2016 Massachusetts Health Center Data

UDS Data Comparisons

Expand the tables below to view UDS data comparisons from 2014 to 2016

  2014 2015 2016
Total Patients
Total Patients 690,821 723,923 751,918
Age (% of total patients)
Children (< 18 years old) 21.45% 21.64% 21.72%
Adult (18 - 64) 69.65% 69.08% 68.48%
Older Adults (age 65 and over) 8.90% 9.28% 9.80%
Patients By Race & Ethnicity (% known)
Non-Hispanic White 39.22% 36.45% 35.71%
Racial and/or Ethnic Minority 65.41% 66.31% 66.47%
Hispanic/Latino Ethnicity 34.94% 35.37% 35.77%
Black/African American 1 21.67% 22.39% 21.98%
Asian 1 11.36% 10.85% 10.77%
American Indian/Alaska Native 1 0.36% 0.29% 0.40%
Native Hawaiian / Other Pacific Islander 1 1.22% 1.05% 1.13%
More than one race 1 6.59% 6.12% 6.08%
Language (% known)
Best Served in another language 39.06% 38.22% 41.00%
  2014 2015 2016
Income Status (% of patients with known income)
Patients at or below 200% of poverty 89.39% 88.64% 86.63%
Patients at or below 100% of poverty 66.86% 65.22% 63.72%
Insurance Status (% of total patients)
Uninsured 15.00% 16.49% 15.68%
Children Uninsured (age 0-17 years) 6.80% 6.01% 6.93%
Medicaid/CHIP 2 48.95% 48.71% 48.34%
Medicare 10.03% 10.74% 10.32%
Dually Eligible (Medicare and Medicaid) - 4.86% 5.42%
Other Third Party 26.01% 24.07% 25.65%
Special Populations
Homeless 5.36% 4.70% 4.59%
Agricultural Worker 0.40% 0.50% 0.58%
Public Housing 3 5.02% 11.24% 22.96%
School Based 1.21% 2.19% 2.52%
Veterans 1.49% 1.43% 1.31%
Gender of Patients by Age (% Female)
Women's Health (ages 15-44) 26.92% 26.54% 26.20%
Patients Under 15 Who are Female 49.08% 48.98% 49.20%
Patients 15-64 Who are Female 55.96% 56.04% 55.76%
Patients 65 and Over Who are Female 58.46% 58.31% 58.29%
Services (% of patients) 2014 2015 2016
Medical 85.15% 84.36% 84.56%
Dental 23.99% 23.59% 23.38%
Mental Health 6.59% 7.20% 7.35%
Substance Abuse 0.77% 0.89% 0.98%
Vision 10.02% 10.57% 10.78%
Enabling 11.30% 12.31% 11.39%
  2014 2015 201611
Patients
Medical Conditions (% of Patients with Medical Conditions)
Hypertension 4 21.09% 21.48% 24.32%
Diabetes 5 9.95% 10.16% 11.41%
Asthma 6.77% 6.76% 6.68%
HIV 1.04% 1.06% 1.03%
Prenatal
Prenatal Patients6 11,890 12,201 12,342
Prenatal Patients who Delivered 6,133 6,108 6,388
Quality of Care Measures
Perinatal Health
Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 81.72% 84.03% 84.09%
Low Birth Weight 6.81% 7.21% 7.17%
Preventive Health Screening & Services
Cervical Cancer Screening12 60.19% 62.24% 56.19%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 51.00% 51.84% 63.93%
Body Mass Index (BMI) Screening and Follow-Up 48.07% 46.56% 47.85%
Adults Screened for Tobacco Use and Receiving Cessation Intervention13 76.55% 77.60% 80.05%
Colorectal Cancer Screening14 46.79% 47.92% 47.82%
Childhood Immunization Status 8 81.40% 79.75% 51.05%
Screening for Clinical Depression and Follow-Up Plan15 38.19% 44.09% 46.09%
Dental Sealants for Children between 6-9 Years16 - 40.76% 49.28%
Chronic Disease Management
Use of Appropriate Medications for Asthma17 75.37% 75.98% 79.71%
Coronary Artery Disease (CAD): Lipid Therapy 79.21% 78.92% 82.61%
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 74.67% 78.66% 78.78%
Controlling High Blood Pressure (Hypertensive Patients with Blood Pressure < 140/90)18 63.44% 63.77% 63.14%
Diabetes: Hemoglobin A1c Poor Control 8(Diabetic Patients with HbA1c > 9%) or No Test During Year 26.41% 28.93% 28.96%
HIV Linkage to Care 83.46% 89.26% 93.39%
  2014 2015 2016
Cost Data
Health Center Service Grant Expenditures $72,139,711 $93,005,156 $112,577,336
Total Cost $909,218,378 $1,017,794,767 $1,096,563,064
Total Cost Per Patient $1,316.14 $1,405.94 $1,458.35

Footnotes

'-' - Data Cannot be Calculated

  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: 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/cms117v4
  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://www.bphc.hrsa.gov/about/requirements/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: 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/cms124v4
  13. Tobacco Use: Screening and Cessation Intervention: Change to the denominator: 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/cms138v4
  14. Colorectal Cancer Screening: Change to the denominator: Change to the denominator: Patients age 50 through 75 (previously 51 through 74). Please see: https://ecqi.healthit.gov/ecqm/measures/cms130v4
  15. Screening for Clinical Depression and Follow-Up Plan: Change to the denominator: 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/cms002v5
  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: 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/cms126v4
  18. Controlling High Blood Pressure: Change to the denominator: 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/cms165v4
  19. Diabetes: Hemoglobin A1c Poor Control: Change to the denominator: 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/cms122v4

* The UDS Mapper provides detailed geographic information for HRSA Health Center Program Grantees and Look-Alikes.

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