2018 CENTRO DE SALUD DE LARES, INC. Health Center Program Awardee Data

LARES, PUERTO RICO

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

Service Area Map

Total Patients: 16,706

PCMH Recognition as of Wednesday, August 28, 2019

UDS Data Comparisons

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

  2016 2017 2018
Total Patients 16,340 15,672 16,706
Age (% of total patients)
Percentage of Children (< 18 years old) 32.34% 29.02% 34.55%
Number of Children (< 18 years old) 5,284 4,548 5,772
Percentage of Adults (18 to 64) 54.71% 56.05% 51.50%
Number of Adults (18 to 64) 8,940 8,784 8,604
Percentage of Older Adults (Age 65 and over) 12.95% 14.93% 13.95%
Number of Older Adults (Age 65 and over) 2,116 2,340 2,330
Patients By Race & Ethnicity (% known)
Percentage of Racial and/or Ethnic Minority Patients 96.17% 96.00% 97.06%
Number of Racial and/or Ethnic Minority Patients 15,684 15,010 16,019
Percentage of Hispanic/Latino Ethnicity Patients 96.07% 95.93% 96.93%
Number of Hispanic/Latino Ethnicity Patients 15,668 14,998 16,000
Percentage of Non-Hispanic White Patients 3.83% 4.00% 2.96%
Number of Non-Hispanic White Patients 625 625 485
Percentage of Asian Patients 1 0.04% 0.03% 0.04%
Number of Asian Patients1 7 5 7
Percentage of Native Hawaiian / Other Pacific Islander Patients 1 0.04% 0.05% 0.15%
Number of Native Hawaiian/Other Pacific Islander Patients 1 7 8 24
Percentage of Black/African American Patients1 1.23% 1.26% 1.33%
Number of Black/African American1 200 197 218
Percentage of American Indian/Alaska Native Patients 1 0.01% 0.01% 0.17%
Number of American Indian/Alaska Native Patients1 1 1 28
Percentage of Patients with More than one race 1 0.10% 0.11% 0.10%
Number of Patients with More than one race 1 17 17 16
Total Patients with Known Race Ethnicity (Denominator) 16,308 15,635 16,362
Total Racial and/or Ethnic Minority Patients (Denominator) 16,309 15,635 16,504
Total Hispanic/Latino & Non-Hispanic Latino Patients (Denominator for Hispanic/Latino Ethnicity) 16,309 15,635 16,506
Language (% known)
Percentage of Patients Best Served in a Language Other Than English 99.79% 99.71% 99.59%
Number of Patients Best Served in a Language Other Than English 16,305 15,626 16,638
  2016 2017 2018
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 12,582 12,036 12,705
Percentage of Patients at or below 200% of Federal Poverty Guideline 95.19% 96.23% 97.62%
Number of Patients at or below 200% of Poverty 11,977 11,582 12,403
Percentage of Patients at or below 100% of Poverty 77.66% 78.65% 84.58%
Number of Patients at or below 100% of Poverty 9,771 9,466 10,746
Insurance Status (% of total patients)
Percentage of Uninsured Patients 15.99% 18.95% 28.37%
Number of Uninsured Patients 2,613 2,970 4,740
Percentage of Children Uninsured (age 0-17 years) 32.80% 26.80% 49.32%
Number of Children Uninsured (age 0-17 years) 1,733 1,219 2,847
Percentage of Medicaid/CHIP Patients2 66.96% 64.71% 56.23%
Number of Medicaid/CHIP Patients 2 10,941 10,141 9,394
Percentage of Medicare Patients 9.58% 9.30% 8.61%
Number of Medicare Patients 1,566 1,458 1,439
Percentage of Dually Eligible (Medicare and Medicaid) Patients 0.61% 5.39% 4.91%
Number of Dually Eligible (Medicare and Medicaid) Patients (included in above) 100 845 821
Percentage of Patients with Other Third Party Payer 7.47% 7.04% 6.78%
Number of Patients with Other Third Party Payer 1,220 1,103 1,133
Total Insurance Source Patients (Denominator) 16,340 15,672 16,706
Total Insurance Source Patients Aged 0 - 17 (Denominator) 5,284 4,548 5,772
Special Populations
Percentage of Homeless Patients 0.00% 0.00% 0.00%
Number of Homeless Patients 0 0 0
Percentage of Agricultural Worker Patients 1.18% 1.11% 1.27%
Number of Agricultural Worker Patients 193 174 213
Percentage of Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 19.50% 20.18% 21.03%
Number of Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 3,187 3,162 3,513
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 0.60% 0.62% 0.50%
Number of Veteran Patients 98 97 83
Gender of Patients by Age (% Female)
Percentage of Female Patients (ages 15-44) 38.57% 37.95% 33.79%
Number of Female Patients (ages 15-44) 3,536 3,378 3,187
Percentage of Patients Under 15 Who are Female 24.65% 22.14% 28.05%
Number of Patients Under 15 Who are Female 2,260 1,971 2,646
Percentage of Patients 15-64 Who are Female 61.94% 62.54% 57.71%
Number of Patients 15-64 Who are Female 5,678 5,567 5,444
Percentage of Patients 65 and Over Who are Female 13.41% 15.31% 14.24%
Number of Patients 65 and Over Who are Female 1,229 1,363 1,343
Total Female Patients (Denominator) 9,167 8,901 9,433
Services (% of patients) 2016 2017 2018
Percentage of Medical Patients 87.17% 88.72% 78.82%
Number of Medical Patients 14,243 13,904 13,168
Percentage of Dental Patients 23.87% 20.35% 27.19%
Number of Dental Patients 3,900 3,190 4,543
Percentage of Mental Health Patients 0.00% 0.58% 2.48%
Number of Mental Health Patients 0 91 415
Percentage of Substance Use Disorder Patients 0.00% 0.00% 0.00%
Number of Substance Use Disorder Patients 0 0 0
Percentage of Vision Patients 13.14% 12.97% 14.84%
Number of Vision Patients 2,147 2,033 2,480
Percentage of Enabling Patients 17.12% 24.18% 6.64%
Number of Enabling Services Patients 2,798 3,789 1,110
Total Patients (Denominator) 16,340 15,672 16,706
  2016 2017 201811
Patients
Medical Conditions (% of Patients with Medical Conditions)
Percentage of Hypertension Patients4 23.51% 23.93% 28.48%
Number of Hypertension Patients4 2,216 2,308 2,397
Percentage of Diabetes Patients5 12.81% 12.96% 15.27%
Number of Diabetes Patients5 1,134 1,163 1,197
Percentage of Asthma Patients 6.96% 7.86% 7.90%
Number of Asthma Patients 992 1,093 1,040
Percentage of Symptomatic/Asymptomatic HIV Patients 0.43% 0.47% 0.51%
Number of Symptomatic/Asymptomatic HIV Patients 61 65 67
Prenatal
Number of Prenatal Patients 6 65 48 52
Number of Prenatal Patients who Delivered 40 32 34
  2016 2017 2018 Adjusted Quartile Ranking 7
2017 2018
Quality of Care Measures
Perinatal Health
Percentage of Prenatal Patients with Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 80.00% 75.00% 84.62% - 1
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 52 36 44 - -
Percentage of Newborns with Low and Very Low Birth Weight 10.00% 15.63% 5.88% - 1
Number of Newborns with Low Birth Weight 4 5 2 - -
Preventive Health Screening & Services
Percentage of Patients Screened for Cervical Cancer12 100.00% 100.00% 57.91% - 2
Number of Patients Screened for Cervical Cancer12 4,144 2,446 1,438 - -
Percentage of Children Age 3-17 for Weight Screening and Counseling on Nutrition and Physical Activity 100.00% 100.00% 74.92% - 2
Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity 3,570 1,893 1,177 - -
Percentage of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 100.00% 100.00% 71.76% - 2
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 10,418 5,892 4,420 - -
Percentage of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling13 48.90% 94.59% 95.75% - 1
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling 4,040 4,005 4,527 - -
Percentage of Patients Screened for Colorectal Cancer14 100.00% 57.14% 38.62% - 3
Number of Patients Screened for Colorectal Cancer 3,889 1,461 1,037 - -
Percentage of Children 2 Years of Age Who Received Age Appropriate Vaccines by Their 2nd Birthday 8 67.14% 62.86% 31.31% - 3
Number of Children 2 Years of Age Who Received Age Appropriate Vaccines by Their 2nd Birthday 8 119 73 31 - -
Percentage of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 15 31.43% 67.14% 66.34% - 3
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 15 3,625 4,338 4,416 - -
Percentage of Children 6 through 9 Years of Age at Moderate to High Risk of Caries Who Received a Sealant on a First Permanent Molar16 75.71% 72.86% 29.17% - -
Number of Children 6 through 9 Years of Age at Moderate to High Risk of Caries Who Received a Sealant on a First Permanent Molar16 148 106 7 - -
Chronic Disease Management
Percentage of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention17 100.00% 72.07% 64.58% - 4
Number of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention17 137 160 175 - -
Percentage of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 83.23% 82.84% 76.13% - 4
Number of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 263 280 185 - -
Percentage of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 100.00% 72.37% 72.22% - 4
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 402 275 338 - -
Percentage of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg)18 100.00% 87.14% 67.58% - 1
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) 18 2,216 2,011 1,620 - -
Percentage of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year19 41.43% 25.71% 44.36% - 4
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year 19 470 299 531 - -
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 1 - -
  2016 2017 2018
Cost Data
Health Center Service Grant Expenditures $3,019,762 $3,501,701 $3,410,386
Total Accrued Costs (Excluding Donations) $9,842,552 $10,531,616 $10,999,926
Total Accrued Cost per Total Patient $602.36 $672.00 $658.44
Program Conditions 10

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. Measure revised in 2014 UDS to include patients served in health centers with and without Public Housing Primary Care funding.
  4. Hypertensive adults as a percent of estimated adult medical patients of ages 18-85.
  5. Diabetic adults as a percent of estimated adult medical patients of ages 18-75.
  6. All health centers who provide prenatal care directly or by referral are included in the prenatal care calculations, effective 2014.
  7. 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.
  8. Childhood Immunization Status: Change to the denominator in 2016 may affect 2015-2017 trends: Children 2 years of age (previously 3 years of age). Change to the exclusions criteria: No longer permits exclusion of patients not seen ever prior to turning 2. Change to the numerator: Adds 1 Hepatitis A (Hep A), 2 or 3 rotavirus (RV), and 2 influenza (flu) vaccines. Please see: https://ecqi.healthit.gov/ecqm/measures/cms117v5
  9. Measure changed in 2015 to address uncontrolled diabetes for patients with Hba1c > 9.
  10. Program conditions are based on non-compliance with Health Center Program requirements and are updated daily. To learn more about the Health Center Program requirements, please visit https://bphc.hrsa.gov/programrequirements/compliancemanual/index.html.
  11. Effective with calendar year 2016 reporting, clinical quality measures (CQMs) were changed to align with the Centers for Medicare & Medicaid Services’ electronic specified clinical quality measures (eCQMs) and therefore caution should be used for trends between 2015 and 2016 UDS CQMs. Health centers are encouraged to review the year over year differences before using for comparisons.
  12. Cervical Cancer Screening: Change to the denominator in 2016 may affect 2015-2017 trends: Women age 23 through 64 years (previously age 24 through 64 years). Change to the numerator: No longer includes concurrent human papillomavirus (HPV) and Pap test for those ages 30 and older. Please see: https://ecqi.healthit.gov/ecqm/measures/cms124v5
  13. Tobacco Use: Screening and Cessation Intervention: Change to the denominator in 2016 may affect 2015-2017 trends: Includes patients seen twice for medical care or at least once for a preventive visit. Change to the exclusions criteria: Documentation of medical reason(s) for not screening for tobacco use (e.g., limited life expectancy, other medical reason). Please see: https://ecqi.healthit.gov/ecqm/measures/cms138v5
  14. Colorectal Cancer Screening: Change to the denominator in 2016 may affect 2015-2017 trends: Patients age 50 through 75 (previously 51 through 74). Please see: https://ecqi.healthit.gov/ecqm/measures/cms130v5
  15. Screening for Depression and Follow Up Plan: Change to the denominator in 2016 may affect 2015-2017 trends: Do not include patients who refuse to participate, urgent or emergent situations, or if the patient's functional capacity or motivation to improve impacts the accuracy of results. Please see: https://ecqi.healthit.gov/ecqm/measures/cms002v6
  16. The Dental Sealants Screening measure was introduced in 2015 and is not comparable to prior years.
  17. Use of Appropriate Medications for Asthma: Change to the denominator in 2016 may affect 2015-2017 trends: Patients age 5 through 64 years (previously age 5 through 40 years), eligibility not limited to individuals with 2 medical visits ever. Change to the exclusions criteria: Patients with emphysema, chronic obstructive pulmonary disease, cystic fibrosis, or acute respiratory failure during or prior to the measurement period, patients with allergic reactions to asthma medications are no longer excluded from the measure denominator. Please see: https://ecqi.healthit.gov/ecqm/measures/cms126v5
  18. Controlling High Blood Pressure: Change to the denominator in 2016 may affect 2015-2017 trends: Age 18 through 85 years (previously age 18 through 84 years), eligibility no longer limited to patients with at least 2 medical visits during the measurement, must be essential diagnosis. Change to the exclusions criteria: Exclude patients with dialysis or renal transplant before or during the measurement period and chronic kidney disease, Stage 5 (in addition to evidence of end state renal disease), and patients with a diagnosis of pregnancy during the measurement period year. Please see: https://ecqi.healthit.gov/ecqm/measures/cms165v5
  19. Diabetes: Hemoglobin A1c Poor Control: Change to the denominator in 2016 may affect 2015-2017 trends: Age 18 through 75 years (previously age 18 through 74), eligibility no longer limited to patients with at least 2 medical visits during the measurement year. Please see https://ecqi.healthit.gov/ecqm/measures/cms122v5

*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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