Performance Improvement 2013-2014. What Is the Current Status of Clinical Quality Among Community Health Centers and What Health Center Characteristics Are Associated With Performance Excellence?


In 2009, community health centers funded by the Health Resources and Services Administration provided primary and preventive care to about 19 million patients across the United States. This study examined clinical quality among the nation's community health centers and health center characteristics associated with performance excellence. Six measures were examined: first-trimester prenatal care, childhood immunization completion, Pap tests, low birth weight, controlled hypertension, and controlled diabetes. The top 25 percent performing centers were compared with lower performing (bottom 75 percent) centers on these measures.

Clinical care and outcomes among health centers were generally comparable to national averages. For instance, 67 percent of pregnant patients received timely prenatal care (national = 68 percent), 69 percent of children achieved immunization completion (national = 67 percent), and 63 percent of hypertensive patients had blood pressure under control (national = 48 percent). Depending on the measure, centers with more uninsured patients were less likely to do well, while centers with more physicians and enabling service providers were more likely to do well.

Report Title: Clinical Quality Performance in U.S. Health Centers
Agency Sponsor: HRSA, Health Resources and Services Administration
Federal Contact: Lydie Lebrun-Harris, 301-443-2178
Performer: Johns Hopkins University Bloomberg School of Public Health
Record ID: 10100 (December 31, 2012)

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"PerformanceImprovement2014.pdf" (pdf, 671.65Kb)

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