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HRSA Health Resources & Services Administration

Massachusetts Health Center Data

Total Number of Reporting Program Awardees: 38    Total Patients Served: 811,517

Quality Recognition

National Quality Leader
5.26 %
Health Center Quality Leader - Gold
13.16 %
Health Center Quality Leader - Silver
13.16 %
Health Center Quality Leader - Bronze
13.16 %
Access Enhancer
18.42 %
Health Disparities Reducer
18.42 %
Advancing Health Information Technology (HIT) for Quality
26.32 %
Patient Centered Medical Home (PCMH)
92.11 %

Learn more about health center quality improvement.

Expanded Summary for 2019 UDS Tables 3A – 9E and EHR Information

UDS Data Comparisons

Age and Race / Ethnicity 2017 2018 2019
Total Patients 773,139 792,505 811,517
Age (% of total patients)
% Children (< 18 years) 21.68 % 21.94 % 21.95 %
Children (< 18 years) 167,653 173,892 178,091
% Adults (18 – 64 years) 67.93 % 67.30 % 66.83 %
Adults (18 – 64 years) 525,211 533,365 542,303
% Older Adults (Age 65 and over) 10.38 % 10.76 % 11.23 %
Older Adults (Age 65 and over) 80,275 85,248 91,123
Patients By Race & Ethnicity (% known)
% Racial and/or Ethnic Minority Patients 66.07 % 66.19 % 66.48 %
Number of Racial and/or Ethnic Minority Patients 473,263 483,626 494,263
% Hispanic/Latino Patients 35.76 % 36.03 % 36.01 %
Number of Hispanic/Latino Ethnicity Patients 264,484 271,877 276,977
% Non-Hispanic White Patients 36.34 % 36.48 % 36.32 %
Number of Non-Hispanic White Patients 242,996 247,010 249,246
% Asian Patients 1 10.79 % 10.99 % 11.05 %
Number of Asian Patients 1 72,150 74,427 75,836
% Native Hawaiian/Other Pacific Islander Patients 1 1.09 % 1.00 % 0.98 %
Number of Native Hawaiian/Other Pacific Islander Patients 1 7,299 6,755 6,697
% Black/African American Patients 1 22.12 % 22.11 % 22.60 %
Number of Black/African American 1 147,901 149,717 155,073
% American Indian/Alaska Native Patients 1 0.42 % 0.41 % 0.45 %
Number of American Indian/Alaska Native Patients 1 2,778 2,767 3,106
% More than one race Patients 1 5.07 % 5.32 % 5.03 %
Number of Patients with More than one race 1 33,886 36,051 34,529
Total Patients with Known Race Ethnicity (Denominator) 668,686 677,084 686,274
Total Racial and/or Ethnic Minority Patients (Denominator) 716,259 730,636 743,509
Total Hispanic/Latino & Non-Hispanic Latino Patients (Denominator for Hispanic/Latino Ethnicity) 739,623 754,658 769,197
Language (% known)
% Best Served in a Language other than English 40.34 % 35.08 % 40.59 %
Number of Patients Best Served in a Language Other than English 311,850 278,021 329,395
Patient Characteristics 2017 2018 2019
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 461,613 466,882 472,683
% Patients at or Below 200% of Federal Poverty Guideline 86.82 % 86.85 % 83.92 %
Patients at or Below 200% of Federal Poverty Guideline 400,794 405,473 396,665
% Patients at or Below 100% of Federal Poverty Guideline (included in above) 65.51 % 65.48 % 62.47 %
Patients at or Below 100% of Federal Poverty Guideline (included in above) 302,392 305,732 295,269
Insurance Status (% of total patients)
% None/Uninsured Patients 14.88 % 13.47 % 13.13 %
None/Uninsured Patients 115,036 106,741 106,523
% None/Uninsured Children (<18 years) 6.16 % 4.36 % 4.11 %
None/Uninsured Children (<18 years) 10,333 7,584 7,322
% Medicaid/CHIP Patients 2 48.59 % 48.57 % 45.97 %
Medicaid/CHIP Patients 2 375,704 384,907 373,040
% Medicare Patients 10.37 % 10.80 % 11.19 %
Medicare Patients 80,152 85,553 90,801
% Dually Eligible (Medicare and Medicaid) 5.72 % 5.78 % 5.71 %
Dually Eligible (Medicare and Medicaid) 44,238 45,792 46,372
% Other Third-Party Patients 26.16 % 27.17 % 29.72 %
Other Third-Party Patients 202,247 215,304 241,153
Total Patients 773,139 792,505 811,517
Children (< 18 years) 167,653 173,892 178,091
Special Populations
% Homeless Patients 4.99 % 4.45 % 4.57 %
Total Homeless Patients 38,604 35,257 37,089
% Total Agricultural Workers or Dependents 0.64 % 0.86 % 1.00 %
Total Agricultural Workers or Dependents 4,985 6,835 8,098
% Public Housing Patients 30.03 % 33.41 % 50.21 %
Total Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 232,135 264,775 407,432
% School-Based Health Center Patients 1.65 % 1.82 % 1.83 %
School-Based Health Center Patients 12,780 14,416 14,817
% Veterans Patients 1.15 % 1.19 % 1.29 %
Veterans Patients 8,860 9,409 10,451
Number of Female Patients (ages 15-44) 203,239 206,808 210,065
% Patients Under 15 Who are Female 15.94 % 16.16 % 16.17 %
Number of Patients Under 15 Who are Female 68,025 70,675 72,279
Patients 15-64 Who are Female 73.14 % 72.61 % 72.09 %
Number of Patients 15-64 Who are Female 312,145 317,557 322,313
Patients 65 and Over Who are Female 10.92 % 11.23 % 11.74 %
Number of Patients 65 and Over Who are Female 46,608 49,109 52,476
Total Female Patients (Denominator) 426,778 437,341 447,068
Services (% of patients) 2017 2018 2019
% Medical Patients 84.79 % 84.90 % 85.18 %
Medical Patients 655,557 672,813 691,235
% Dental Patients 22.99 % 23.41 % 23.40 %
Dental Patients 177,783 185,490 189,863
% Mental Health Patients 7.94 % 8.34 % 8.60 %
Mental Health Patients 61,395 66,119 69,829
% Substance Use Disorder Patients 1.08 % 1.24 % 1.55 %
Substance Use Disorder Patients 8,387 9,829 12,539
% Vision Patients 11.40 % 11.75 % 12.27 %
Vision Patients 88,173 93,136 99,559
% Enabling Services Patients 10.31 % 10.32 % 7.04 %
Enabling Services Patients 79,720 81,791 57,154
Total Patients 773,139 792,505 811,517
Clinical Data 2017 2018 2019
Patients
Medical Conditions (% of Patients with Medical Conditions)
% Hypertension Patients 3 24.07 % 24.30 % 24.27 %
Number of Hypertension Patients 3 122,189 126,156 129,422
% Diabetes Patients 4 11.78 % 11.84 % 11.90 %
Number of Diabetes Patients 4 57,770 59,282 61,103
% Asthma 6.92 % 6.59 % 6.38 %
Number of Asthma Patients 45,358 44,306 44,113
% Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 0.98 % 1.00 % 0.97 %
Number of Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 6,453 6,761 6,724
Prenatal
Number of Prenatal Care Patients 12,331 11,297 11,957
Number of Prenatal Care Patients who Delivered 6,614 6,182 6,511
Quality of Care Measures
Perinatal Health
Early Entry into Prenatal Care (first visit in first trimester) 83.63 % 80.05 % 82.57 %
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 10,312 9,043 9,873
% Low and Very Low Birth Weight 7.71 % 8.05 % 7.36 %
Number of Newborns with Low Birth Weight 510 497 479
Preventive Health Screening & Services
Cervical Cancer Screening 7 63.73 % 62.55 % 64.30 %
Number of Cervical Cancer Screening Patients 7 132,340 132,132 139,122
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 14 60.60 % 60.52 % 62.20 %
Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity 14 68,132 69,001 72,765
Body Mass Index (BMI) Screening and Follow-Up Plan 15 50.10 % 58.31 % 60.18 %
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 15 241,182 285,757 301,721
Percent Adults Screened for Tobacco Use and Receiving Cessation Intervention 8 88.26 % 85.19 % 86.94 %
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling 8 361,645 333,766 358,316
Colorectal Cancer Screening 9 53.36 % 55.62 % 58.28 %
Number of Patients Screened for Colorectal Cancer 9 87,578 93,313 102,711
Childhood Immunization Status 6 53.14 % 54.58 % 53.14 %
Number of Children Under Age 3 Who Received Appropriate Childhood Immunizations 6 4,173 4,503 4,474
Screening for Depression and Follow-Up Plan 10 51.96 % 56.16 % 59.67 %
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 10 222,507 249,737 265,878
Dental Sealants for Children between 6-9 Years 46.35 % 49.75 % 56.11 %
Number of Children Age 6-9 Who Received Dental Sealants 1,973 1,881 2,305
Chronic Disease Management
Use of Appropriate Medications for Asthma 11 83.01 % 86.97 % 85.27 %
Number of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention 11 14,728 15,819 16,011
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 17 70.11 %
Number of Patients Aged 21 and Older at High Risk of Cardiovascular Events who were Prescribed or were on Statin Therapy 17 63,505
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet 16 83.76 % 85.06 % 82.93 %
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 16 12,837 12,860 13,132
Controlling High Blood Pressure 12 63.51 % 64.80 % 65.20 %
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) 12 77,597 81,746 84,378
Diabetes: Hemoglobin A1c Poor Control 13 28.42 % 27.43 % 26.75 %
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year 13 16,419 16,264 16,347
% of Patients seen for follow-up within 90 days of first ever HIV diagnosis 89.32 % 92.31 % 88.84 %
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 209 252 215
Cost Data 2017 2018 2019
Total Health Center Cluster $123,591,218 $125,726,159 $131,057,987
Total Cost $1,143,551,967 $1,208,304,045 $1,273,913,722
Total Accrued Cost per Patient $1,479.10 $1,524.66 $1,569.79

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. Hypertensive adults as a percent of estimated adult medical patients of ages 18-85
  • 4. Diabetic adults as a percent of estimated adult medical patients of ages 18-75
  • 5. 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
  • 6. Childhood Immunization Status: For detailed information on this measure please see: https://ecqi.healthit.gov/ecqm/measures/cms117v6
  • 7. Cervical Cancer Screening: In 2018, patients who were in hospice care during the measurement period were excluded from the denominator. In 2019, the exclusion for congenital absence of cervix was added. These changes may affect 2017-2019 trends. For measurement specifics please visit the link and navigate to the reporting year: https://ecqi.healthit.gov/ecqm/ep/2019/cms124v7
  • 8. Tobacco Use: Screening and Cessation Intervention: In 2018, this measure had several updates in guidance and specification, including reporting on three populations. Please see: https://ecqi.healthit.gov/ecqm/measures/cms138v6
  • 9. Colorectal Cancer Screening: In 2018, patients in hospice care during the measurement year were excluded from the denominator. The numerator was changed to patients with one or more screenings for colorectal cancer. In 2019, a digital rectal exam no longer meets the numerator criteria. These changes may affect 2017-2019 trends. For measurement specifics, please visit the link and navigate to the reporting year: https://ecqi.healthit.gov/ecqm/ep/2019/cms130v7
  • 10. Screening for Depression and Follow Up Plan: In 2018 and 2019, changes were made to the measurement criteria that may affect 2017-2019 trends. For measurement specifics, please visit the link and navigate to the reporting year: https://ecqi.healthit.gov/
  • 11. Use of Appropriate Medications for Asthma: Measure specifications are available through the United States Health Information Knowledgebase and a user account is required to access. Accounts are free. Please visit: https://ushik.ahrq.gov/ViewItemDetails?&system=mu&itemKey=209389000
  • 12. Controlling High Blood Pressure: Change to the denominator exclusion in 2018 may affect 2017-2019 trends: Exclude patients who were in hospice care during the measurement year. Please see: https://ecqi.healthit.gov/ecqm/measures/cms165v6
  • 13. Diabetes: Hemoglobin A1c Poor Control: Change to the denominator exclusion in 2018 may affect 2017-2019 trends: Exclude patients who were in hospice care during the measurement year. Please see https://ecqi.healthit.gov/ecqm/measures/cms122v6
  • 14. Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents: Change in denominator exclusion in 2018 may affect 2017-2019 trends: Exclude patients who were in hospice care during the measurement year. Please see: https://ecqi.healthit.gov/ecqm/measures/cms155v6
  • 15. Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan: Changes in the measure description and numerator in 2018 may affect 2017-2019 trends. Please see: https://ecqi.healthit.gov/ecqm/measures/cms69v6
  • 16. Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet: Changes in denominator exclusion in 2018 may affect 2017-2019 trends: Exclude patients who were in hospice care during the measurement year. Please see: https://ecqi.healthit.gov/ecqm/measures/cms164v6
  • 17. Statin Therapy for the Prevention and Treatment of Cardiovascular Disease: This measure indicates the percentage of patients who were prescribed or on statin therapy of those who are high risk for cardiovascular events. This measure was added to the 2019 UDS. For detailed information on this measure, please see: https://ecqi.healthit.gov/ecqm/ep/2019/cms347v2
  • 18. Appendix F: Workforce: This was added to the 2019 UDS

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

Accessibility Statement:
Persons using assistive technology may not be able to fully access information in these files. For assistance, contact the Health Center Program Support at: 877-464-4772.