2018 HARVARD STREET NEIGHBORHOOD HEALTH CENTER INC Health Center Program Awardee Data

DORCHESTER, MASSACHUSETTS

3-year project period; end date 5/31/2020

Service Area Map

Total Patients: 6,579

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 6,810 6,613 6,579
Age (% of total patients)
Percentage of Children (< 18 years old) 22.89% 23.50% 23.94%
Number of Children (< 18 years old) 1,559 1,554 1,575
Percentage of Adults (18 to 64) 69.34% 68.71% 67.90%
Number of Adults (18 to 64) 4,722 4,544 4,467
Percentage of Older Adults (Age 65 and over) 7.77% 7.79% 8.16%
Number of Older Adults (Age 65 and over) 529 515 537
Patients By Race & Ethnicity (% known)
Percentage of Racial and/or Ethnic Minority Patients 98.59% 98.52% 98.40%
Number of Racial and/or Ethnic Minority Patients 6,293 6,328 6,411
Percentage of Hispanic/Latino Ethnicity Patients 34.77% 33.99% 35.15%
Number of Hispanic/Latino Ethnicity Patients 2,224 2,188 2,298
Percentage of Non-Hispanic White Patients 1.61% 1.48% 1.60%
Number of Non-Hispanic White Patients 90 95 104
Percentage of Asian Patients 1 0.29% 0.16% 0.18%
Number of Asian Patients1 16 10 12
Percentage of Native Hawaiian / Other Pacific Islander Patients 1 1.54% 0.75% 0.68%
Number of Native Hawaiian/Other Pacific Islander Patients 1 86 48 44
Percentage of Black/African American Patients1 35.85% 35.10% 42.54%
Number of Black/African American1 2,007 2,253 2,766
Percentage of American Indian/Alaska Native Patients 1 0.07% 0.03% 0.09%
Number of American Indian/Alaska Native Patients1 4 2 6
Percentage of Patients with More than one race 1 60.46% 62.29% 52.69%
Number of Patients with More than one race 1 3,385 3,998 3,426
Total Patients with Known Race Ethnicity (Denominator) 5,599 6,418 6,502
Total Racial and/or Ethnic Minority Patients (Denominator) 6,383 6,423 6,515
Total Hispanic/Latino & Non-Hispanic Latino Patients (Denominator for Hispanic/Latino Ethnicity) 6,396 6,437 6,538
Language (% known)
Percentage of Patients Best Served in a Language Other Than English 31.92% 30.59% 32.33%
Number of Patients Best Served in a Language Other Than English 2,174 2,023 2,127
  2016 2017 2018
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 6,188 4,962 5,585
Percentage of Patients at or below 200% of Federal Poverty Guideline 98.30% 97.38% 97.69%
Number of Patients at or below 200% of Poverty 6,083 4,832 5,456
Percentage of Patients at or below 100% of Poverty 85.60% 77.43% 81.40%
Number of Patients at or below 100% of Poverty 5,297 3,842 4,546
Insurance Status (% of total patients)
Percentage of Uninsured Patients 23.74% 15.59% 12.28%
Number of Uninsured Patients 1,617 1,031 808
Percentage of Children Uninsured (age 0-17 years) 5.90% 4.18% 3.24%
Number of Children Uninsured (age 0-17 years) 92 65 51
Percentage of Medicaid/CHIP Patients2 53.95% 62.18% 67.53%
Number of Medicaid/CHIP Patients 2 3,674 4,112 4,443
Percentage of Medicare Patients 7.18% 8.17% 6.60%
Number of Medicare Patients 489 540 434
Percentage of Dually Eligible (Medicare and Medicaid) Patients 5.35% 5.85% 6.32%
Number of Dually Eligible (Medicare and Medicaid) Patients (included in above) 364 387 416
Percentage of Patients with Other Third Party Payer 15.12% 14.06% 13.59%
Number of Patients with Other Third Party Payer 1,030 930 894
Total Insurance Source Patients (Denominator) 6,810 6,613 6,579
Total Insurance Source Patients Aged 0 - 17 (Denominator) 1,559 1,554 1,575
Special Populations
Percentage of Homeless Patients 0.85% 0.08% 0.17%
Number of Homeless Patients 58 5 11
Percentage of Agricultural Worker Patients 0.28% 0.00% 0.00%
Number of Agricultural Worker Patients 19 0 0
Percentage of Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 0.00% 100.00% 100.00%
Number of Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 0 6,613 6,579
Percentage of School-Based Health Center Patients 0.06% 0.00% 0.02%
Number of School-Based Health Center Patients 4 0 1
Percentage of Veterans Patients 0.51% 0.17% 0.14%
Number of Veteran Patients 35 11 9
Gender of Patients by Age (% Female)
Percentage of Female Patients (ages 15-44) 49.78% 49.71% 48.90%
Number of Female Patients (ages 15-44) 1,846 1,818 1,760
Percentage of Patients Under 15 Who are Female 16.24% 16.08% 17.09%
Number of Patients Under 15 Who are Female 602 588 615
Percentage of Patients 15-64 Who are Female 75.11% 75.14% 73.91%
Number of Patients 15-64 Who are Female 2,785 2,748 2,660
Percentage of Patients 65 and Over Who are Female 8.66% 8.78% 9.00%
Number of Patients 65 and Over Who are Female 321 321 324
Total Female Patients (Denominator) 3,708 3,657 3,599
Services (% of patients) 2016 2017 2018
Percentage of Medical Patients 72.31% 75.02% 76.50%
Number of Medical Patients 4,924 4,961 5,033
Percentage of Dental Patients 41.23% 39.33% 39.32%
Number of Dental Patients 2,808 2,601 2,587
Percentage of Mental Health Patients 8.66% 10.01% 11.42%
Number of Mental Health Patients 590 662 751
Percentage of Substance Use Disorder Patients - 0.00% 0.79%
Number of Substance Use Disorder Patients - 0 52
Percentage of Vision Patients - 4.28% 4.15%
Number of Vision Patients - 283 273
Percentage of Enabling Patients - 0.00% -
Number of Enabling Services Patients - 0 -
Total Patients (Denominator) 6,810 6,613 6,579
  2016 2017 201811
Patients
Medical Conditions (% of Patients with Medical Conditions)
Percentage of Hypertension Patients3 25.26% 25.01% 27.60%
Number of Hypertension Patients3 952 942 1,049
Percentage of Diabetes Patients4 13.56% 13.61% 15.26%
Number of Diabetes Patients4 497 499 565
Percentage of Asthma Patients 12.45% 12.82% 12.70%
Number of Asthma Patients 613 636 639
Percentage of Symptomatic/Asymptomatic HIV Patients 0.12% 0.18% 0.28%
Number of Symptomatic/Asymptomatic HIV Patients 6 9 14
Prenatal
Number of Prenatal Patients 82 80 90
Number of Prenatal Patients who Delivered 40 36 35
  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) 57.32% 58.75% 67.78% - 3
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 47 47 61 - -
Percentage of Newborns with Low and Very Low Birth Weight 7.50% 13.89% 16.67% - 4
Number of Newborns with Low Birth Weight 3 5 6 - -
Preventive Health Screening & Services
Percentage of Patients Screened for Cervical Cancer7 53.15% 66.91% 68.85% - 2
Number of Patients Screened for Cervical Cancer7 624 926 957 - -
Percentage of Children Age 3-17 for Weight Screening and Counseling on Nutrition and Physical Activity 62.21% 73.16% 75.04% - 2
Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity 693 875 863 - -
Percentage of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 58.24% 59.02% 77.97% - 2
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 1,817 2,222 2,693 - -
Percentage of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling8 91.07% 96.61% 87.16% - 3
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling8 2,518 2,538 2,661 - -
Percentage of Patients Screened for Colorectal Cancer9 41.38% 58.22% 62.71% - 1
Number of Patients Screened for Colorectal Cancer9 372 595 686 - -
Percentage of Children 2 Years of Age Who Received Age Appropriate Vaccines by Their 2nd Birthday 6 55.81% 46.97% 48.33% - 2
Number of Children 2 Years of Age Who Received Age Appropriate Vaccines by Their 2nd Birthday 6 24 31 29 - -
Percentage of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 10 46.98% 57.31% 64.69% - 3
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 10 1,488 1,787 1,988 - -
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 60.00% 46.15% 43.75% - -
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 6 6 7 - -
Chronic Disease Management
Percentage of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention 87.50% 91.88% 95.38% - 1
Number of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention 119 181 165 - -
Percentage of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 89.74% 95.92% 95.65% - -
Number of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 35 47 22 - -
Percentage of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 87.72% 88.14% 98.48% - 1
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 50 52 65 - -
Percentage of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg)12 70.69% 72.19% 67.21% - 2
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) 12 673 680 705 - -
Percentage of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year13 26.56% 25.25% 28.85% - 2
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year 13 132 126 163 - -
Percentage of Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 50.00% 50.00% - - -
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 1 1 - - -
  2016 2017 2018
Cost Data
Health Center Service Grant Expenditures $559,334 $674,295 $693,652
Total Accrued Costs (Excluding Donations) $7,435,706 $7,487,690 $7,968,331
Total Accrued Cost per Total Patient $1,091.88 $1,132.27 $1,211.18
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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