2018 COMMUNITY HEALTH CONNECTIONS, INC. Health Center Program Awardee Data

FITCHBURG, MASSACHUSETTS

3-year project period; end date 3/31/2020

Service Area Map

Total Patients: 24,259

OSV Badge 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 22,730 24,144 24,259
Age (% of total patients)
Percentage of Children (< 18 years old) 24.85% 17.06% 25.75%
Number of Children (< 18 years old) 5,649 4,120 6,247
Percentage of Adults (18 to 64) 67.29% 73.89% 64.78%
Number of Adults (18 to 64) 15,296 17,839 15,714
Percentage of Older Adults (Age 65 and over) 7.85% 9.05% 9.47%
Number of Older Adults (Age 65 and over) 1,785 2,185 2,298
Patients By Race & Ethnicity (% known)
Percentage of Racial and/or Ethnic Minority Patients 48.04% 47.81% 45.28%
Number of Racial and/or Ethnic Minority Patients 10,611 10,985 9,782
Percentage of Hispanic/Latino Ethnicity Patients 38.29% 38.48% 35.22%
Number of Hispanic/Latino Ethnicity Patients 8,588 9,018 7,662
Percentage of Non-Hispanic White Patients 53.20% 52.90% 55.32%
Number of Non-Hispanic White Patients 11,479 11,989 11,823
Percentage of Asian Patients 1 1.91% 1.82% 2.42%
Number of Asian Patients1 413 412 517
Percentage of Native Hawaiian / Other Pacific Islander Patients 1 1.02% 0.86% 0.55%
Number of Native Hawaiian/Other Pacific Islander Patients 1 221 196 117
Percentage of Black/African American Patients1 7.21% 7.36% 7.47%
Number of Black/African American1 1,556 1,667 1,597
Percentage of American Indian/Alaska Native Patients 1 0.30% 0.27% 0.33%
Number of American Indian/Alaska Native Patients1 64 61 70
Percentage of Patients with More than one race 1 1.97% 0.08% 1.37%
Number of Patients with More than one race 1 426 17 292
Total Patients with Known Race Ethnicity (Denominator) 21,576 22,664 21,372
Total Racial and/or Ethnic Minority Patients (Denominator) 22,090 22,974 21,605
Total Hispanic/Latino & Non-Hispanic Latino Patients (Denominator for Hispanic/Latino Ethnicity) 22,428 23,434 21,756
Language (% known)
Percentage of Patients Best Served in a Language Other Than English 17.65% 12.87% 18.45%
Number of Patients Best Served in a Language Other Than English 4,011 3,107 4,475
  2016 2017 2018
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 18,573 19,837 16,540
Percentage of Patients at or below 200% of Federal Poverty Guideline 90.80% 91.45% 93.92%
Number of Patients at or below 200% of Poverty 16,864 18,140 15,535
Percentage of Patients at or below 100% of Poverty 70.74% 72.96% 73.69%
Number of Patients at or below 100% of Poverty 13,139 14,474 12,189
Insurance Status (% of total patients)
Percentage of Uninsured Patients 17.29% 16.82% 19.73%
Number of Uninsured Patients 3,929 4,060 4,786
Percentage of Children Uninsured (age 0-17 years) 13.74% 11.19% 17.35%
Number of Children Uninsured (age 0-17 years) 776 461 1,084
Percentage of Medicaid/CHIP Patients2 60.19% 61.06% 55.56%
Number of Medicaid/CHIP Patients 2 13,682 14,742 13,478
Percentage of Medicare Patients 7.97% 7.78% 8.33%
Number of Medicare Patients 1,811 1,878 2,020
Percentage of Dually Eligible (Medicare and Medicaid) Patients 5.91% 5.78% 6.08%
Number of Dually Eligible (Medicare and Medicaid) Patients (included in above) 1,344 1,395 1,475
Percentage of Patients with Other Third Party Payer 14.55% 14.35% 16.39%
Number of Patients with Other Third Party Payer 3,308 3,464 3,975
Total Insurance Source Patients (Denominator) 22,730 24,144 24,259
Total Insurance Source Patients Aged 0 - 17 (Denominator) 5,649 4,120 6,247
Special Populations
Percentage of Homeless Patients 12.74% 15.31% 12.76%
Number of Homeless Patients 2,895 3,696 3,096
Percentage of Agricultural Worker Patients 0.12% 0.02% 0.47%
Number of Agricultural Worker Patients 27 5 115
Percentage of Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 9.85% 7.24% 4.22%
Number of Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 2,239 1,748 1,024
Percentage of School-Based Health Center Patients 0.26% 0.00% 0.26%
Number of School-Based Health Center Patients 60 0 62
Percentage of Veterans Patients 0.98% 0.28% 1.62%
Number of Veteran Patients 222 68 394
Gender of Patients by Age (% Female)
Percentage of Female Patients (ages 15-44) 44.34% 47.93% 42.92%
Number of Female Patients (ages 15-44) 5,356 6,441 5,583
Percentage of Patients Under 15 Who are Female 18.48% 12.58% 19.29%
Number of Patients Under 15 Who are Female 2,232 1,690 2,509
Percentage of Patients 15-64 Who are Female 73.11% 77.94% 70.78%
Number of Patients 15-64 Who are Female 8,832 10,474 9,207
Percentage of Patients 65 and Over Who are Female 8.41% 9.48% 9.93%
Number of Patients 65 and Over Who are Female 1,016 1,274 1,291
Total Female Patients (Denominator) 12,080 13,438 13,007
Services (% of patients) 2016 2017 2018
Percentage of Medical Patients 49.91% 50.49% 54.52%
Number of Medical Patients 11,344 12,190 13,227
Percentage of Dental Patients 62.05% 57.12% 56.75%
Number of Dental Patients 14,104 13,792 13,767
Percentage of Mental Health Patients 9.80% 9.53% 10.58%
Number of Mental Health Patients 2,227 2,302 2,566
Percentage of Substance Use Disorder Patients 1.23% 1.22% 1.27%
Number of Substance Use Disorder Patients 280 295 307
Percentage of Vision Patients 7.55% 7.66% 8.60%
Number of Vision Patients 1,715 1,849 2,086
Percentage of Enabling Patients 4.16% 4.17% 4.12%
Number of Enabling Services Patients 945 1,006 1,000
Total Patients (Denominator) 22,730 24,144 24,259
  2016 2017 201811
Patients
Medical Conditions (% of Patients with Medical Conditions)
Percentage of Hypertension Patients3 22.62% 26.03% 30.62%
Number of Hypertension Patients3 1,913 2,613 2,983
Percentage of Diabetes Patients4 12.54% 14.65% 17.20%
Number of Diabetes Patients4 1,037 1,438 1,629
Percentage of Asthma Patients 7.27% 7.40% 7.66%
Number of Asthma Patients 825 902 1,013
Percentage of Symptomatic/Asymptomatic HIV Patients 0.60% 0.52% 0.49%
Number of Symptomatic/Asymptomatic HIV Patients 68 63 65
Prenatal
Number of Prenatal Patients 145 223 162
Number of Prenatal Patients who Delivered 70 109 89
  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) 88.97% 84.75% 75.31% - 3
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 129 189 122 - -
Percentage of Newborns with Low and Very Low Birth Weight 9.86% 14.41% 8.79% - 3
Number of Newborns with Low Birth Weight 7 16 8 - -
Preventive Health Screening & Services
Percentage of Patients Screened for Cervical Cancer7 44.77% 44.01% 43.65% - 3
Number of Patients Screened for Cervical Cancer7 1,910 1,976 2,107 - -
Percentage of Children Age 3-17 for Weight Screening and Counseling on Nutrition and Physical Activity 27.17% 35.41% 37.33% - 4
Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity 448 597 660 - -
Percentage of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 23.57% 66.99% 82.48% - 2
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 2,204 6,614 8,270 - -
Percentage of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling8 76.67% 79.67% 71.47% - 4
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling8 5,799 6,420 6,307 - -
Percentage of Patients Screened for Colorectal Cancer9 31.97% 44.08% 44.36% - 2
Number of Patients Screened for Colorectal Cancer9 1,050 1,564 1,733 - -
Percentage of Children 2 Years of Age Who Received Age Appropriate Vaccines by Their 2nd Birthday 6 28.05% 25.00% 31.00% - 3
Number of Children 2 Years of Age Who Received Age Appropriate Vaccines by Their 2nd Birthday 6 23 21 31 - -
Percentage of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 10 39.76% 17.27% 69.14% - 3
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 10 2,785 1,214 5,645 - -
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 63.41% 44.72% 56.53% - 2
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 986 487 636 - -
Chronic Disease Management
Percentage of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention 83.42% 90.59% 91.04% - 2
Number of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention 312 356 447 - -
Percentage of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 77.70% 83.65% 86.08% - 2
Number of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 108 133 167 - -
Percentage of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 74.01% 77.89% 77.45% - 3
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 299 303 285 - -
Percentage of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg)12 62.99% 64.22% 60.87% - 3
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) 12 1,205 1,678 1,816 - -
Percentage of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year13 25.17% 25.73% 23.57% - 1
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year 13 261 370 384 - -
Percentage of Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment - 0.00% 0.00% - -
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment - 0 0 - -
  2016 2017 2018
Cost Data
Health Center Service Grant Expenditures $4,818,932 $5,011,667 $5,267,836
Total Accrued Costs (Excluding Donations) $22,258,349 $23,971,682 $24,705,896
Total Accrued Cost per Total Patient $979.25 $992.86 $1,018.42
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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