2017 Massachusetts Health Center Data

UDS Data Comparisons

Expand the tables below to view UDS data comparisons from 2015 to 2017

  2015 2016 2017
Total Patients 723,923 751,918 773,139
Age (% of total patients)
Percentage of Children (< 18 years old) 21.64% 21.72% 21.68%
Number of Children (< 18 years old) 156,690 163,285 167,653
Percentage of Adults (18 to 64) 69.08% 68.48% 67.93%
Number of Adults (18 to 64) 500,055 514,938 525,211
Percentage of Older Adults (Age 65 and over) 9.28% 9.80% 10.38%
Number of Older Adults (Age 65 and over) 67,178 73,695 80,275
Patients By Race & Ethnicity (% known)
Percentage of Racial and/or Ethnic Minority Patients 66.31% 66.47% 66.07%
Number of Racial and/or Ethnic Minority Patients 448,582 460,970 473,263
Total Racial and/or Ethnic Minority Patients (Denominator) 676,474 693,487 716,259
Percentage of Hispanic/Latino Ethnicity Patients 35.37% 35.77% 35.76%
Number of Hispanic/Latino Ethnicity Patients 245,859 256,137 264,484
Total Hispanic/Latino & Non-Hispanic Latino Patients (Denominator for Hispanic/Latino Ethnicity) 695,019 716,077 739,623
Percentage of Non-Hispanic White Patients 36.45% 35.71% 36.34%
Number of Non-Hispanic White Patients 227,892 232,517 242,996
Percentage of Black/African American Patients1 22.39% 21.98% 22.12%
Number of Black/African American1 140,004 143,098 147,901
Percentage of Asian Patients 1 10.85% 10.77% 10.79%
Number of Asian Patients1 67,843 70,145 72,150
Percentage of American Indian/Alaska Native Patients 1 0.29% 0.40% 0.42%
Number of American Indian/Alaska Native Patients1 1,803 2,596 2,778
Percentage of Native Hawaiian / Other Pacific Islander Patients 1 1.05% 1.13% 1.09%
Number of Native Hawaiian/Other Pacific Islander Patients 1 6,587 7,370 7,299
Total Patients (Denominator for Native Hawaiian/Other Pacific Islander) 723,923 751,918 773,139
Percentage of Patients with More than one race 1 6.12% 6.08% 5.07%
Number of Patients with More than one race 1 38,264 39,561 33,886
Total Patients with Known Race Ethnicity (Denominator) 625,253 651,078 668,686
Language (% known)
Percentage of Patients Best Served in Another Language 38.22% 41.00% 40.34%
Number of Patients Best Served in Another Language 276,710 308,323 311,850
  2015 2016 2017
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 473,737 474,518 461,613
Percentage of Patients at or below 200% of Poverty 88.64% 86.63% 86.82%
Number of Patients at or below 200% of Poverty 419,921 411,089 400,794
Percentage of Patients at or below 100% of Poverty 65.22% 63.72% 65.51%
Number of Patients at or below 100% of Poverty 308,959 302,380 302,392
Insurance Status (% of total patients)
Percentage of Uninsured Patients 16.49% 15.68% 14.88%
Number of Uninsured Patients 119,387 117,920 115,036
Percentage of Children Uninsured (age 0-17 years) 6.01% 6.93% 6.16%
Number of Children Uninsured (age 0-17 years) 9,424 11,322 10,333
Percentage of Medicaid/CHIP Patients2 48.71% 48.34% 48.59%
Number of Medicaid/CHIP Patients 2 352,588 363,484 375,704
Percentage of Medicare Patients 10.74% 10.32% 10.37%
Number of Medicare Patients 77,729 77,635 80,152
Percentage of Dually Eligible (Medicare and Medicaid) Patients 4.86% 5.42% 5.72%
Number of Dually Eligible (Medicare and Medicaid) Patients 35,209 40,750 44,238
Percentage of Patients with Other Third Party Payer 24.07% 25.65% 26.16%
Number of Patients with Other Third Party Payer 174,219 192,879 202,247
Special Populations
Percentage of Homeless Patients 4.70% 4.59% 4.99%
Number of Homeless Patients 34,026 34,508 38,604
Percentage of Agricultural Worker Patients 0.50% 0.58% 0.64%
Number of Agricultural Worker Patients 3,628 4,371 4,985
Percentage of Public Housing Patients3 11.24% 22.96% 30.03%
Number of Public Housing Patients3 81,401 172,664 232,135
Percentage of School Based Patients 2.19% 2.52% 1.65%
Number of School Based Patients 15,821 18,979 12,780
Percentage of Veterans Patients 1.43% 1.31% 1.15%
Number of Veteran Patients 10,379 9,850 8,860
Total Insurance Source Patients (Denominator) 723,923 751,918 773,139
Total Insurance Source Patients Aged 0 - 17 (Denominator) 156,690 163,285 167,653
Gender of Patients by Age (% Female)
Percentage of Female Patients (ages 15-44) 48.26% 47.79% 47.62%
Number of Female Patients (ages 15-44) 192,115 197,023 203,239
Percentage of Patients Under 15 Who are Female 15.89% 16.04% 15.94%
Number of Patients Under 15 Who are Female 63,263 66,141 68,025
Percentage of Patients 15-64 Who are Female 74.27% 73.54% 73.14%
Number of Patients 15-64 Who are Female 295,680 303,214 312,145
Percentage of Patients 65 and Over Who are Female 9.84% 10.42% 10.92%
Number of Patients 65 and Over Who are Female 39,172 42,955 46,608
Total Female Patients (Denominator) 398,115 412,310 426,778
Services (% of patients) 2015 2016 2017
Total Patients (Denominator) 723,923 751,918 773,139
Percentage of Medical Patients 84.36% 84.56% 84.79%
Number of Medical Patients 610,727 635,806 655,557
Percentage of Dental Patients 23.59% 23.38% 22.99%
Number of Dental Patients 170,745 175,808 177,783
Percentage of Mental Health Patients 7.20% 7.35% 7.94%
Number of Mental Health Patients 52,137 55,285 61,395
Percentage of Substance Abuse Patients 0.89% 0.98% 1.08%
Number of Substance Abuse Patients 6,442 7,380 8,387
Percentage of Vision Patients 10.57% 10.78% 11.40%
Number of Vision Patients 76,508 81,032 88,173
Percentage of Enabling Patients 12.31% 11.39% 10.31%
Number of Enabling Patients 89,135 85,628 79,720
  2015 2016 201711
Patients
Medical Conditions (% of Patients with Medical Conditions)
Percentage of Hypertension Patients4 21.48% 24.32% 24.07%
Number of Hypertension Patients4 101,770 119,729 122,189
Percentage of Diabetes Patients5 10.16% 11.41% 11.78%
Number of Diabetes Patients5 46,645 54,374 57,770
Percentage of Asthma Patients 6.76% 6.68% 6.92%
Number of Asthma Patients 41,283 42,470 45,358
Percentage of HIV Patients 1.06% 1.03% 0.98%
Number of HIV Patients 6,447 6,523 6,453
Prenatal
Number of Prenatal Patients 6 12,201 12,342 12,331
Number of Prenatal Patients who Delivered 6,108 6,388 6,614
Quality of Care Measures
Perinatal Health
Percentage of Prenatal Patients with Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 84.03% 84.09% 83.63%
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 10,252 10,379 10,312
Percentage of Newborns with Low Birth Weight 7.21% 7.17% 7.71%
Number of Newborns with Low Birth Weight 441 462 510
Preventive Health Screening & Services
Percentage of Cervical Cancer Screening12 62.24% 56.19% 63.73%
Number of Cervical Cancer Screening Patients12 122,606 116,151 132,340
Percentage of Children Age 3-17 for Weight Screening and Counseling on Nutrition and Physical Activity 51.84% 63.93% 60.60%
Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity 56,374 71,357 68,132
Percentage of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 46.56% 47.85% 50.10%
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 209,670 228,722 241,182
Percentage of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling13 77.60% 80.05% 88.26%
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling13 327,721 323,377 361,645
Percentage of Patients Screened for Colorectal Cancer14 47.92% 47.82% 53.36%
Number of Patients Screened for Colorectal Cancer14 70,595 77,499 87,578
Percentage of Children Under Age 3 Who Received Appropriate Childhood Immunizations 8 79.75% 51.05% 53.14%
Number of Children Under Age 3 Who Received Appropriate Childhood Immunizations 8 5,404 3,811 4,173
Percentage of Patients Screened for Clinical Depression and if Positive had Follow-up Plan Documented15 44.09% 46.09% 51.96%
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 15 184,534 201,229 222,507
Percentage of Children Age 6-9 Who Received Dental Sealant 16 40.76% 49.28% 46.35%
Number of Children Age 6-9 Who Received Dental Sealants16 1,866 2,660 1,973
Chronic Disease Management
Percentage of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention17 75.98% 79.71% 83.01%
Number of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention17 8,850 11,482 14,728
Percentage of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 78.92% 82.61% 86.67%
Number of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 5,982 7,119 7,267
Percentage of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 78.66% 78.78% 83.76%
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 11,083 12,557 12,837
Percentage of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) 18 63.77% 63.14% 63.51%
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) 18 64,901 75,601 77,597
Percentage of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year 19 28.93% 28.96% 28.42%
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year 19 13,497 15,745 16,419
Percentage of Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 89.26% 93.39% 89.32%
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 291 226 209
  2015 2016 2017
Cost Data
Health Center Service Grant Expenditures $93,005,156 $112,577,336 $123,591,218
Total Cost $1,017,794,767 $1,096,563,064 $1,143,551,967
Total Cost Per Patient $1,405.94 $1,458.35 $1,479.10

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://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 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

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