Community Health Connections, Inc.
- Location
- Fitchburg, MA 01420
- Grant number
- H80CS00257
- Project director
- John A DeMalia
Who this health center serves · 2024
The population behind the quality numbers — from this center's HRSA UDS report.
Services
Special populations served
- 2,990 experiencing homelessness
- 149 migrant/seasonal agricultural workers
- 365 veterans
- 7,360 public-housing residents
6 delivery sites · 174,856 patient visits in 2024.
Clinical quality measures · 2024
Self-reported to HRSA on the Uniform Data System (UDS) — covers all the center's patients, every payer. "National median" and percentile are vs all health centers reporting the measure (denominator ≥ 30). How UDS differs from other programs →
Cancer screening
| Measure | This center | National median | Percentile |
|---|---|---|---|
| Cervical cancer screening | 40.9% | 51.3% | Below median · 29th |
| Breast cancer screening | 46.5% | 52.3% | Below median · 37th |
| Colorectal cancer screening | 44.0% | 40.5% | Above median · 59th |
Chronic disease control
| Measure | This center | National median | Percentile |
|---|---|---|---|
| Blood-pressure control | 60.7% | 66.2% | Below median · 26th |
| Diabetes: HbA1c poor control (>9%) (lower=better) | 21.1% | 27.2% | Top quartile · 82th |
| Statin therapy | 71.7% | 78.1% | Bottom quartile · 21th |
| Aspirin/antiplatelet for heart disease | 40.2% | 75.7% | Bottom quartile · 1th |
Behavioral health
| Measure | This center | National median | Percentile |
|---|---|---|---|
| Depression screening & follow-up | 60.3% | 75.3% | Bottom quartile · 23th |
| Depression remission | 9.2% | 12.7% | Below median · 35th |
Prevention & wellness
| Measure | This center | National median | Percentile |
|---|---|---|---|
| Childhood immunization | 20.4% | 28.4% | Below median · 28th |
| Adult BMI screening & follow-up | 54.0% | 68.5% | Below median · 32th |
| Child BMI counseling | 13.9% | 73.5% | Bottom quartile · 4th |
| Tobacco screening & cessation | 83.0% | 85.7% | Below median · 42th |
| HIV screening | 51.6% | 47.0% | Above median · 56th |
Maternal & oral health
| Measure | This center | National median | Percentile |
|---|---|---|---|
| Dental sealants | 76.2% | 59.6% | Above median · 72th |
HRSA quality recognition
Health Center Quality awards, 2021–2025. Quality Leader = top 10/20/30% nationally on clinical quality; National Quality Leader = best-in-class on a clinical domain.
Closing the gaps behind these measures is exactly what population health management is for. Quaility is an AI-native population health platform built for health centers — it unifies your EHR, claims, and payer data into one record, then closes care gaps with AI and staff-led outreach, turning the annual UDS report into year-round improvement.
Population health management for health centers →