2017 National Health Center Data

UDS Data Comparisons

Expand the tables below to view UDS data comparisons from 2015 to 2017

  2015 2016 2017
Total Patients 24,295,946 25,860,296 27,174,372
Age (% of total patients)
Percentage of Children (< 18 years old) 31.24% 30.96% 30.89%
Number of Children (< 18 years old) 7,589,449 8,005,982 8,395,134
Percentage of Adults (18 to 64) 60.86% 60.73% 60.41%
Number of Adults (18 to 64) 14,785,556 15,705,993 16,416,970
Percentage of Older Adults (Age 65 and over) 7.91% 8.31% 8.69%
Number of Older Adults (Age 65 and over) 1,920,941 2,148,321 2,362,268
Patients By Race & Ethnicity (% known)
Percentage of Racial and/or Ethnic Minority Patients 62.37% 62.27% 62.72%
Number of Racial and/or Ethnic Minority Patients 14,361,952 15,228,089 16,157,234
Total Racial and/or Ethnic Minority Patients (Denominator) 23,025,286 24,453,629 25,760,808
Percentage of Hispanic/Latino Ethnicity Patients 35.21% 35.42% 35.76%
Number of Hispanic/Latino Ethnicity Patients 8,284,258 8,856,531 9,400,723
Total Hispanic/Latino & Non-Hispanic Latino Patients (Denominator for Hispanic/Latino Ethnicity) 23,529,719 25,001,720 26,291,661
Percentage of Non-Hispanic White Patients 41.44% 41.46% 41.07%
Number of Non-Hispanic White Patients 8,663,334 9,225,540 9,603,574
Percentage of Black/African American Patients1 22.97% 22.63% 22.41%
Number of Black/African American1 4,803,008 5,035,016 5,240,402
Percentage of Asian Patients 1 3.88% 3.98% 4.12%
Number of Asian Patients1 811,302 886,362 962,844
Percentage of American Indian/Alaska Native Patients 1 1.35% 1.37% 1.36%
Number of American Indian/Alaska Native Patients1 282,098 304,832 317,352
Percentage of Native Hawaiian / Other Pacific Islander Patients 1 1.17% 1.13% 1.13%
Number of Native Hawaiian/Other Pacific Islander Patients 1 243,757 252,282 264,289
Percentage of Patients with More than one race 1 3.51% 3.20% 3.49%
Number of Patients with More than one race 1 733,042 712,395 815,025
Total Patients with Known Race Ethnicity (Denominator) 20,907,269 22,252,804 23,385,766
Language (% known)
Percentage of Patients Best Served in Another Language 22.77% 23.55% 23.72%
Number of Patients Best Served in Another Language 5,533,142 6,090,644 6,446,929
  2015 2016 2017
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 17,760,117 18,684,693 19,498,453
Percentage of Patients at or below 200% of Poverty 92.22% 91.95% 91.48%
Number of Patients at or below 200% of Poverty 16,378,543 17,180,779 17,836,567
Percentage of Patients at or below 100% of Poverty 70.94% 70.02% 69.15%
Number of Patients at or below 100% of Poverty 12,599,400 13,083,637 13,483,840
Insurance Status (% of total patients)
Percentage of Uninsured Patients 24.40% 23.43% 22.88%
Number of Uninsured Patients 5,927,831 6,059,126 6,216,811
Percentage of Children Uninsured (age 0-17 years) 13.12% 13.04% 12.70%
Number of Children Uninsured (age 0-17 years) 995,534 1,044,251 1,066,596
Percentage of Medicaid/CHIP Patients2 49.44% 49.69% 49.64%
Number of Medicaid/CHIP Patients 2 12,011,956 12,850,861 13,490,591
Percentage of Medicare Patients 8.92% 9.22% 9.40%
Number of Medicare Patients 2,167,040 2,384,323 2,555,311
Percentage of Dually Eligible (Medicare and Medicaid) Patients 3.35% 3.63% 3.82%
Number of Dually Eligible (Medicare and Medicaid) Patients 814,721 939,492 1,038,609
Percentage of Patients with Other Third Party Payer 17.24% 17.66% 18.07%
Number of Patients with Other Third Party Payer 4,189,119 4,565,986 4,911,659
Special Populations
Percentage of Homeless Patients 4.91% 4.88% 5.01%
Number of Homeless Patients 1,191,772 1,262,961 1,361,675
Percentage of Agricultural Worker Patients 3.75% 3.70% 3.58%
Number of Agricultural Worker Patients 910,172 957,529 972,251
Percentage of Public Housing Patients3 6.22% 10.41% 12.75%
Number of Public Housing Patients3 1,510,842 2,691,329 3,466,074
Percentage of School Based Patients 2.67% 2.92% 2.95%
Number of School Based Patients 649,132 755,423 802,630
Percentage of Veterans Patients 1.26% 1.28% 1.31%
Number of Veteran Patients 305,520 330,271 355,648
Total Insurance Source Patients (Denominator) 24,295,946 25,860,296 27,174,372
Total Insurance Source Patients Aged 0 - 17 (Denominator) 7,589,449 8,005,982 8,395,134
Gender of Patients by Age (% Female)
Percentage of Female Patients (ages 15-44) 45.22% 44.97% 44.71%
Number of Female Patients (ages 15-44) 6,376,466 6,718,116 7,014,487
Percentage of Patients Under 15 Who are Female 22.55% 22.29% 22.20%
Number of Patients Under 15 Who are Female 3,179,681 3,329,917 3,483,223
Percentage of Patients 15-64 Who are Female 69.29% 69.15% 68.86%
Number of Patients 15-64 Who are Female 9,771,691 10,329,419 10,802,779
Percentage of Patients 65 and Over Who are Female 8.16% 8.56% 8.94%
Number of Patients 65 and Over Who are Female 1,150,421 1,278,257 1,401,777
Total Female Patients (Denominator) 14,101,793 14,937,593 15,687,779
Services (% of patients) 2015 2016 2017
Total Patients (Denominator) 24,295,946 25,860,296 27,174,372
Percentage of Medical Patients 84.85% 84.61% 84.15%
Number of Medical Patients 20,616,149 21,880,295 22,866,468
Percentage of Dental Patients 21.37% 21.87% 22.51%
Number of Dental Patients 5,192,846 5,656,190 6,116,732
Percentage of Mental Health Patients 6.14% 6.92% 7.54%
Number of Mental Health Patients 1,491,926 1,788,577 2,049,194
Percentage of Substance Abuse Patients 0.48% 0.55% 0.62%
Number of Substance Abuse Patients 117,043 141,569 168,508
Percentage of Vision Patients 2.06% 2.32% 2.47%
Number of Vision Patients 501,647 599,314 670,973
Percentage of Enabling Patients 9.83% 9.60% 9.38%
Number of Enabling Patients 2,388,722 2,482,751 2,549,897
  2015 2016 201711
Patients
Medical Conditions (% of Patients with Medical Conditions)
Percentage of Hypertension Patients4 22.99% 26.22% 27.12%
Number of Hypertension Patients4 3,226,170 3,920,129 4,240,467
Percentage of Diabetes Patients5 12.76% 14.30% 14.98%
Number of Diabetes Patients5 1,737,060 2,071,326 2,266,902
Percentage of Asthma Patients 5.78% 5.47% 5.57%
Number of Asthma Patients 1,190,679 1,196,242 1,272,531
Percentage of HIV Patients 0.75% 0.72% 0.72%
Number of HIV Patients 154,994 158,323 165,745
Prenatal
Number of Prenatal Patients 6 552,150 559,848 573,026
Number of Prenatal Patients who Delivered 292,286 295,913 299,373
Quality of Care Measures
Perinatal Health
Percentage of Prenatal Patients with Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 73.02% 74.06% 73.97%
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 403,201 414,605 423,872
Percentage of Newborns with Low Birth Weight 7.58% 7.80% 8.03%
Number of Newborns with Low Birth Weight 22,001 22,989 24,023
Preventive Health Screening & Services
Percentage of Cervical Cancer Screening12 56.03% 54.36% 55.67%
Number of Cervical Cancer Screening Patients12 3,558,415 3,655,375 3,894,117
Percentage of Children Age 3-17 for Weight Screening and Counseling on Nutrition and Physical Activity 57.89% 62.92% 65.85%
Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity 2,742,380 3,035,019 3,288,504
Percentage of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 59.41% 62.46% 63.85%
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 8,187,215 8,992,118 9,527,334
Percentage of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling13 82.83% 85.19% 87.50%
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling13 10,145,941 9,778,996 10,309,070
Percentage of Patients Screened for Colorectal Cancer14 38.35% 39.89% 42.02%
Number of Patients Screened for Colorectal Cancer14 1,803,514 2,047,900 2,271,055
Percentage of Children Under Age 3 Who Received Appropriate Childhood Immunizations 8 77.55% 42.80% 40.24%
Number of Children Under Age 3 Who Received Appropriate Childhood Immunizations 8 246,044 155,375 154,557
Percentage of Patients Screened for Clinical Depression and if Positive had Follow-up Plan Documented15 50.61% 60.34% 66.15%
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 15 7,225,516 8,791,303 9,904,540
Percentage of Children Age 6-9 Who Received Dental Sealant 16 42.45% 48.71% 50.71%
Number of Children Age 6-9 Who Received Dental Sealants16 121,312 134,294 135,142
Chronic Disease Management
Percentage of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention17 84.15% 87.38% 86.62%
Number of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention17 276,591 326,052 334,805
Percentage of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 77.88% 79.46% 80.72%
Number of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 212,858 233,693 242,500
Percentage of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 77.98% 78.40% 79.27%
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 383,471 423,148 431,614
Percentage of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) 18 63.76% 62.39% 62.71%
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) 18 2,056,889 2,445,898 2,659,309
Percentage of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year 19 29.80% 32.10% 32.95%
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year 19 517,640 664,855 746,932
Percentage of Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 74.73% 83.17% 84.52%
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 6,660 6,796 6,812
  2015 2016 2017
Cost Data
Health Center Service Grant Expenditures $3,548,744,102 $4,318,331,539 $4,599,152,286
Total Cost $20,088,900,118 $23,011,860,613 $25,597,401,177
Total Cost Per Patient $826.84 $889.85 $941.97

Footnotes

'-' - Data cannot be calculated or has been suppressed for confidentiality purposes.

  1. Includes Hispanic/Latino and Non-Hispanic/Latino.
  2. Includes Medicaid, Medicaid CHIP, and Other Public Insurance CHIP.
  3. Measure revised in 2014 UDS to include patients served in health centers with and without Public Housing Primary Care funding.
  4. Hypertensive adults as a percent of estimated adult medical patients of ages 18-85.
  5. Diabetic adults as a percent of estimated adult medical patients of ages 18-75.
  6. All health centers who provide prenatal care directly or by referral are included in the prenatal care calculations, effective 2014.
  7. Adjusted Quartile Rankings: Provides a health center's adjusted quartile ranking compared to health centers nationally for each of the clinical performance measures. Clinical performance for each measure is ranked from quartile 1 (highest 25% of reporting health center) to quartile 4 (lowest 25% of reporting health centers). Adjusted quartile ranking is not calculated when there are fewer than 30 patients in the universe count. To learn more about the Health Center Adjusted Quartile Ranking please refer to https://bphc.hrsa.gov/datareporting/reporting/ranking.html and for FAQ's please refer to https://bphc.hrsa.gov/datareporting/reporting/rankingfaq.html.
  8. Childhood Immunization Status: Change to the denominator in 2016 may affect 2015-2017 trends: Children 2 years of age (previously 3 years of age). Change to the exclusions criteria: No longer permits exclusion of patients not seen ever prior to turning 2. Change to the numerator: Adds 1 Hepatitis A (Hep A), 2 or 3 rotavirus (RV), and 2 influenza (flu) vaccines. Please see: https://ecqi.healthit.gov/ecqm/measures/cms117v5
  9. Measure changed in 2015 to address uncontrolled diabetes for patients with Hba1c > 9.
  10. Program conditions are based on non-compliance with Health Center Program requirements and are updated daily. To learn more about the Health Center Program requirements, please visit https://www.bphc.hrsa.gov/about/requirements/index.html.
  11. Effective with calendar year 2016 reporting, clinical quality measures (CQMs) were changed to align with the Centers for Medicare & Medicaid Services’ electronic specified clinical quality measures (eCQMs) and therefore caution should be used for trends between 2015 and 2016 UDS CQMs. Health centers are encouraged to review the year over year differences before using for comparisons.
  12. Cervical Cancer Screening: Change to the denominator in 2016 may affect 2015-2017 trends: Women age 23 through 64 years (previously age 24 through 64 years). Change to the numerator: No longer includes concurrent human papillomavirus (HPV) and Pap test for those ages 30 and older. Please see: https://ecqi.healthit.gov/ecqm/measures/cms124v5
  13. Tobacco Use: Screening and Cessation Intervention: Change to the denominator in 2016 may affect 2015-2017 trends: Includes patients seen twice for medical care or at least once for a preventive visit. Change to the exclusions criteria: Documentation of medical reason(s) for not screening for tobacco use (e.g., limited life expectancy, other medical reason). Please see: https://ecqi.healthit.gov/ecqm/measures/cms138v5
  14. Colorectal Cancer Screening: Change to the denominator in 2016 may affect 2015-2017 trends: Patients age 50 through 75 (previously 51 through 74). Please see: https://ecqi.healthit.gov/ecqm/measures/cms130v5
  15. Screening for Depression and Follow Up Plan: Change to the denominator in 2016 may affect 2015-2017 trends: Do not include patients who refuse to participate, urgent or emergent situations, or if the patient's functional capacity or motivation to improve impacts the accuracy of results. Please see: https://ecqi.healthit.gov/ecqm/measures/cms002v6
  16. The Dental Sealants Screening measure was introduced in 2015 and is not comparable to prior years.
  17. Use of Appropriate Medications for Asthma: Change to the denominator in 2016 may affect 2015-2017 trends: Patients age 5 through 64 years (previously age 5 through 40 years), eligibility not limited to individuals with 2 medical visits ever. Change to the exclusions criteria: Patients with emphysema, chronic obstructive pulmonary disease, cystic fibrosis, or acute respiratory failure during or prior to the measurement period, patients with allergic reactions to asthma medications are no longer excluded from the measure denominator. Please see: https://ecqi.healthit.gov/ecqm/measures/cms126v5
  18. Controlling High Blood Pressure: Change to the denominator in 2016 may affect 2015-2017 trends: Age 18 through 85 years (previously age 18 through 84 years), eligibility no longer limited to patients with at least 2 medical visits during the measurement, must be essential diagnosis. Change to the exclusions criteria: Exclude patients with dialysis or renal transplant before or during the measurement period and chronic kidney disease, Stage 5 (in addition to evidence of end state renal disease), and patients with a diagnosis of pregnancy during the measurement period year. Please see: https://ecqi.healthit.gov/ecqm/measures/cms165v5
  19. Diabetes: Hemoglobin A1c Poor Control: Change to the denominator in 2016 may affect 2015-2017 trends: Age 18 through 75 years (previously age 18 through 74), eligibility no longer limited to patients with at least 2 medical visits during the measurement year. Please see https://ecqi.healthit.gov/ecqm/measures/cms122v5

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