2018 BREAD FOR THE CITY, INC. Health Center Program Awardee Data

WASHINGTON, DISTRICT OF COLUMBIA

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

Service Area Map

Total Patients: 2,879

 Access Enhancer  Health Disparities Reducers OSV Badge 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 2,632 2,673 2,879
Age (% of total patients)
Percentage of Children (< 18 years old) 9.99% 9.65% 9.80%
Number of Children (< 18 years old) 263 258 282
Percentage of Adults (18 to 64) 78.31% 77.82% 75.55%
Number of Adults (18 to 64) 2,061 2,080 2,175
Percentage of Older Adults (Age 65 and over) 11.70% 12.53% 14.66%
Number of Older Adults (Age 65 and over) 308 335 422
Patients By Race & Ethnicity (% known)
Percentage of Racial and/or Ethnic Minority Patients 96.65% 96.65% 96.59%
Number of Racial and/or Ethnic Minority Patients 2,162 2,165 2,380
Percentage of Hispanic/Latino Ethnicity Patients 15.42% 14.85% 14.51%
Number of Hispanic/Latino Ethnicity Patients 403 395 414
Percentage of Non-Hispanic White Patients 3.92% 3.86% 3.84%
Number of Non-Hispanic White Patients 75 75 84
Percentage of Asian Patients 1 7.12% 7.00% 8.22%
Number of Asian Patients1 136 136 180
Percentage of Native Hawaiian / Other Pacific Islander Patients 1 1.52% 1.34% 0.64%
Number of Native Hawaiian/Other Pacific Islander Patients 1 29 26 14
Percentage of Black/African American Patients1 82.73% 80.29% 76.35%
Number of Black/African American1 1,581 1,560 1,672
Percentage of American Indian/Alaska Native Patients 1 0.63% 0.62% 0.55%
Number of American Indian/Alaska Native Patients1 12 12 12
Percentage of Patients with More than one race 1 2.98% 5.51% 9.32%
Number of Patients with More than one race 1 57 107 204
Total Patients with Known Race Ethnicity (Denominator) 1,911 1,943 2,190
Total Racial and/or Ethnic Minority Patients (Denominator) 2,237 2,240 2,464
Total Hispanic/Latino & Non-Hispanic Latino Patients (Denominator for Hispanic/Latino Ethnicity) 2,613 2,660 2,854
Language (% known)
Percentage of Patients Best Served in a Language Other Than English 24.47% 24.09% 24.00%
Number of Patients Best Served in a Language Other Than English 644 644 691
  2016 2017 2018
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 2,312 2,105 2,373
Percentage of Patients at or below 200% of Federal Poverty Guideline 95.89% 94.44% 93.09%
Number of Patients at or below 200% of Poverty 2,217 1,988 2,209
Percentage of Patients at or below 100% of Poverty 78.76% 75.20% 74.38%
Number of Patients at or below 100% of Poverty 1,821 1,583 1,765
Insurance Status (% of total patients)
Percentage of Uninsured Patients 19.26% 19.08% 22.26%
Number of Uninsured Patients 507 510 641
Percentage of Children Uninsured (age 0-17 years) 25.10% 27.91% 26.60%
Number of Children Uninsured (age 0-17 years) 66 72 75
Percentage of Medicaid/CHIP Patients2 50.80% 50.65% 47.38%
Number of Medicaid/CHIP Patients 2 1,337 1,354 1,364
Percentage of Medicare Patients 16.38% 17.02% 17.82%
Number of Medicare Patients 431 455 513
Percentage of Dually Eligible (Medicare and Medicaid) Patients 14.13% 14.40% 15.39%
Number of Dually Eligible (Medicare and Medicaid) Patients (included in above) 372 385 443
Percentage of Patients with Other Third Party Payer 13.56% 13.24% 12.54%
Number of Patients with Other Third Party Payer 357 354 361
Total Insurance Source Patients (Denominator) 2,632 2,673 2,879
Total Insurance Source Patients Aged 0 - 17 (Denominator) 263 258 282
Special Populations
Percentage of Homeless Patients 11.09% 10.51% 7.82%
Number of Homeless Patients 292 281 225
Percentage of Agricultural Worker Patients 0.00% 0.15% 0.80%
Number of Agricultural Worker Patients 0 4 23
Percentage of Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 100.00% 100.00% 100.00%
Number of Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 2,632 2,673 2,879
Percentage of School-Based Health Center Patients 0.00% - 0.00%
Number of School-Based Health Center Patients 0 - 0
Percentage of Veterans Patients 0.00% 0.90% 1.11%
Number of Veteran Patients 0 24 32
Gender of Patients by Age (% Female)
Percentage of Female Patients (ages 15-44) 39.82% 40.46% 37.24%
Number of Female Patients (ages 15-44) 606 630 623
Percentage of Patients Under 15 Who are Female 6.77% 6.23% 7.05%
Number of Patients Under 15 Who are Female 103 97 118
Percentage of Patients 15-64 Who are Female 81.80% 81.31% 78.00%
Number of Patients 15-64 Who are Female 1,245 1,266 1,305
Percentage of Patients 65 and Over Who are Female 11.43% 12.46% 14.94%
Number of Patients 65 and Over Who are Female 174 194 250
Total Female Patients (Denominator) 1,522 1,557 1,673
Services (% of patients) 2016 2017 2018
Percentage of Medical Patients 96.01% 96.18% 97.46%
Number of Medical Patients 2,527 2,571 2,806
Percentage of Dental Patients 32.56% 35.47% 33.48%
Number of Dental Patients 857 948 964
Percentage of Mental Health Patients 20.36% 25.14% 16.33%
Number of Mental Health Patients 536 672 470
Percentage of Substance Use Disorder Patients - - 0.00%
Number of Substance Use Disorder Patients - - 0
Percentage of Vision Patients 14.13% 6.58% 15.14%
Number of Vision Patients 372 176 436
Percentage of Enabling Patients 11.85% 3.14% 2.26%
Number of Enabling Services Patients 312 84 65
Total Patients (Denominator) 2,632 2,673 2,879
  2016 2017 201811
Patients
Medical Conditions (% of Patients with Medical Conditions)
Percentage of Hypertension Patients4 39.67% 36.96% 34.35%
Number of Hypertension Patients4 898 854 863
Percentage of Diabetes Patients5 19.13% 18.90% 17.81%
Number of Diabetes Patients5 424 428 437
Percentage of Asthma Patients 6.21% 6.61% 6.31%
Number of Asthma Patients 157 170 177
Percentage of Symptomatic/Asymptomatic HIV Patients 1.19% 1.21% 0.93%
Number of Symptomatic/Asymptomatic HIV Patients 30 31 26
Prenatal
Number of Prenatal Patients 6 28 26 22
Number of Prenatal Patients who Delivered 10 10 18
  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) 71.43% 69.23% 95.45% - -
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 20 18 21 - -
Percentage of Newborns with Low and Very Low Birth Weight 20.00% 10.00% 5.56% - -
Number of Newborns with Low Birth Weight 2 1 1 - -
Preventive Health Screening & Services
Percentage of Patients Screened for Cervical Cancer12 56.35% 64.25% 65.98% - 2
Number of Patients Screened for Cervical Cancer12 581 719 741 - -
Percentage of Children Age 3-17 for Weight Screening and Counseling on Nutrition and Physical Activity 57.49% 69.91% 79.75% - 2
Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity 119 151 193 - -
Percentage of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 80.11% 67.85% 83.78% - 2
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 1,796 1,570 2,035 - -
Percentage of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling13 82.60% 79.87% 77.93% - 4
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling 1,481 1,206 1,229 - -
Percentage of Patients Screened for Colorectal Cancer14 63.78% 56.40% 62.22% - 1
Number of Patients Screened for Colorectal Cancer 722 648 792 - -
Percentage of Children 2 Years of Age Who Received Age Appropriate Vaccines by Their 2nd Birthday 8 23.08% 0.00% 0.00% - -
Number of Children 2 Years of Age Who Received Age Appropriate Vaccines by Their 2nd Birthday 8 3 0 0 - -
Percentage of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 15 59.92% 62.44% 61.94% - 3
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 15 1,241 1,315 1,393 - -
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 100.00% 100.00% 50.00% - -
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 4 5 1 - -
Chronic Disease Management
Percentage of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention17 84.62% 89.13% 97.92% - 1
Number of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention17 33 41 47 - -
Percentage of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 96.67% 89.47% 92.31% - -
Number of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 29 17 24 - -
Percentage of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 95.56% 88.00% 87.80% - 2
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 43 44 36 - -
Percentage of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg)18 50.11% 52.58% 53.88% - 4
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) 18 450 449 465 - -
Percentage of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year19 34.67% 34.35% 36.38% - 3
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year 19 147 147 159 - -
Percentage of Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment - - - - -
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment - - - - -
  2016 2017 2018
Cost Data
Health Center Service Grant Expenditures $920,834 $781,801 $687,087
Total Accrued Costs (Excluding Donations) $2,594,219 $2,707,005 $3,125,860
Total Accrued Cost per Total Patient $985.65 $1,012.72 $1,085.75
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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