This is the sixth annual assessment of influenza immunizations and pneumococcal vaccinations. This report analyzes Arizona Long Term Care System (ALTCS) Contractor performance.

Results of this study were based on measurements of a select group of members who were continuously enrolled from September 1, 2001, through April 30, 2002. The results did not include members who were not eligible to receive Medicare, those who received acute care services only, those who enrolled into ALTCS after December 1, 2001, or those who expired during the measurement period.

Results for the current measurement period are reported as relative changes from the previous measurement period, where applicable. The report also indicates whether this change is statistically significant, that is, whether the change is probably true and not merely due to chance.

This report includes Performance Indicators for services provided to children and adolescents enrolled with AHCCCS acute-care Contractors (health plans). The results reported here should be viewed as indicators of access to services, rather than absolute rates for how successfully AHCCCS and/or its Contractors provide care.

This report includes results for the measurement period from October 1, 2000, through September 30, 2001. Results of the indicators are reported in aggregate by urban (Maricopa and Pima counties) and the combined rural counties, as well as by individual Contractors. Results for the current measurement period are reported as a relative percentage change from the previous year. The report also indicates whether this change (increase or decrease) is statistically significant; that is, whether the change is probably true and not merely due to chance. The statistically significant value is calculated using the Pearson chi-square test.

This report analyzes Contractor Performance Indicators in three perinatal areas: 1) Low Birth Weight Deliveries; 2) Prenatal Care in the First Trimester; 3) Initiation of Prenatal Care. The results of this analysis should be viewed as indicators of access to services, rather than absolute rates for how well AHCCCS and/or its Contractors provide care.

This report includes results for the measurement period from October 1, 2000, through September 30, 2001. Results of the indicators are reported in aggregate by urban (Maricopa and Pima counties) and rural areas, and by individual Contractors that provide services to Medicaid recipients.

While virtually all children have contact with the health care system at some point, many problems may not be detected until children enter school. By offering low-income families and children access to health care and a regular point of contact, the AHCCCS program is uniquely positioned to provide high-quality, comprehensive preventive services that help assure the healthy development of children.

A series of small earth movements occurred along the slopes of State Route 87 at about mile marker 224 (between the Bush Highway and Route 188) throughout the winter of 2007‐2008, culminating with a landslide on Friday, 21 March 2008. This landslide buckled the southbound lanes, displaced the northbound lanes, and closed the highway for nearly a week. The mass movements occurred on slopes that were constructed with re‐vegetated, laid back slopes; soil nail walls; and rip rap‐lined channels. However, our reconnaissance mapping indicates that most, if not all, of the slope movements are located within a much larger, older landslide adjacent to, and cut by, SR‐87. No specific trigger for the landslides was immediately apparent, although a combination of factors (e.g., precipitation, groundwater levels, etc.) may have contributed to conditions for the slope failure. Headscarps of various types of landslides are present along both sides of the highway. Results from our preliminary investigation indicate that up to three other paleo‐landslides may be present in the immediate vicinity. The full extent and nature of these landslides are unknown and require further investigation to evaluate their potential to be reactivated and risk they pose to the highway.

This field trip guide was created for a Project WET conference held in Tucson, Arizona, June, 2007. This guide discusses the general geology of the Santa Catalina Mountains in Sabino Canyon, and points out evidence of the July 2006 floods and debris flows. There are stops in the first few miles of canyon, and towards the end of the tram road, where the most spectacular debris flows are located.

In order to begin to assess debris‐flow hazards along the Santa Catalina Mountains in Pima County, we mapped the extent and character of relatively young prehistoric debris‐flow deposits in detail at fifteen
canyon mouths. Mapping was conducted on a scale of 1:6,000 using aerial photographs, detailed
topography, and field relationships. Deposits were classified into relative age categories based on
topographic relationships, soil development and surface characteristics of the deposits. Ages of selected
debris‐flow deposits in four canyons – Soldier, Sabino, Finger Rock and Pima – were estimated using
radiocarbon (14C) and cosmogenic (10Be) isotope methods.

Evidence of past debris flows were found in all fifteen canyons. Relative age dating, corroborated by
10Be, indicates the largest and most extensive deposits in all canyons are late Pleistocene to early
Holocene in age. Events from 2006 show that some potential exists for debris flows to exit the mountain front into developed areas near canyon mouths.

The goal of this study is to develop a method for identifying potential post-fire debris flow hazard areas prior to the occurrence of wildfires, providing more time for local governments and emergency planners to develop and execute hazard mitigation strategies. This pilot study focuses on the communities of Pine and Strawberry, which are located in forested canyons at the base of the Mogollon Rim in north-central Arizona. Results from this project will provide local agencies, emergency planners and land managers more effective tools for prioritizing watershed treatment areas and implementing mitigation measures to alleviate potential impacts and threats from post-fire debris flows to infrastructure, human life, and property in a timely and cost-effective manner.

As a subset of the larger rural provider interview project, the Arizona Health Care Cost Containment Administration interviewed a small group of rural employers and employee benefit specialists who were considered to be major purchasers of health care in their rural communities. The project goals were to gain 1) a better understanding of the strategies used by these employers to ensure accessible and affordable coverage for their employees as well as themselves and 2) an insight as to the barriers these purchasers faced in providing health care to their employees.