Health Outcomes and Disparities

Performance measures used by the Health Center Program place emphasis on quality of care and health outcomes, and demonstrate the value of care delivered by health centers. These measures align with those of national standard setting organizations, and are commonly used by Medicare, Medicaid, and health insurance/managed care organizations to assess quality performance.

HRSA selected these measures to provide a balanced and comprehensive representation of health center services, clinically prevalent conditions among underserved communities, and the population across life cycles. The majority of health centers with extensive experience working to improve the quality of perinatal, chronic, and preventative care services will be familiar with these measures.

HRSA-funded health centers are evaluated on a set of performance measures emphasizing health outcomes and the value of care delivered. In addition to Health Outcomes and Disparities, additional performance measure categories in Quality of Care and Financial Viability/Costs

Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c >9.0% during the measurement period

Numerator: Patients whose most recent HbA1c level (performed during the measurement period) is >9.0%

Denominator: Patients 18-75 years of age with diabetes with a visit during the measurement period

CMS Reference:  CMS122

Percentage of patients 18-85 years of age who had a diagnosis of hypertension and whose blood pressure was adequately controlled (less than 140/90 mmHg) during the measurement period

Numerator: Patients whose blood pressure at the most recent visit is adequately controlled (systolic blood pressure <140 mmHg and diastolic blood pressure <90 mmHg) during the measurement period

Denominator: Patients 18-85 years of age who had a diagnosis of essential hypertension within the first six months of the measurement period or any time prior to the measurement period

CMS Reference:  CMS165

Percentage of patients born to health center patients whose birth weight was below normal (less than 2,500 grams)

Numerator: Children born with a birth weight of under 2,500 grams

Denominator: Live births during the measurement year for women who received prenatal care from the health center or by a referral provider

 

Date Last Reviewed:  November 2018


Related

Health centers annually report their performance in the Uniform Data System (UDS).

View Health Center Program Grantee Data at the national, state, and individual health center level.

View Health Center Program Look-Alike Data at the national and individual health center level.

Uniform Data System (UDS) Resources offer help with submission and reporting, types of data, and reporting requirements.

Uniform Data System (UDS) Program Assistance Letters provide the proposed and approved reporting changes.

More Performance Measures