2018 GREATER LAWRENCE FAMILY HEALTH CENTER, INC Health Center Program Awardee Data

LAWRENCE, MASSACHUSETTS

3-year project period; end date 5/31/2021

Service Area Map

Total Patients: 54,421

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 51,956 51,155 54,421
Age (% of total patients)
Percentage of Children (< 18 years old) 29.78% 29.72% 29.72%
Number of Children (< 18 years old) 15,475 15,201 16,173
Percentage of Adults (18 to 64) 61.85% 61.47% 61.24%
Number of Adults (18 to 64) 32,133 31,444 33,330
Percentage of Older Adults (Age 65 and over) 8.37% 8.82% 9.04%
Number of Older Adults (Age 65 and over) 4,348 4,510 4,918
Patients By Race & Ethnicity (% known)
Percentage of Racial and/or Ethnic Minority Patients 93.24% 91.22% 92.29%
Number of Racial and/or Ethnic Minority Patients 45,393 45,892 49,089
Percentage of Hispanic/Latino Ethnicity Patients 88.97% 86.56% 87.88%
Number of Hispanic/Latino Ethnicity Patients 43,498 43,950 47,148
Percentage of Non-Hispanic White Patients 7.07% 9.15% 8.03%
Number of Non-Hispanic White Patients 3,291 4,415 4,101
Percentage of Asian Patients 1 1.51% 1.64% 1.63%
Number of Asian Patients1 704 791 831
Percentage of Native Hawaiian / Other Pacific Islander Patients 1 0.02% 0.00% 0.00%
Number of Native Hawaiian/Other Pacific Islander Patients 1 7 0 0
Percentage of Black/African American Patients1 20.88% 22.35% 23.56%
Number of Black/African American1 9,725 10,784 12,029
Percentage of American Indian/Alaska Native Patients 1 0.08% 0.03% 0.03%
Number of American Indian/Alaska Native Patients1 37 16 16
Percentage of Patients with More than one race 1 4.04% 0.64% 0.67%
Number of Patients with More than one race 1 1,881 309 342
Total Patients with Known Race Ethnicity (Denominator) 46,577 48,253 51,053
Total Racial and/or Ethnic Minority Patients (Denominator) 48,684 50,307 53,190
Total Hispanic/Latino & Non-Hispanic Latino Patients (Denominator for Hispanic/Latino Ethnicity) 48,893 50,772 53,649
Language (% known)
Percentage of Patients Best Served in a Language Other Than English 74.79% 74.35% 1.07%
Number of Patients Best Served in a Language Other Than English 38,860 38,033 582
  2016 2017 2018
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 47,987 40,902 41,429
Percentage of Patients at or below 200% of Federal Poverty Guideline 97.10% 97.71% 97.31%
Number of Patients at or below 200% of Poverty 46,593 39,967 40,313
Percentage of Patients at or below 100% of Poverty 84.78% 85.09% 83.50%
Number of Patients at or below 100% of Poverty 40,684 34,805 34,594
Insurance Status (% of total patients)
Percentage of Uninsured Patients 8.92% 9.47% 11.14%
Number of Uninsured Patients 4,636 4,843 6,063
Percentage of Children Uninsured (age 0-17 years) 4.97% 5.64% 6.80%
Number of Children Uninsured (age 0-17 years) 769 857 1,100
Percentage of Medicaid/CHIP Patients2 57.55% 56.81% 66.07%
Number of Medicaid/CHIP Patients 2 29,900 29,059 35,954
Percentage of Medicare Patients 10.63% 10.83% 10.94%
Number of Medicare Patients 5,524 5,540 5,953
Percentage of Dually Eligible (Medicare and Medicaid) Patients 7.38% 7.40% 6.78%
Number of Dually Eligible (Medicare and Medicaid) Patients (included in above) 3,832 3,788 3,690
Percentage of Patients with Other Third Party Payer 22.90% 22.90% 11.85%
Number of Patients with Other Third Party Payer 11,896 11,713 6,451
Total Insurance Source Patients (Denominator) 51,956 51,155 54,421
Total Insurance Source Patients Aged 0 - 17 (Denominator) 15,475 15,201 16,173
Special Populations
Percentage of Homeless Patients 1.89% 2.04% 3.23%
Number of Homeless Patients 982 1,043 1,756
Percentage of Agricultural Worker Patients 0.00% 0.00% 0.75%
Number of Agricultural Worker Patients 0 0 408
Percentage of Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 11.11% 14.16% 13.43%
Number of Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 5,774 7,245 7,310
Percentage of School-Based Health Center Patients 3.70% 1.71% 3.13%
Number of School-Based Health Center Patients 1,922 873 1,702
Percentage of Veterans Patients 1.20% 1.18% 1.15%
Number of Veteran Patients 626 602 624
Gender of Patients by Age (% Female)
Percentage of Female Patients (ages 15-44) 47.12% 46.93% 46.75%
Number of Female Patients (ages 15-44) 14,122 14,008 14,817
Percentage of Patients Under 15 Who are Female 20.94% 20.70% 20.75%
Number of Patients Under 15 Who are Female 6,276 6,179 6,578
Percentage of Patients 15-64 Who are Female 70.49% 70.38% 70.13%
Number of Patients 15-64 Who are Female 21,127 21,008 22,228
Percentage of Patients 65 and Over Who are Female 8.57% 8.92% 9.12%
Number of Patients 65 and Over Who are Female 2,569 2,661 2,891
Total Female Patients (Denominator) 29,972 29,848 31,697
Services (% of patients) 2016 2017 2018
Percentage of Medical Patients 96.89% 98.34% 93.74%
Number of Medical Patients 50,341 50,306 51,016
Percentage of Dental Patients 0.00% 0.00% 0.00%
Number of Dental Patients 0 0 0
Percentage of Mental Health Patients 0.77% 1.25% 1.73%
Number of Mental Health Patients 400 637 941
Percentage of Substance Use Disorder Patients 0.90% 1.27% 1.75%
Number of Substance Use Disorder Patients 468 652 953
Percentage of Vision Patients 0.00% 0.00% 0.00%
Number of Vision Patients 0 0 0
Percentage of Enabling Patients 15.00% 1.89% 5.10%
Number of Enabling Services Patients 7,793 965 2,778
Total Patients (Denominator) 51,956 51,155 54,421
  2016 2017 201811
Patients
Medical Conditions (% of Patients with Medical Conditions)
Percentage of Hypertension Patients3 29.53% 31.12% 31.71%
Number of Hypertension Patients3 10,341 10,899 11,261
Percentage of Diabetes Patients4 15.85% 16.92% 17.57%
Number of Diabetes Patients4 5,373 5,726 6,022
Percentage of Asthma Patients 6.55% 6.78% 7.05%
Number of Asthma Patients 3,297 3,409 3,597
Percentage of Symptomatic/Asymptomatic HIV Patients 0.67% 0.67% 0.75%
Number of Symptomatic/Asymptomatic HIV Patients 338 339 385
Prenatal
Number of Prenatal Patients 1,723 1,730 1,414
Number of Prenatal Patients who Delivered 753 803 732
  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) 87.00% 88.32% 80.98% - 2
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 1,499 1,528 1,145 - -
Percentage of Newborns with Low and Very Low Birth Weight 5.55% 6.86% 8.83% - 3
Number of Newborns with Low Birth Weight 42 55 65 - -
Preventive Health Screening & Services
Percentage of Patients Screened for Cervical Cancer7 69.60% 64.76% 57.77% - 3
Number of Patients Screened for Cervical Cancer7 11,228 10,267 9,300 - -
Percentage of Children Age 3-17 for Weight Screening and Counseling on Nutrition and Physical Activity 58.15% 35.18% 34.10% - 4
Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity 7,272 4,159 4,128 - -
Percentage of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 24.45% 26.23% 26.60% - 4
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 9,041 9,413 9,344 - -
Percentage of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling8 4.59% 84.08% 81.47% - 4
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling8 1,333 26,090 25,695 - -
Percentage of Patients Screened for Colorectal Cancer9 69.67% 80.76% 80.52% - 1
Number of Patients Screened for Colorectal Cancer9 8,473 9,801 10,049 - -
Percentage of Children 2 Years of Age Who Received Age Appropriate Vaccines by Their 2nd Birthday 6 8.17% 26.76% 27.23% - 3
Number of Children 2 Years of Age Who Received Age Appropriate Vaccines by Their 2nd Birthday 6 64 221 223 - -
Percentage of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 10 6.59% 41.72% 35.99% - 4
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 10 2,270 13,486 11,516 - -
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 89.26% 93.87% 88.18% - 3
Number of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention 216 2,083 1,806 - -
Percentage of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 41.28% 88.98% 85.82% - 2
Number of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 194 444 460 - -
Percentage of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 49.51% 88.86% 86.37% - 2
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 904 1,268 1,286 - -
Percentage of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg)12 66.72% 69.76% 69.87% - 1
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) 12 6,900 7,603 7,868 - -
Percentage of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year13 27.55% 28.24% 28.99% - 2
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year 13 1,480 1,617 1,746 - -
Percentage of Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 90.00% 94.44% 92.50% - 2
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 36 34 37 - -
  2016 2017 2018
Cost Data
Health Center Service Grant Expenditures $3,614,611 $3,717,752 $3,712,904
Total Accrued Costs (Excluding Donations) $71,580,396 $67,769,486 $75,589,531
Total Accrued Cost per Total Patient $1,377.71 $1,324.79 $1,388.98
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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