FQHC Quality Improvement & UDS Reporting

Quality Improvement & UDS Reporting for FQHCs

HRSA requires all Health Center Program grantees and Look-Alikes to maintain a written quality improvement and assurance program, conduct clinical performance reviews, and submit annual Uniform Data System (UDS) reports. UDS data is publicly available, reviewed by HRSA during site visits, and increasingly tied to value-based payment performance.

Health centers that invest in strong QI infrastructure — robust data systems, engaged clinical champions, and a structured improvement cycle — consistently outperform their peers on patient outcomes, clinician satisfaction, and financial metrics. Our QI consultants bring hands-on health center experience to every engagement.

Service Areas

- QI Program Development — Design or redesign of your written QI program, committee structure, and annual QI work plan aligned with HRSA requirements and PCMH standards

- UDS Reporting Support — Preparation, review, and submission assistance for the annual HRSA Uniform Data System report including clinical measures, patient data, and financial tables

- Clinical Performance Measure Analysis — Review of your current performance on HRSA UDS clinical measures with benchmarking against national and peer health center data

- PDSA Cycle Facilitation — Structured Plan-Do-Study-Act improvement project facilitation targeting your lowest-performing clinical measures

- EHR Data & Reporting Optimization — Guidance on configuring your electronic health record to accurately capture and report UDS clinical quality measures

- PCMH Recognition Support — Application and documentation support for NCQA Patient-Centered Medical Home recognition

- Value-Based Payment Readiness — Preparation for Medicaid managed care value-based payment arrangements tied to quality performance metrics

What We Deliver

- QI Program Assessment — Written review of your current QI program structure, infrastructure, and performance against HRSA requirements

- UDS Preparation Package — Checklist, data validation tools, and review support for accurate annual UDS submission

- Performance Improvement Workplan — A written annual QI workplan with priority measures, targets, responsible parties, and review timelines

- Training & Technical Assistance — Staff training on QI methodology, data interpretation, and documentation practices that support quality reporting