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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: 2021

Total Patients Served: 413,219

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. Additionally, COVID-19 badges were introduced to recognize health centers’ contributions to the public health emergency response in the areas of data collection, testing, and vaccinations. Learn more.

National Quality Leader
4.76 %
Health Center Quality Leader - Gold
23.81 %
Health Center Quality Leader - Silver
4.76 %
Health Center Quality Leader - Bronze
4.76 %
Access Enhancer
47.62 %
Health Disparities Reducer
33.33 %
Advancing Health Information Technology (HIT) for Quality
42.86 %
COVID-19 Public Health Champion Badge
38.10 %
Social Risk Factors
42.86 %
Patient Centered Medical Home (PCMH)
76.19 %

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 2021 UDS Data Tables

UDS Data Five-Year Summary

Age and Race / Ethnicity 2017 2018 2019 2020 2021
Total Patients 358,528 392,925 425,830 377,472 413,219
Age (% of total patients)
% Children (< 18 years) 27.74 % 26.96 % 26.83 % 21.92 % 23.44 %
Children (< 18 years) 99,467 105,924 114,238 82,735 96,879
% Adults (18 – 64 years) 59.52 % 59.55 % 59.83 % 64.06 % 62.25 %
Adults (18 – 64 years) 213,410 233,992 254,770 241,791 257,217
% Older Adults (Age 65 and over) 12.73 % 13.49 % 13.34 % 14.03 % 14.31 %
Older Adults (Age 65 and over) 45,651 53,009 56,822 52,946 59,123
Patients By Race & Ethnicity (% known)
% Racial and/or Ethnic Minority Patients 99.38 % 99.39 % 99.41 % 99.45 % 99.44 %
Number of Racial and/or Ethnic Minority Patients 348,259 387,319 420,470 372,777 407,818
% Hispanic/Latino Patients 99.20 % 99.22 % 99.14 % 99.24 % 99.24 %
Number of Hispanic/Latino Ethnicity Patients 347,962 387,000 419,572 372,168 407,172
% Non-Hispanic White Patients 0.78 % 0.79 % 0.74 % 0.62 % 0.62 %
Number of Non-Hispanic White Patients 2,167 2,376 2,490 2,058 2,310
% Asian Patients * 0.02 % 0.02 % 0.02 % 0.02 % 0.02 %
Number of Asian Patients * 57 75 69 64 71
% Native Hawaiian/Other Pacific Islander Patients * 0.02 % 0.02 % 0.02 % 0.02 % 0.01 %
Number of Native Hawaiian/Other Pacific Islander Patients * 57 57 51 53 39
% Black/African American Patients * 4.15 % 4.81 % 5.32 % 8.48 % 7.67 %
Number of Black/African American * 11,525 14,470 17,932 27,982 28,803
% American Indian/Alaska Native Patients * 0.02 % 0.05 % 0.05 % 0.06 % 0.02 %
Number of American Indian/Alaska Native Patients * 61 149 164 201 77
% More than one race Patients * 22.35 % 20.62 % 15.65 % 9.84 % 11.71 %
Number of Patients with More than one race * 62,094 62,032 52,712 32,459 43,953
Total Patients with Known Race Ethnicity (Denominator) 277,861 300,765 336,868 329,857 375,479
Total Racial and/or Ethnic Minority Patients (Denominator) 350,426 389,695 422,960 374,835 410,128
Total Hispanic/Latino & Non-Hispanic Latino Patients (Denominator for Hispanic/Latino Ethnicity) 350,776 390,048 423,222 375,016 410,281
Language (% known)
% Best Served in a Language other than English 99.39 % 99.42 % 99.29 % 97.52 % 97.79 %
Number of Patients Best Served in a Language Other than English 356,350 390,640 422,789 368,101 404,070
Patient Characteristics 2017 2018 2019 2020 2021
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 261,208 306,066 327,857 268,220 311,600
% Patients at or Below 200% of Federal Poverty Guideline 97.68 % 97.32 % 97.02 % 97.54 % 97.06 %
Patients at or Below 200% of Federal Poverty Guideline 255,153 297,870 318,083 261,630 302,437
% Patients at or Below 100% of Federal Poverty Guideline (included in above) 84.34 % 83.73 % 83.53 % 86.74 % 85.94 %
Patients at or Below 100% of Federal Poverty Guideline (included in above) 220,302 256,272 273,864 232,649 267,793
Insurance Status (% of total patients)
% None/Uninsured Patients 11.65 % 12.13 % 13.45 % 11.61 % 7.35 %
None/Uninsured Patients 41,751 47,661 57,264 43,840 30,361
% None/Uninsured Children (<18 years) 8.96 % 10.30 % 11.22 % 6.83 % 4.43 %
None/Uninsured Children (<18 years) 8,910 10,911 12,817 5,654 4,296
% Medicaid/CHIP Patients * 67.01 % 63.83 % 62.32 % 62.79 % 65.55 %
Medicaid/CHIP Patients * 240,239 250,804 265,380 237,031 270,878
% Medicare Patients 10.58 % 11.29 % 11.01 % 11.90 % 12.76 %
Medicare Patients 37,921 44,363 46,896 44,906 52,739
% Dually Eligible (Medicare and Medicaid) 3.41 % 1.97 % 1.96 % 2.52 % 2.96 %
Dually Eligible (Medicare and Medicaid) 12,221 7,731 8,335 9,530 12,231
% Other Third-Party Patients 10.77 % 12.75 % 13.22 % 13.70 % 14.34 %
Other Third-Party Patients 38,617 50,097 56,290 51,695 59,241
Total Patients 358,528 392,925 425,830 377,472 413,219
Children (< 18 years) 99,467 105,924 114,238 82,735 96,879
Special Populations
% Homeless Patients 3.10 % 2.68 % 2.54 % 2.27 % 2.09 %
Total Homeless Patients 11,126 10,539 10,817 8,554 8,646
% Total Agricultural Workers or Dependents 2.33 % 1.96 % 1.95 % 1.86 % 1.62 %
Total Agricultural Workers or Dependents 8,337 7,719 8,308 7,009 6,713
% Public Housing Patients 22.43 % 21.75 % 23.87 % 29.22 % 29.02 %
Total Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 80,406 85,470 101,650 110,306 119,907
% School-Based Health Center Patients 0.45 % 0.54 % 0.46 % 0.07 % 0.10 %
School-Based Health Center Patients 1,625 2,109 1,942 281 416
% Veterans Patients 0.46 % 0.41 % 0.40 % 0.33 % 0.33 %
Veterans Patients 1,665 1,628 1,700 1,228 1,383
Number of Female Patients (ages 15-44) 85,987 91,624 99,798 89,861 97,528
% Patients Under 15 Who are Female 19.69 % 19.43 % 19.13 % 15.53 % 16.60 %
Number of Patients Under 15 Who are Female 40,626 43,621 46,858 33,728 39,195
Patients 15-64 Who are Female 67.16 % 66.66 % 67.13 % 70.11 % 68.66 %
Number of Patients 15-64 Who are Female 138,559 149,622 164,428 152,255 162,121
Patients 65 and Over Who are Female 13.14 % 13.91 % 13.74 % 14.36 % 14.74 %
Number of Patients 65 and Over Who are Female 27,117 31,226 33,650 31,173 34,815
Total Female Patients (Denominator) 206,302 224,469 244,936 217,156 236,131
% Transgender Man/Transgender Male/Transgender Masculine (% of known) 0.04 % 0.02 % 0.02 % 0.02 % 0.02 %
% Transgender Woman/Transgender Female/Transgender Feminine (% of known) 0.01 % 0.02 % 0.02 % 0.01 % 0.01 %
Services (% of patients) 2017 2018 2019 2020 2021
% Medical Patients 94.47 % 93.32 % 93.47 % 94.46 % 91.95 %
Medical Patients 338,703 366,677 398,023 356,561 379,972
% Dental Patients 12.84 % 12.13 % 12.48 % 8.73 % 11.25 %
Dental Patients 46,018 47,660 53,152 32,960 46,467
% Mental Health Patients 6.68 % 7.70 % 8.88 % 11.08 % 11.69 %
Mental Health Patients 23,956 30,268 37,808 41,833 48,316
% Substance Use Disorder Patients 0.81 % 0.59 % 0.89 % 1.21 % 2.10 %
Substance Use Disorder Patients 2,921 2,329 3,802 4,581 8,698
% Vision Patients 2.98 % 3.96 % 3.69 % 2.43 % 2.18 %
Vision Patients 10,685 15,558 15,728 9,188 9,001
% Enabling Services Patients 12.54 % 11.42 % 11.39 % 10.28 % 10.14 %
Enabling Services Patients 44,952 44,856 48,519 38,813 41,920
Total Patients 358,528 392,925 425,830 377,472 413,219
Clinical Data 2017 2018 2019 2020 2021
Patients
Medical Conditions (% of Patients with Medical Conditions)
% Hypertension Patients * 23.87 % 24.13 % 24.55 % 24.29 % 25.78 %
Number of Hypertension Patients * 57,376 63,469 70,201 66,437 73,582
% Diabetes Patients * 12.98 % 12.68 % 12.71 % 12.31 % 13.33 %
Number of Diabetes Patients * 29,501 31,434 34,299 31,805 35,838
% Asthma 7.00 % 7.24 % 7.26 % 7.24 % 7.63 %
Number of Asthma Patients 23,705 26,564 28,896 25,828 29,008
% Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 0.54 % 0.50 % 0.49 % 0.51 % 0.54 %
Number of Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 1,834 1,824 1,933 1,818 2,049
Prenatal
Number of Prenatal Care Patients 2,883 2,758 2,829 2,699 2,412
Number of Prenatal Care Patients who Delivered 1,753 1,577 1,717 1,615 1,435
Quality of Care Measures
Perinatal Health
Early Entry into Prenatal Care (first visit in first trimester) 87.20 % 86.26 % 87.35 % 81.96 % 86.77 %
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 2,514 2,379 2,471 2,212 2,093
% Low and Very Low Birth Weight 9.24 % 10.53 % 9.26 % 9.83 % 13.24 %
Number of Newborns with Low Birth Weight 162 165 157 158 189
Preventive Health Screening & Services
Cervical Cancer Screening * 58.12 % 56.65 % 55.33 % 47.43 % 50.86 %
Number of Cervical Cancer Screening Patients * 52,460 54,750 59,237 49,375 53,026
Breast Cancer Screening 46.34 % 53.57 %
Number of Female Patients Aged 51 through 73 who had a mammogram to screen for breast cancer 24,021 29,433
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents * 63.85 % 67.79 % 77.05 % 68.88 % 77.21 %
Number of Children Age 3-16 with Weight Assessment and Counseling for Nutrition and Physical Activity * 41,507 47,850 58,213 37,284 48,872
Body Mass Index (BMI) Screening and Follow-Up Plan * 77.03 % 85.08 % 83.79 % 77.59 % 79.67 %
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up * 160,336 201,860 206,881 183,004 198,119
Percent Adults Screened for Tobacco Use and Receiving Cessation Intervention * 91.22 % 92.25 % 89.16 % 90.63 % 89.81 %
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling * 140,933 158,370 162,149 126,566 150,270
Colorectal Cancer Screening * 45.98 % 54.47 % 55.53 % 40.83 % 45.69 %
Number of Patients Screened for Colorectal Cancer * 36,628 48,413 53,837 39,045 45,296
Childhood Immunization Status * 30.17 % 23.99 % 23.20 % 21.30 % 20.03 %
Number of Children Under Age 3 Who Received Appropriate Childhood Immunizations * 1,497 1,189 1,264 873 884
Screening for Depression and Follow-Up Plan * 55.45 % 65.78 % 71.15 % 68.44 % 73.89 %
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented * 123,576 165,016 188,221 169,137 197,376
Depression Remission at Twelve Months 29.95 % 30.82 %
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
Dental Sealants for Children between 6-9 Years 58.49 % 38.04 % 60.46 % 53.34 % 62.50 %
Number of Children Age 6-9 Who Received Dental Sealants 885 568 731 407 726
HIV Screening 23.35 % 38.91 %
Number of Patients 15 through 65 years of age who were tested for HIV when within age range 50,280 90,113
Chronic Disease Management
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease * 71.41 % 73.34 % 76.85 %
Number of Patients Aged 21 and Older at High Risk of Cardiovascular Events who were Prescribed or were on Statin Therapy * 29,711 27,649 36,163
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet * 74.11 % 75.83 % 74.24 % 73.95 % 74.93 %
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic * 5,421 6,416 7,045 6,817 6,825
Controlling High Blood Pressure * 67.62 % 66.73 % 69.66 % 59.96 % 66.25 %
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) * 38,798 42,353 48,905 39,836 48,751
Diabetes: Hemoglobin A1c Poor Control * 39.55 % 37.07 % 38.27 % 43.59 % 36.58 %
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year * 11,668 11,654 13,127 13,864 13,109
% of Patients seen for follow-up within 30 days of first ever HIV diagnosis 95.83 % 90.48 % 96.55 % 93.10 % 90.38 %
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 46 38 28 27 47
Cost Data 2017 2018 2019 2020 2021
Total Health Center Cluster $90,713,620 $101,257,311 $106,542,947 $96,209,292 $95,470,007
Total Cost $278,059,509 $302,076,997 $336,985,467 $368,753,350 $425,001,567
Total Accrued Cost per Patient $775.56 $768.79 $791.36 $976.90 $1,028.51

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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