Republic of Palau Health Center Program Uniform Data System (UDS) Data
Total Number of Reporting Program Awardees: 1
Reporting Period: 2023
Total Patients Served: 12,939
Reporting Source: Uniform Data System (UDS) Report
- View Full 2023 State Report
- Table 3A: Patients by Age and by Sex
- Table 3B: Demographic Characteristics
- Table 4: Selected Patient Characteristics
- Table 5: Staffing and Utilization
- Table 5: Selected Service Detail Addendum
- Table 6A: Selected Diagnoses and Services Rendered
- Table 6B: Quality of Care Measures
UDS Data Five-Year Summary
| Age and Race / Ethnicity | 2019 | 2020 | 2021 | 2022 | 2023 |
|---|---|---|---|---|---|
| Total Patients | 14,383 | 14,019 | 14,576 | 13,684 | 12,939 |
| Age (% of total patients) | |||||
| % Children (< 18 years) | 26.61% | 26.93% | 26.23% | 25.51% | 27.70% |
| Children (< 18 years) | 3,828 | 3,776 | 3,824 | 3,491 | 3,584 |
| % Adults (18 – 64 years) | 63.64% | 62.46% | 62.42% | 62.39% | 59.63% |
| Adults (18 – 64 years) | 9,154 | 8,756 | 9,099 | 8,537 | 7,715 |
| % Older Adults (Age 65 and over) | 9.74% | 10.61% | 11.34% | 12.10% | 12.67% |
| Older Adults (Age 65 and over) | 1,401 | 1,487 | 1,653 | 1,656 | 1,640 |
| Patients By Race & Ethnicity (% known) | |||||
| % Racial and/or Ethnic Minority Patients | 98.23% | 98.62% | 98.66% | 98.23% | 98.33% |
| Number of Racial and/or Ethnic Minority Patients | 14,110 | 13,809 | 14,380 | 13,396 | 12,683 |
| % Hispanic, Latino/a, or Spanish Origin Patients | 0.00% | - | 0.00% | 0.00% | |
| Number of Hispanic, Latino/a, or Spanish Origin Ethnicity Patients | 0 | - | 0 | 0 | |
| % Non-Hispanic, Latino/a, or Spanish Origin White Patients | - | 1.38% | - | - | 1.67% |
| Number of Non-Hispanic, Latino/a, or Spanish Origin White Patients | - | 193 | - | - | 216 |
| % Total Asian Patients * | 21.51% | 21.75% | 22.16% | 19.82% | 18.75% |
| Number of Total Asian Patients * | 3,090 | 3,045 | 3,230 | 2,703 | 2,418 |
| % Native Hawaiian/Other Pacific Islander Patients * | 76.68% | 76.80% | 76.45% | 78.33% | 79.39% |
| Number of Native Hawaiian/Other Pacific Islander Patients * | 11,014 | 10,753 | 11,144 | 10,682 | 10,241 |
| % Black/African American Patients * | - | - | - | - | 0.13% |
| Number of Black/African American * | - | - | - | - | 17 |
| % American Indian/Alaska Native Patients * | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% |
| Number of American Indian/Alaska Native Patients * | 0 | 0 | 0 | 0 | 0 |
| % More than one race Patients * | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% |
| Number of Patients with More than one race * | 0 | 0 | 0 | 0 | 0 |
| Total Patients with Known Race Ethnicity (Denominator) | 14,364 | 14,002 | 14,576 | 13,638 | 12,899 |
| Total Racial and/or Ethnic Minority Patients (Denominator) | 14,364 | 14,002 | 14,576 | 13,638 | 12,899 |
| Total Hispanic, Latino/a, or Spanish Origin & Non-Hispanic, Latino/a, or Spanish Origin Patients (Denominator for Hispanic, Latino/a, or Spanish Origin Ethnicity) | 14,383 | 14,002 | 14,576 | 13,684 | 12,939 |
| Language (% known) | |||||
| % Best Served in a Language other than English | 98.19% | 98.63% | 98.00% | 98.00% | 97.79% |
| Number of Patients Best Served in a Language Other than English | 14,123 | 13,827 | 14,284 | 13,410 | 12,653 |
| Patient Characteristics | 2019 | 2020 | 2021 | 2022 | 2023 |
|---|---|---|---|---|---|
| Income Status (% of patients with known income) | |||||
| Total Patients with Known Income (Denominator) | 14,383 | 14,019 | 14,576 | 13,684 | 12,939 |
| % Patients at or Below 200% of Federal Poverty Guideline | 94.44% | 95.01% | 96.34% | 95.73% | 96.89% |
| Patients at or Below 200% of Federal Poverty Guideline | 13,584 | 13,319 | 14,042 | 13,100 | 12,537 |
| % Patients at or Below 100% of Federal Poverty Guideline (included in above) | 74.08% | 74.00% | 85.62% | 80.29% | 83.18% |
| Patients at or Below 100% of Federal Poverty Guideline (included in above) | 10,655 | 10,374 | 12,480 | 10,987 | 10,763 |
| Insurance Status (% of total patients) | |||||
| % None/Uninsured Patients | 92.85% | 94.34% | 95.41% | 94.19% | 93.18% |
| None/Uninsured Patients | 13,354 | 13,225 | 13,907 | 12,889 | 12,057 |
| % None/Uninsured Children (<18 years) | 93.36% | 95.42% | 96.05% | 94.39% | 93.55% |
| None/Uninsured Children (<18 years) | 3,574 | 3,603 | 3,673 | 3,295 | 3,353 |
| % Medicaid/CHIP Patients * | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% |
| Medicaid/CHIP Patients * | 0 | 0 | 0 | 0 | 0 |
| % Medicare Patients | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% |
| Medicare Patients | 0 | 0 | 0 | 0 | 0 |
| % Dually Eligible (Medicare and Medicaid) | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% |
| Dually Eligible (Medicare and Medicaid) | 0 | 0 | 0 | 0 | 0 |
| % Other Third-Party Patients | 7.15% | 5.66% | 4.59% | 5.81% | 6.82% |
| Other Third-Party Patients | 1,029 | 794 | 669 | 795 | 882 |
| Total Patients | 14,383 | 14,019 | 14,576 | 13,684 | 12,939 |
| Children (< 18 years) | 3,828 | 3,776 | 3,824 | 3,491 | 3,584 |
| Special Populations | |||||
| % Homeless Patients | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% |
| Total Homeless Patients | 0 | 0 | 0 | 0 | 0 |
| % Total Agricultural Workers or Their Family Members | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% |
| Total Agricultural Workers or Their Family Members | 0 | 0 | 0 | 0 | 0 |
| % Public Housing Patients | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% |
| Total Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site | 0 | 0 | 0 | 0 | 0 |
| % School-Based Service Site Patients | 0.00% | 0.00% | 0.00% | 7.70% | 7.99% |
| School-Based Service Site Patients | 0 | 0 | 0 | 1,054 | 1,034 |
| % Veterans Patients | 0.00% | 0.00% | 0.00% | 0.00% | 0.18% |
| Veterans Patients | 0 | 0 | 0 | 0 | 23 |
| Number of Female Patients (ages 15-44) | 2,769 | 2,642 | 2,781 | 2,743 | 2,361 |
| % Patients Under 15 Who are Female | 22.61% | 23.02% | 22.31% | 20.25% | 22.89% |
| Number of Patients Under 15 Who are Female | 1,579 | 1,588 | 1,621 | 1,428 | 1,493 |
| Patients 15-64 Who are Female | 66.16% | 64.99% | 65.17% | 66.53% | 63.39% |
| Number of Patients 15-64 Who are Female | 4,621 | 4,483 | 4,736 | 4,691 | 4,135 |
| Patients 65 and Over Who are Female | 11.24% | 11.99% | 12.52% | 13.22% | 13.72% |
| Number of Patients 65 and Over Who are Female | 785 | 827 | 910 | 932 | 895 |
| Total Female Patients (Denominator) | 6,985 | 6,898 | 7,267 | 7,051 | 6,523 |
| Services (% of patients) | 2019 | 2020 | 2021 | 2022 | 2023 |
|---|---|---|---|---|---|
| % Medical Patients | 79.11% | 81.30% | 80.95% | 86.56% | 87.58% |
| Medical Patients | 11,378 | 11,398 | 11,799 | 11,845 | 11,332 |
| % Dental Patients | 25.37% | 24.08% | 32.24% | 24.25% | 32.34% |
| Dental Patients | 3,649 | 3,376 | 4,700 | 3,319 | 4,184 |
| % Mental Health Patients | 1.27% | 3.54% | 7.86% | 8.16% | 4.71% |
| Mental Health Patients | 182 | 496 | 1,146 | 1,116 | 610 |
| % Substance Use Disorder Patients | 0.88% | 1.93% | 2.48% | 1.28% | 1.83% |
| Substance Use Disorder Patients | 126 | 271 | 362 | 175 | 237 |
| % Vision Patients | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% |
| Vision Patients | 0 | 0 | 0 | 0 | 0 |
| % Enabling Services Patients | 0.00% | 0.00% | 0.32% | 1.29% | |
| Enabling Services Patients | 0 | 0 | 44 | 167 | |
| Total Patients | 14,383 | 14,019 | 14,576 | 13,684 | 12,939 |
| Clinical Data | 2019 | 2020 | 2021 | 2022 | 2023 |
|---|---|---|---|---|---|
| Patients | |||||
| Medical Conditions (% of Patients with Medical Conditions) | |||||
| % Hypertension Patients * | 5.57% | 5.40% | 19.28% | 15.85% | 21.68% |
| Number of Hypertension Patients * | 461 | 445 | 1,660 | 1,381 | 1,754 |
| % Diabetes Patients * | 3.38% | 7.90% | 9.97% | 10.09% | 14.03% |
| Number of Diabetes Patients * | 271 | 628 | 828 | 847 | 1,089 |
| % Asthma | 2.75% | 2.29% | 2.13% | 2.44% | 2.36% |
| Number of Asthma Patients | 313 | 261 | 251 | 289 | 268 |
| % Symptomatic/Asymptomatic human immunodeficiency virus (HIV) | - | 0.00% | 0.00% | - | 0.00% |
| Number of Symptomatic/Asymptomatic human immunodeficiency virus (HIV) | - | 0 | 0 | - | 0 |
| Prenatal | |||||
| Number of Prenatal Care Patients | 335 | 326 | 320 | 179 | 282 |
| Number of Prenatal Care Patients who Delivered | 211 | 213 | 225 | 157 | 182 |
| Quality of Care Measures | |||||
| Perinatal Health | |||||
| Early Entry into Prenatal Care (first visit in first trimester) | 36.72% | 55.52% | 59.38% | 58.66% | 64.54% |
| Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) | 123 | 181 | 190 | 105 | 182 |
| % Low and Very Low Birth Weight | 12.68% | 12.21% | 9.29% | - | 10.99% |
| Number of Newborns with Low Birth Weight | 27 | 26 | 21 | - | 20 |
| Preventive Health Screening & Services | |||||
| Cervical Cancer Screening * | 44.90% | 36.73% | 38.48% | 36.86% | 34.16% |
| Number of Cervical Cancer Screening Patients * | 1,643 | 1,343 | 1,539 | 1,231 | 1,187 |
| Breast Cancer Screening | 39.91% | 27.87% | 26.76% | 24.63% | |
| Number of Female Patients Aged 52 through 74 who had a mammogram to screen for breast cancer | 676 | 500 | 501 | 429 | |
| Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents * | 99.27% | 20.67% | 7.52% | 38.46% | 25.62% |
| Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity * | 2,575 | 466 | 215 | 835 | 778 |
| Body Mass Index (BMI) Screening and Follow-Up Plan * | - | - | 6.23% | 5.51% | 6.19% |
| Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up * | - | - | 556 | 491 | 567 |
| Percent Adults Screened for Tobacco Use and Receiving Cessation Intervention * | - | 1.14% | 14.44% | 2.88% | 4.04% |
| Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling * | - | 110 | 458 | 156 | 244 |
| Colorectal Cancer Screening * | 0.00% | - | - | - | 0.39% |
| Number of Patients Screened for Colorectal Cancer * | 0 | - | - | - | 18 |
| Childhood Immunization Status * | 71.94% | 73.85% | 0.00% | 0.00% | 0.00% |
| Number of Children Under Age 3 Who Received Appropriate Childhood Immunizations * | 141 | 144 | 0 | 0 | 0 |
| Screening for Depression and Follow-Up Plan * | 0.16% | - | 4.23% | 2.58% | 1.19% |
| Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented * | 17 | - | 463 | 287 | 122 |
| Depression Remission at Twelve Months | 0.00% | - | 0.00% | 0.00% | |
| 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 | 0 | - | 0 | 0 | |
| Dental Sealants for Children between 6-9 Years | 21.46% | 11.52% | 13.50% | - | 20.65% |
| Number of Children Age 6-9 Who Received Dental Sealants | 88 | 25 | 32 | - | 146 |
| HIV Screening | 13.44% | 13.24% | 9.15% | 6.95% | |
| Number of Patients 15 through 65 years of age who were tested for HIV when within age range | 903 | 1,204 | 837 | 577 | |
| Chronic Disease Management | |||||
| Statin Therapy for the Prevention and Treatment of Cardiovascular Disease * | 13.35% | 4.14% | 14.22% | 62.88% | 57.67% |
| Number of Patients at High Risk of Cardiovascular Events who were Prescribed or were on Statin Therapy * | 143 | 371 | 32 | 310 | 372 |
| Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet * | - | - | 81.71% | 70.00% | 50.00% |
| Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic * | - | - | 67 | 70 | 23 |
| Controlling High Blood Pressure * | 52.28% | 38.65% | 31.43% | 13.11% | 24.46% |
| Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) * | 241 | 172 | 522 | 181 | 429 |
| Diabetes: Hemoglobin A1c Poor Control * | - | - | 24.29% | 75.91% | 58.49% |
| Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year * | - | - | 201 | 643 | 637 |
| % of Patients seen for follow-up within 30 days of first ever HIV diagnosis | |||||
| Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment |
| Cost Data | 2019 | 2020 | 2021 | 2022 | 2023 |
|---|---|---|---|---|---|
| Total Health Center Cluster | $1,074,450 | $991,709 | $704,526 | $846,452 | $1,229,808 |
| Total Cost | $3,350,414 | $3,124,369 | $3,892,619 | $3,891,910 | $4,470,434 |
| Total Accrued Cost per Patient | $232.94 | $222.87 | $267.06 | $284.41 | $345.50 |
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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