Health Center Adjusted Quartile Ranking Frequently Asked Questions

What is the health center adjusted quartile?

The health center adjusted quartile is a ranking (from 1 to 4) of health center clinical performance compared to other health centers, after accounting for differences that influence clinical performance, such as percent of patients that are uninsured, minority, and special populations. Clinical performance for each measure is ranked from quartile 1 (highest 25% of reporting health centers) to quartile 4 (lowest 25% of reporting health centers). The health center should expect to see a higher ranking if they are performing above what is predicted for a health center with similar characteristics. The purpose is to provide reporting health centers with additional information so they can compare their performance on specific clinical measures to other health centers.

Why is there a change from the health center percentile to the health center adjusted quartile?

The health center adjusted quartile is meant to assess health center clinical performance after taking into account (or adjusting for) selected factors, such as percent of patients that are uninsured, minority, and special populations. The health center adjusted quartile controls for certain differences between health centers. It is provided to inform reporting health centers of their relative standing compared to other health centers after selected center specific differences are adjusted for.

How were the health center factors chosen for adjustment?

The factors that were chosen for adjustment were factors that vary among health centers; research shows that they are significantly associated with differences in clinical performance. These factors include percent uninsured patients, percent minority patients, percent special populations patients (i.e., homeless, farmworker), and Electronic Health Record (EHR) status.

The clinical performance for the hypertension measure is 39.0% and the health center adjusted quartile is 1. Why does the health center adjusted quartile rank us in the first quartile?

The health center adjusted quartile accounts for differences in clinical performance due to percent uninsured patients, percent minority patients, percent special populations patients, and EHR status. The health center adjusted quartile is high if a health center is performing above what is predicted for a health center with similar characteristics. The difference in clinical performance and health center adjusted quartile arises from variations across health center patient composition and EHR status.

How should the health center adjusted quartile be interpreted?

The health center adjusted quartile ranks a health center’s clinical performance compared to other health centers, while accounting for specific differences in health center characteristics. The adjusted quartiles account for variations in clinical performance arising from differences in percent of patients that are uninsured, minority, and special populations, as well as EHR status. This quartile is only for informational purposes and does not change or replace the health center’s reported clinical performance. Health centers should continue to focus on performance improvement based on their reported clinical performance (shown in the first column, labeled “Grantee”). Health centers should also use the Uniform Data System Health Center Trend report to set attainable goals for future years based on past performance.

UDS Help

UDS Content, such as what data should be included in your UDS report:

Email us or contact via Phone: 1-866-UDS-HELP (1-866-837-4357)

8:30 am to 5:30 pm ET, Monday through Friday (except Federal holidays)
 

UDS Electronic Reporting System:

Contact us online or via Phone: 1-877-974-BPHC (2742)

8:30 am to 5:30 pm ET, Monday through Friday (except Federal holidays)
 

Electronic Handbook (EHB), such as account setup, password, and other access issues:

Contact EHB Help online

UDS Manuals

2016 UDS Manual (PDF - 2 MB)

2015 UDS Manual (PDF - 2 MB)

2014 UDS Manual (PDF - 2 MB)

2013 UDS Manual (PDF - 1 MB)

2012 UDS Manual (PDF - 1 MB)

For prior year manuals, please contact the BPHC Helpline.