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HRSA Health Resources & Services Administration

National Health Center Program Look-Alike Data

Total Number of Reporting Look-Alikes: 72    Total Patients Served: 595,030

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 721,922 885,031 595,030
Age (% of total patients)
% Children (< 18 years) 31.40 % 30.91 % 28.63 %
Children (< 18 years) 226,652 273,580 170,354
% Adults (18 – 64 years) 59.25 % 59.18 % 60.57 %
Adults (18 – 64 years) 427,749 523,768 360,415
% Older Adults (Age 65 and over) 9.35 % 9.91 % 10.80 %
Older Adults (Age 65 and over) 67,521 87,683 64,261
Patients By Race & Ethnicity (% known)
% Racial and/or Ethnic Minority Patients 74.34 % 71.16 % 63.82 %
Number of Racial and/or Ethnic Minority Patients 471,952 554,292 342,016
% Hispanic/Latino Patients 42.15 % 41.35 % 30.54 %
Number of Hispanic/Latino Ethnicity Patients 276,267 337,349 171,417
% Non-Hispanic White Patients 28.98 % 34.02 % 40.71 %
Number of Non-Hispanic White Patients 162,867 224,597 193,852
% Asian Patients 1 9.25 % 8.30 % 9.49 %
Number of Asian Patients 1 51,966 54,794 45,174
% Native Hawaiian/Other Pacific Islander Patients 1 0.63 % 0.61 % 0.61 %
Number of Native Hawaiian/Other Pacific Islander Patients 1 3,555 4,058 2,916
% Black/African American Patients 1 24.60 % 23.71 % 24.71 %
Number of Black/African American 1 138,270 156,562 117,645
% American Indian/Alaska Native Patients 1 0.74 % 0.76 % 0.90 %
Number of American Indian/Alaska Native Patients 1 4,136 5,022 4,278
% More than one race Patients 1 1.55 % 2.22 % 3.08 %
Number of Patients with More than one race 1 8,732 14,628 14,649
Total Patients with Known Race Ethnicity (Denominator) 561,968 660,268 476,140
Total Racial and/or Ethnic Minority Patients (Denominator) 634,819 778,889 535,868
Total Hispanic/Latino & Non-Hispanic Latino Patients (Denominator for Hispanic/Latino Ethnicity) 655,407 815,829 561,330
Language (% known)
% Best Served in a Language other than English 32.25 % 33.57 % 21.87 %
Number of Patients Best Served in a Language Other than English 232,811 297,149 130,115
Patient Characteristics 2017 2018 2019
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 513,627 587,233 380,226
% Patients at or Below 200% of Federal Poverty Guideline 93.75 % 91.58 % 89.25 %
Patients at or Below 200% of Federal Poverty Guideline 481,528 537,803 339,335
% Patients at or Below 100% of Federal Poverty Guideline (included in above) 72.27 % 72.59 % 64.89 %
Patients at or Below 100% of Federal Poverty Guideline (included in above) 371,196 426,279 246,718
Insurance Status (% of total patients)
% None/Uninsured Patients 14.69 % 16.16 % 14.12 %
None/Uninsured Patients 106,019 143,011 84,028
% None/Uninsured Children (<18 years) 5.56 % 7.00 % 7.73 %
None/Uninsured Children (<18 years) 12,613 19,144 13,176
% Medicaid/CHIP Patients 2 61.50 % 57.84 % 54.76 %
Medicaid/CHIP Patients 2 443,983 511,870 325,843
% Medicare Patients 9.95 % 10.64 % 12.50 %
Medicare Patients 71,839 94,128 74,353
% Dually Eligible (Medicare and Medicaid) 4.88 % 4.89 % 4.85 %
Dually Eligible (Medicare and Medicaid) 35,206 43,310 28,857
% Other Third-Party Patients 13.86 % 15.37 % 18.62 %
Other Third-Party Patients 100,081 136,022 110,806
Total Patients 721,922 885,031 595,030
Children (< 18 years) 226,652 273,580 170,354
Special Populations
% Homeless Patients 1.16 % 1.31 % 1.67 %
Total Homeless Patients 8,370 11,595 9,941
% Total Agricultural Workers or Dependents 1.22 % 1.91 % 1.90 %
Total Agricultural Workers or Dependents 8,828 16,889 11,293
% Public Housing Patients 14.55 % 27.00 % 6.88 %
Total Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 105,019 238,929 40,946
% School-Based Health Center Patients 1.43 % 0.95 % 0.92 %
School-Based Health Center Patients 10,324 8,410 5,476
% Veterans Patients 0.74 % 0.94 % 1.32 %
Veterans Patients 5,329 8,360 7,853
Number of Female Patients (ages 15-44) 182,885 225,814 147,539
% Patients Under 15 Who are Female 22.17 % 21.92 % 20.41 %
Number of Patients Under 15 Who are Female 94,156 113,638 69,900
Patients 15-64 Who are Female 68.21 % 67.86 % 68.47 %
Number of Patients 15-64 Who are Female 289,631 351,828 234,497
Patients 65 and Over Who are Female 9.62 % 10.23 % 11.12 %
Number of Patients 65 and Over Who are Female 40,844 53,029 38,094
Total Female Patients (Denominator) 424,631 518,495 342,491
Services (% of patients) 2017 2018 2019
% Medical Patients 90.80 % 91.16 % 91.76 %
Medical Patients 655,514 806,826 546,017
% Dental Patients 11.68 % 9.13 % 9.58 %
Dental Patients 84,290 80,786 56,978
% Mental Health Patients 4.56 % 5.11 % 9.06 %
Mental Health Patients 32,946 45,265 53,909
% Substance Use Disorder Patients 0.13 % 0.12 % 0.47 %
Substance Use Disorder Patients 931 1,021 2,781
% Vision Patients 3.30 % 2.79 % 1.17 %
Vision Patients 23,820 24,686 6,970
% Enabling Services Patients 3.31 % 4.11 % 5.44 %
Enabling Services Patients 23,863 36,360 32,374
Total Patients 721,922 885,031 595,030
Clinical Data 2017 2018 2019
Patients
Medical Conditions (% of Patients with Medical Conditions)
% Hypertension Patients 3 27.45 % 27.07 % 27.18 %
Number of Hypertension Patients 3 122,073 149,028 104,648
% Diabetes Patients 4 16.38 % 15.28 % 14.60 %
Number of Diabetes Patients 4 70,257 81,000 54,031
% Asthma 5.97 % 5.81 % 5.34 %
Number of Asthma Patients 39,147 46,868 29,160
% Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 1.17 % 1.53 % 1.49 %
Number of Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 7,680 12,356 8,148
Prenatal
Number of Prenatal Care Patients 19,718 23,158 12,602
Number of Prenatal Care Patients who Delivered 11,046 13,199 7,144
Quality of Care Measures
Perinatal Health
Early Entry into Prenatal Care (first visit in first trimester) 74.23 % 72.23 % 76.46 %
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 14,637 16,727 9,635
% Low and Very Low Birth Weight 7.23 % 7.34 % 7.55 %
Number of Newborns with Low Birth Weight 804 971 542
Preventive Health Screening & Services
Cervical Cancer Screening 7 53.55 % 53.99 % 51.44 %
Number of Cervical Cancer Screening Patients 7 109,025 134,854 83,791
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 14 65.30 % 68.76 % 64.67 %
Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity 14 92,250 124,220 71,574
Body Mass Index (BMI) Screening and Follow-Up Plan 15 49.08 % 55.88 % 56.40 %
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 15 202,612 282,769 200,739
Percent Adults Screened for Tobacco Use and Receiving Cessation Intervention 8 79.27 % 81.25 % 79.61 %
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling 8 261,755 335,740 222,995
Colorectal Cancer Screening 9 46.90 % 47.39 % 42.61 %
Number of Patients Screened for Colorectal Cancer 9 73,521 92,351 59,696
Childhood Immunization Status 6 45.81 % 47.24 % 42.73 %
Number of Children Under Age 3 Who Received Appropriate Childhood Immunizations 6 5,243 6,586 3,475
Screening for Depression and Follow-Up Plan 10 60.78 % 64.47 % 57.24 %
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 10 258,357 337,995 205,723
Dental Sealants for Children between 6-9 Years 47.71 % 49.44 % 53.93 %
Number of Children Age 6-9 Who Received Dental Sealants 1,241 1,001 1,089
Chronic Disease Management
Use of Appropriate Medications for Asthma 11 78.55 % 80.52 % 82.36 %
Number of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention 11 8,716 11,248 7,179
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 17 70.86 %
Number of Patients Aged 21 and Older at High Risk of Cardiovascular Events who were Prescribed or were on Statin Therapy 17 37,463
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet 16 73.02 % 76.66 % 72.24 %
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 16 11,624 14,888 10,523
Controlling High Blood Pressure 12 63.60 % 61.95 % 62.98 %
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) 12 77,635 92,328 65,903
Diabetes: Hemoglobin A1c Poor Control 13 35.11 % 33.45 % 33.50 %
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year 13 24,666 27,095 18,099
% of Patients seen for follow-up within 90 days of first ever HIV diagnosis 75.12 % 72.93 % 88.84 %
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 163 167 207
Cost Data 2017 2018 2019
Total Cost $673,484,452 $917,891,445 $656,615,219
Total Accrued Cost per Patient $932.90 $1,037.13 $1,103.50

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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