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HRSA Health Resources & Services Administration

Puerto Rico Health Center Program Uniform Data System (UDS) Data

Total Number of Reporting Program Awardees: 21

Reporting Period: 2023

Total Patients Served: 466,994

Reporting Source: Uniform Data System (UDS) Report

Community Health Center Quality Recognition (CHQR) Badges

The CHQR badges recognize Health Center Program awardees and LALs that have made notable quality improvement achievements in the areas of access, quality, health equity, and health information technology for the most recent UDS reporting period. Learn more.

National Quality Leader
9.52%
Health Center Quality Leader - Gold
38.10%
Health Center Quality Leader - Silver
14.29%
Health Center Quality Leader - Bronze
14.29%
Access Enhancer
28.57%
Health Disparities Reducer
19.05%
Advancing Health Information Technology (HIT) for Quality
66.67%
Social Risk Factors
38.10%
Patient Centered Medical Home (PCMH)
76.19%
UDS+ Early Adopter
61.90%

Note that percentages represent the number of health center awardees that met the criteria for each CHQR badge from a denominator of health centers that reported UDS data.

Expanded Summaries for 2023 UDS Data Tables

UDS Data Five-Year Summary

Age and Race / Ethnicity 2019 2020 2021 2022 2023
Total Patients 425,830 377,472 413,219 446,903 466,994
Age (% of total patients)
% Children (< 18 years) 26.83% 21.92% 23.44% 23.79% 23.55%
Children (< 18 years) 114,238 82,735 96,879 106,298 109,969
% Adults (18 – 64 years) 59.83% 64.06% 62.25% 60.74% 60.41%
Adults (18 – 64 years) 254,770 241,791 257,217 271,451 282,127
% Older Adults (Age 65 and over) 13.34% 14.03% 14.31% 15.47% 16.04%
Older Adults (Age 65 and over) 56,822 52,946 59,123 69,154 74,898
Patients By Race & Ethnicity (% known)
% Racial and/or Ethnic Minority Patients 99.41% 99.45% 99.44% 99.52% 99.57%
Number of Racial and/or Ethnic Minority Patients 420,470 372,777 407,818 443,531 463,876
% Hispanic, Latino/a, or Spanish Origin Patients 99.14% 99.24% 99.24% 99.29% 99.43%
Number of Hispanic, Latino/a, or Spanish Origin Ethnicity Patients 419,572 372,168 407,172 442,633 463,339
% Non-Hispanic, Latino/a, or Spanish Origin White Patients 0.74% 0.62% 0.62% 0.50% 0.45%
Number of Non-Hispanic, Latino/a, or Spanish Origin White Patients 2,490 2,058 2,310 2,127 1,998
% Total Asian Patients * 0.02% 0.02% 0.02% 0.02% 0.02%
Number of Total Asian Patients * 69 64 71 79 76
% Native Hawaiian/Other Pacific Islander Patients * 0.02% 0.02% 0.01% 0.01% 0.00%
Number of Native Hawaiian/Other Pacific Islander Patients * 51 53 39 22 19
% Black/African American Patients * 5.32% 8.48% 7.67% 8.05% 7.94%
Number of Black/African American * 17,932 27,982 28,803 34,190 35,664
% American Indian/Alaska Native Patients * 0.05% 0.06% 0.02% 0.03% 0.03%
Number of American Indian/Alaska Native Patients * 164 201 77 134 155
% More than one race Patients * 15.65% 9.84% 11.71% 10.29% 9.94%
Number of Patients with More than one race * 52,712 32,459 43,953 43,728 44,649
Total Patients with Known Race Ethnicity (Denominator) 336,868 329,857 375,479 424,916 448,988
Total Racial and/or Ethnic Minority Patients (Denominator) 422,960 374,835 410,128 445,658 465,874
Total Hispanic, Latino/a, or Spanish Origin & Non-Hispanic, Latino/a, or Spanish Origin Patients (Denominator for Hispanic, Latino/a, or Spanish Origin Ethnicity) 423,222 375,016 410,281 445,800 466,017
Language (% known)
% Best Served in a Language other than English 99.29% 97.52% 97.79% 98.43% 98.50%
Number of Patients Best Served in a Language Other than English 422,789 368,101 404,070 439,881 460,006
Patient Characteristics 2019 2020 2021 2022 2023
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 327,857 268,220 311,600 369,393 402,963
% Patients at or Below 200% of Federal Poverty Guideline 97.02% 97.54% 97.06% 97.15% 97.05%
Patients at or Below 200% of Federal Poverty Guideline 318,083 261,630 302,437 358,852 391,081
% Patients at or Below 100% of Federal Poverty Guideline (included in above) 83.53% 86.74% 85.94% 86.16% 86.17%
Patients at or Below 100% of Federal Poverty Guideline (included in above) 273,864 232,649 267,793 318,284 347,217
Insurance Status (% of total patients)
% None/Uninsured Patients 13.45% 11.61% 7.35% 5.07% 5.01%
None/Uninsured Patients 57,264 43,840 30,361 22,659 23,386
% None/Uninsured Children (<18 years) 11.22% 6.83% 4.43% 3.00% 2.98%
None/Uninsured Children (<18 years) 12,817 5,654 4,296 3,190 3,276
% Medicaid/CHIP Patients * 62.32% 62.79% 65.55% 67.02% 66.39%
Medicaid/CHIP Patients * 265,380 237,031 270,878 299,525 310,037
% Medicare Patients 11.01% 11.90% 12.76% 13.62% 13.89%
Medicare Patients 46,896 44,906 52,739 60,868 64,873
% Dually Eligible (Medicare and Medicaid) 1.96% 2.52% 2.96% 3.84% 3.87%
Dually Eligible (Medicare and Medicaid) 8,335 9,530 12,231 17,151 18,052
% Other Third-Party Patients 13.22% 13.70% 14.34% 14.29% 14.71%
Other Third-Party Patients 56,290 51,695 59,241 63,851 68,698
Total Patients 425,830 377,472 413,219 446,903 466,994
Children (< 18 years) 114,238 82,735 96,879 106,298 109,969
Special Populations
% Homeless Patients 2.54% 2.27% 2.09% 1.99% 1.87%
Total Homeless Patients 10,817 8,554 8,646 8,908 8,724
% Total Agricultural Workers or Their Family Members 1.95% 1.86% 1.62% 1.58% 1.50%
Total Agricultural Workers or Their Family Members 8,308 7,009 6,713 7,074 7,001
% Public Housing Patients 23.87% 29.22% 29.02% 28.85% 28.32%
Total Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 101,650 110,306 119,907 128,925 132,275
% School-Based Service Site Patients 0.46% 0.07% 0.10% 0.30% 0.47%
School-Based Service Site Patients 1,942 281 416 1,352 2,188
% Veterans Patients 0.40% 0.33% 0.33% 0.33% 0.29%
Veterans Patients 1,700 1,228 1,383 1,455 1,354
Number of Female Patients (ages 15-44) 99,798 89,861 97,528 103,040 107,173
% Patients Under 15 Who are Female 19.13% 15.53% 16.60% 16.82% 16.56%
Number of Patients Under 15 Who are Female 46,858 33,728 39,195 42,992 44,349
Patients 15-64 Who are Female 67.13% 70.11% 68.66% 67.17% 66.80%
Number of Patients 15-64 Who are Female 164,428 152,255 162,121 171,660 178,925
Patients 65 and Over Who are Female 13.74% 14.36% 14.74% 16.01% 16.64%
Number of Patients 65 and Over Who are Female 33,650 31,173 34,815 40,906 44,570
Total Female Patients (Denominator) 244,936 217,156 236,131 255,558 267,844
Patients by Sexual Orientation
% Lesbian or Gay (% of known) 0.54% 0.57% 0.54% 0.57% 0.68%
% Heterosexual or Straight (% of known) 99.20% 99.03% 98.99% 99.20% 98.84%
% Bisexual (% of known) 0.14% 0.13% 0.13% 0.14% 0.20%
% Other (% of known) 0.12% 0.26% 0.33% 0.09% 0.28%
% Don't know (% of total) 25.87% 3.02% 1.76% 1.88% 2.02%
% Chose Not to Disclose (% of total) 1.74% 3.86% 4.30% 1.59% 2.72%
% Unknown (% of total) 15.78% 14.54% 14.74% 7.12%
Patients by Gender Identity
% Male (% of known) 37.38% 41.24% 41.88% 41.97% 41.97%
% Female (% of known) 50.72% 57.01% 58.08% 57.99% 58.00%
% Transgender Man/Transgender Male/Transmasculine (% of known) 0.02% 0.02% 0.02% 0.02% 0.02%
% Transgender Woman/Transgender Female/Transfeminine (% of known) 0.02% 0.01% 0.01% 0.02% 0.02%
% Other (% of total) 11.81% 1.54% 0.30% 0.12% 0.21%
% Chose Not to Disclose (% of total) 0.36% 1.96% 2.74% 0.42% 1.83%
% Unknown (% of total) 8.22% 9.30% 9.85% 5.99%
Services (% of patients) 2019 2020 2021 2022 2023
% Medical Patients 93.47% 94.46% 91.95% 92.91% 93.95%
Medical Patients 398,023 356,561 379,972 415,228 438,722
% Dental Patients 12.48% 8.73% 11.25% 11.69% 12.13%
Dental Patients 53,152 32,960 46,467 52,259 56,637
% Mental Health Patients 8.88% 11.08% 11.69% 12.21% 13.21%
Mental Health Patients 37,808 41,833 48,316 54,560 61,669
% Substance Use Disorder Patients 0.89% 1.21% 2.10% 1.15% 1.28%
Substance Use Disorder Patients 3,802 4,581 8,698 5,152 5,983
% Vision Patients 3.69% 2.43% 2.18% 2.08% 2.32%
Vision Patients 15,728 9,188 9,001 9,313 10,857
% Enabling Services Patients 11.39% 10.28% 10.14% 9.37% 9.15%
Enabling Services Patients 48,519 38,813 41,920 41,880 42,721
Total Patients 425,830 377,472 413,219 446,903 466,994
Clinical Data 2019 2020 2021 2022 2023
Patients
Medical Conditions (% of Patients with Medical Conditions)
% Hypertension Patients * 24.55% 24.29% 25.78% 21.14% 19.94%
Number of Hypertension Patients * 70,201 66,437 73,582 65,510 65,433
% Diabetes Patients * 12.71% 12.31% 13.33% 13.31% 13.21%
Number of Diabetes Patients * 34,299 31,805 35,838 38,540 40,387
% Asthma 7.26% 7.24% 7.63% 8.21% 8.43%
Number of Asthma Patients 28,896 25,828 29,008 34,081 36,996
% Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 0.49% 0.51% 0.54% 0.52% 0.50%
Number of Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 1,933 1,818 2,049 2,142 2,206
Prenatal
Number of Prenatal Care Patients 2,829 2,699 2,412 2,415 2,710
Number of Prenatal Care Patients who Delivered 1,717 1,615 1,435 1,398 1,554
Quality of Care Measures
Perinatal Health
Early Entry into Prenatal Care (first visit in first trimester) 87.35% 81.96% 86.77% 86.58% 87.56%
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 2,471 2,212 2,093 2,091 2,373
% Low and Very Low Birth Weight 9.26% 9.83% 13.24% 11.99% 12.61%
Number of Newborns with Low Birth Weight 157 158 189 168 192
Preventive Health Screening & Services
Cervical Cancer Screening * 55.33% 47.43% 50.86% 48.22% 56.09%
Number of Cervical Cancer Screening Patients * 59,237 49,375 53,026 53,968 56,058
Breast Cancer Screening 46.34% 53.57% 57.65% 64.78%
Number of Female Patients Aged 52 through 74 who had a mammogram to screen for breast cancer 24,021 29,433 34,308 35,884
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents * 77.05% 68.88% 77.21% 76.89% 83.73%
Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity * 58,213 37,284 48,872 56,173 59,152
Body Mass Index (BMI) Screening and Follow-Up Plan * 83.79% 77.59% 79.67% 73.83% 75.40%
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up * 206,881 183,004 198,119 203,227 190,510
Percent Adults Screened for Tobacco Use and Receiving Cessation Intervention * 89.16% 90.63% 89.81% 93.53% 92.37%
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling * 162,149 126,566 150,270 176,943 185,721
Colorectal Cancer Screening * 55.53% 40.83% 45.69% 46.05% 48.07%
Number of Patients Screened for Colorectal Cancer * 53,837 39,045 45,296 49,528 57,216
Childhood Immunization Status * 23.20% 21.30% 20.03% 20.75% 24.73%
Number of Children Under Age 3 Who Received Appropriate Childhood Immunizations * 1,264 873 884 1,053 1,157
Screening for Depression and Follow-Up Plan * 71.15% 68.44% 73.89% 75.35% 78.50%
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented * 188,221 169,137 197,376 207,611 187,902
Depression Remission at Twelve Months 29.95% 30.82% 25.02% 35.30%
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 1,392 1,749 1,304 2,140
Dental Sealants for Children between 6-9 Years 60.46% 53.34% 62.50% 62.39% 67.00%
Number of Children Age 6-9 Who Received Dental Sealants 731 407 726 808 747
HIV Screening 23.35% 38.91% 49.08% 58.88%
Number of Patients 15 through 65 years of age who were tested for HIV when within age range 50,280 90,113 122,063 128,758
Chronic Disease Management
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease * 71.41% 73.34% 76.85% 79.75% 80.46%
Number of Patients at High Risk of Cardiovascular Events who were Prescribed or were on Statin Therapy * 29,711 27,649 36,163 39,612 44,437
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet * 74.24% 73.95% 74.93% 72.28% 73.06%
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic * 7,045 6,817 6,825 7,120 8,708
Controlling High Blood Pressure * 69.66% 59.96% 66.25% 70.25% 74.61%
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) * 48,905 39,836 48,751 46,018 48,817
Diabetes: Hemoglobin A1c Poor Control * 38.27% 43.59% 36.58% 33.73% 32.81%
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year * 13,127 13,864 13,109 12,999 13,251
% of Patients seen for follow-up within 30 days of first ever HIV diagnosis 96.55% 93.10% 90.38% 98.25% 95.31%
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 28 27 47 56 61
Cost Data 2019 2020 2021 2022 2023
Total Health Center Cluster $106,542,947 $96,209,292 $95,470,007 $103,109,775 $99,942,160
Total Cost $336,985,467 $368,753,350 $425,001,567 $496,978,206 $569,448,216
Total Accrued Cost per Patient $791.36 $976.90 $1,028.51 $1,112.05 $1,219.39

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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