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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: 2023

Total Patients Served: 425,237

Reporting Source: Uniform Data System (UDS) Report

Expanded Summaries for 2023 UDS Data Tables

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UDS Data Five-Year Summary

Age and Race / Ethnicity 2019 2020 2021 2022 2023
Total Patients 434,271 415,720 437,128 423,633 425,237
Age (% of total patients)
% Children (< 18 years) 23.58% 21.18% 21.68% 22.16% 22.91%
Children (< 18 years) 102,417 88,056 94,775 93,896 97,407
% Adults (18 – 64 years) 65.06% 66.75% 65.73% 64.72% 64.25%
Adults (18 – 64 years) 282,558 277,486 287,321 274,158 273,225
% Older Adults (Age 65 and over) 11.35% 12.07% 12.59% 13.12% 12.84%
Older Adults (Age 65 and over) 49,296 50,178 55,032 55,579 54,605
Patients By Race & Ethnicity (% known)
% Racial and/or Ethnic Minority Patients 42.10% 41.65% 43.76% 44.53% 47.67%
Number of Racial and/or Ethnic Minority Patients 176,460 166,163 183,443 181,752 195,597
% Hispanic, Latino/a, or Spanish Origin Patients 12.66% 13.05% 13.99% 15.65% 20.10%
Number of Hispanic, Latino/a, or Spanish Origin Ethnicity Patients 54,093 53,335 60,245 65,430 84,291
% Non-Hispanic, Latino/a, or Spanish Origin White Patients 61.30% 62.30% 60.27% 59.77% 59.07%
Number of Non-Hispanic, Latino/a, or Spanish Origin White Patients 242,720 232,778 235,739 226,370 214,712
% Total Asian Patients * 0.75% 0.70% 0.74% 0.82% 0.89%
Number of Total Asian Patients * 2,953 2,604 2,904 3,095 3,244
% Native Hawaiian/Other Pacific Islander Patients * 0.20% 0.19% 0.22% 0.26% 0.53%
Number of Native Hawaiian/Other Pacific Islander Patients * 799 699 878 993 1,930
% Black/African American Patients * 28.76% 28.10% 29.46% 28.22% 29.16%
Number of Black/African American * 113,868 104,982 115,208 106,866 105,991
% American Indian/Alaska Native Patients * 0.24% 0.23% 0.27% 0.33% 0.42%
Number of American Indian/Alaska Native Patients * 934 844 1,054 1,241 1,539
% More than one race Patients * 3.28% 3.41% 3.38% 3.73% 2.70%
Number of Patients with More than one race * 13,000 12,743 13,202 14,125 9,823
Total Patients with Known Race Ethnicity (Denominator) 395,930 373,657 391,115 378,744 363,483
Total Racial and/or Ethnic Minority Patients (Denominator) 419,180 398,941 419,182 408,122 410,309
Total Hispanic, Latino/a, or Spanish Origin & Non-Hispanic, Latino/a, or Spanish Origin Patients (Denominator for Hispanic, Latino/a, or Spanish Origin Ethnicity) 427,400 408,786 430,593 418,162 419,258
Language (% known)
% Best Served in a Language other than English 10.59% 10.54% 10.95% 12.56% 14.94%
Number of Patients Best Served in a Language Other than English 45,997 43,827 47,844 53,194 63,551
Patient Characteristics 2019 2020 2021 2022 2023
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 277,881 289,487 297,505 289,758 317,998
% Patients at or Below 200% of Federal Poverty Guideline 93.09% 88.52% 85.97% 84.49% 86.92%
Patients at or Below 200% of Federal Poverty Guideline 258,693 256,258 255,768 244,812 276,406
% Patients at or Below 100% of Federal Poverty Guideline (included in above) 72.04% 69.21% 66.85% 64.69% 67.19%
Patients at or Below 100% of Federal Poverty Guideline (included in above) 200,193 200,365 198,868 187,451 213,652
Insurance Status (% of total patients)
% None/Uninsured Patients 32.55% 30.66% 30.12% 29.38% 29.47%
None/Uninsured Patients 141,371 127,454 131,678 124,475 125,307
% None/Uninsured Children (<18 years) 19.49% 15.49% 16.96% 18.04% 21.17%
None/Uninsured Children (<18 years) 19,960 13,640 16,071 16,938 20,619
% Medicaid/CHIP Patients * 31.22% 30.14% 31.08% 32.27% 31.72%
Medicaid/CHIP Patients * 135,592 125,303 135,877 136,692 134,896
% Medicare Patients 13.07% 13.57% 13.33% 13.44% 12.82%
Medicare Patients 56,748 56,414 58,259 56,921 54,516
% Dually Eligible (Medicare and Medicaid) 4.05% 4.08% 4.58% 4.42% 4.43%
Dually Eligible (Medicare and Medicaid) 17,588 16,982 20,041 18,705 18,856
% Other Third-Party Patients 23.16% 25.63% 25.46% 24.91% 25.99%
Other Third-Party Patients 100,560 106,549 111,314 105,545 110,518
Total Patients 434,271 415,720 437,128 423,633 425,237
Children (< 18 years) 102,417 88,056 94,775 93,896 97,407
Special Populations
% Homeless Patients 5.79% 5.30% 5.34% 5.45% 5.45%
Total Homeless Patients 25,146 22,041 23,324 23,092 23,181
% Total Agricultural Workers or Their Family Members 1.59% 1.53% 1.55% 1.65% 1.79%
Total Agricultural Workers or Their Family Members 6,904 6,354 6,758 7,006 7,597
% Public Housing Patients 15.46% 16.25% 16.35% 16.48% 17.65%
Total Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 67,118 67,543 71,490 69,816 75,071
% School-Based Service Site Patients 0.55% 0.75% 1.65% 1.93% 2.65%
School-Based Service Site Patients 2,400 3,103 7,199 8,165 11,260
% Veterans Patients 1.48% 1.49% 1.48% 1.45% 1.26%
Veterans Patients 6,426 6,194 6,462 6,137 5,337
Number of Female Patients (ages 15-44) 114,220 109,854 114,048 110,584 111,644
% Patients Under 15 Who are Female 16.43% 14.63% 14.85% 15.07% 15.61%
Number of Patients Under 15 Who are Female 41,684 35,639 38,047 37,555 38,982
Patients 15-64 Who are Female 72.22% 73.31% 72.55% 71.91% 71.59%
Number of Patients 15-64 Who are Female 183,201 178,574 185,838 179,260 178,818
Patients 65 and Over Who are Female 11.34% 12.06% 12.60% 13.02% 12.80%
Number of Patients 65 and Over Who are Female 28,773 29,370 32,283 32,455 31,974
Total Female Patients (Denominator) 253,658 243,583 256,168 249,270 249,774
Services (% of patients) 2019 2020 2021 2022 2023
% Medical Patients 89.16% 87.74% 89.58% 89.54% 88.48%
Medical Patients 387,187 364,762 391,578 379,342 376,256
% Dental Patients 8.76% 7.22% 7.27% 7.30% 8.16%
Dental Patients 38,027 29,997 31,761 30,916 34,705
% Mental Health Patients 15.43% 13.99% 13.81% 13.10% 12.71%
Mental Health Patients 67,010 58,146 60,367 55,507 54,051
% Substance Use Disorder Patients 2.17% 2.22% 1.96% 1.60% 1.40%
Substance Use Disorder Patients 9,415 9,235 8,561 6,767 5,959
% Vision Patients 0.11% 0.55% 0.54% 0.79% 1.14%
Vision Patients 496 2,285 2,382 3,338 4,828
% Enabling Services Patients 13.06% 11.06% 11.13% 12.89% 16.98%
Enabling Services Patients 56,733 45,986 48,673 54,622 72,193
Total Patients 434,271 415,720 437,128 423,633 425,237
Clinical Data 2019 2020 2021 2022 2023
Patients
Medical Conditions (% of Patients with Medical Conditions)
% Hypertension Patients * 36.85% 40.27% 42.26% 38.30% 39.99%
Number of Hypertension Patients * 107,889 114,651 128,336 111,914 114,824
% Diabetes Patients * 17.12% 17.08% 17.41% 18.40% 18.98%
Number of Diabetes Patients * 48,169 46,708 50,731 51,459 52,213
% Asthma 3.86% 4.26% 3.95% 4.02% 4.16%
Number of Asthma Patients 14,929 15,546 15,478 15,248 15,667
% Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 0.53% 0.55% 0.52% 0.54% 0.52%
Number of Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 2,044 2,021 2,035 2,031 1,971
Prenatal
Number of Prenatal Care Patients 7,127 6,531 6,781 7,361 8,615
Number of Prenatal Care Patients who Delivered 4,269 4,024 3,721 3,990 5,004
Quality of Care Measures
Perinatal Health
Early Entry into Prenatal Care (first visit in first trimester) 67.13% 69.53% 62.78% 59.49% 59.99%
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 4,784 4,541 4,257 4,379 5,168
% Low and Very Low Birth Weight 8.85% 9.29% 10.29% 8.75% 8.47%
Number of Newborns with Low Birth Weight 374 375 383 350 420
Preventive Health Screening & Services
Cervical Cancer Screening * 48.23% 47.05% 44.88% 46.69% 47.15%
Number of Cervical Cancer Screening Patients * 58,369 55,753 56,457 57,054 56,269
Breast Cancer Screening 41.00% 46.66% 49.70% 48.35%
Number of Female Patients Aged 52 through 74 who had a mammogram to screen for breast cancer 24,129 29,640 30,104 27,991
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents * 83.42% 76.42% 76.57% 81.81% 80.71%
Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity * 52,899 41,309 47,871 51,714 55,167
Body Mass Index (BMI) Screening and Follow-Up Plan * 79.22% 77.11% 73.89% 71.79% 82.51%
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up * 222,446 209,211 213,262 199,697 229,954
Percent Adults Screened for Tobacco Use and Receiving Cessation Intervention * 88.06% 86.11% 84.62% 79.06% 86.03%
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling * 190,979 186,906 200,310 179,061 204,611
Colorectal Cancer Screening * 39.25% 34.96% 35.47% 34.93% 33.45%
Number of Patients Screened for Colorectal Cancer * 43,511 38,446 43,182 40,728 45,091
Childhood Immunization Status * 32.34% 29.64% 29.81% 25.44% 24.06%
Number of Children Under Age 3 Who Received Appropriate Childhood Immunizations * 1,548 1,205 1,294 1,088 1,054
Screening for Depression and Follow-Up Plan * 81.34% 78.55% 77.67% 79.35% 81.16%
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented * 195,551 185,682 196,960 188,385 186,158
Depression Remission at Twelve Months 17.36% 19.27% 17.92% 18.54%
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 1,979 1,915 2,016
Dental Sealants for Children between 6-9 Years 66.71% 58.42% 70.88% 66.55% 53.15%
Number of Children Age 6-9 Who Received Dental Sealants 579 503 594 555 481
HIV Screening 18.98% 23.04% 29.29% 34.10%
Number of Patients 15 through 65 years of age who were tested for HIV when within age range 48,398 61,824 76,430 86,592
Chronic Disease Management
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease * 74.32% 76.19% 77.66% 76.66% 77.65%
Number of Patients at High Risk of Cardiovascular Events who were Prescribed or were on Statin Therapy * 38,132 41,526 44,178 47,632 52,699
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet * 83.60% 81.68% 82.20% 80.88% 79.70%
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic * 11,000 11,104 11,456 10,863 10,775
Controlling High Blood Pressure * 61.85% 58.30% 60.16% 63.23% 63.61%
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) * 66,734 66,846 77,210 70,763 73,041
Diabetes: Hemoglobin A1c Poor Control * 30.63% 33.60% 31.00% 30.31% 27.92%
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year * 14,754 15,693 15,726 15,597 14,577
% of Patients seen for follow-up within 30 days of first ever HIV diagnosis 92.11% 39.64% 77.00% 82.76% 71.43%
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 70 44 77 48 75
Cost Data 2019 2020 2021 2022 2023
Total Health Center Cluster $84,523,574 $82,475,179 $91,350,958 $88,208,015 $84,106,946
Total Cost $301,749,462 $323,574,842 $355,111,507 $389,266,577 $420,142,491
Total Accrued Cost per Patient $694.84 $778.35 $812.37 $918.88 $988.02

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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