Health centers provide care to patients in a service area. We approve the service area when reviewing a health center’s application for funds.
We have created tools based on data to assess proposed service areas. These tools tell us which areas are needier in a fair and transparent way:
- Methodology
- Unmet Need Score
- UNS Map Tool
- Service Area Status
- Service Use Benchmarks
How we understand need
The Service Area Needs Assessment Methodology (SANAM) uses public data to calculate an Unmet Need Score (UNS) for every ZIP code. ZIP codes with a higher need score typically have a higher need for health center services.
We used the UNS in the fiscal year 2019 New Access Points funding opportunity. Afterwards, we reviewed how it worked and adjusted the measures and weights. The improved version is UNS 2.0, available in the UNS Map Tool.
We expect to use UNS again in future funding opportunities. Learn more in the UNS and SAS Resource Guide (PDF - 790 KB).
How to assess need for approved service areas
Service Area Status (SAS) assesses need, but for already approved service areas. It describes the health, social, and economic status of people in a service area. Learn more in the UNS and SAS Resource Guide (PDF - 790 KB).
The SAS Workbook (XLSX - 16 MB) provides SAS scores for existing health center service areas. The SAS ZIP Code Configurable Workbook (XLSX - 27 MB) provides scores for ZIP codes in a proposed service area.
How SANAM helps when you apply to become a health center
Before applying, you can use these tools to find areas with high need. The tools reduce burden for applicants like you since you don’t have to calculate need yourself.
The UNS Map Tool shows UNS scores for each ZIP code using color coding. It also has a table that summarizes the data.
How we know what services people still need
Health centers provide a variety of services. We use the Uniform Data System (UDS) to count how many patients receive each service.
How we use data about patients using services they need
To understand the level of unmet need, we developed national benchmarks. The benchmarks help us understand where more help is still needed nationally. We reviewed literature and data analyses from these sources:
- National Survey on Drug Use and Health
- Medical Expenditure Panel Survey
- Health Center Patient Survey
- National Health Interview Survey
- UDS
| Service category | Estimate of health center patients who could use this service | Health center patients currently using this service | Estimated percent of health center patients’ need being met |
|---|---|---|---|
| Mental Health | 10.3 million | 2.8 million | 27% |
| Substance Use Disorder | 5.3 million | 294 thousand | 6% |
| Oral Health | 18.5 million | 6.4 million | 35% |
| Vision | 11.6 million | 921 thousand | 8% |
| Enabling | 8.4 million | 2.8 million | 33% |
Note: The percentage for the 31.2 million health center patients who could use the specific service are: 33% for mental health services, 17% for substance use disorder services, 59% for oral health services, 37% for vision services, and 27% for enabling (interpretation/translation) services.
How you can reach us
- Use the BPHC Contact Form.
Under Health Center Program, select Health Center Program (e.g., Unmet Need Score, Health Center Performance Improvement Framework). - Call 877-464-4772 (select option 1), 8 a.m. – 8 p.m. ET, Monday – Friday (except federal holidays)