2018 TRI-CITY HEALTH CENTER Health Center Program Awardee Data

FREMONT, CALIFORNIA

3-year project period; end date 1/31/2020

Service Area Map

Total Patients: 26,025

PCMH Recognition as of Thursday, August 08, 2019

UDS Data Comparisons

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

  2016 2017 2018
Total Patients 22,768 25,145 26,025
Age (% of total patients)
Percentage of Children (< 18 years old) 30.57% 30.85% 30.76%
Number of Children (< 18 years old) 6,961 7,758 8,006
Percentage of Adults (18 to 64) 62.79% 60.32% 59.25%
Number of Adults (18 to 64) 14,296 15,168 15,419
Percentage of Older Adults (Age 65 and over) 6.64% 8.82% 9.99%
Number of Older Adults (Age 65 and over) 1,511 2,219 2,600
Patients By Race & Ethnicity (% known)
Percentage of Racial and/or Ethnic Minority Patients 81.38% 83.08% 83.91%
Number of Racial and/or Ethnic Minority Patients 18,321 20,544 21,643
Percentage of Hispanic/Latino Ethnicity Patients 37.15% 37.10% 35.98%
Number of Hispanic/Latino Ethnicity Patients 8,376 9,189 9,350
Percentage of Non-Hispanic White Patients 18.72% 17.01% 16.25%
Number of Non-Hispanic White Patients 4,192 4,184 4,151
Percentage of Asian Patients 1 35.45% 36.90% 37.38%
Number of Asian Patients1 7,938 9,077 9,550
Percentage of Native Hawaiian / Other Pacific Islander Patients 1 0.88% 0.97% 1.06%
Number of Native Hawaiian/Other Pacific Islander Patients 1 197 239 270
Percentage of Black/African American Patients1 7.50% 6.58% 6.25%
Number of Black/African American1 1,679 1,618 1,597
Percentage of American Indian/Alaska Native Patients 1 0.60% 0.61% 0.58%
Number of American Indian/Alaska Native Patients1 134 150 149
Percentage of Patients with More than one race 1 3.81% 6.11% 8.34%
Number of Patients with More than one race 1 854 1,503 2,130
Total Patients with Known Race Ethnicity (Denominator) 22,395 24,600 25,546
Total Racial and/or Ethnic Minority Patients (Denominator) 22,513 24,728 25,794
Total Hispanic/Latino & Non-Hispanic Latino Patients (Denominator for Hispanic/Latino Ethnicity) 22,547 24,767 25,984
Language (% known)
Percentage of Patients Best Served in a Language Other Than English 38.14% 16.82% 17.80%
Number of Patients Best Served in a Language Other Than English 8,683 4,230 4,632
  2016 2017 2018
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 21,615 24,069 25,319
Percentage of Patients at or below 200% of Federal Poverty Guideline 96.62% 95.15% 95.29%
Number of Patients at or below 200% of Poverty 20,884 22,901 24,126
Percentage of Patients at or below 100% of Poverty 73.22% 71.34% 71.96%
Number of Patients at or below 100% of Poverty 15,827 17,172 18,220
Insurance Status (% of total patients)
Percentage of Uninsured Patients 21.41% 22.53% 23.83%
Number of Uninsured Patients 4,875 5,664 6,201
Percentage of Children Uninsured (age 0-17 years) 8.17% 8.49% 10.79%
Number of Children Uninsured (age 0-17 years) 569 659 864
Percentage of Medicaid/CHIP Patients2 66.11% 65.19% 64.77%
Number of Medicaid/CHIP Patients 2 15,053 16,393 16,856
Percentage of Medicare Patients 3.29% 3.51% 3.78%
Number of Medicare Patients 750 883 984
Percentage of Dually Eligible (Medicare and Medicaid) Patients - 0.00% 3.23%
Number of Dually Eligible (Medicare and Medicaid) Patients (included in above) - 0 840
Percentage of Patients with Other Third Party Payer 9.18% 8.77% 7.62%
Number of Patients with Other Third Party Payer 2,090 2,205 1,984
Total Insurance Source Patients (Denominator) 22,768 25,145 26,025
Total Insurance Source Patients Aged 0 - 17 (Denominator) 6,961 7,758 8,006
Special Populations
Percentage of Homeless Patients 4.16% 3.84% 5.22%
Number of Homeless Patients 947 965 1,359
Percentage of Agricultural Worker Patients 2.35% 2.10% 2.34%
Number of Agricultural Worker Patients 535 529 609
Percentage of Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 2.93% 2.54% 2.48%
Number of Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 666 638 645
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 0.11% 0.18% 0.27%
Number of Veteran Patients 26 45 69
Gender of Patients by Age (% Female)
Percentage of Female Patients (ages 15-44) 48.28% 46.56% 45.37%
Number of Female Patients (ages 15-44) 6,468 6,806 6,778
Percentage of Patients Under 15 Who are Female 21.41% 21.73% 21.61%
Number of Patients Under 15 Who are Female 2,869 3,176 3,228
Percentage of Patients 15-64 Who are Female 71.90% 69.41% 68.36%
Number of Patients 15-64 Who are Female 9,633 10,147 10,213
Percentage of Patients 65 and Over Who are Female 6.69% 8.86% 10.03%
Number of Patients 65 and Over Who are Female 896 1,295 1,498
Total Female Patients (Denominator) 13,398 14,618 14,939
Services (% of patients) 2016 2017 2018
Percentage of Medical Patients 87.34% 83.44% 80.19%
Number of Medical Patients 19,885 20,982 20,870
Percentage of Dental Patients 26.45% 38.17% 40.30%
Number of Dental Patients 6,023 9,599 10,489
Percentage of Mental Health Patients 4.64% 4.29% 3.90%
Number of Mental Health Patients 1,057 1,079 1,016
Percentage of Substance Use Disorder Patients 0.00% 0.00% 0.50%
Number of Substance Use Disorder Patients 0 0 131
Percentage of Vision Patients 14.67% 14.55% 17.86%
Number of Vision Patients 3,341 3,659 4,647
Percentage of Enabling Patients 65.26% 12.55% 15.63%
Number of Enabling Services Patients 14,858 3,156 4,067
Total Patients (Denominator) 22,768 25,145 26,025
  2016 2017 201811
Patients
Medical Conditions (% of Patients with Medical Conditions)
Percentage of Hypertension Patients4 26.52% 24.44% 25.38%
Number of Hypertension Patients4 3,647 3,522 3,638
Percentage of Diabetes Patients5 14.70% 14.56% 15.65%
Number of Diabetes Patients5 1,980 2,031 2,161
Percentage of Asthma Patients 6.29% 6.07% 5.95%
Number of Asthma Patients 1,250 1,273 1,242
Percentage of Symptomatic/Asymptomatic HIV Patients 1.21% 1.16% 1.23%
Number of Symptomatic/Asymptomatic HIV Patients 240 244 257
Prenatal
Number of Prenatal Patients 6 374 338 321
Number of Prenatal Patients who Delivered 157 191 143
  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) 90.37% 96.15% 92.83% - 1
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 338 325 298 - -
Percentage of Newborns with Low and Very Low Birth Weight 4.38% 5.73% 6.29% - 2
Number of Newborns with Low Birth Weight 7 11 9 - -
Preventive Health Screening & Services
Percentage of Patients Screened for Cervical Cancer12 23.69% 26.98% 47.34% - 3
Number of Patients Screened for Cervical Cancer12 1,507 1,748 3,040 - -
Percentage of Children Age 3-17 for Weight Screening and Counseling on Nutrition and Physical Activity 95.87% 95.49% 93.99% - 1
Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity 4,363 4,743 4,441 - -
Percentage of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 94.96% 90.99% 91.91% - 1
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 13,104 13,231 12,914 - -
Percentage of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling13 86.99% 87.63% 91.30% - 2
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling 9,083 9,384 9,819 - -
Percentage of Patients Screened for Colorectal Cancer14 8.48% 21.65% 48.96% - 2
Number of Patients Screened for Colorectal Cancer 388 1,074 2,466 - -
Percentage of Children 2 Years of Age Who Received Age Appropriate Vaccines by Their 2nd Birthday 8 50.77% 43.43% 44.26% - 2
Number of Children 2 Years of Age Who Received Age Appropriate Vaccines by Their 2nd Birthday 8 165 152 135 - -
Percentage of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 15 53.80% 75.42% 70.66% - 3
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 15 7,088 10,222 9,825 - -
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 43.28% 48.44% 89.03% - 1
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 29 31 276 - -
Chronic Disease Management
Percentage of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention17 92.76% 91.60% 83.14% - 3
Number of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention17 500 643 646 - -
Percentage of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 80.95% 81.62% 86.55% - 2
Number of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 272 293 251 - -
Percentage of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 77.24% 80.27% 80.63% - 3
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 241 236 229 - -
Percentage of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg)18 59.94% 59.03% 56.40% - 3
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) 18 2,186 2,079 2,052 - -
Percentage of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year19 52.02% 56.18% 26.24% - 1
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year 19 1,030 1,141 567 - -
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 10 43 17 - -
  2016 2017 2018
Cost Data
Health Center Service Grant Expenditures $4,445,794 $4,064,196 $3,958,387
Total Accrued Costs (Excluding Donations) $25,074,942 $32,486,267 $39,264,047
Total Accrued Cost per Total Patient $1,101.32 $1,291.96 $1,508.70
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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