FQHC Analytics

FQHC Analytics: UDS Reporting, Health Equity Tracking, and PCMH Compliance

1,400+ FQHCs serve 31 million patients — 70%+ below poverty level — with analytics resources a fraction of what their quality burden requires. Vizier knows what UDS Table 6B requires, what UDS+ FHIR data elements look like, and how to stratify quality measures by race/ethnicity for health equity reporting.

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$1M+average annual 340B drug savings per FQHC site — most can't fully quantify their savings without dedicated analytics
The Data Challenge in FQHCs

HRSA Requires the Most Granular Quality Reporting in Primary Care. FQHCs Have the Fewest Analytics Resources.

A FQHC CMO typically manages UDS reporting, PCMH recognition, 340B program compliance, sliding fee scale documentation, HRSA Section 330 grant compliance, and health equity measure stratification with zero to one dedicated analysts. The Uniform Data System (UDS) requires annual reporting to HRSA across patient demographics (Table 3A by payer, Table 3B by age/sex), staffing (Table 5), and clinical quality measures (Table 6B). Table 6B alone includes 24 clinical quality measures requiring patient-level data stratified by race, ethnicity, and language.

HRSA launched UDS+ in 2023 — a FHIR-based supplemental reporting layer that requires FQHCs to transmit standardized FHIR resources rather than aggregate counts. UDS+ adds enhanced quality metrics beyond traditional UDS Table 6B measures. Most FQHC analytics systems were built for traditional UDS aggregate reporting and have no FHIR data pipeline.

Generic BI tools don't know the difference between UDS Table 3A payer categories and standard insurance buckets. They can't calculate the sliding fee scale tier distribution or verify that fee discount documentation meets HRSA requirements. Vizier is built around the FQHC data model — from HRSA payer categorization to 340B eligible patient identification.

UDS Table 6B Clinical Quality Measures
24 CQMs required annually including controlling high blood pressure, HbA1c poor control, colorectal cancer screening, cervical cancer screening, depression screening, childhood immunization status, and prenatal care — all stratified by race/ethnicity, language, and insurance status as HRSA requires.
340B Program Eligibility and Savings Tracking
FQHCs are primary 340B covered entities with $1M+ average annual drug savings per site. Tracking 340B savings requires identifying eligible patients (Medicaid, uninsured, and sliding fee patients) and calculating the spread between 340B acquisition cost and AWP. Without analytics, most FQHCs leave savings unquantified.
Sliding Fee Scale Income Verification Compliance
HRSA requires FQHCs to offer a sliding fee scale based on federal poverty level. Compliance requires tracking income verification documentation, fee discount tier assignment, and the percentage of patients at each tier — data points that live in registration, not the clinical record.
What Vizier Tracks

FQHC-Specific Analytics Capabilities

UDS Table 6B CQM Tracking
All 24 UDS clinical quality measures tracked in real time throughout the year — not just at annual reporting time. Identify which sites and which patient populations are below HRSA performance targets with time to course-correct.
Health Disparities Analytics
Race/ethnicity stratification of every quality measure as required for UDS reporting. Surface disparities in HbA1c control, blood pressure management, and preventive care rates across patient subgroups — with language access compliance tracking.
UDS+ FHIR Reporting Readiness
Map clinical data to FHIR resource structures required for UDS+ supplemental reporting. Track completeness of required data elements and identify documentation gaps before the annual submission deadline.
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340B Savings Calculation
Identify 340B eligible encounters, calculate drug savings by comparing 340B acquisition cost to AWP or WAC, and produce the annual 340B savings report required for HRSA scope of project documentation. Average FQHC saves $1M+ annually.
PCMH Recognition Measures
NCQA Patient-Centered Medical Home standards tracked continuously — care team effectiveness, care management, population health management, and patient engagement measures. Identify which PCMH standards are at risk of non-compliance before renewal.
HRSA Section 330 Grant Compliance
Scope of project reporting, required service delivery metrics, and HRSA-defined patient population targets tracked against grant requirements. Generate the data foundation for HRSA grant renewal applications and onsite review preparation.
Quality Programs & Reporting

FQHC Reporting Requirements

FQHCs submit the Uniform Data System (UDS) annual report to HRSA by February 15 each year covering the prior calendar year. UDS tables include patient demographics stratified by payer type (Table 3A) and age/sex (Table 3B), staffing by provider type and FTE (Table 5), and 24 clinical quality measures stratified by race, ethnicity, and primary language (Table 6B). HRSA uses UDS data for grant compliance monitoring, and UDS performance affects HRSA STAR ratings that are public.

The Quality Improvement Fund (QI Fund) and quality bonus payments under section 330(l) are tied to UDS performance improvement year-over-year. FQHCs that demonstrate meaningful improvement in clinical quality measures receive additional grant funding. The stakes of UDS reporting are therefore both compliance and financial — but most FQHCs lack mid-year visibility into their projected UDS performance until the annual reporting crunch begins.

HRSA Reporting
UDS annual report (Tables 3A, 3B, 5, 6B), UDS+ FHIR supplemental reporting, scope of project reporting, HRSA STAR ratings
Quality Programs
PCMH recognition (NCQA), HRSA Quality Improvement Fund, section 330(l) quality bonus, Health Center Quality Leader award
Key Clinical Quality Measures
Hypertension control, HbA1c poor control, colorectal cancer screening, childhood immunization status (CIS), depression screening and follow-up, prenatal care
Financial Programs
FQHC PPS (Prospective Payment System) reimbursement, 340B drug discount program, sliding fee scale federal requirements, Medicaid FQHC rate-setting
FQHC Analytics

Mid-Year UDS Visibility — Not Just an Annual Reporting Scramble

Upload your EHR and billing data, track UDS Table 6B performance in real time, identify health equity gaps by race and ethnicity, and calculate 340B savings — all without a dedicated data analyst.