2018 CITY OF SPRINGFIELD, MASSACHUSETTS Health Center Program Awardee Data

SPRINGFIELD, MASSACHUSETTS

3-year project period; end date 1/31/2022

Service Area Map

Total Patients: 3,396

UDS Data Comparisons

Expand the tables below to view UDS data comparisons from 2016 to 2018

  2016 2017 2018
Total Patients 3,256 3,561 3,396
Age (% of total patients)
Percentage of Children (< 18 years old) 0.71% 2.02% 2.50%
Number of Children (< 18 years old) 23 72 85
Percentage of Adults (18 to 64) 96.22% 94.64% 92.61%
Number of Adults (18 to 64) 3,133 3,370 3,145
Percentage of Older Adults (Age 65 and over) 3.07% 3.34% 4.89%
Number of Older Adults (Age 65 and over) 100 119 166
Patients By Race & Ethnicity (% known)
Percentage of Racial and/or Ethnic Minority Patients 61.44% 67.27% 67.72%
Number of Racial and/or Ethnic Minority Patients 1,963 2,353 2,243
Percentage of Hispanic/Latino Ethnicity Patients 40.99% 47.08% 45.56%
Number of Hispanic/Latino Ethnicity Patients 1,330 1,663 1,535
Percentage of Non-Hispanic White Patients 41.05% 34.99% 34.13%
Number of Non-Hispanic White Patients 1,232 1,145 1,069
Percentage of Asian Patients 1 0.47% 0.79% 2.59%
Number of Asian Patients1 14 26 81
Percentage of Native Hawaiian / Other Pacific Islander Patients 1 0.53% 0.31% 0.48%
Number of Native Hawaiian/Other Pacific Islander Patients 1 16 10 15
Percentage of Black/African American Patients1 22.19% 20.69% 22.80%
Number of Black/African American1 666 677 714
Percentage of American Indian/Alaska Native Patients 1 0.03% 1.80% 0.19%
Number of American Indian/Alaska Native Patients1 1 59 6
Percentage of Patients with More than one race 1 1.00% 1.56% 1.66%
Number of Patients with More than one race 1 30 51 52
Total Patients with Known Race Ethnicity (Denominator) 3,001 3,272 3,132
Total Racial and/or Ethnic Minority Patients (Denominator) 3,195 3,498 3,312
Total Hispanic/Latino & Non-Hispanic Latino Patients (Denominator for Hispanic/Latino Ethnicity) 3,245 3,532 3,369
Language (% known)
Percentage of Patients Best Served in a Language Other Than English 20.18% 26.99% 26.24%
Number of Patients Best Served in a Language Other Than English 657 961 891
  2016 2017 2018
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 2,109 2,473 2,644
Percentage of Patients at or below 200% of Federal Poverty Guideline 97.82% 98.18% 98.22%
Number of Patients at or below 200% of Poverty 2,063 2,428 2,597
Percentage of Patients at or below 100% of Poverty 86.01% 90.30% 90.85%
Number of Patients at or below 100% of Poverty 1,814 2,233 2,402
Insurance Status (% of total patients)
Percentage of Uninsured Patients 13.76% 16.60% 14.13%
Number of Uninsured Patients 448 591 480
Percentage of Children Uninsured (age 0-17 years) 21.74% 23.61% 22.35%
Number of Children Uninsured (age 0-17 years) 5 17 19
Percentage of Medicaid/CHIP Patients2 72.24% 66.02% 69.79%
Number of Medicaid/CHIP Patients 2 2,352 2,351 2,370
Percentage of Medicare Patients 11.12% 13.62% 12.81%
Number of Medicare Patients 362 485 435
Percentage of Dually Eligible (Medicare and Medicaid) Patients 8.72% 6.85% 7.92%
Number of Dually Eligible (Medicare and Medicaid) Patients (included in above) 284 244 269
Percentage of Patients with Other Third Party Payer 2.89% 3.76% 3.27%
Number of Patients with Other Third Party Payer 94 134 111
Total Insurance Source Patients (Denominator) 3,256 3,561 3,396
Total Insurance Source Patients Aged 0 - 17 (Denominator) 23 72 85
Special Populations
Percentage of Homeless Patients 100.00% 100.00% 75.80%
Number of Homeless Patients 3,256 3,561 2,574
Percentage of Agricultural Worker Patients 2.21% 0.00% 6.92%
Number of Agricultural Worker Patients 72 0 235
Percentage of Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 0.00% 0.00% -
Number of Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 0 0 -
Percentage of School-Based Health Center Patients 0.00% 0.00% -
Number of School-Based Health Center Patients 0 0 -
Percentage of Veterans Patients 3.50% 3.20% 3.42%
Number of Veteran Patients 114 114 116
Gender of Patients by Age (% Female)
Percentage of Female Patients (ages 15-44) 62.60% 61.20% 56.36%
Number of Female Patients (ages 15-44) 698 850 736
Percentage of Patients Under 15 Who are Female 1.26% 2.38% 2.76%
Number of Patients Under 15 Who are Female 14 33 36
Percentage of Patients 15-64 Who are Female 96.41% 94.02% 91.42%
Number of Patients 15-64 Who are Female 1,075 1,306 1,194
Percentage of Patients 65 and Over Who are Female 2.33% 3.60% 5.82%
Number of Patients 65 and Over Who are Female 26 50 76
Total Female Patients (Denominator) 1,115 1,389 1,306
Services (% of patients) 2016 2017 2018
Percentage of Medical Patients 47.82% 39.12% 42.55%
Number of Medical Patients 1,557 1,393 1,445
Percentage of Dental Patients 6.88% 12.58% 11.54%
Number of Dental Patients 224 448 392
Percentage of Mental Health Patients 10.72% 10.53% 11.66%
Number of Mental Health Patients 349 375 396
Percentage of Substance Use Disorder Patients - 0.98% 4.36%
Number of Substance Use Disorder Patients - 35 148
Percentage of Vision Patients 0.00% - -
Number of Vision Patients 0 - -
Percentage of Enabling Patients 71.44% 70.65% 71.26%
Number of Enabling Services Patients 2,326 2,516 2,420
Total Patients (Denominator) 3,256 3,561 3,396
  2016 2017 201811
Patients
Medical Conditions (% of Patients with Medical Conditions)
Percentage of Hypertension Patients3 21.90% 20.62% 20.20%
Number of Hypertension Patients3 338 281 284
Percentage of Diabetes Patients4 9.88% 10.84% 10.82%
Number of Diabetes Patients4 152 147 151
Percentage of Asthma Patients 7.51% 9.48% 8.58%
Number of Asthma Patients 117 132 124
Percentage of Symptomatic/Asymptomatic HIV Patients 0.83% 0.79% 0.62%
Number of Symptomatic/Asymptomatic HIV Patients 13 11 9
Prenatal
Number of Prenatal Patients - - 1
Number of Prenatal Patients who Delivered - - -
  2016 2017 2018 Adjusted Quartile Ranking 5
2017 2018
Quality of Care Measures
Perinatal Health
Percentage of Prenatal Patients with Access to Prenatal Care (First Prenatal Visit in 1st Trimester) - - 100.00% - -
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) - - 1 - -
Percentage of Newborns with Low and Very Low Birth Weight - - - - -
Number of Newborns with Low Birth Weight - - - - -
Preventive Health Screening & Services
Percentage of Patients Screened for Cervical Cancer7 44.63% 39.12% 41.25% - 3
Number of Patients Screened for Cervical Cancer7 137 115 125 - -
Percentage of Children Age 3-17 for Weight Screening and Counseling on Nutrition and Physical Activity - - - - -
Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity - - - - -
Percentage of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 27.62% 24.35% 34.70% - 4
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 395 316 414 - -
Percentage of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling8 74.27% 91.27% 91.99% - 1
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling8 733 742 850 - -
Percentage of Patients Screened for Colorectal Cancer9 0.20% 5.26% 17.76% - 4
Number of Patients Screened for Colorectal Cancer9 1 22 84 - -
Percentage of Children 2 Years of Age Who Received Age Appropriate Vaccines by Their 2nd Birthday 6 - - - - -
Number of Children 2 Years of Age Who Received Age Appropriate Vaccines by Their 2nd Birthday 6 - - - - -
Percentage of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 10 0.00% 15.38% 38.61% - 4
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 10 0 134 383 - -
Percentage of Children 6 through 9 Years of Age at Moderate to High Risk of Caries Who Received a Sealant on a First Permanent Molar - - 50.00% - -
Number of Children 6 through 9 Years of Age at Moderate to High Risk of Caries Who Received a Sealant on a First Permanent Molar - - 1 - -
Chronic Disease Management
Percentage of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention 88.57% 84.48% 88.89% - 3
Number of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention 31 49 48 - -
Percentage of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 52.38% 61.90% 67.86% - -
Number of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 11 13 19 - -
Percentage of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 61.90% 50.00% 44.44% - -
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 13 7 8 - -
Percentage of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg)12 58.28% 50.18% 51.06% - 4
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) 12 197 141 145 - -
Percentage of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year13 58.55% 64.63% 50.99% - 4
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year 13 89 95 77 - -
Percentage of Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 0.00% 100.00% - - -
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 0 1 - - -
  2016 2017 2018
Cost Data
Health Center Service Grant Expenditures $1,356,761 $1,410,166 $1,576,396
Total Accrued Costs (Excluding Donations) $2,296,053 $3,043,101 $3,174,881
Total Accrued Cost per Total Patient $705.18 $854.56 $934.89
Program Conditions 14

There are no conditions for this grantee

Footnotes

'-' - Data cannot be calculated or has been suppressed for confidentiality purposes.

  1. Includes Hispanic/Latino and Non-Hispanic/Latino.
  2. Includes Medicaid, Medicaid CHIP, and Other Public Insurance CHIP.
  3. Hypertensive adults as a percent of estimated adult medical patients of ages 18-85.
  4. Diabetic adults as a percent of estimated adult medical patients of ages 18-75.
  5. Adjusted Quartile Rankings: Provides a health center's adjusted quartile ranking compared to health centers nationally for each of the clinical performance measures. Clinical performance for each measure is ranked from quartile 1 (highest 25% of reporting health center) to quartile 4 (lowest 25% of reporting health centers). Adjusted quartile ranking is not calculated when there are fewer than 30 patients in the universe count. To learn more about the Health Center Adjusted Quartile Ranking please refer to https://bphc.hrsa.gov/datareporting/reporting/ranking.html and for FAQ's please refer to https://bphc.hrsa.gov/datareporting/reporting/rankingfaq.html.
  6. Childhood Immunization Status: For detailed information on this measure please see: https://ecqi.healthit.gov/ecqm/measures/cms117v6
  7. Cervical Cancer Screening: Change to exclusion criteria: Exclude patients who were in hospice care during the measurement period. Please see: https://ecqi.healthit.gov/ecqm/measures/cms124v6
  8. Tobacco Use: Screening and Cessation Intervention: This measure had several updates in guidance and specification, including reporting on three populations. Please see: https://ecqi.healthit.gov/ecqm/measures/cms138v6
  9. Colorectal Cancer Screening: Change to the denominator exclusion in 2018 may affect 2016-2018 trends: Exclude patients who were in hospice care during the measurement year. Change in Numerator: Patients with one or more screenings for colorectal cancer. Appropriate screenings are defined by any one of the following criteria: FIT-DNA during the measurement period or the two years prior to the measurement period; CT Colonography during the measurement period or the four years prior to the measurement period. Please see: https://ecqi.healthit.gov/ecqm/measures/cms130v6
  10. Screening for Depression and Follow Up Plan: Please see: https://ecqi.healthit.gov/ecqm/ep/2018/cms002v7
  11. Use of Appropriate Medications for Asthma—this measure is no longer updated and has been removed from CMS programs: Please see: https://www.federalregister.gov/documents/2016/11/04/2016-25240/medicare-program-merit-based-incentive-payment-system-mips-and-alternative-payment-model-apm
  12. Controlling High Blood Pressure: Change to the denominator exclusion in 2018 may affect 2016-2018 trends: Exclude patients who were in hospice care during the measurement year. Please see: https://ecqi.healthit.gov/ecqm/measures/cms122v6
  13. Diabetes: Hemoglobin A1c Poor Control: Change to the denominator exclusion in 2018 may affect 2016-2018 trends: Exclude patients who were in hospice care during the measurement year. Please see: https://ecqi.healthit.gov/ecqm/measures/cms122v6
  14. Program conditions are based on non-compliance with Health Center Program requirements and are updated daily. The Health Center Progressive Action Conditions Library is available at https://bphc.hrsa.gov/programrequirements/conditions-library.html.  To learn more about the Health Center Program requirements, please visit https://bphc.hrsa.gov/programrequirements/compliancemanual/index.html

*Note: Health center profile data are aggregated to the health center parent organizational level, which may be comprised of multiple service delivery sites.

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