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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: 2021

Total Patients Served: 437,128

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
17.24 %
Health Center Quality Leader - Silver
10.34 %
Access Enhancer
34.48 %
Health Disparities Reducer
31.03 %
Advancing Health Information Technology (HIT) for Quality
48.28 %
COVID-19 Public Health Champion Badge
27.59 %
Social Risk Factors
20.69 %
Patient Centered Medical Home (PCMH)
58.62 %

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 422,316 422,458 434,271 415,720 437,128
Age (% of total patients)
% Children (< 18 years) 24.41 % 23.45 % 23.58 % 21.18 % 21.68 %
Children (< 18 years) 103,096 99,050 102,417 88,056 94,775
% Adults (18 – 64 years) 66.16 % 65.80 % 65.06 % 66.75 % 65.73 %
Adults (18 – 64 years) 279,387 277,990 282,558 277,486 287,321
% Older Adults (Age 65 and over) 9.43 % 10.75 % 11.35 % 12.07 % 12.59 %
Older Adults (Age 65 and over) 39,833 45,418 49,296 50,178 55,032
Patients By Race & Ethnicity (% known)
% Racial and/or Ethnic Minority Patients 42.34 % 42.51 % 42.10 % 41.65 % 43.76 %
Number of Racial and/or Ethnic Minority Patients 172,699 173,143 176,460 166,163 183,443
% Hispanic/Latino Patients 12.55 % 12.35 % 12.66 % 13.05 % 13.99 %
Number of Hispanic/Latino Ethnicity Patients 52,453 51,493 54,093 53,335 60,245
% Non-Hispanic White Patients 61.47 % 60.98 % 61.30 % 62.30 % 60.27 %
Number of Non-Hispanic White Patients 235,159 234,155 242,720 232,778 235,739
% Asian Patients * 0.73 % 0.75 % 0.75 % 0.70 % 0.74 %
Number of Asian Patients * 2,804 2,885 2,953 2,604 2,904
% Native Hawaiian/Other Pacific Islander Patients * 0.20 % 0.18 % 0.20 % 0.19 % 0.22 %
Number of Native Hawaiian/Other Pacific Islander Patients * 771 687 799 699 878
% Black/African American Patients * 29.55 % 29.55 % 28.76 % 28.10 % 29.46 %
Number of Black/African American * 113,034 113,467 113,868 104,982 115,208
% American Indian/Alaska Native Patients * 0.21 % 0.22 % 0.24 % 0.23 % 0.27 %
Number of American Indian/Alaska Native Patients * 792 841 934 844 1,054
% More than one race Patients * 2.77 % 3.08 % 3.28 % 3.41 % 3.38 %
Number of Patients with More than one race * 10,608 11,843 13,000 12,743 13,202
Total Patients with Known Race Ethnicity (Denominator) 382,552 383,976 395,930 373,657 391,115
Total Racial and/or Ethnic Minority Patients (Denominator) 407,858 407,298 419,180 398,941 419,182
Total Hispanic/Latino & Non-Hispanic Latino Patients (Denominator for Hispanic/Latino Ethnicity) 418,069 416,943 427,400 408,786 430,593
Language (% known)
% Best Served in a Language other than English 9.10 % 9.31 % 10.59 % 10.54 % 10.95 %
Number of Patients Best Served in a Language Other than English 38,427 39,344 45,997 43,827 47,844
Patient Characteristics 2017 2018 2019 2020 2021
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 294,682 284,303 277,881 289,487 297,505
% Patients at or Below 200% of Federal Poverty Guideline 94.67 % 94.05 % 93.09 % 88.52 % 85.97 %
Patients at or Below 200% of Federal Poverty Guideline 278,975 267,388 258,693 256,258 255,768
% Patients at or Below 100% of Federal Poverty Guideline (included in above) 76.67 % 72.48 % 72.04 % 69.21 % 66.85 %
Patients at or Below 100% of Federal Poverty Guideline (included in above) 225,934 206,060 200,193 200,365 198,868
Insurance Status (% of total patients)
% None/Uninsured Patients 33.28 % 32.94 % 32.55 % 30.66 % 30.12 %
None/Uninsured Patients 140,526 139,170 141,371 127,454 131,678
% None/Uninsured Children (<18 years) 18.10 % 18.78 % 19.49 % 15.49 % 16.96 %
None/Uninsured Children (<18 years) 18,663 18,602 19,960 13,640 16,071
% Medicaid/CHIP Patients * 33.30 % 31.67 % 31.22 % 30.14 % 31.08 %
Medicaid/CHIP Patients * 140,614 133,789 135,592 125,303 135,877
% Medicare Patients 11.98 % 13.04 % 13.07 % 13.57 % 13.33 %
Medicare Patients 50,576 55,069 56,748 56,414 58,259
% Dually Eligible (Medicare and Medicaid) 4.57 % 4.56 % 4.05 % 4.08 % 4.58 %
Dually Eligible (Medicare and Medicaid) 19,299 19,250 17,588 16,982 20,041
% Other Third-Party Patients 21.45 % 22.35 % 23.16 % 25.63 % 25.46 %
Other Third-Party Patients 90,600 94,430 100,560 106,549 111,314
Total Patients 422,316 422,458 434,271 415,720 437,128
Children (< 18 years) 103,096 99,050 102,417 88,056 94,775
Special Populations
% Homeless Patients 5.27 % 5.51 % 5.79 % 5.30 % 5.34 %
Total Homeless Patients 22,240 23,295 25,146 22,041 23,324
% Total Agricultural Workers or Dependents 1.50 % 1.55 % 1.59 % 1.53 % 1.55 %
Total Agricultural Workers or Dependents 6,326 6,558 6,904 6,354 6,758
% Public Housing Patients 15.99 % 12.64 % 15.46 % 16.25 % 16.35 %
Total Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 67,548 53,406 67,118 67,543 71,490
% School-Based Health Center Patients 0.59 % 0.67 % 0.55 % 0.75 % 1.65 %
School-Based Health Center Patients 2,493 2,830 2,400 3,103 7,199
% Veterans Patients 1.57 % 1.75 % 1.48 % 1.49 % 1.48 %
Veterans Patients 6,635 7,388 6,426 6,194 6,462
Number of Female Patients (ages 15-44) 114,835 112,843 114,220 109,854 114,048
% Patients Under 15 Who are Female 17.12 % 16.40 % 16.43 % 14.63 % 14.85 %
Number of Patients Under 15 Who are Female 42,206 40,612 41,684 35,639 38,047
Patients 15-64 Who are Female 73.55 % 73.04 % 72.22 % 73.31 % 72.55 %
Number of Patients 15-64 Who are Female 181,373 180,837 183,201 178,574 185,838
Patients 65 and Over Who are Female 9.33 % 10.55 % 11.34 % 12.06 % 12.60 %
Number of Patients 65 and Over Who are Female 23,014 26,122 28,773 29,370 32,283
Total Female Patients (Denominator) 246,593 247,571 253,658 243,583 256,168
% Transgender Man/Transgender Male/Transgender Masculine (% of known) 0.07 % 0.46 % 0.17 % 0.14 % 0.16 %
% Transgender Woman/Transgender Female/Transgender Feminine (% of known) 0.05 % 0.11 % 0.08 % 0.12 % 0.11 %
Services (% of patients) 2017 2018 2019 2020 2021
% Medical Patients 88.88 % 88.84 % 89.16 % 87.74 % 89.58 %
Medical Patients 375,358 375,291 387,187 364,762 391,578
% Dental Patients 9.59 % 9.45 % 8.76 % 7.22 % 7.27 %
Dental Patients 40,504 39,937 38,027 29,997 31,761
% Mental Health Patients 12.41 % 12.60 % 15.43 % 13.99 % 13.81 %
Mental Health Patients 52,397 53,215 67,010 58,146 60,367
% Substance Use Disorder Patients 1.52 % 1.82 % 2.17 % 2.22 % 1.96 %
Substance Use Disorder Patients 6,415 7,678 9,415 9,235 8,561
% Vision Patients 0.16 % 0.18 % 0.11 % 0.55 % 0.54 %
Vision Patients 664 740 496 2,285 2,382
% Enabling Services Patients 11.44 % 11.02 % 13.06 % 11.06 % 11.13 %
Enabling Services Patients 48,317 46,548 56,733 45,986 48,673
Total Patients 422,316 422,458 434,271 415,720 437,128
Clinical Data 2017 2018 2019 2020 2021
Patients
Medical Conditions (% of Patients with Medical Conditions)
% Hypertension Patients * 37.35 % 37.06 % 36.85 % 40.27 % 42.26 %
Number of Hypertension Patients * 105,042 105,407 107,889 114,651 128,336
% Diabetes Patients * 16.12 % 16.66 % 17.12 % 17.08 % 17.41 %
Number of Diabetes Patients * 43,928 45,645 48,169 46,708 50,731
% Asthma 3.93 % 3.77 % 3.86 % 4.26 % 3.95 %
Number of Asthma Patients 14,749 14,146 14,929 15,546 15,478
% Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 0.53 % 0.54 % 0.53 % 0.55 % 0.52 %
Number of Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 1,976 2,010 2,044 2,021 2,035
Prenatal
Number of Prenatal Care Patients 6,709 6,653 7,127 6,531 6,781
Number of Prenatal Care Patients who Delivered 3,671 3,807 4,269 4,024 3,721
Quality of Care Measures
Perinatal Health
Early Entry into Prenatal Care (first visit in first trimester) 68.80 % 68.84 % 67.13 % 69.53 % 62.78 %
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 4,616 4,580 4,784 4,541 4,257
% Low and Very Low Birth Weight 9.89 % 9.81 % 8.85 % 9.29 % 10.29 %
Number of Newborns with Low Birth Weight 367 381 374 375 383
Preventive Health Screening & Services
Cervical Cancer Screening * 46.17 % 50.09 % 48.23 % 47.05 % 44.88 %
Number of Cervical Cancer Screening Patients * 56,024 61,218 58,369 55,753 56,457
Breast Cancer Screening 41.00 % 46.66 %
Number of Female Patients Aged 51 through 73 who had a mammogram to screen for breast cancer 24,129 29,640
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents * 67.90 % 75.40 % 83.42 % 76.42 % 76.57 %
Number of Children Age 3-16 with Weight Assessment and Counseling for Nutrition and Physical Activity * 40,836 47,600 52,899 41,309 47,871
Body Mass Index (BMI) Screening and Follow-Up Plan * 71.41 % 75.64 % 79.22 % 77.11 % 73.89 %
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up * 192,572 212,353 222,446 209,211 213,262
Percent Adults Screened for Tobacco Use and Receiving Cessation Intervention * 88.41 % 90.50 % 88.06 % 86.11 % 84.62 %
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling * 182,183 191,547 190,979 186,906 200,310
Colorectal Cancer Screening * 37.92 % 37.95 % 39.25 % 34.96 % 35.47 %
Number of Patients Screened for Colorectal Cancer * 38,408 40,237 43,511 38,446 43,182
Childhood Immunization Status * 29.88 % 29.33 % 32.34 % 29.64 % 29.81 %
Number of Children Under Age 3 Who Received Appropriate Childhood Immunizations * 1,401 1,391 1,548 1,205 1,294
Screening for Depression and Follow-Up Plan * 70.72 % 81.31 % 81.34 % 78.55 % 77.67 %
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented * 178,292 198,919 195,551 185,682 196,960
Depression Remission at Twelve Months 17.36 % 19.27 %
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
Dental Sealants for Children between 6-9 Years 56.84 % 59.95 % 66.71 % 58.42 % 70.88 %
Number of Children Age 6-9 Who Received Dental Sealants 569 509 579 503 594
HIV Screening 18.98 % 23.04 %
Number of Patients 15 through 65 years of age who were tested for HIV when within age range 48,398 61,824
Chronic Disease Management
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease * 74.32 % 76.19 % 77.66 %
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 44,178
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet * 82.90 % 83.59 % 83.60 % 81.68 % 82.20 %
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic * 11,250 10,890 11,000 11,104 11,456
Controlling High Blood Pressure * 59.24 % 60.38 % 61.85 % 58.30 % 60.16 %
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) * 62,231 63,644 66,734 66,846 77,210
Diabetes: Hemoglobin A1c Poor Control * 31.34 % 30.99 % 30.63 % 33.60 % 31.00 %
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year * 13,769 14,144 14,754 15,693 15,726
% of Patients seen for follow-up within 30 days of first ever HIV diagnosis 85.14 % 85.00 % 92.11 % 39.64 % 77.00 %
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 63 68 70 44 77
Cost Data 2017 2018 2019 2020 2021
Total Health Center Cluster $82,315,606 $84,350,016 $84,523,574 $82,475,179 $91,350,958
Total Cost $259,376,079 $275,909,390 $301,749,462 $323,574,842 $355,111,507
Total Accrued Cost per Patient $614.18 $653.10 $694.84 $778.35 $812.37

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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