Adults Who Enroll in Tobacco Quitline Services
Year
Number Enrolled
Target
2023
1812
1700
2022
1450
1600
2021
1489
2400

Target Last Modified: 09/11/2024

Priority 2: Provide quality of life in a safe living environment for Alaskans.
    Target #1: Number of months long-term services and supports recipients are able to remain in their home before institutional placement

Methodology: This performance measure is calculated by averaging the age of all the Medicaid long term services and supports recipients who were placed in an institution during a fiscal year and then converting the age into months. Recipients" age is calculated by computing the difference between their date of birth and the initial date of institutional placement (i.e., first date of service at the long-term care facility). There are four categories of service that indicate institutional placement (010 - Short Term LTC Services; 011 - SNF Nursing Home; 012 - ICF Nursing Home; 013 - ICF/MR Service). This division utilizes MMIS Enterprise and Cognos to query long term care billing claims. It is important to note that providers have a year to bill from the date of service, which may bias the overall number of months.
Number of Months Long Term Services and Supports Recipients Are Able to Remain in Their Home Before Institutional Placement
Fiscal Year
Number of Months
FY 2024
814.2
+2.12%
FY 2023
797.28
-1.28%
FY 2022
807.6
+0.79%
FY 2021
801.24
-0.46%
FY 2020
804.96
-0.96%
FY 2019
812.76
+0.84%
FY 2018
806.0
-3.22%
FY 2017
832.8
-1.57%
FY 2016
846.12
+1.54%
FY 2015
833.29
-5.21%
FY 2014
879.12
+0.88%
FY 2013
871.44
+0.35%
FY 2012
868.36
+0.28%
FY 2011
865.92
+0.77%
FY 2010
859.32
+0.41%
FY 2009
855.84

Target Last Modified: 05/30/2024

    Target #2: Average cost of long-term services and supports per recipient

Methodology: This performance measure is calculated by taking the average cost of long-term care services rendered during the fiscal year per Medicaid recipient. There are four categories of service that indicate the use of long term care services (010 - Short Term LTC Services; 011 - SNF Nursing Home; 012 - ICF Nursing Home; 013 - ICF/MR Service). This division utilizes MMIS Enterprise and Cognos to query long term care billing claims. It is important to note that providers have a year to bill from the date of service, which may bias the overall average.
Average Cost of Long Term Services and Supports per Recipient
Fiscal Year
Average cost
FY 2024
$159,214
FY 2023
$152,147
FY 2022
$164,175
FY 2021
$146,133
FY 2020
$157,790
FY 2019
$156,032
FY 2018
$144,791
FY 2017
$148,024
FY 2016
$149,362
FY 2015
$153,412
FY 2014
$118,406
FY 2013
$122,330
FY 2012
$111,788
FY 2011
$102,251
FY 2010
$85,284
FY 2009
$78,421

Target Last Modified: 05/30/2024

Priority 3: Manage health care coverage for Alaskans in need.
    Target #1: Percent of individuals served by the department with access to a regular primary care provider

Methodology: Cognos decision support system (starting 7/1/2014); STARS decision support system (7/1/2010- 7/1/2013).
Percent of Individuals Accessing Primary Care Providers FY2010-2022
Fiscal Year
Percent
FY 2024
77.5
-3.37%
FY 2023
80.2
+4.29%
FY 2022
76.9
+0.39%
FY 2021
76.6
-2.02%
FY 2020
78.18
-4.19%
FY 2019
81.6
+7.64%
FY 2018
75.81
-1.15%
FY 2017
76.69
-2.87%
FY 2016
78.96
+1.63%
FY 2015
77.69
Analysis of results and challenges: Across most years from FY2015 forward, there have been slight shifts in the percentage of members receiving primary care. There was a notably larger increase in FY2019, but that percentage decreased rapidly with the onset of the Covid pandemic. Percentages started to climb gradually in FY 2022, increased further in 2023, but dropped again slightly in FY2024.

Target Last Modified: 12/03/2024

    Target #2: Cost to provide health care services per client

Methodology: Cognos decision support system.
Cost Per Client Receiving Services from Primary Care Providers
Fiscal Year
Cost per Client
FY 2024
$1,582
FY 2023
$1,451
FY 2022
$1,372
FY 2021
$1,260
FY 2020
$1,204
FY 2019
$1,247
FY 2018
$1,091
FY 2017
$1,034
FY 2016
$926
FY 2015
$974
Analysis of results and challenges: The average cost to provide health care services for an individual client decreased slightly by 4.98% in FY2016. There was an increase in cost from FY2017 to FY2019 while FY2020 saw a slight reduction in cost per enrollee. FY2021 saw an increase in cost by 4.65%. The FY2021 cost per client results were calculated based on all paid claims for provider types 20, 21, and 34 (billing or servicing). FY2022 — FY2024 show an increase in cost per recipient which is in line with the inflationary increase in pricing of the service code set used in this measure.

Target Last Modified: 11/04/2024

Priority 4: Facilitate access to affordable health care for Alaskans.
    Target #1: Percent of Medicaid eligible individuals who utilize Medicaid services

Methodology: Cognos decision support system (starting 7/1/2014); STARS decision support system (7/1/2010- 7/1/2013).
Percent of Medicaid Eligible Individuals Utilizing Medicaid Services
Fiscal Year
Percent
FY 2024
72.2
-3.86%
FY 2023
75.1
-2.09%
FY 2022
76.7
+1.05%
FY 2021
75.90
-1.53%
FY 2020
77.08
-5.76%
FY 2019
81.79
-4.05%
FY 2018
85.24
+0.92%
FY 2017
84.46
-9.14%
FY 2016
92.96
+3.12%
FY 2015
90.15
Analysis of results and challenges: The percent of Medicaid eligible individuals utilizing Medicaid services increased in FY2016 by 2.35% compared to FY2015 and FY2017 had similar utilization trends with a percentage of 92.79%. FY2018 had a decreased utilization of services. FY2019 had a decreased utilization of services by the Medicaid population overall. The decreases seen in FY2020 through FY2024 can be contributed to the exclusion of claims processed by the Administrative Services Organization in the utilization check.

Target Last Modified: 11/04/2024

    Target #2: Cost per recipient

Methodology: Cognos decision support system.
Cost per Recipient (Based on Medicaid Eligible Individuals That Utilize Services)
Fiscal Year
Cost per Recipient
FY 2024
11376
+4.96%
FY 2023
10,838
-6.16%
FY 2022
11,549
+28.72%
FY 2021
8,972
-16.38%
FY 2020
10,729
+1.32%
FY 2019
10,589
+6.74%
FY 2018
9,920
-0.94%
FY 2017
10,014
+6.18%
FY 2016
9,431
-7.96%
FY 2015
10,247
Analysis of results and challenges: Cost drivers per recipient can fluctuate dependent on a variety of factors, such as institutional rates established by the office of rate review, encounter rates established by the federal government, procedure code rates paying in a variety of ways established by the federal government, geographic location pricing established by Senior and Disability Services, just to name a few. In FY2021, there was a significant reduction of cost per recipient attributed to the COVID-19 pandemic. FY2022 reflects an increase which could be attributed to recipients receiving treatments that were postponed earlier in the pandemic. FY2023 saw a decrease in the cost per recipient as things normalize with the pandemic ending. Inflationary pressures are now likely causing the costs in to increase in FY2024.

Target Last Modified: 11/04/2024

    Target #3: Number of rendering providers participating in the Medicaid program

Methodology: Note: The number of providers that rendered services on a paid claim for reimbursement will be obtained from a standard management report from Cognos for the reporting period.
Number of Rendering Providers Participating in the Medicaid Program
Fiscal Year
Number of Providers
FY 2024
14,657
-6.67%
FY 2023
15,705
-1.40%
FY 2022
15,928
-6.78%
FY 2021
17,087
-11.69%
FY 2020
19,348
+12.23%
FY 2019
17,239
-4.38%
FY 2018
18,029
+0.96%
FY 2017
17,857
+5.69%
FY 2016
16,895
+5.97%
FY 2015
15,943
Analysis of results and challenges: The numbers of rendering providers increased steadily from FY2015 to FY2018. There was a slight decline by 4.38% in FY2019 when compared to FY2018. The number of rendering providers increased significantly in FY2020 but have been declining over FY2021 - FY2024. This may be be due to the declining payment rates relative to the cost of providing services.

Target Last Modified: 11/04/2024

    Target #4: Percent change in number of rendering providers participating

Methodology: Note: The percentage of providers that rendered services on a paid claim for reimbursement will be obtained from a standard management report from Cognos. Divide the number of participating rendering providers by the number of enrolled providers to obtain the percentage of providers providing Medicaid health care services for the reporting period.
Percentage Change in Participating Medicaid Providers
Fiscal Year
Percent Change
FY 2024
47.4
-10.73%
FY 2023
53.1
-2.75%
FY 2022
54.6
-8.54%
FY 2021
59.7
-23.36%
FY 2020
77.9
+14.39%
FY 2019
68.1
+4.13%
FY 2018
65.4
+10.10%
FY 2017
59.4
-1.33%
FY 2016
60.2
+0.67%
FY 2015
59.8
Analysis of results and challenges: The percentage of participating rendering providers grew between FY2015 and FY2016. The percentages went down in FY2017 but climbed back up from FY2018 - FY2020. The FY2021 through FY2024 participation rates are low which is due to excluding rendering providers on claims processed by the Administrative Services Organization.

Target Last Modified: 11/04/2024

Priority 5: Strengthen Alaska families.
    Target #1: Percent of individuals receiving employment related services from the department who achieve employment

Methodology: Numerator: Number of adults in the Temporary Assistance Program who have earned income

Denominator: Number of adults in the Temporary Assistance Program who are work eligible.
Percent of Adults on Temporary Assistance with Earned Income
Fiscal Year
YTD Total
FY 2024
51.06
FY 2023
46.4%
FY 2022
42.1%
FY 2021
42.0%
FY 2020
50.2%
FY 2019
55.6%
FY 2018
52.9%
FY 2017
47.9%
FY 2016
48.1%
FY 2015
36.2%
FY 2014
35.6%
FY 2013
37.9%
FY 2012
36.8%
FY 2011
38.3%
FY 2010
36.1%
FY 2009
36.6%
FY 2008
43.2%
FY 2007
45.3%

Target Last Modified: 05/30/2024

    Target #2: Cost of supported employment services per successful participant in Job Start or on-the-job training
Costs of Supportive Services for Clients on Temporary Assistance
Year
YTD Total
2024
658.22
+1.09%
2023
651.11
+6.43%
2022
611.78
2021
$641.20
2020
$653.38
2019
$630.92
2018
$251.51
2017
$215.47
2016
$721.77
2015
$825.08
2014
$985.97
2013
$973.76

Target Last Modified: 05/30/2024

    Target #3: Accuracy rate for open food stamp cases

Methodology: The reason for the error rate being so high is due to the division extending certifications without approval. Any case pulled for QC review without a proper recertification is required to be cited as ineligible. Due to the timeframe this practice was in place we will see the error rate impacted through FFY25 Q1.

Target Last Modified: 11/14/2024

    Target #4: Average time from receipt of initial SNAP application to eligibility determination

Methodology: Supplemental Nutrition Assistance Program (SNAP) determinations.
Average Time from Receipt of Initial Application to Eligibility Determination (in Days)
Fiscal Year
YTD Total
FY 2024
39
-22.00%
FY 2023
50
+284.62%
FY 2022
13
-23.53%
FY 2021
17
+183.33%
FY 2020
6
-25.00%
FY 2019
8
-55.56%
FY 2018
18
-10.00%
FY 2017
20
+11.11%
FY 2016
18
-33.33%
FY 2015
27
+125.00%
FY 2014
12
0%
FY 2013
12
+33.33%
FY 2012
9
-10.00%
FY 2011
10

Target Last Modified: 05/30/2024

Priority 6: Protect vulnerable Alaskans.
    Target #1: Percent of Alaska adults with substantiated reports of abuse or neglect

Methodology: This performance measure is calculated by taking the percentage of Alaskan adults with at least one report of harm having at least one substantiated allegation. The percentage is calculated by taking the unduplicated count of adults who had at least one report of harm filed for them with at least one allegation determined to be substantiated at the conclusion of the Adult Protective Service investigation over the estimated population of Alaska for the year being targeted. There are two important caveats to the methodology used to calculate this performance measure: first, the population estimates are taken from the U.S. Census, and it encompasses entire population of Alaska, not just adults. Secondly, the number of adults with substantiated reports of harm is subject to change at any given point in time, due to variations in the amount of time to close investigations. Both of these caveats can potentially bias the overall percentage. The division utilizes its Harmony database system to store and monitor all data pertaining to Adult Protective Services.
Percent of Alaska Adults with Substantiated Reports of Abuse or Neglect
Fiscal Year
Quarter 1
YTD Total
FY 2024
0.06%
0.06%
FY 2023
0.07%
0.07%
FY 2022
0.06%
0.06%
FY 2021
0.09%
0.09%
FY 2020
0.08%
0.08%
FY 2019
0.09%
0.09%
FY 2018
0.08%
0.08%
FY 2017
0.09%
0.09%
FY 2016
0.11%
0.11%
FY 2015
0.07%
0.07%
FY 2014
0.07%
0.07%
FY 2013
0.08%
0.08%
FY 2012
0.10%
0.10%
FY 2011
0.12%
0.12%
FY 2010
0.08%
0.08%
FY 2009
0.07%
0.07%

Target Last Modified: 05/30/2024

    Target #2: Average time to initiate an investigation NULL ERROR

Target Last Modified: 05/30/2024

    Target #3: Cost of Administering Background Check Program

Methodology: Background Check Program, Health Care Services Administration - Data pulled from ALDER report IRIS Exp Detail Trans-w_o AD CAD CEFT EFT Docs V16 PM 1-15 for ARU Type H043, U043; all ARU; all object codes; PM 1-15. Pivot by Filters: PL Vendor Code; Columns: Unit Code; Rows: PL Budget Fiscal year and Appropriation Unit; Values: Sum of Expenditures. Then filter to remove PL Vendor Code for DPS (removes passthrough RSA), and filter to only include ACTV 4013, 9010, and 9011. - Updated by MAH @ HCS 11/06/2024
Cost of Administering Background Check Program
Fiscal Year
Cost of Program
FY 2024
$1,039,525.22
FY 2023
$1,106,214.01
FY 2022
$1,184,137.26
FY 2021
$938,833.62
FY 2020
$742,308.40
FY 2019
$664,089.09
FY 2018
$790,948.48
FY 2017
$800,062.47
FY 2016
$1,014,034.09
Analysis of results and challenges: In FY2024, the Background Check Program was occasionally offering overtime to staff to reduce time frames for provisional clearances and final determinations. FY2024 saw a decrease of 13% in the number of checks requested with 5.35% of those being found not eligible for employment.

Target Last Modified: 11/06/2024

    Target #4: Average Days to Provisional Employment Eligibility Status

Methodology: Background Check Program
Average Days to Provisional Employment Eligibility
Fiscal Year
Number of Days
FY 2024
11.75
-16.43%
FY 2023
14.06
-13.69%
FY 2022
16.29
+8.60%
FY 2021
15
+147.52%
FY 2020
6.06
-42.40%
FY 2019
10.52
+45.71%
FY 2018
7.22
+41.02%
FY 2017
5.12
+23.37%
FY 2016
4.15
-54.74%
FY 2015
9.17
+43.96%
FY 2014
6.37
-53.71%
FY 2013
13.76
-40.92%
FY 2012
23.29
Analysis of results and challenges: NABCS reporting shows the average time for a background check application, with fees and a fingerprint card, to be worked for provisional status was 14.06 calendar days in FY2023 and 11.75 calendar days in FY2024. Timeframes can fluctuate depending on the number of applications received and staffing of the unit. FY2024 saw a reduction in wait times for provisional clearances, and we anticipate more reduction in FY2025.

Target Last Modified: 11/04/2024

Priority 7: Promote personal responsibility and accountable decisions by Alaskans.
    Target #1: Program savings per fraud investigator

Target Last Modified: 11/13/2024

Last refreshed: 05/23/2025 05:00 pm