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HRSA Health Resources & Services Administration

Missouri Health Center Program Uniform Data System (UDS) Data

Total Number of Reporting Program Awardees: 27

Reporting Period: 2023

Total Patients Served: 644,754

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 606,090 578,287 616,605 628,499 644,754
Age (% of total patients)
% Children (< 18 years) 37.38% 33.73% 35.21% 34.83% 33.93%
Children (< 18 years) 226,560 195,035 217,113 218,881 218,747
% Adults (18 – 64 years) 54.17% 57.29% 55.52% 55.49% 55.96%
Adults (18 – 64 years) 328,291 331,323 342,358 348,749 360,835
% Older Adults (Age 65 and over) 8.45% 8.98% 9.27% 9.68% 10.11%
Older Adults (Age 65 and over) 51,239 51,929 57,134 60,869 65,172
Patients By Race & Ethnicity (% known)
% Racial and/or Ethnic Minority Patients 36.91% 35.80% 36.21% 36.15% 36.67%
Number of Racial and/or Ethnic Minority Patients 213,085 194,360 210,869 216,572 222,920
% Hispanic, Latino/a, or Spanish Origin Patients 9.14% 9.24% 9.57% 9.87% 10.33%
Number of Hispanic, Latino/a, or Spanish Origin Ethnicity Patients 53,568 50,986 56,617 59,976 63,932
% Non-Hispanic, Latino/a, or Spanish Origin White Patients 64.74% 66.21% 65.87% 65.47% 65.59%
Number of Non-Hispanic, Latino/a, or Spanish Origin White Patients 364,187 348,533 371,505 382,546 385,018
% Total Asian Patients * 1.41% 1.36% 1.35% 1.43% 1.35%
Number of Total Asian Patients * 7,915 7,164 7,624 8,359 7,939
% Native Hawaiian/Other Pacific Islander Patients * 0.35% 0.30% 0.30% 0.34% 0.41%
Number of Native Hawaiian/Other Pacific Islander Patients * 1,955 1,581 1,678 2,010 2,389
% Black/African American Patients * 24.79% 23.86% 23.60% 22.80% 22.97%
Number of Black/African American * 139,429 125,596 133,128 133,212 134,822
% American Indian/Alaska Native Patients * 0.48% 0.47% 0.51% 0.59% 0.64%
Number of American Indian/Alaska Native Patients * 2,687 2,467 2,879 3,451 3,748
% More than one race Patients * 2.44% 2.33% 2.89% 3.23% 3.13%
Number of Patients with More than one race * 13,727 12,283 16,317 18,853 18,361
Total Patients with Known Race Ethnicity (Denominator) 562,504 526,390 564,003 584,275 586,985
Total Racial and/or Ethnic Minority Patients (Denominator) 577,272 542,893 582,374 599,118 607,938
Total Hispanic, Latino/a, or Spanish Origin & Non-Hispanic, Latino/a, or Spanish Origin Patients (Denominator for Hispanic, Latino/a, or Spanish Origin Ethnicity) 586,236 552,051 591,633 607,947 618,764
Language (% known)
% Best Served in a Language other than English 6.64% 6.95% 6.80% 7.52% 8.02%
Number of Patients Best Served in a Language Other than English 40,227 40,191 41,938 47,250 51,734
Patient Characteristics 2019 2020 2021 2022 2023
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 413,138 383,286 414,719 427,888 435,430
% Patients at or Below 200% of Federal Poverty Guideline 94.18% 93.55% 93.74% 92.75% 91.56%
Patients at or Below 200% of Federal Poverty Guideline 389,102 358,559 388,774 396,860 398,686
% Patients at or Below 100% of Federal Poverty Guideline (included in above) 67.30% 67.66% 67.56% 68.08% 66.60%
Patients at or Below 100% of Federal Poverty Guideline (included in above) 278,043 259,316 280,164 291,289 290,008
Insurance Status (% of total patients)
% None/Uninsured Patients 25.39% 25.81% 22.53% 17.03% 15.77%
None/Uninsured Patients 153,907 149,257 138,913 107,015 101,665
% None/Uninsured Children (<18 years) 9.77% 9.45% 8.99% 8.11% 8.86%
None/Uninsured Children (<18 years) 22,129 18,424 19,529 17,751 19,390
% Medicaid/CHIP Patients * 44.15% 41.31% 45.14% 51.71% 53.37%
Medicaid/CHIP Patients * 267,599 238,895 278,317 324,970 344,114
% Medicare Patients 8.74% 9.05% 9.37% 9.34% 9.65%
Medicare Patients 52,943 52,341 57,785 58,672 62,207
% Dually Eligible (Medicare and Medicaid) 3.55% 3.70% 3.60% 3.46% 4.02%
Dually Eligible (Medicare and Medicaid) 21,487 21,413 22,211 21,772 25,913
% Other Third-Party Patients 21.72% 23.83% 22.96% 21.93% 21.21%
Other Third-Party Patients 131,641 137,794 141,590 137,842 136,768
Total Patients 606,090 578,287 616,605 628,499 644,754
Children (< 18 years) 226,560 195,035 217,113 218,881 218,747
Special Populations
% Homeless Patients 3.30% 2.93% 3.40% 3.55% 3.61%
Total Homeless Patients 20,013 16,934 20,976 22,295 23,292
% Total Agricultural Workers or Their Family Members 0.22% 0.22% 0.22% 0.28% 0.36%
Total Agricultural Workers or Their Family Members 1,336 1,248 1,361 1,758 2,323
% Public Housing Patients 15.96% 21.59% 23.49% 24.03% 24.90%
Total Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 96,725 124,844 144,823 151,044 160,542
% School-Based Service Site Patients 2.66% 1.58% 1.59% 1.60% 3.52%
School-Based Service Site Patients 16,141 9,112 9,774 10,032 22,692
% Veterans Patients 1.68% 1.87% 2.04% 1.92% 2.01%
Veterans Patients 10,181 10,832 12,583 12,037 12,954
Number of Female Patients (ages 15-44) 147,741 147,235 155,771 160,413 165,542
% Patients Under 15 Who are Female 26.97% 23.98% 24.93% 24.41% 23.66%
Number of Patients Under 15 Who are Female 93,545 79,555 88,170 87,856 87,506
Patients 15-64 Who are Female 64.38% 66.92% 65.62% 65.78% 66.09%
Number of Patients 15-64 Who are Female 223,288 222,065 232,122 236,757 244,463
Patients 65 and Over Who are Female 8.65% 9.10% 9.45% 9.81% 10.26%
Number of Patients 65 and Over Who are Female 30,008 30,196 33,442 35,318 37,937
Total Female Patients (Denominator) 346,841 331,816 353,734 359,931 369,906
Services (% of patients) 2019 2020 2021 2022 2023
% Medical Patients 61.12% 63.76% 62.17% 63.38% 63.51%
Medical Patients 370,458 368,691 383,366 398,361 409,454
% Dental Patients 41.53% 36.20% 38.61% 39.91% 40.54%
Dental Patients 251,709 209,342 238,062 250,819 261,370
% Mental Health Patients 11.86% 12.81% 13.14% 14.14% 14.63%
Mental Health Patients 71,901 74,086 80,996 88,856 94,346
% Substance Use Disorder Patients 0.98% 0.85% 1.29% 1.56% 2.07%
Substance Use Disorder Patients 5,968 4,895 7,964 9,780 13,345
% Vision Patients 2.31% 1.85% 1.85% 1.98% 2.60%
Vision Patients 13,979 10,674 11,423 12,425 16,748
% Enabling Services Patients 7.83% 5.46% 7.31% 7.29% 8.45%
Enabling Services Patients 47,482 31,557 45,099 45,827 54,492
Total Patients 606,090 578,287 616,605 628,499 644,754
Clinical Data 2019 2020 2021 2022 2023
Patients
Medical Conditions (% of Patients with Medical Conditions)
% Hypertension Patients * 35.74% 36.07% 38.26% 33.40% 32.48%
Number of Hypertension Patients * 82,008 87,244 94,029 85,771 86,917
% Diabetes Patients * 17.32% 16.33% 16.85% 16.91% 16.64%
Number of Diabetes Patients * 38,360 38,157 39,943 41,798 42,787
% Asthma 4.96% 4.59% 4.53% 4.58% 5.07%
Number of Asthma Patients 18,378 16,932 17,362 18,250 20,762
% Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 0.40% 0.40% 0.41% 0.43% 0.45%
Number of Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 1,470 1,471 1,563 1,717 1,824
Prenatal
Number of Prenatal Care Patients 10,358 10,625 9,616 10,006 9,290
Number of Prenatal Care Patients who Delivered 5,717 5,633 5,009 5,554 5,035
Quality of Care Measures
Perinatal Health
Early Entry into Prenatal Care (first visit in first trimester) 70.99% 70.24% 71.82% 70.12% 71.19%
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 7,353 7,463 6,906 7,016 6,614
% Low and Very Low Birth Weight 9.67% 10.63% 10.25% 10.58% 9.31%
Number of Newborns with Low Birth Weight 553 601 517 588 465
Preventive Health Screening & Services
Cervical Cancer Screening * 53.25% 49.59% 47.32% 45.99% 44.41%
Number of Cervical Cancer Screening Patients * 56,843 53,078 53,252 53,180 56,143
Breast Cancer Screening 39.85% 35.88% 39.73% 39.02%
Number of Female Patients Aged 52 through 74 who had a mammogram to screen for breast cancer 18,513 18,735 21,100 22,543
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents * 70.43% 63.11% 60.76% 64.79% 65.66%
Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity * 51,394 41,495 45,260 50,143 58,483
Body Mass Index (BMI) Screening and Follow-Up Plan * 83.20% 78.03% 73.87% 74.03% 75.67%
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up * 199,096 183,770 184,761 191,853 231,859
Percent Adults Screened for Tobacco Use and Receiving Cessation Intervention * 87.90% 84.02% 86.77% 87.23% 87.21%
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling * 155,569 146,113 151,442 159,574 197,134
Colorectal Cancer Screening * 40.34% 36.54% 35.15% 33.95% 32.11%
Number of Patients Screened for Colorectal Cancer * 37,025 34,781 34,574 34,391 41,900
Childhood Immunization Status * 24.84% 26.24% 25.42% 20.53% 18.70%
Number of Children Under Age 3 Who Received Appropriate Childhood Immunizations * 1,531 1,434 1,417 1,188 1,133
Screening for Depression and Follow-Up Plan * 80.77% 75.09% 74.36% 76.95% 74.98%
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented * 193,169 183,091 175,828 185,006 184,228
Depression Remission at Twelve Months 5.25% 8.25% 10.05% 10.78%
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 449 697 919 1,779
Dental Sealants for Children between 6-9 Years 51.99% 48.91% 54.98% 58.44% 60.21%
Number of Children Age 6-9 Who Received Dental Sealants 7,001 5,086 6,702 8,174 9,495
HIV Screening 23.53% 29.15% 34.08% 38.33%
Number of Patients 15 through 65 years of age who were tested for HIV when within age range 56,756 71,578 85,843 102,741
Chronic Disease Management
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease * 75.40% 77.71% 77.45% 77.52% 77.13%
Number of Patients at High Risk of Cardiovascular Events who were Prescribed or were on Statin Therapy * 30,519 31,779 34,738 39,920 41,353
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet * 81.67% 76.71% 78.91% 76.96% 77.43%
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic * 7,074 6,492 6,345 6,825 7,093
Controlling High Blood Pressure * 63.54% 58.30% 60.84% 63.54% 65.64%
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) * 52,108 50,860 57,206 54,499 57,051
Diabetes: Hemoglobin A1c Poor Control * 29.54% 35.01% 30.64% 29.59% 27.76%
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year * 11,332 13,358 12,238 12,370 11,877
% of Patients seen for follow-up within 30 days of first ever HIV diagnosis 88.89% 83.67% 74.14% 70.59% 84.50%
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 32 41 43 48 169
Cost Data 2019 2020 2021 2022 2023
Total Health Center Cluster $111,894,435 $101,516,795 $123,291,369 $114,949,379 $114,735,505
Total Cost $579,901,455 $625,852,189 $686,495,277 $779,042,972 $879,764,335
Total Accrued Cost per Patient $956.79 $1,082.25 $1,113.35 $1,239.53 $1,364.50

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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