FY 2018 Quality Improvement Awards Frequently Asked Questions

  1. What are the Health Center Quality Improvement Awards (QIA)?
    To further its commitment to improve the overall quality, efficiency, and value of health care services for the millions of patients served at health centers, HRSA recognizes the highest performing health centers nationwide as well as those health centers that made significant quality improvement gains from the preceding year.

    HRSA’s fiscal year (FY) 2018 QIA are one-time grant supplements to recognize health center achievements in expanding access to care, improving care quality and outcomes, increasing comprehensive care delivery in a cost effective way, addressing health disparities and achieving health information technology for quality. In addition, these awards support health centers in delivering patient-centered care as evidenced by patient-centered medical home (PCMH) recognition. Health centers will use these funds to expand current quality improvement systems and infrastructure and to improve primary health care service delivery in the communities they serve.
  2. How much funding will HRSA award under this funding opportunity?
    For FY 2018, HRSA is awarding $125 million in one-time, supplemental QIA to 1,352 health centers in six categories:
    • Improving Quality of Care: $54.6 million (1,323 health centers recognized)
    • Enhancing Access to Care: $6 million (510 health centers recognized)
    • Delivering High Value Care: $2 million (69 health centers recognized)
    • Addressing Health Disparities: $7.7 million (354 health centers recognized)
    • Achieving Health Information Technology for Quality: $6.9 million (1,336 health centers recognized)
    • Achieving PCMH Recognition: $48.2 million (1,030 health centers recognized)
    Health centers could be recognized in more than one area.
  3. What types of organizations were eligible for the QIA?
    Organizations eligible for the QIA were existing Health Center Program grantees that reported clinical and financial information to the Health Center Program’s Uniform Data System (UDS) for calendar years 2016 and 2017. The UDS is a core set of data used by HRSA to ensure compliance with legislative and regulatory requirements, improve health center performance and operations, demonstrate overall program accomplishments, and identify trends and best practices over time.
  4. How will health centers use these funds?
    Health centers that receive QIA will use these funds to expand current quality improvement (QI) systems and infrastructure and to improve primary health care service delivery in the communities they serve.

    Health centers must use these funds for QI activities, which include but are not limited to:
    • Developing and improving health center QI systems and infrastructure, including: Training staff; developing policies and procedures; enhancing health information technology, certified electronic health records, and data systems; data analysis; and/or implementing targeted QI activities.
    • Developing and improving care delivery systems, including: Purchasing supplies to support care coordination, case management, and medication management; developing and implementing contracts and formal agreements with other providers; laboratory reporting and tracking; training and workflow redesign to support team-based care; clinical integration of behavioral health, oral health, HIV care, and other services; and/or patient engagement activities.
  5. Can you provide details on how these awards were determined?
    The QIA are based on annual Health Center Program UDS and PCMH recognition data. The UDS is a standardized reported data set that provides a core set of information on the nation’s health centers, including patient demographics, services provided, clinical processes and outcomes, patient’s use of services, costs, and revenues appropriate for documenting the operation and performance of health centers.
  6. How are these awards different than the QIA made in August 2017?
    The FY 2018 QIA use data submitted by grantees in the 2016 and 2017 UDS. FY 2017 QIA used 2015 and 2016 data. BPHC also added a category for the FY 2018 QIA, Achieving Health Information Technology for Quality, to recognize health centers that utilized HIT systems to increase access to care and advance quality of care.
  7. Where can I find the list of organizations that received QIA?
    View the list of FY 2018 QIA.
  8. How many QIA were made for fiscal year 2018? How many of the awards were to rural/urban health centers?
    HRSA awarded QIA to 1,352 health centers, including 752 urban and 600 rural.
  9. Where can I find more information on the clinical performance of health centers?
    Individual Health Center Program grantee profiles are available on BPHC’s Health Center Data webpage. They include data on patient demographics, services provided, clinical indicators, utilization rates, costs, revenues, and a health center’s adjusted quartile ranking on CQMs compared to health centers nationally.