2018 EAST TEXAS COMMUNITY HEALTH SERVICE Health Center Program Awardee Data

NACOGDOCHES, TEXAS

3-year project period; end date 5/31/2022

Service Area Map

Total Patients: 8,544

 Health Center Quality Leader Silver  Access Enhancer  Health Disparities Reducers PCMH Recognition as of Sunday, January 26, 2020

UDS Data Comparisons

Expand the tables below to view UDS data comparisons from 2016 to 2018

  2016 2017 2018
Total Patients 8,762 8,103 8,544
Age (% of total patients)
Percentage of Children (< 18 years old) 27.73% 22.50% 19.73%
Number of Children (< 18 years old) 2,430 1,823 1,686
Percentage of Adults (18 to 64) 67.36% 72.41% 74.57%
Number of Adults (18 to 64) 5,902 5,867 6,371
Percentage of Older Adults (Age 65 and over) 4.91% 5.10% 5.70%
Number of Older Adults (Age 65 and over) 430 413 487
Patients By Race & Ethnicity (% known)
Percentage of Racial and/or Ethnic Minority Patients 73.69% 72.05% 71.06%
Number of Racial and/or Ethnic Minority Patients 6,343 5,796 6,071
Percentage of Hispanic/Latino Ethnicity Patients 49.17% 47.15% 44.87%
Number of Hispanic/Latino Ethnicity Patients 4,308 3,818 3,834
Percentage of Non-Hispanic White Patients 26.74% 28.11% 28.94%
Number of Non-Hispanic White Patients 2,265 2,248 2,473
Percentage of Asian Patients 1 0.48% 0.95% 1.05%
Number of Asian Patients1 41 76 90
Percentage of Native Hawaiian / Other Pacific Islander Patients 1 0.00% 0.00% 0.00%
Number of Native Hawaiian/Other Pacific Islander Patients 1 0 0 0
Percentage of Black/African American Patients1 23.38% 23.59% 24.79%
Number of Black/African American1 1,981 1,887 2,118
Percentage of American Indian/Alaska Native Patients 1 0.00% 0.00% 0.06%
Number of American Indian/Alaska Native Patients1 0 0 5
Percentage of Patients with More than one race 1 0.50% 0.56% 0.54%
Number of Patients with More than one race 1 42 45 46
Total Patients with Known Race Ethnicity (Denominator) 8,472 7,998 8,544
Total Racial and/or Ethnic Minority Patients (Denominator) 8,608 8,044 8,544
Total Hispanic/Latino & Non-Hispanic Latino Patients (Denominator for Hispanic/Latino Ethnicity) 8,762 8,098 8,544
Language (% known)
Percentage of Patients Best Served in a Language Other Than English 21.71% 20.38% 18.27%
Number of Patients Best Served in a Language Other Than English 1,902 1,651 1,561
  2016 2017 2018
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 8,276 7,855 8,319
Percentage of Patients at or below 200% of Federal Poverty Guideline 77.89% 78.32% 75.09%
Number of Patients at or below 200% of Poverty 6,446 6,152 6,247
Percentage of Patients at or below 100% of Poverty 55.11% 55.19% 52.76%
Number of Patients at or below 100% of Poverty 4,561 4,335 4,389
Insurance Status (% of total patients)
Percentage of Uninsured Patients 56.37% 56.08% 54.87%
Number of Uninsured Patients 4,939 4,544 4,688
Percentage of Children Uninsured (age 0-17 years) 16.75% 16.13% 16.19%
Number of Children Uninsured (age 0-17 years) 407 294 273
Percentage of Medicaid/CHIP Patients2 31.67% 31.35% 30.34%
Number of Medicaid/CHIP Patients 2 2,775 2,540 2,592
Percentage of Medicare Patients 4.70% 5.31% 6.37%
Number of Medicare Patients 412 430 544
Percentage of Dually Eligible (Medicare and Medicaid) Patients 1.95% 2.28% 2.67%
Number of Dually Eligible (Medicare and Medicaid) Patients (included in above) 171 185 228
Percentage of Patients with Other Third Party Payer 7.26% 7.27% 8.43%
Number of Patients with Other Third Party Payer 636 589 720
Total Insurance Source Patients (Denominator) 8,762 8,103 8,544
Total Insurance Source Patients Aged 0 - 17 (Denominator) 2,430 1,823 1,686
Special Populations
Percentage of Homeless Patients 0.01% 0.09% 0.16%
Number of Homeless Patients 1 7 14
Percentage of Agricultural Worker Patients - 0.00% 0.00%
Number of Agricultural Worker Patients - 0 0
Percentage of Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site - - 2.62%
Number of Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site - - 224
Percentage of School-Based Health Center Patients - - 0.00%
Number of School-Based Health Center Patients - - 0
Percentage of Veterans Patients 0.27% 0.63% 0.87%
Number of Veteran Patients 24 51 74
Gender of Patients by Age (% Female)
Percentage of Female Patients (ages 15-44) 51.18% 52.62% 52.87%
Number of Female Patients (ages 15-44) 2,856 2,758 2,906
Percentage of Patients Under 15 Who are Female 17.15% 12.94% 11.77%
Number of Patients Under 15 Who are Female 957 678 647
Percentage of Patients 15-64 Who are Female 78.44% 82.22% 82.85%
Number of Patients 15-64 Who are Female 4,377 4,309 4,554
Percentage of Patients 65 and Over Who are Female 4.41% 4.85% 5.38%
Number of Patients 65 and Over Who are Female 246 254 296
Total Female Patients (Denominator) 5,580 5,241 5,497
Services (% of patients) 2016 2017 2018
Percentage of Medical Patients 87.24% 87.73% 87.82%
Number of Medical Patients 7,644 7,109 7,503
Percentage of Dental Patients 24.54% 22.73% 23.31%
Number of Dental Patients 2,150 1,842 1,992
Percentage of Mental Health Patients 2.97% 0.00% 0.13%
Number of Mental Health Patients 260 0 11
Percentage of Substance Use Disorder Patients - 0.00% 0.00%
Number of Substance Use Disorder Patients - 0 0
Percentage of Vision Patients - 0.00% 0.00%
Number of Vision Patients - 0 0
Percentage of Enabling Patients - 0.00% -
Number of Enabling Services Patients - 0 -
Total Patients (Denominator) 8,762 8,103 8,544
  2016 2017 201811
Patients
Medical Conditions (% of Patients with Medical Conditions)
Percentage of Hypertension Patients3 28.52% 32.77% 35.03%
Number of Hypertension Patients3 1,573 1,802 2,104
Percentage of Diabetes Patients4 19.02% 20.34% 19.05%
Number of Diabetes Patients4 1,033 1,103 1,128
Percentage of Asthma Patients 4.07% 4.35% 4.15%
Number of Asthma Patients 311 309 311
Percentage of Symptomatic/Asymptomatic HIV Patients 0.08% 0.07% 0.13%
Number of Symptomatic/Asymptomatic HIV Patients 6 5 10
Prenatal
Number of Prenatal Patients 198 209 173
Number of Prenatal Patients who Delivered 93 118 103
  2016 2017 2018 Adjusted Quartile Ranking 5
2017 2018
Quality of Care Measures
Perinatal Health
Percentage of Prenatal Patients with Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 64.65% 76.56% 83.24% - 1
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 128 160 144 - -
Percentage of Newborns with Low and Very Low Birth Weight 5.21% 6.72% 7.69% - 2
Number of Newborns with Low Birth Weight 5 8 8 - -
Preventive Health Screening & Services
Percentage of Patients Screened for Cervical Cancer7 51.17% 72.35% 72.52% - 1
Number of Patients Screened for Cervical Cancer7 1,663 2,046 2,127 - -
Percentage of Children Age 3-17 for Weight Screening and Counseling on Nutrition and Physical Activity 51.92% 76.99% 81.73% - 2
Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity 933 1,094 1,105 - -
Percentage of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 27.77% 58.00% 74.00% - 3
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 1,411 2,993 4,183 - -
Percentage of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling8 97.05% 98.91% 99.17% - 1
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling8 3,514 3,819 4,182 - -
Percentage of Patients Screened for Colorectal Cancer9 47.62% 51.17% 54.70% - 1
Number of Patients Screened for Colorectal Cancer9 759 856 1,030 - -
Percentage of Children 2 Years of Age Who Received Age Appropriate Vaccines by Their 2nd Birthday 6 61.94% 41.57% 26.67% - 3
Number of Children 2 Years of Age Who Received Age Appropriate Vaccines by Their 2nd Birthday 6 83 37 12 - -
Percentage of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 10 64.38% 96.12% 94.67% - 1
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 10 3,720 5,273 5,314 - -
Percentage of Children 6 through 9 Years of Age at Moderate to High Risk of Caries Who Received a Sealant on a First Permanent Molar 16.67% 23.08% 33.33% - -
Number of Children 6 through 9 Years of Age at Moderate to High Risk of Caries Who Received a Sealant on a First Permanent Molar 2 3 5 - -
Chronic Disease Management
Percentage of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention 92.11% 96.97% 94.23% - 2
Number of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention 35 32 49 - -
Percentage of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 79.41% 68.57% 68.25% - 4
Number of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 27 48 43 - -
Percentage of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 68.29% 67.35% 83.24% - 2
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 84 132 144 - -
Percentage of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg)12 54.86% 57.21% 64.16% - 2
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) 12 863 1,031 1,350 - -
Percentage of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year13 37.17% 37.44% 37.50% - 3
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year 13 384 413 423 - -
Percentage of Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 100.00% 100.00% 100.00% - -
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 1 1 4 - -
  2016 2017 2018
Cost Data
Health Center Service Grant Expenditures $3,112,175 $3,103,033 $3,833,068
Total Accrued Costs (Excluding Donations) $5,908,513 $5,510,798 $6,198,107
Total Accrued Cost per Total Patient $674.33 $680.09 $725.43
Program Conditions 14

There are no conditions for this grantee

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. Hypertensive adults as a percent of estimated adult medical patients of ages 18-85.
  4. Diabetic adults as a percent of estimated adult medical patients of ages 18-75.
  5. 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.
  6. Childhood Immunization Status: For detailed information on this measure please see: https://ecqi.healthit.gov/ecqm/measures/cms117v6
  7. Cervical Cancer Screening: Change to exclusion criteria: Exclude patients who were in hospice care during the measurement period. Please see: https://ecqi.healthit.gov/ecqm/measures/cms124v6
  8. Tobacco Use: Screening and Cessation Intervention: This measure had several updates in guidance and specification, including reporting on three populations. Please see: https://ecqi.healthit.gov/ecqm/measures/cms138v6
  9. Colorectal Cancer Screening: Change to the denominator exclusion in 2018 may affect 2016-2018 trends: Exclude patients who were in hospice care during the measurement year. Change in Numerator: Patients with one or more screenings for colorectal cancer. Appropriate screenings are defined by any one of the following criteria: FIT-DNA during the measurement period or the two years prior to the measurement period; CT Colonography during the measurement period or the four years prior to the measurement period. Please see: https://ecqi.healthit.gov/ecqm/measures/cms130v6
  10. Screening for Depression and Follow Up Plan: Please see: https://ecqi.healthit.gov/ecqm/ep/2018/cms002v7
  11. Use of Appropriate Medications for Asthma—this measure is no longer updated and has been removed from CMS programs: Please see: https://www.federalregister.gov/documents/2016/11/04/2016-25240/medicare-program-merit-based-incentive-payment-system-mips-and-alternative-payment-model-apm
  12. Controlling High Blood Pressure: Change to the denominator exclusion in 2018 may affect 2016-2018 trends: Exclude patients who were in hospice care during the measurement year. Please see: https://ecqi.healthit.gov/ecqm/measures/cms122v6
  13. Diabetes: Hemoglobin A1c Poor Control: Change to the denominator exclusion in 2018 may affect 2016-2018 trends: Exclude patients who were in hospice care during the measurement year. Please see: https://ecqi.healthit.gov/ecqm/measures/cms122v6
  14. Program conditions are based on non-compliance with Health Center Program requirements and are updated daily. The Health Center Progressive Action Conditions Library is available at https://bphc.hrsa.gov/programrequirements/conditions-library.html.  To learn more about the Health Center Program requirements, please visit https://bphc.hrsa.gov/programrequirements/compliancemanual/index.html

*Note: Health center profile data are aggregated to the health center parent organizational level, which may be comprised of multiple service delivery sites.

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Persons using assistive technology may not be able to fully access information in these files. For assistance, contact the Health Center Program Support at: 877-464-4772.

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