Community Health Quality Recognition (CHQR) Overview

The Community Health Quality Recognition (CHQR) badges recognize Health Center Program awardees and look-alikes (LALs) that have made notable quality improvement achievements in the areas of access, quality, health equity, health information technology, and COVID-19 public health emergency response for the most recent UDS reporting period.

See the CHQR Frequently Asked Questions for more information. Also, view the CHQR overview webinar (PDF - 2.5 MB) and on-demand recording HRSA BPHC exit disclaimer.

View the CHQR Dashboard to see if your health center received a CHQR badge in 2021 for the 2020 Uniform Data System (UDS) reporting period. Users can also compare CHQR performance with other health centers and states, generate a list of health centers that received a specific CHQR badge, and view state- and national-level summaries on the dashboard.

Also view CHQR badge recipient information on the Health Center Program UDS Data webpages.

Health centers that earned CHQR badges can request high-resolution badge images from Health Center Program Support HRSA BPHC exit disclaimer.

CHQR Badge Eligibility Criteria

To be eligible for any CHQR badges, health centers must: 1) submit annual UDS data on time 2) use electronic health records (EHRs) to report on clinical quality measures and patient populations 3) resolve any progressive action conditions as of July 2021, and 4) be an active Health Center Program awardee or look-alike.

The following is an overview of specific CHQR criteria for badges awarded in 2021 for the 2020 UDS reporting period. View 2021 badge images and criteria.

  • Improving Quality of Care: Recognized health centers that improve quality of care in two subcategories:
    • National Quality Leaders represented health centers that met or exceeded national benchmarks for one or more of the clinical quality measure (CQMs) groups that promote behavioral health, diabetes health, and heart health. Recipients were limited to the top 1 to 2% of all health centers.
    • Health Center Quality Leaders achieve the best overall clinical quality measure (CQM) performance among all health centers. They were recognized in the following tiers: Gold (top 10%), Silver (top 11-20%), or Bronze top (21-30%).
  • Access Enhancer: Recognized health centers that increased the total number of patients they serve and the number of patients who receive at least one comprehensive service (mental health, substance abuse, vision, dental, and/or enabling) by at least 5%.
  • Health Disparities Reducer: Recognized health centers that received the Access Enhancer badge, served patients in all racial/ethnic groups, and:
    • Met or exceeded Healthy People (HP) goals in the areas of low birth weight, hypertension, or uncontrolled diabetes for at least one racial/ethnic group.
    • Demonstrate at least a 10% improvement in the areas of low birth weight, hypertension, or uncontrolled diabetes for at least one racial/ethnic group.
  • Advancing Health Information Technology (HIT) for Quality: Recognized health centers that met all criteria to optimize HIT services that advance telehealth, patient engagement, interoperability, and collection of social determinants of health to increase access to care and advance quality of care.
  • COVID-19 Data Reporter: Recognized health centers that supported data reporting for public health emergencies with response rates of 90% or more to the Health Center COVID-19 Survey from April 10, 2020 to July 2, 2021. The responses to the surveys undergo a data validation process and all health center responses must have been verified and on-time in order to be included in the response rate to determine eligibility.
  • COVID-19 Testing: Recognized health centers that tested more than 50% of their 2020 reported UDS patient populations from April 10, 2020 to July 2, 2021 and have a validated response rate of at least 50% to the weekly Health Center COVID-19 Survey.
  • COVID-19 Vaccinations: Recognized health centers that administered vaccines to more than 70% of their 2020 reported UDS patient populations from April 10 to July 2, 2021, and have a validated response rate of at least 50% to the weekly Health Center COVID-19 Survey.
  • Patient Centered Medical Home Recognition (PCMH): Recognized health centers with PCMH recognition in one or more delivery sites. PCMH badge data is updated on a quarterly basis.

NEW: CHQR Badge Eligibility Criteria

CHQR Badge eligibility criteria has been established for clinical quality measures (CQMs) that do not have established benchmarks. These CQM criteria will be used to award CHQR badges for the 2021–2023 UDS reporting periods and provide health centers with clear targets to help shape quality improvement strategies.

CHQR Badge CQM Criteria for 2021–2023 UDS Reporting Periods

CHQR Badge CQM CHQR CQM Criteria: 2021-2023 Criteria CHQR CQM Criteria: Determination Method
National
Quality Leader
- Behavioral
Health*
Depression remission at 12 months 18.2% Top Quintile of 2020 UDS Data
National
Quality Leader
- Behavioral
Health*
Depression screening and follow-up plan 80.5% Top Quartile of 2020 UDS Data
National Quality Leader -  Heart Health Tobacco use screening and cessation intervention 80% Million Hearts goal
National Quality Leader -  Heart Health Use of aspirin or antiplatelet for ischemic vascular disease 80% Million Hearts goal
National Quality Leader -  Heart Health Statin therapy 80% Million Hearts goal
National Quality Leader -  Heart Health Hypertension control 80% Million Hearts goal
National Quality Leader -  Diabetes Adult BMI screening and follow-up plan 83.1% Top Quartile of 2020 UDS Data
National Quality Leader -  Diabetes Child/adolescent BMI screening and counseling on nutrition and physical activity 77.4% Top Quartile of 2020 UDS Data
National Quality Leader -  Diabetes Uncontrolled diabetes 11.6% Healthy People 2030 Objective
Health Disparities Reducer Low birth weight 7.7% Adjusted National Vital Statistics System low birth weight average
Health Disparities Reducer Uncontrolled diabetes 11.6% Healthy People 2030 Objective
Health Disparities Reducer Hypertension control 60.8% Healthy People 2030 Objective

* The NQL Behavioral Health badge has two additional criteria: proportion of all patients receiving Screening, Brief Intervention and Referral to Treatment (SBIRT) is at least 5%, and patients receiving medication-assisted treatment increases by at least 10% between consecutive UDS reporting years

Coming Soon

Additional changes are anticipated for CHQR badges that will be awarded for the 2021 UDS reporting period, including:

  • Incorporating Look-Alikes (LALs) into Adjusted Quartile Rankings. As a result, LALs will be eligible for Health Center Quality Leader badges.
  • Adding new CHQR badge categories. Anticipated new badge topics include HIV/AIDS, maternal and child health, and addressing social risk factors to health.
  • Awarding one COVID-19 response badge using UDS-reported data on COVID-19 testing and vaccinations.
  • Adopting updated criteria for the Health Disparities Reducer badge.

Resources

Date Last Reviewed:  March 2022