2018 Boston Health Care for the Homeless, Inc. Health Center Program Awardee Data

BOSTON, MASSACHUSETTS

3-year project period; end date 12/31/2021

Service Area Map

Total Patients: 11,278

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 11,655 11,364 11,278
Age (% of total patients)
Percentage of Children (< 18 years old) 5.00% 2.24% 2.97%
Number of Children (< 18 years old) 583 254 335
Percentage of Adults (18 to 64) 87.84% 90.03% 88.97%
Number of Adults (18 to 64) 10,238 10,231 10,034
Percentage of Older Adults (Age 65 and over) 7.16% 7.73% 8.06%
Number of Older Adults (Age 65 and over) 834 879 909
Patients By Race & Ethnicity (% known)
Percentage of Racial and/or Ethnic Minority Patients 54.37% 52.82% 54.41%
Number of Racial and/or Ethnic Minority Patients 5,699 5,437 5,404
Percentage of Hispanic/Latino Ethnicity Patients 18.23% 18.13% 18.69%
Number of Hispanic/Latino Ethnicity Patients 2,008 1,954 1,941
Percentage of Non-Hispanic White Patients 52.18% 53.26% 51.48%
Number of Non-Hispanic White Patients 4,783 4,856 4,528
Percentage of Asian Patients 1 1.49% 1.28% 1.23%
Number of Asian Patients1 137 117 108
Percentage of Native Hawaiian / Other Pacific Islander Patients 1 1.16% 0.95% 0.72%
Number of Native Hawaiian/Other Pacific Islander Patients 1 106 87 63
Percentage of Black/African American Patients1 39.88% 37.84% 39.74%
Number of Black/African American1 3,655 3,450 3,495
Percentage of American Indian/Alaska Native Patients 1 0.80% 0.87% 0.88%
Number of American Indian/Alaska Native Patients1 73 79 77
Percentage of Patients with More than one race 1 0.37% 0.71% 0.72%
Number of Patients with More than one race 1 34 65 63
Total Patients with Known Race Ethnicity (Denominator) 9,166 9,117 8,795
Total Racial and/or Ethnic Minority Patients (Denominator) 10,482 10,293 9,932
Total Hispanic/Latino & Non-Hispanic Latino Patients (Denominator for Hispanic/Latino Ethnicity) 11,017 10,776 10,388
Language (% known)
Percentage of Patients Best Served in a Language Other Than English 20.35% 15.49% 14.87%
Number of Patients Best Served in a Language Other Than English 2,372 1,760 1,677
  2016 2017 2018
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 9,797 8,933 10,070
Percentage of Patients at or below 200% of Federal Poverty Guideline 99.03% 98.06% 98.82%
Number of Patients at or below 200% of Poverty 9,702 8,760 9,951
Percentage of Patients at or below 100% of Poverty 92.53% 93.83% 95.46%
Number of Patients at or below 100% of Poverty 9,065 8,382 9,613
Insurance Status (% of total patients)
Percentage of Uninsured Patients 16.47% 15.43% 13.81%
Number of Uninsured Patients 1,919 1,754 1,558
Percentage of Children Uninsured (age 0-17 years) 12.01% 8.66% 8.66%
Number of Children Uninsured (age 0-17 years) 70 22 29
Percentage of Medicaid/CHIP Patients2 62.94% 67.31% 67.90%
Number of Medicaid/CHIP Patients 2 7,336 7,649 7,658
Percentage of Medicare Patients 18.01% 14.99% 15.72%
Number of Medicare Patients 2,099 1,704 1,773
Percentage of Dually Eligible (Medicare and Medicaid) Patients 6.44% 9.54% 10.56%
Number of Dually Eligible (Medicare and Medicaid) Patients (included in above) 750 1,084 1,191
Percentage of Patients with Other Third Party Payer 2.58% 2.26% 2.56%
Number of Patients with Other Third Party Payer 301 257 289
Total Insurance Source Patients (Denominator) 11,655 11,364 11,278
Total Insurance Source Patients Aged 0 - 17 (Denominator) 583 254 335
Special Populations
Percentage of Homeless Patients 100.00% 100.00% 100.00%
Number of Homeless Patients 11,655 11,364 11,278
Percentage of Agricultural Worker Patients 0.00% 0.00% 0.00%
Number of Agricultural Worker Patients 0 0 0
Percentage of Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 0.00% 0.00% 0.00%
Number of Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 0 0 0
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 7.71% 3.71% 3.88%
Number of Veteran Patients 899 422 438
Gender of Patients by Age (% Female)
Percentage of Female Patients (ages 15-44) 47.55% 50.36% 49.39%
Number of Female Patients (ages 15-44) 1,767 1,839 1,849
Percentage of Patients Under 15 Who are Female 7.43% 3.59% 4.49%
Number of Patients Under 15 Who are Female 276 131 168
Percentage of Patients 15-64 Who are Female 86.84% 90.03% 89.29%
Number of Patients 15-64 Who are Female 3,227 3,288 3,343
Percentage of Patients 65 and Over Who are Female 5.73% 6.38% 6.22%
Number of Patients 65 and Over Who are Female 213 233 233
Total Female Patients (Denominator) 3,716 3,652 3,744
Services (% of patients) 2016 2017 2018
Percentage of Medical Patients 82.97% 83.49% 85.41%
Number of Medical Patients 9,670 9,488 9,633
Percentage of Dental Patients 21.96% 19.89% 18.90%
Number of Dental Patients 2,560 2,260 2,131
Percentage of Mental Health Patients 22.57% 20.67% 20.60%
Number of Mental Health Patients 2,630 2,349 2,323
Percentage of Substance Use Disorder Patients 8.60% 9.18% 13.88%
Number of Substance Use Disorder Patients 1,002 1,043 1,565
Percentage of Vision Patients 3.34% 2.95% 1.59%
Number of Vision Patients 389 335 179
Percentage of Enabling Patients 36.80% 30.60% 32.68%
Number of Enabling Services Patients 4,289 3,477 3,686
Total Patients (Denominator) 11,655 11,364 11,278
  2016 2017 201811
Patients
Medical Conditions (% of Patients with Medical Conditions)
Percentage of Hypertension Patients3 26.97% 22.54% 23.39%
Number of Hypertension Patients3 2,474 2,088 2,184
Percentage of Diabetes Patients4 14.04% 11.90% 11.98%
Number of Diabetes Patients4 1,274 1,090 1,105
Percentage of Asthma Patients 5.68% 6.90% 6.46%
Number of Asthma Patients 549 655 622
Percentage of Symptomatic/Asymptomatic HIV Patients 3.61% 3.64% 3.55%
Number of Symptomatic/Asymptomatic HIV Patients 349 345 342
Prenatal
Number of Prenatal Patients 23 25 39
Number of Prenatal Patients who Delivered 11 9 21
  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) 82.61% 36.00% 43.59% - 4
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 19 9 17 - -
Percentage of Newborns with Low and Very Low Birth Weight 18.18% 22.22% 19.05% - -
Number of Newborns with Low Birth Weight 2 2 4 - -
Preventive Health Screening & Services
Percentage of Patients Screened for Cervical Cancer7 45.83% 46.46% 52.36% - 1
Number of Patients Screened for Cervical Cancer7 747 867 889 - -
Percentage of Children Age 3-17 for Weight Screening and Counseling on Nutrition and Physical Activity 49.02% 90.80% 82.86% - 1
Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity 50 79 87 - -
Percentage of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 54.72% 38.12% 47.07% - 3
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 5,097 2,732 3,465 - -
Percentage of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling8 92.60% 87.55% 63.80% - 4
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling8 6,519 4,506 3,370 - -
Percentage of Patients Screened for Colorectal Cancer9 30.20% 34.16% 36.68% - 2
Number of Patients Screened for Colorectal Cancer9 1,344 1,114 1,238 - -
Percentage of Children 2 Years of Age Who Received Age Appropriate Vaccines by Their 2nd Birthday 6 50.00% 53.85% 54.29% - 1
Number of Children 2 Years of Age Who Received Age Appropriate Vaccines by Their 2nd Birthday 6 10 14 19 - -
Percentage of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 10 39.05% 42.76% 39.67% - 4
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 10 2,249 1,828 1,683 - -
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 - - - - -
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 - - - - -
Chronic Disease Management
Percentage of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention 70.95% 83.00% 78.26% - 4
Number of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention 105 166 162 - -
Percentage of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 57.40% 78.87% 73.02% - 3
Number of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 159 224 249 - -
Percentage of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 69.03% 84.78% 78.68% - 3
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 292 284 299 - -
Percentage of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg)12 56.35% 54.31% 56.41% - 3
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) 12 1,394 1,134 1,232 - -
Percentage of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year13 39.40% 38.62% 40.09% - 3
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year 13 502 421 443 - -
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 5 4 1 - -
  2016 2017 2018
Cost Data
Health Center Service Grant Expenditures $3,401,656 $4,162,208 $4,236,915
Total Accrued Costs (Excluding Donations) $53,297,988 $53,723,843 $53,673,332
Total Accrued Cost per Total Patient $4,572.97 $4,727.55 $4,759.12
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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