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HRSA Health Resources & Services Administration

North Carolina Health Center Program Uniform Data System (UDS) Data

Total Number of Reporting Program Awardees: 39

Reporting Period: 2021

Total Patients Served: 721,568

Reporting Source: Uniform Data System (UDS) Report

Expanded Summaries for 2021 UDS Data Tables

UDS Data Five-Year Summary

Age and Race / Ethnicity 2017 2018 2019 2020 2021
Total Patients 546,746 570,918 610,469 664,693 721,568
Age (% of total patients)
% Children (< 18 years) 22.48 % 22.07 % 22.91 % 18.69 % 21.08 %
Children (< 18 years) 122,894 125,985 139,866 124,233 152,114
% Adults (18 – 64 years) 65.91 % 65.29 % 64.18 % 67.42 % 65.49 %
Adults (18 – 64 years) 360,346 372,751 391,817 448,131 472,566
% Older Adults (Age 65 and over) 11.62 % 12.64 % 12.91 % 13.89 % 13.43 %
Older Adults (Age 65 and over) 63,506 72,182 78,786 92,329 96,888
Patients By Race & Ethnicity (% known)
% Racial and/or Ethnic Minority Patients 65.31 % 64.22 % 63.37 % 61.66 % 62.84 %
Number of Racial and/or Ethnic Minority Patients 342,394 351,388 367,386 354,407 396,512
% Hispanic/Latino Patients 31.59 % 30.65 % 30.31 % 28.05 % 29.85 %
Number of Hispanic/Latino Ethnicity Patients 168,472 169,939 178,403 164,876 192,168
% Non-Hispanic White Patients 39.12 % 40.15 % 40.59 % 42.68 % 41.39 %
Number of Non-Hispanic White Patients 181,876 195,757 212,379 220,373 234,428
% Asian Patients * 1.55 % 1.57 % 1.55 % 1.45 % 1.39 %
Number of Asian Patients * 7,195 7,670 8,106 7,475 7,853
% Native Hawaiian/Other Pacific Islander Patients * 0.44 % 0.42 % 0.38 % 0.36 % 0.40 %
Number of Native Hawaiian/Other Pacific Islander Patients * 2,028 2,041 1,997 1,843 2,264
% Black/African American Patients * 33.85 % 33.90 % 32.99 % 33.37 % 32.91 %
Number of Black/African American * 157,396 165,308 172,614 172,313 186,380
% American Indian/Alaska Native Patients * 1.58 % 1.56 % 1.63 % 1.99 % 2.02 %
Number of American Indian/Alaska Native Patients * 7,348 7,623 8,509 10,260 11,452
% More than one race Patients * 3.10 % 3.42 % 4.49 % 2.51 % 2.77 %
Number of Patients with More than one race * 14,418 16,696 23,496 12,961 15,691
Total Patients with Known Race Ethnicity (Denominator) 464,927 487,593 523,166 516,314 566,378
Total Racial and/or Ethnic Minority Patients (Denominator) 524,270 547,145 579,765 574,780 630,940
Total Hispanic/Latino & Non-Hispanic Latino Patients (Denominator for Hispanic/Latino Ethnicity) 533,367 554,526 588,651 587,823 643,872
Language (% known)
% Best Served in a Language other than English 21.78 % 21.30 % 22.31 % 20.62 % 21.75 %
Number of Patients Best Served in a Language Other than English 119,083 121,609 136,188 137,032 156,956
Patient Characteristics 2017 2018 2019 2020 2021
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 379,057 395,166 417,448 398,765 423,621
% Patients at or Below 200% of Federal Poverty Guideline 91.81 % 91.59 % 89.52 % 89.71 % 90.96 %
Patients at or Below 200% of Federal Poverty Guideline 347,997 361,914 373,688 357,729 385,346
% Patients at or Below 100% of Federal Poverty Guideline (included in above) 70.89 % 69.58 % 66.29 % 70.44 % 71.38 %
Patients at or Below 100% of Federal Poverty Guideline (included in above) 268,732 274,950 276,707 280,909 302,386
Insurance Status (% of total patients)
% None/Uninsured Patients 42.90 % 41.93 % 43.36 % 40.21 % 36.58 %
None/Uninsured Patients 234,549 239,368 264,718 267,274 263,937
% None/Uninsured Children (<18 years) 21.86 % 23.09 % 27.17 % 25.72 % 24.58 %
None/Uninsured Children (<18 years) 26,860 29,090 37,998 31,947 37,383
% Medicaid/CHIP Patients * 25.08 % 24.82 % 24.16 % 20.35 % 21.26 %
Medicaid/CHIP Patients * 137,109 141,729 147,493 135,243 153,395
% Medicare Patients 13.03 % 13.53 % 12.66 % 13.38 % 12.34 %
Medicare Patients 71,248 77,266 77,260 88,960 89,068
% Dually Eligible (Medicare and Medicaid) 4.42 % 4.38 % 3.76 % 3.43 % 3.29 %
Dually Eligible (Medicare and Medicaid) 24,163 25,030 22,972 22,769 23,768
% Other Third-Party Patients 18.99 % 19.71 % 19.82 % 26.06 % 29.82 %
Other Third-Party Patients 103,840 112,555 120,998 173,216 215,168
Total Patients 546,746 570,918 610,469 664,693 721,568
Children (< 18 years) 122,894 125,985 139,866 124,233 152,114
Special Populations
% Homeless Patients 3.27 % 3.07 % 2.99 % 2.38 % 1.88 %
Total Homeless Patients 17,903 17,546 18,275 15,839 13,563
% Total Agricultural Workers or Dependents 9.41 % 7.94 % 5.82 % 4.52 % 5.24 %
Total Agricultural Workers or Dependents 51,466 45,307 35,508 30,041 37,811
% Public Housing Patients 11.43 % 19.19 % 24.53 % 22.06 % 28.73 %
Total Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 62,475 109,549 149,746 146,639 207,280
% School-Based Health Center Patients 0.97 % 1.01 % 1.31 % 0.94 % 0.88 %
School-Based Health Center Patients 5,320 5,765 7,969 6,237 6,351
% Veterans Patients 1.44 % 1.45 % 1.42 % 1.24 % 1.28 %
Veterans Patients 7,895 8,269 8,671 8,269 9,251
Number of Female Patients (ages 15-44) 122,238 128,728 138,330 155,868 165,755
% Patients Under 15 Who are Female 16.73 % 16.15 % 16.53 % 13.32 % 15.08 %
Number of Patients Under 15 Who are Female 50,515 51,834 57,150 50,118 60,763
Patients 15-64 Who are Female 70.60 % 70.31 % 69.90 % 72.10 % 70.70 %
Number of Patients 15-64 Who are Female 213,165 225,628 241,617 271,238 284,927
Patients 65 and Over Who are Female 12.67 % 13.54 % 13.56 % 14.58 % 14.23 %
Number of Patients 65 and Over Who are Female 38,271 43,452 46,884 54,841 57,334
Total Female Patients (Denominator) 301,951 320,914 345,651 376,197 403,024
% Transgender Man/Transgender Male/Transgender Masculine (% of known) 0.07 % 0.08 % 0.10 % 0.11 % 0.12 %
% Transgender Woman/Transgender Female/Transgender Feminine (% of known) 0.06 % 0.07 % 0.09 % 0.09 % 0.09 %
Services (% of patients) 2017 2018 2019 2020 2021
% Medical Patients 82.67 % 82.25 % 80.94 % 84.50 % 86.00 %
Medical Patients 452,005 469,568 494,093 561,655 620,534
% Dental Patients 17.61 % 17.63 % 18.48 % 13.73 % 13.78 %
Dental Patients 96,288 100,675 112,798 91,234 99,412
% Mental Health Patients 7.15 % 8.19 % 9.47 % 8.69 % 7.25 %
Mental Health Patients 39,105 46,775 57,783 57,788 52,324
% Substance Use Disorder Patients 0.44 % 1.30 % 1.33 % 1.45 % 1.06 %
Substance Use Disorder Patients 2,387 7,406 8,121 9,616 7,662
% Vision Patients 0.11 % 0.12 % 0.12 % 0.11 % 0.12 %
Vision Patients 616 666 716 748 865
% Enabling Services Patients 12.17 % 10.96 % 9.73 % 6.92 % 8.16 %
Enabling Services Patients 66,556 62,559 59,425 46,023 58,916
Total Patients 546,746 570,918 610,469 664,693 721,568
Clinical Data 2017 2018 2019 2020 2021
Patients
Medical Conditions (% of Patients with Medical Conditions)
% Hypertension Patients * 36.89 % 37.22 % 38.01 % 34.98 % 33.90 %
Number of Hypertension Patients * 127,634 134,332 142,818 157,507 163,896
% Diabetes Patients * 20.30 % 20.94 % 19.86 % 17.37 % 16.89 %
Number of Diabetes Patients * 67,471 72,295 71,338 74,734 78,161
% Asthma 5.66 % 5.25 % 5.01 % 4.21 % 3.99 %
Number of Asthma Patients 25,606 24,662 24,730 23,658 24,771
% Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 0.77 % 0.77 % 0.75 % 0.68 % 0.63 %
Number of Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 3,459 3,608 3,696 3,814 3,912
Prenatal
Number of Prenatal Care Patients 4,821 4,295 4,215 3,914 3,894
Number of Prenatal Care Patients who Delivered 2,599 2,597 2,453 2,527 2,275
Quality of Care Measures
Perinatal Health
Early Entry into Prenatal Care (first visit in first trimester) 74.80 % 73.02 % 70.37 % 74.09 % 72.14 %
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 3,606 3,136 2,966 2,900 2,809
% Low and Very Low Birth Weight 8.29 % 8.45 % 9.43 % 8.70 % 8.97 %
Number of Newborns with Low Birth Weight 216 220 228 218 204
Preventive Health Screening & Services
Cervical Cancer Screening * 52.15 % 52.23 % 52.81 % 40.25 % 41.76 %
Number of Cervical Cancer Screening Patients * 71,993 79,694 78,511 72,207 78,633
Breast Cancer Screening 41.09 % 41.32 %
Number of Female Patients Aged 51 through 73 who had a mammogram to screen for breast cancer 38,587 42,207
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents * 70.34 % 70.71 % 70.61 % 49.52 % 55.02 %
Number of Children Age 3-16 with Weight Assessment and Counseling for Nutrition and Physical Activity * 49,338 52,096 52,807 33,307 43,730
Body Mass Index (BMI) Screening and Follow-Up Plan * 59.24 % 72.70 % 73.67 % 54.09 % 51.98 %
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up * 190,000 256,892 269,794 225,642 227,661
Percent Adults Screened for Tobacco Use and Receiving Cessation Intervention * 87.41 % 84.41 % 85.28 % 79.14 % 62.63 %
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling * 216,851 219,309 222,969 213,903 222,852
Colorectal Cancer Screening * 39.67 % 43.26 % 46.47 % 35.37 % 35.55 %
Number of Patients Screened for Colorectal Cancer * 53,885 63,086 73,654 63,818 68,356
Childhood Immunization Status * 52.64 % 57.22 % 47.74 % 42.63 % 33.62 %
Number of Children Under Age 3 Who Received Appropriate Childhood Immunizations * 2,087 2,578 2,184 1,849 1,616
Screening for Depression and Follow-Up Plan * 70.77 % 65.12 % 69.96 % 57.92 % 50.76 %
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented * 198,686 220,411 235,700 204,327 221,638
Depression Remission at Twelve Months 13.63 % 12.85 %
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 1,648 1,409
Dental Sealants for Children between 6-9 Years 41.50 % 43.39 % 49.97 % 46.22 % 44.65 %
Number of Children Age 6-9 Who Received Dental Sealants 1,150 1,361 1,530 1,015 1,139
HIV Screening 34.00 % 34.84 %
Number of Patients 15 through 65 years of age who were tested for HIV when within age range 98,084 126,583
Chronic Disease Management
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease * 72.97 % 72.06 % 75.12 %
Number of Patients Aged 21 and Older at High Risk of Cardiovascular Events who were Prescribed or were on Statin Therapy * 53,632 62,924 67,045
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet * 77.91 % 83.51 % 79.15 % 75.76 % 78.78 %
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic * 13,966 14,943 15,350 15,086 13,973
Controlling High Blood Pressure * 62.86 % 62.59 % 61.20 % 58.93 % 61.20 %
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) * 80,235 84,079 87,405 92,816 100,304
Diabetes: Hemoglobin A1c Poor Control * 31.59 % 30.72 % 28.66 % 34.34 % 28.12 %
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year * 21,315 22,207 20,442 25,663 21,981
% of Patients seen for follow-up within 30 days of first ever HIV diagnosis 80.42 % 89.57 % 91.16 % 88.98 % 80.00 %
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 152 146 165 113 100
Cost Data 2017 2018 2019 2020 2021
Total Health Center Cluster $128,045,379 $131,499,603 $139,301,314 $129,619,197 $146,078,891
Total Cost $416,217,474 $450,174,393 $498,444,123 $553,013,798 $626,503,401
Total Accrued Cost per Patient $761.26 $788.51 $816.49 $831.98 $868.25

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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