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HRSA Health Resources & Services Administration

National Health Center Data

Total Number of Reporting Program Awardees: 1,385    Total Patients Served: 29,836,613

Quality Recognition

National Quality Leader
4.69 %
Health Center Quality Leader - Gold
9.82 %
Health Center Quality Leader - Silver
11.41 %
Health Center Quality Leader - Bronze
6.50 %
Access Enhancer
24.62 %
Health Disparities Reducer
21.88 %
Advancing Health Information Technology (HIT) for Quality
27.08 %
Value Enhancer
2.74 %
Patient Centered Medical Home (PCMH)
77.69 %

Learn more about health center quality improvement.

National Aggregated Health Center Data XLSX

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

UDS Data Comparisons

Age and Race / Ethnicity 2017 2018 2019
Total Patients 27,174,372 28,379,680 29,836,613
Age (% of total patients)
% Children (< 18 years) 30.89 % 30.78 % 30.85 %
Children (< 18 years) 8,395,134 8,736,509 9,204,942
% Adults (18 – 64 years) 60.41 % 60.05 % 59.55 %
Adults (18 – 64 years) 16,416,970 17,041,599 17,767,170
% Older Adults (Age 65 and over) 8.69 % 9.17 % 9.60 %
Older Adults (Age 65 and over) 2,362,268 2,601,572 2,864,501
Patients By Race & Ethnicity (% known)
% Racial and/or Ethnic Minority Patients 62.72 % 62.89 % 62.99 %
Number of Racial and/or Ethnic Minority Patients 16,157,234 16,825,443 17,642,962
% Hispanic/Latino Patients 35.76 % 36.27 % 36.84 %
Number of Hispanic/Latino Ethnicity Patients 9,400,723 9,906,024 10,533,244
% Non-Hispanic White Patients 41.07 % 41.09 % 40.99 %
Number of Non-Hispanic White Patients 9,603,574 9,928,725 10,365,550
% Asian Patients 1 4.12 % 4.20 % 4.22 %
Number of Asian Patients 1 962,844 1,015,820 1,067,956
% Native Hawaiian/Other Pacific Islander Patients 1 1.13 % 1.11 % 1.12 %
Number of Native Hawaiian/Other Pacific Islander Patients 1 264,289 267,477 283,177
% Black/African American Patients 1 22.41 % 22.16 % 21.69 %
Number of Black/African American 1 5,240,402 5,352,933 5,483,698
% American Indian/Alaska Native Patients 1 1.36 % 1.38 % 1.45 %
Number of American Indian/Alaska Native Patients 1 317,352 333,246 366,768
% More than one race Patients 1 3.49 % 3.30 % 3.45 %
Number of Patients with More than one race 1 815,025 796,788 872,436
Total Patients with Known Race Ethnicity (Denominator) 23,385,766 24,160,943 25,285,566
Total Racial and/or Ethnic Minority Patients (Denominator) 25,760,808 26,754,168 28,008,512
Total Hispanic/Latino & Non-Hispanic Latino Patients (Denominator for Hispanic/Latino Ethnicity) 26,291,661 27,314,966 28,593,716
Language (% known)
% Best Served in a Language other than English 23.72 % 23.63 % 24.66 %
Number of Patients Best Served in a Language Other than English 6,446,929 6,706,410 7,356,355
Patient Characteristics 2017 2018 2019
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 19,498,453 20,373,081 21,353,559
% Patients at or Below 200% of Federal Poverty Guideline 91.48 % 91.33 % 91.06 %
Patients at or Below 200% of Federal Poverty Guideline 17,836,567 18,607,652 19,445,538
% Patients at or Below 100% of Federal Poverty Guideline (included in above) 69.15 % 68.23 % 67.97 %
Patients at or Below 100% of Federal Poverty Guideline (included in above) 13,483,840 13,899,913 14,514,557
Insurance Status (% of total patients)
% None/Uninsured Patients 22.88 % 22.62 % 22.74 %
None/Uninsured Patients 6,216,811 6,419,472 6,783,710
% None/Uninsured Children (<18 years) 12.70 % 12.52 % 12.98 %
None/Uninsured Children (<18 years) 1,066,596 1,093,990 1,194,385
% Medicaid/CHIP Patients 2 49.64 % 49.00 % 48.20 %
Medicaid/CHIP Patients 2 13,490,591 13,905,805 14,380,852
% Medicare Patients 9.40 % 9.66 % 9.81 %
Medicare Patients 2,555,311 2,741,037 2,927,781
% Dually Eligible (Medicare and Medicaid) 3.82 % 3.74 % 3.77 %
Dually Eligible (Medicare and Medicaid) 1,038,609 1,062,522 1,125,689
% Other Third-Party Patients 18.07 % 18.72 % 19.25 %
Other Third-Party Patients 4,911,659 5,313,366 5,744,270
Total Patients 27,174,372 28,379,680 29,836,613
Children (< 18 years) 8,395,134 8,736,509 9,204,942
Special Populations
% Homeless Patients 5.01 % 4.98 % 4.89 %
Total Homeless Patients 1,361,675 1,413,256 1,459,446
% Total Agricultural Workers or Dependents 3.58 % 3.51 % 3.46 %
Total Agricultural Workers or Dependents 972,251 995,232 1,031,049
% Public Housing Patients 12.75 % 15.56 % 17.31 %
Total Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 3,466,074 4,415,160 5,165,074
% School-Based Health Center Patients 2.95 % 2.89 % 2.97 %
School-Based Health Center Patients 802,630 819,177 885,553
% Veterans Patients 1.31 % 1.36 % 1.34 %
Veterans Patients 355,648 385,222 398,788
Number of Female Patients (ages 15-44) 7,014,487 7,262,983 7,560,990
% Patients Under 15 Who are Female 22.20 % 22.14 % 22.21 %
Number of Patients Under 15 Who are Female 3,483,223 3,623,192 3,809,299
Patients 15-64 Who are Female 68.86 % 68.46 % 67.98 %
Number of Patients 15-64 Who are Female 10,802,779 11,201,800 11,661,973
Patients 65 and Over Who are Female 8.94 % 9.39 % 9.81 %
Number of Patients 65 and Over Who are Female 1,401,777 1,536,363 1,682,905
Total Female Patients (Denominator) 15,687,779 16,361,355 17,154,177
Services (% of patients) 2017 2018 2019
% Medical Patients 84.15 % 83.96 % 83.89 %
Medical Patients 22,866,468 23,827,122 25,029,835
% Dental Patients 22.51 % 22.57 % 22.50 %
Dental Patients 6,116,732 6,406,667 6,712,204
% Mental Health Patients 7.54 % 7.93 % 8.65 %
Mental Health Patients 2,049,194 2,249,876 2,581,706
% Substance Use Disorder Patients 0.62 % 0.79 % 1.09 %
Substance Use Disorder Patients 168,508 223,390 325,732
% Vision Patients 2.47 % 2.63 % 2.78 %
Vision Patients 670,973 746,087 828,977
% Enabling Services Patients 9.38 % 9.14 % 8.74 %
Enabling Services Patients 2,549,897 2,593,393 2,608,861
Total Patients 27,174,372 28,379,680 29,836,613
Clinical Data 2017 2018 2019
Patients
Medical Conditions (% of Patients with Medical Conditions)
% Hypertension Patients 3 27.12 % 27.57 % 28.17 %
Number of Hypertension Patients 3 4,240,467 4,497,046 4,820,688
% Diabetes Patients 4 14.98 % 15.20 % 15.28 %
Number of Diabetes Patients 4 2,266,902 2,395,226 2,521,656
% Asthma 5.57 % 5.50 % 5.41 %
Number of Asthma Patients 1,272,531 1,309,728 1,353,710
% Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 0.72 % 0.80 % 0.78 %
Number of Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 165,745 191,717 196,218
Prenatal
Number of Prenatal Care Patients 573,026 563,740 583,328
Number of Prenatal Care Patients who Delivered 299,373 300,100 312,956
Quality of Care Measures
Perinatal Health
Early Entry into Prenatal Care (first visit in first trimester) 73.97 % 73.82 % 73.81 %
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 423,872 416,147 430,566
% Low and Very Low Birth Weight 8.03 % 8.00 % 8.05 %
Number of Newborns with Low Birth Weight 24,023 23,951 25,011
Preventive Health Screening & Services
Cervical Cancer Screening 7 55.67 % 55.95 % 56.53 %
Number of Cervical Cancer Screening Patients 7 3,894,117 3,996,179 4,184,135
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 14 65.85 % 69.16 % 71.21 %
Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity 14 3,288,504 3,549,030 3,870,784
Body Mass Index (BMI) Screening and Follow-Up Plan 15 63.85 % 70.15 % 72.43 %
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 15 9,527,334 10,860,741 11,763,627
Percent Adults Screened for Tobacco Use and Receiving Cessation Intervention 8 87.50 % 88.09 % 87.17 %
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling 8 10,309,070 10,576,939 11,060,418
Colorectal Cancer Screening 9 42.02 % 44.11 % 45.56 %
Number of Patients Screened for Colorectal Cancer 9 2,271,055 2,491,769 2,741,612
Childhood Immunization Status 6 40.24 % 39.44 % 39.75 %
Number of Children Under Age 3 Who Received Appropriate Childhood Immunizations 6 154,557 156,116 163,156
Screening for Depression and Follow-Up Plan 10 66.15 % 70.57 % 71.61 %
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 10 9,904,540 10,836,660 11,569,790
Dental Sealants for Children between 6-9 Years 50.71 % 52.80 % 56.80 %
Number of Children Age 6-9 Who Received Dental Sealants 135,142 142,158 143,565
Chronic Disease Management
Use of Appropriate Medications for Asthma 11 86.62 % 86.58 % 85.95 %
Number of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention 11 334,805 373,701 395,650
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 17 70.09 %
Number of Patients Aged 21 and Older at High Risk of Cardiovascular Events who were Prescribed or were on Statin Therapy 17 1,923,784
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet 16 79.27 % 80.86 % 80.78 %
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 16 431,614 433,242 460,054
Controlling High Blood Pressure 12 62.71 % 63.26 % 64.62 %
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) 12 2,659,309 2,844,723 3,115,128
Diabetes: Hemoglobin A1c Poor Control 13 32.95 % 32.79 % 31.95 %
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year 13 746,932 785,346 805,728
% of Patients seen for follow-up within 90 days of first ever HIV diagnosis 84.52 % 85.55 % 87.21 %
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 6,812 6,729 6,248
Cost Data 2017 2018 2019
Total Health Center Cluster $4,599,152,286 $4,718,365,832 $4,929,883,133
Total Cost $25,597,401,177 $28,100,675,862 $31,161,368,639
Total Accrued Cost per Patient $941.97 $990.17 $1,044.40

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.

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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.