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HRSA Health Resources & Services Administration

Tennessee Health Center Program Uniform Data System (UDS) Data

Total Number of Reporting Program Awardees: 29

Reporting Period: 2020

Total Patients Served: 415,720

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
3.45 %
Health Center Quality Leader - Gold
13.79 %
Health Center Quality Leader - Silver
13.79 %
Access Enhancer
10.34 %
Health Disparities Reducer
10.34 %
Advancing Health Information Technology (HIT) for Quality
58.62 %
COVID-19 Data Reporter
31.03 %
COVID-19 Testing
27.59 %
COVID-19 Vaccinations
3.45 %
Patient Centered Medical Home (PCMH)
65.52 %

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 2020 UDS Data Tables

UDS Data Five-Year Summary

Age and Race / Ethnicity 2016 2017 2018 2019 2020
Total Patients 396,877 422,316 422,458 434,271 415,720
Age (% of total patients)
% Children (< 18 years) 24.68 % 24.41 % 23.45 % 23.58 % 21.18 %
Children (< 18 years) 97,964 103,096 99,050 102,417 88,056
% Adults (18 – 64 years) 66.33 % 66.16 % 65.80 % 65.06 % 66.75 %
Adults (18 – 64 years) 263,231 279,387 277,990 282,558 277,486
% Older Adults (Age 65 and over) 8.99 % 9.43 % 10.75 % 11.35 % 12.07 %
Older Adults (Age 65 and over) 35,682 39,833 45,418 49,296 50,178
Patients By Race & Ethnicity (% known)
% Racial and/or Ethnic Minority Patients 40.63 % 42.34 % 42.51 % 42.10 % 41.65 %
Number of Racial and/or Ethnic Minority Patients 156,183 172,699 173,143 176,460 166,163
% Hispanic/Latino Patients 12.12 % 12.55 % 12.35 % 12.66 % 13.05 %
Number of Hispanic/Latino Ethnicity Patients 47,405 52,453 51,493 54,093 53,335
% Non-Hispanic White Patients 63.75 % 61.47 % 60.98 % 61.30 % 62.30 %
Number of Non-Hispanic White Patients 228,228 235,159 234,155 242,720 232,778
% Asian Patients * 0.79 % 0.73 % 0.75 % 0.75 % 0.70 %
Number of Asian Patients * 2,842 2,804 2,885 2,953 2,604
% Native Hawaiian/Other Pacific Islander Patients * 0.22 % 0.20 % 0.18 % 0.20 % 0.19 %
Number of Native Hawaiian/Other Pacific Islander Patients * 782 771 687 799 699
% Black/African American Patients * 29.15 % 29.55 % 29.55 % 28.76 % 28.10 %
Number of Black/African American * 104,369 113,034 113,467 113,868 104,982
% American Indian/Alaska Native Patients * 0.21 % 0.21 % 0.22 % 0.24 % 0.23 %
Number of American Indian/Alaska Native Patients * 753 792 841 934 844
% More than one race Patients * 0.74 % 2.77 % 3.08 % 3.28 % 3.41 %
Number of Patients with More than one race * 2,634 10,608 11,843 13,000 12,743
Total Patients with Known Race Ethnicity (Denominator) 358,003 382,552 383,976 395,930 373,657
Total Racial and/or Ethnic Minority Patients (Denominator) 384,411 407,858 407,298 419,180 398,941
Total Hispanic/Latino & Non-Hispanic Latino Patients (Denominator for Hispanic/Latino Ethnicity) 391,258 418,069 416,943 427,400 408,786
Language (% known)
% Best Served in a Language other than English 8.91 % 9.10 % 9.31 % 10.59 % 10.54 %
Number of Patients Best Served in a Language Other than English 35,376 38,427 39,344 45,997 43,827
Patient Characteristics 2016 2017 2018 2019 2020
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 274,089 294,682 284,303 277,881 289,487
% Patients at or Below 200% of Federal Poverty Guideline 94.99 % 94.67 % 94.05 % 93.09 % 88.52 %
Patients at or Below 200% of Federal Poverty Guideline 260,363 278,975 267,388 258,693 256,258
% Patients at or Below 100% of Federal Poverty Guideline (included in above) 81.48 % 76.67 % 72.48 % 72.04 % 69.21 %
Patients at or Below 100% of Federal Poverty Guideline (included in above) 223,334 225,934 206,060 200,193 200,365
Insurance Status (% of total patients)
% None/Uninsured Patients 33.41 % 33.28 % 32.94 % 32.55 % 30.66 %
None/Uninsured Patients 132,591 140,526 139,170 141,371 127,454
% None/Uninsured Children (<18 years) 16.78 % 18.10 % 18.78 % 19.49 % 15.49 %
None/Uninsured Children (<18 years) 16,435 18,663 18,602 19,960 13,640
% Medicaid/CHIP Patients * 34.56 % 33.30 % 31.67 % 31.22 % 30.14 %
Medicaid/CHIP Patients * 137,146 140,614 133,789 135,592 125,303
% Medicare Patients 11.90 % 11.98 % 13.04 % 13.07 % 13.57 %
Medicare Patients 47,213 50,576 55,069 56,748 56,414
% Dually Eligible (Medicare and Medicaid) 4.58 % 4.57 % 4.56 % 4.05 % 4.08 %
Dually Eligible (Medicare and Medicaid) 18,188 19,299 19,250 17,588 16,982
% Other Third-Party Patients 20.14 % 21.45 % 22.35 % 23.16 % 25.63 %
Other Third-Party Patients 79,927 90,600 94,430 100,560 106,549
Total Patients 396,877 422,316 422,458 434,271 415,720
Children (< 18 years) 97,964 103,096 99,050 102,417 88,056
Special Populations
% Homeless Patients 4.90 % 5.27 % 5.51 % 5.79 % 5.30 %
Total Homeless Patients 19,428 22,240 23,295 25,146 22,041
% Total Agricultural Workers or Dependents 1.51 % 1.50 % 1.55 % 1.59 % 1.53 %
Total Agricultural Workers or Dependents 6,008 6,326 6,558 6,904 6,354
% Public Housing Patients 16.65 % 15.99 % 12.64 % 15.46 % 16.25 %
Total Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 66,086 67,548 53,406 67,118 67,543
% School-Based Health Center Patients 0.62 % 0.59 % 0.67 % 0.55 % 0.75 %
School-Based Health Center Patients 2,472 2,493 2,830 2,400 3,103
% Veterans Patients 1.70 % 1.57 % 1.75 % 1.48 % 1.49 %
Veterans Patients 6,737 6,635 7,388 6,426 6,194
Number of Female Patients (ages 15-44) 108,891 114,835 112,843 114,220 109,854
% Patients Under 15 Who are Female 17.22 % 17.12 % 16.40 % 16.43 % 14.63 %
Number of Patients Under 15 Who are Female 39,961 42,206 40,612 41,684 35,639
Patients 15-64 Who are Female 73.89 % 73.55 % 73.04 % 72.22 % 73.31 %
Number of Patients 15-64 Who are Female 171,519 181,373 180,837 183,201 178,574
Patients 65 and Over Who are Female 8.89 % 9.33 % 10.55 % 11.34 % 12.06 %
Number of Patients 65 and Over Who are Female 20,635 23,014 26,122 28,773 29,370
Total Female Patients (Denominator) 232,115 246,593 247,571 253,658 243,583
Services (% of patients) 2016 2017 2018 2019 2020
% Medical Patients 88.85 % 88.88 % 88.84 % 89.16 % 87.74 %
Medical Patients 352,644 375,358 375,291 387,187 364,762
% Dental Patients 10.09 % 9.59 % 9.45 % 8.76 % 7.22 %
Dental Patients 40,034 40,504 39,937 38,027 29,997
% Mental Health Patients 10.62 % 12.41 % 12.60 % 15.43 % 13.99 %
Mental Health Patients 42,143 52,397 53,215 67,010 58,146
% Substance Use Disorder Patients 1.53 % 1.52 % 1.82 % 2.17 % 2.22 %
Substance Use Disorder Patients 6,092 6,415 7,678 9,415 9,235
% Vision Patients 0.15 % 0.16 % 0.18 % 0.11 % 0.55 %
Vision Patients 590 664 740 496 2,285
% Enabling Services Patients 9.43 % 11.44 % 11.02 % 13.06 % 11.06 %
Enabling Services Patients 37,442 48,317 46,548 56,733 45,986
Total Patients 396,877 422,316 422,458 434,271 415,720
Clinical Data 2016 2017 2018 2019 2020
Patients
Medical Conditions (% of Patients with Medical Conditions)
% Hypertension Patients * 32.21 % 37.35 % 37.06 % 36.85 % 40.27 %
Number of Hypertension Patients * 84,849 105,042 105,407 107,889 114,651
% Diabetes Patients * 14.49 % 16.12 % 16.66 % 17.12 % 17.08 %
Number of Diabetes Patients * 37,003 43,928 45,645 48,169 46,708
% Asthma 4.72 % 3.93 % 3.77 % 3.86 % 4.26 %
Number of Asthma Patients 16,652 14,749 14,146 14,929 15,546
% Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 0.47 % 0.53 % 0.54 % 0.53 % 0.55 %
Number of Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 1,667 1,976 2,010 2,044 2,021
Prenatal
Number of Prenatal Care Patients 5,591 6,709 6,653 7,127 6,531
Number of Prenatal Care Patients who Delivered 3,411 3,671 3,807 4,269 4,024
Quality of Care Measures
Perinatal Health
Early Entry into Prenatal Care (first visit in first trimester) 66.37 % 68.80 % 68.84 % 67.13 % 69.53 %
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 3,711 4,616 4,580 4,784 4,541
% Low and Very Low Birth Weight 9.49 % 9.89 % 9.81 % 8.85 % 9.29 %
Number of Newborns with Low Birth Weight 327 367 381 374 375
Preventive Health Screening & Services
Cervical Cancer Screening * 42.23 % 46.17 % 50.09 % 48.23 % 47.05 %
Number of Cervical Cancer Screening Patients * 48,850 56,024 61,218 58,369 55,753
Breast Cancer Screening 41.00 %
Number of Female Patients Aged 51 through 73 who had a mammogram to screen for breast cancer 24,129
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents * 67.42 % 67.90 % 75.40 % 83.42 % 76.42 %
Number of Children Age 3-16 with Weight Assessment and Counseling for Nutrition and Physical Activity * 40,702 40,836 47,600 52,899 41,309
Body Mass Index (BMI) Screening and Follow-Up Plan * 68.65 % 71.41 % 75.64 % 79.22 % 77.11 %
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up * 178,450 192,572 212,353 222,446 209,211
Percent Adults Screened for Tobacco Use and Receiving Cessation Intervention * 81.83 % 88.41 % 90.50 % 88.06 % 86.11 %
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling * 158,484 182,183 191,547 190,979 186,906
Colorectal Cancer Screening * 34.21 % 37.92 % 37.95 % 39.25 % 34.96 %
Number of Patients Screened for Colorectal Cancer * 32,894 38,408 40,237 43,511 38,446
Childhood Immunization Status * 28.92 % 29.88 % 29.33 % 32.34 % 29.64 %
Number of Children Under Age 3 Who Received Appropriate Childhood Immunizations * 1,261 1,401 1,391 1,548 1,205
Screening for Depression and Follow-Up Plan * 73.63 % 70.72 % 81.31 % 81.34 % 78.55 %
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented * 174,603 178,292 198,919 195,551 185,682
Depression Remission at Twelve Months 17.36 %
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 2,149
Dental Sealants for Children between 6-9 Years 31.28 % 56.84 % 59.95 % 66.71 % 58.42 %
Number of Children Age 6-9 Who Received Dental Sealants 603 569 509 579 503
HIV Screening 18.98 %
Number of Patients 15 through 65 years of age who were tested for HIV when within age range 48,398
Chronic Disease Management
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease * 74.32 % 76.19 %
Number of Patients Aged 21 and Older at High Risk of Cardiovascular Events who were Prescribed or were on Statin Therapy * 38,132 41,526
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet * 80.51 % 82.90 % 83.59 % 83.60 % 81.68 %
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic * 10,999 11,250 10,890 11,000 11,104
Controlling High Blood Pressure * 60.28 % 59.24 % 60.38 % 61.85 % 58.30 %
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) * 51,151 62,231 63,644 66,734 66,846
Diabetes: Hemoglobin A1c Poor Control * 27.74 % 31.34 % 30.99 % 30.63 % 33.60 %
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year * 10,264 13,769 14,144 14,754 15,693
% of Patients seen for follow-up within 30 days of first ever HIV diagnosis 91.78 % 85.14 % 85.00 % 92.11 % 39.64 %
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 67 63 68 70 44
Cost Data 2016 2017 2018 2019 2020
Total Health Center Cluster $75,430,005 $82,315,606 $84,350,016 $84,523,574 $82,475,179
Total Cost $234,713,782 $259,376,079 $275,909,390 $301,749,462 $323,574,842
Total Accrued Cost per Patient $591.40 $614.18 $653.10 $694.84 $778.35

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.

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