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HRSA Health Resources & Services Administration

Alabama Health Center Program Uniform Data System (UDS) Data

Total Number of Reporting Program Awardees: 17

Reporting Period: 2023

Total Patients Served: 313,412

Reporting Source: Uniform Data System (UDS) Report

Expanded Summaries for 2023 UDS Data Tables

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UDS Data Five-Year Summary

Age and Race / Ethnicity 2019 2020 2021 2022 2023
Total Patients 353,441 299,255 312,405 305,912 313,412
Age (% of total patients)
% Children (< 18 years) 24.47% 22.73% 23.79% 23.77% 24.83%
Children (< 18 years) 86,478 68,028 74,321 72,716 77,811
% Adults (18 – 64 years) 67.18% 67.63% 66.01% 64.63% 62.85%
Adults (18 – 64 years) 237,435 202,375 206,227 197,705 196,970
% Older Adults (Age 65 and over) 8.35% 9.64% 10.20% 11.60% 12.33%
Older Adults (Age 65 and over) 29,528 28,852 31,857 35,491 38,631
Patients By Race & Ethnicity (% known)
% Racial and/or Ethnic Minority Patients 60.53% 62.07% 61.42% 62.35% 62.70%
Number of Racial and/or Ethnic Minority Patients 208,361 176,679 187,819 186,186 189,502
% Hispanic, Latino/a, or Spanish Origin Patients 11.43% 9.71% 9.84% 10.94% 11.32%
Number of Hispanic, Latino/a, or Spanish Origin Ethnicity Patients 39,621 27,879 30,342 33,049 34,674
% Non-Hispanic, Latino/a, or Spanish Origin White Patients 40.75% 39.48% 40.26% 39.68% 39.75%
Number of Non-Hispanic, Latino/a, or Spanish Origin White Patients 135,895 107,965 117,965 112,448 112,719
% Total Asian Patients * 0.82% 0.80% 0.92% 0.94% 0.91%
Number of Total Asian Patients * 2,739 2,174 2,686 2,660 2,593
% Native Hawaiian/Other Pacific Islander Patients * 0.47% 0.40% 0.35% 0.32% 0.26%
Number of Native Hawaiian/Other Pacific Islander Patients * 1,556 1,082 1,026 909 745
% Black/African American Patients * 49.21% 52.75% 51.96% 52.19% 52.74%
Number of Black/African American * 164,103 144,243 152,231 147,907 149,552
% American Indian/Alaska Native Patients * 0.67% 0.70% 0.75% 0.80% 0.84%
Number of American Indian/Alaska Native Patients * 2,250 1,911 2,201 2,257 2,391
% More than one race Patients * 0.70% 1.11% 1.00% 0.96% 0.94%
Number of Patients with More than one race * 2,341 3,026 2,941 2,729 2,656
Total Patients with Known Race Ethnicity (Denominator) 333,444 273,451 292,995 283,393 283,540
Total Racial and/or Ethnic Minority Patients (Denominator) 344,256 284,644 305,784 298,634 302,221
Total Hispanic, Latino/a, or Spanish Origin & Non-Hispanic, Latino/a, or Spanish Origin Patients (Denominator for Hispanic, Latino/a, or Spanish Origin Ethnicity) 346,735 287,099 308,290 302,005 306,386
Language (% known)
% Best Served in a Language other than English 8.58% 7.20% 6.58% 7.40% 8.37%
Number of Patients Best Served in a Language Other than English 30,313 21,541 20,562 22,642 26,217
Patient Characteristics 2019 2020 2021 2022 2023
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 234,052 187,579 195,000 175,580 194,053
% Patients at or Below 200% of Federal Poverty Guideline 96.36% 96.12% 94.42% 95.13% 94.84%
Patients at or Below 200% of Federal Poverty Guideline 225,526 180,308 184,123 167,032 184,039
% Patients at or Below 100% of Federal Poverty Guideline (included in above) 83.25% 82.33% 81.34% 79.54% 79.99%
Patients at or Below 100% of Federal Poverty Guideline (included in above) 194,839 154,435 158,610 139,654 155,232
Insurance Status (% of total patients)
% None/Uninsured Patients 45.36% 38.49% 36.19% 29.74% 28.43%
None/Uninsured Patients 160,331 115,189 113,071 90,984 89,088
% None/Uninsured Children (<18 years) 20.28% 15.06% 15.35% 11.78% 12.09%
None/Uninsured Children (<18 years) 17,534 10,244 11,408 8,565 9,408
% Medicaid/CHIP Patients * 27.86% 29.67% 31.19% 34.06% 34.60%
Medicaid/CHIP Patients * 98,485 88,782 97,425 104,200 108,447
% Medicare Patients 9.09% 10.67% 11.40% 12.74% 12.39%
Medicare Patients 32,132 31,933 35,616 38,979 38,821
% Dually Eligible (Medicare and Medicaid) 3.01% 3.48% 3.45% 4.79% 4.92%
Dually Eligible (Medicare and Medicaid) 10,633 10,414 10,780 14,661 15,405
% Other Third-Party Patients 17.68% 21.17% 21.22% 23.45% 24.59%
Other Third-Party Patients 62,493 63,351 66,293 71,749 77,056
Total Patients 353,441 299,255 312,405 305,912 313,412
Children (< 18 years) 86,478 68,028 74,321 72,716 77,811
Special Populations
% Homeless Patients 3.42% 3.76% 3.62% 3.02% 2.84%
Total Homeless Patients 12,087 11,250 11,319 9,245 8,897
% Total Agricultural Workers or Their Family Members 3.71% 1.61% 1.51% 1.87% 2.20%
Total Agricultural Workers or Their Family Members 13,111 4,807 4,715 5,723 6,886
% Public Housing Patients 19.95% 21.09% 20.91% 25.24% 28.02%
Total Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 70,500 63,117 65,335 77,222 87,832
% School-Based Service Site Patients 1.83% 2.01% 3.75% 2.44% 2.27%
School-Based Service Site Patients 6,458 6,012 11,705 7,476 7,108
% Veterans Patients 1.06% 1.38% 1.67% 1.84% 2.00%
Veterans Patients 3,750 4,142 5,219 5,619 6,272
Number of Female Patients (ages 15-44) 97,075 80,026 80,189 78,113 79,164
% Patients Under 15 Who are Female 17.01% 15.82% 16.87% 16.49% 17.05%
Number of Patients Under 15 Who are Female 35,740 27,735 30,468 29,398 31,300
Patients 15-64 Who are Female 74.68% 74.56% 72.71% 72.12% 70.82%
Number of Patients 15-64 Who are Female 156,900 130,722 131,329 128,582 130,014
Patients 65 and Over Who are Female 8.30% 9.62% 10.42% 11.39% 12.12%
Number of Patients 65 and Over Who are Female 17,443 16,857 18,821 20,305 22,257
Total Female Patients (Denominator) 210,083 175,314 180,618 178,285 183,571
Services (% of patients) 2019 2020 2021 2022 2023
% Medical Patients 89.49% 90.21% 88.29% 90.11% 91.60%
Medical Patients 316,281 269,961 275,820 275,658 287,088
% Dental Patients 16.54% 11.42% 10.99% 9.62% 11.31%
Dental Patients 58,469 34,171 34,335 29,432 35,433
% Mental Health Patients 3.55% 5.60% 4.32% 6.57% 6.43%
Mental Health Patients 12,542 16,764 13,509 20,112 20,166
% Substance Use Disorder Patients 1.50% 1.50% 0.73% 1.25% 1.80%
Substance Use Disorder Patients 5,293 4,477 2,280 3,822 5,655
% Vision Patients 3.72% 2.87% 2.12% 2.65% 3.17%
Vision Patients 13,144 8,596 6,614 8,119 9,929
% Enabling Services Patients 6.55% 5.69% 4.56% 4.93% 5.98%
Enabling Services Patients 23,157 17,020 14,258 15,096 18,749
Total Patients 353,441 299,255 312,405 305,912 313,412
Clinical Data 2019 2020 2021 2022 2023
Patients
Medical Conditions (% of Patients with Medical Conditions)
% Hypertension Patients * 31.27% 40.64% 43.70% 39.32% 38.55%
Number of Hypertension Patients * 74,205 84,114 91,131 81,859 82,381
% Diabetes Patients * 15.40% 15.98% 17.49% 18.20% 18.75%
Number of Diabetes Patients * 35,556 32,123 35,330 36,523 38,539
% Asthma 4.81% 5.28% 5.07% 5.41% 5.67%
Number of Asthma Patients 15,202 14,265 13,974 14,914 16,273
% Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 0.78% 0.98% 0.92% 0.94% 0.97%
Number of Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 2,480 2,643 2,546 2,579 2,786
Prenatal
Number of Prenatal Care Patients 2,167 2,402 2,537 2,287 2,628
Number of Prenatal Care Patients who Delivered 1,270 1,337 1,341 1,255 1,393
Quality of Care Measures
Perinatal Health
Early Entry into Prenatal Care (first visit in first trimester) 63.91% 66.78% 68.90% 70.40% 71.61%
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 1,385 1,604 1,748 1,610 1,882
% Low and Very Low Birth Weight 9.47% 11.61% 10.32% 10.83% 12.49%
Number of Newborns with Low Birth Weight 120 153 134 134 172
Preventive Health Screening & Services
Cervical Cancer Screening * 35.67% 35.72% 40.42% 41.33% 43.92%
Number of Cervical Cancer Screening Patients * 37,428 31,600 35,563 35,448 37,221
Breast Cancer Screening 31.08% 34.17% 39.95% 42.20%
Number of Female Patients Aged 52 through 74 who had a mammogram to screen for breast cancer 12,214 14,170 16,457 17,613
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents * 63.74% 67.89% 67.31% 76.95% 82.41%
Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity * 37,432 29,514 32,658 37,470 45,497
Body Mass Index (BMI) Screening and Follow-Up Plan * 73.49% 71.71% 71.70% 66.26% 78.07%
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up * 161,761 136,853 141,699 130,695 156,283
Percent Adults Screened for Tobacco Use and Receiving Cessation Intervention * 82.73% 80.38% 81.05% 86.71% 88.76%
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling * 132,636 100,981 115,093 122,276 124,171
Colorectal Cancer Screening * 29.75% 25.31% 34.51% 29.93% 30.74%
Number of Patients Screened for Colorectal Cancer * 24,156 18,645 25,971 23,196 29,333
Childhood Immunization Status * 22.73% 23.61% 24.46% 23.82% 19.05%
Number of Children Under Age 3 Who Received Appropriate Childhood Immunizations * 928 751 829 815 695
Screening for Depression and Follow-Up Plan * 64.96% 63.28% 66.98% 71.55% 74.57%
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented * 142,578 120,043 127,529 133,637 133,229
Depression Remission at Twelve Months 18.77% 25.41% 17.35% 15.57%
Number of Patients 12 years of age and older with major depression or dysthymia who reached remission 12 months (+/- 60 days) after an index event 861 1,261 850 746
Dental Sealants for Children between 6-9 Years 41.65% 35.74% 37.82% 44.08% 39.41%
Number of Children Age 6-9 Who Received Dental Sealants 521 228 239 186 227
HIV Screening 24.39% 31.80% 39.76% 44.83%
Number of Patients 15 through 65 years of age who were tested for HIV when within age range 43,018 59,481 73,505 82,617
Chronic Disease Management
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease * 75.27% 76.61% 79.24% 79.48% 82.66%
Number of Patients at High Risk of Cardiovascular Events who were Prescribed or were on Statin Therapy * 23,424 26,568 31,135 37,097 40,150
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet * 81.43% 76.12% 78.02% 78.85% 80.91%
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic * 6,065 5,451 6,352 6,202 6,750
Controlling High Blood Pressure * 51.95% 47.29% 50.87% 53.36% 56.09%
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) * 38,550 39,779 46,354 43,683 46,210
Diabetes: Hemoglobin A1c Poor Control * 42.60% 38.54% 36.21% 32.14% 30.72%
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year * 15,146 12,380 12,794 11,737 11,840
% of Patients seen for follow-up within 30 days of first ever HIV diagnosis 88.79% 73.24% 88.04% 81.32% 74.65%
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 95 52 81 74 106
Cost Data 2019 2020 2021 2022 2023
Total Health Center Cluster $83,662,172 $85,961,656 $89,208,291 $88,111,298 $92,198,685
Total Cost $236,833,838 $245,576,709 $282,239,465 $331,000,395 $376,640,578
Total Accrued Cost per Patient $670.08 $820.63 $903.44 $1,082.01 $1,201.74

Footnotes

'-' Data cannot be calculated or has been suppressed for confidentiality purposes.

Cells that are shaded blue represent data that was not reported or null values.

View Detailed UDS Footnotes

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