2018 Caring Health Center Health Center Program Awardee Data

SPRINGFIELD, MASSACHUSETTS

3-year project period; end date 5/31/2022

Service Area Map

Total Patients: 19,148

PCMH Recognition as of Tuesday, March 31, 2020

UDS Data Comparisons

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

  2016 2017 2018
Total Patients 18,892 19,138 19,148
Age (% of total patients)
Percentage of Children (< 18 years old) 22.09% 22.00% 22.45%
Number of Children (< 18 years old) 4,173 4,211 4,299
Percentage of Adults (18 to 64) 69.99% 69.35% 68.47%
Number of Adults (18 to 64) 13,223 13,272 13,110
Percentage of Older Adults (Age 65 and over) 7.92% 8.65% 9.08%
Number of Older Adults (Age 65 and over) 1,496 1,655 1,739
Patients By Race & Ethnicity (% known)
Percentage of Racial and/or Ethnic Minority Patients 74.10% 75.82% 76.81%
Number of Racial and/or Ethnic Minority Patients 13,691 13,865 14,014
Percentage of Hispanic/Latino Ethnicity Patients 44.72% 46.86% 48.73%
Number of Hispanic/Latino Ethnicity Patients 8,372 8,720 9,021
Percentage of Non-Hispanic White Patients 26.30% 24.78% 23.69%
Number of Non-Hispanic White Patients 4,785 4,421 4,231
Percentage of Asian Patients 1 11.99% 11.81% 11.22%
Number of Asian Patients1 2,181 2,107 2,003
Percentage of Native Hawaiian / Other Pacific Islander Patients 1 0.13% 0.67% 0.70%
Number of Native Hawaiian/Other Pacific Islander Patients 1 23 120 125
Percentage of Black/African American Patients1 24.62% 23.98% 23.11%
Number of Black/African American1 4,479 4,279 4,128
Percentage of American Indian/Alaska Native Patients 1 5.03% 5.11% 4.42%
Number of American Indian/Alaska Native Patients1 915 912 790
Percentage of Patients with More than one race 1 0.66% 0.61% 0.58%
Number of Patients with More than one race 1 120 109 104
Total Patients with Known Race Ethnicity (Denominator) 18,194 17,844 17,859
Total Racial and/or Ethnic Minority Patients (Denominator) 18,476 18,286 18,245
Total Hispanic/Latino & Non-Hispanic Latino Patients (Denominator for Hispanic/Latino Ethnicity) 18,720 18,608 18,512
Language (% known)
Percentage of Patients Best Served in a Language Other Than English 49.90% 49.45% 49.24%
Number of Patients Best Served in a Language Other Than English 9,427 9,464 9,429
  2016 2017 2018
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 17,600 17,783 18,033
Percentage of Patients at or below 200% of Federal Poverty Guideline 96.29% 95.89% 96.87%
Number of Patients at or below 200% of Poverty 16,947 17,053 17,469
Percentage of Patients at or below 100% of Poverty 86.84% 85.58% 88.39%
Number of Patients at or below 100% of Poverty 15,283 15,218 15,939
Insurance Status (% of total patients)
Percentage of Uninsured Patients 6.35% 8.80% 9.64%
Number of Uninsured Patients 1,199 1,685 1,845
Percentage of Children Uninsured (age 0-17 years) 3.55% 2.54% 5.95%
Number of Children Uninsured (age 0-17 years) 148 107 256
Percentage of Medicaid/CHIP Patients2 74.40% 72.02% 69.94%
Number of Medicaid/CHIP Patients 2 14,056 13,783 13,393
Percentage of Medicare Patients 11.33% 8.18% 8.32%
Number of Medicare Patients 2,141 1,566 1,594
Percentage of Dually Eligible (Medicare and Medicaid) Patients 8.27% 6.99% 7.15%
Number of Dually Eligible (Medicare and Medicaid) Patients (included in above) 1,563 1,337 1,370
Percentage of Patients with Other Third Party Payer 7.92% 10.99% 12.10%
Number of Patients with Other Third Party Payer 1,496 2,104 2,316
Total Insurance Source Patients (Denominator) 18,892 19,138 19,148
Total Insurance Source Patients Aged 0 - 17 (Denominator) 4,173 4,211 4,299
Special Populations
Percentage of Homeless Patients 1.89% 0.61% 0.27%
Number of Homeless Patients 357 116 52
Percentage of Agricultural Worker Patients 1.13% 0.97% 0.26%
Number of Agricultural Worker Patients 213 185 49
Percentage of Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 1.30% 1.60% 100.00%
Number of Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 246 307 19,148
Percentage of School-Based Health Center Patients 0.00% 0.00% 0.00%
Number of School-Based Health Center Patients 0 0 0
Percentage of Veterans Patients 0.33% 0.37% 0.45%
Number of Veteran Patients 62 70 86
Gender of Patients by Age (% Female)
Percentage of Female Patients (ages 15-44) 46.95% 46.42% 45.89%
Number of Female Patients (ages 15-44) 4,773 4,850 4,811
Percentage of Patients Under 15 Who are Female 16.73% 16.34% 16.43%
Number of Patients Under 15 Who are Female 1,701 1,707 1,722
Percentage of Patients 15-64 Who are Female 75.38% 74.85% 74.27%
Number of Patients 15-64 Who are Female 7,664 7,821 7,786
Percentage of Patients 65 and Over Who are Female 7.89% 8.81% 9.30%
Number of Patients 65 and Over Who are Female 802 921 975
Total Female Patients (Denominator) 10,167 10,449 10,483
Services (% of patients) 2016 2017 2018
Percentage of Medical Patients 80.93% 79.44% 80.45%
Number of Medical Patients 15,290 15,203 15,404
Percentage of Dental Patients 33.82% 34.25% 33.19%
Number of Dental Patients 6,390 6,555 6,355
Percentage of Mental Health Patients 0.92% 2.99% 3.89%
Number of Mental Health Patients 173 572 745
Percentage of Substance Use Disorder Patients 0.00% 0.81% 0.71%
Number of Substance Use Disorder Patients 0 155 136
Percentage of Vision Patients 0.00% 0.00% 0.00%
Number of Vision Patients 0 0 0
Percentage of Enabling Patients 0.86% 0.83% 2.34%
Number of Enabling Services Patients 163 158 449
Total Patients (Denominator) 18,892 19,138 19,148
  2016 2017 201811
Patients
Medical Conditions (% of Patients with Medical Conditions)
Percentage of Hypertension Patients3 27.62% 29.39% 30.03%
Number of Hypertension Patients3 3,273 3,465 3,563
Percentage of Diabetes Patients4 16.27% 17.28% 17.68%
Number of Diabetes Patients4 1,883 1,984 2,036
Percentage of Asthma Patients 9.46% 10.08% 9.84%
Number of Asthma Patients 1,446 1,533 1,516
Percentage of Symptomatic/Asymptomatic HIV Patients 0.75% 0.78% 0.79%
Number of Symptomatic/Asymptomatic HIV Patients 114 119 122
Prenatal
Number of Prenatal Patients - 33 23
Number of Prenatal Patients who Delivered - 0 15
  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) - 63.64% 91.30% - -
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) - 21 21 - -
Percentage of Newborns with Low and Very Low Birth Weight - - 0.00% - -
Number of Newborns with Low Birth Weight - 0 0 - -
Preventive Health Screening & Services
Percentage of Patients Screened for Cervical Cancer7 38.05% 34.66% 30.78% - 4
Number of Patients Screened for Cervical Cancer7 1,767 1,809 1,557 - -
Percentage of Children Age 3-17 for Weight Screening and Counseling on Nutrition and Physical Activity 30.87% 24.02% 45.92% - 4
Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity 898 698 1,231 - -
Percentage of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 28.66% 28.00% 38.77% - 4
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 3,161 3,058 4,290 - -
Percentage of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling8 89.80% 89.29% 85.59% - 3
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling8 8,015 8,433 7,887 - -
Percentage of Patients Screened for Colorectal Cancer9 21.40% 19.79% 25.61% - 4
Number of Patients Screened for Colorectal Cancer9 849 777 1,043 - -
Percentage of Children 2 Years of Age Who Received Age Appropriate Vaccines by Their 2nd Birthday 6 15.73% 24.24% 35.00% - 3
Number of Children 2 Years of Age Who Received Age Appropriate Vaccines by Their 2nd Birthday 6 28 48 56 - -
Percentage of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 10 44.08% 40.99% 57.01% - 3
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 10 4,679 4,210 5,646 - -
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 29.79% 33.19% 34.19% - 4
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 56 77 93 - -
Chronic Disease Management
Percentage of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention 90.20% 87.36% 85.49% - 3
Number of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention 359 401 442 - -
Percentage of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 88.70% 76.43% 86.36% - 2
Number of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 102 120 152 - -
Percentage of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 83.93% 60.94% 86.33% - 2
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 303 259 322 - -
Percentage of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg)12 61.90% 63.26% 63.99% - 2
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) 12 2,026 2,192 2,280 - -
Percentage of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year13 26.93% 33.27% 35.17% - 3
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year 13 507 660 716 - -
Percentage of Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 100.00% 100.00% 100.00% - -
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 3 2 7 - -
  2016 2017 2018
Cost Data
Health Center Service Grant Expenditures $3,763,771 $4,129,397 $4,012,371
Total Accrued Costs (Excluding Donations) $19,150,203 $20,432,852 $22,681,072
Total Accrued Cost per Total Patient $1,013.67 $1,067.66 $1,184.51
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.

Accessibility Statement:
Persons using assistive technology may not be able to fully access information in these files. For assistance, contact the Health Center Program Support at: 877-464-4772.

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