2018 David Raines Comunity Health Center, Inc. Health Center Program Awardee Data

SHREVEPORT, LOUISIANA

3-year project period; end date 12/31/2020

Service Area Map

Total Patients: 16,610

UDS Data Comparisons

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

  2016 2017 2018
Total Patients 16,789 16,875 16,610
Age (% of total patients)
Percentage of Children (< 18 years old) 25.64% 20.73% 27.75%
Number of Children (< 18 years old) 4,304 3,499 4,609
Percentage of Adults (18 to 64) 67.19% 71.45% 65.42%
Number of Adults (18 to 64) 11,280 12,057 10,866
Percentage of Older Adults (Age 65 and over) 7.18% 7.82% 6.83%
Number of Older Adults (Age 65 and over) 1,205 1,319 1,135
Patients By Race & Ethnicity (% known)
Percentage of Racial and/or Ethnic Minority Patients 75.01% 74.78% 77.54%
Number of Racial and/or Ethnic Minority Patients 12,545 12,580 12,747
Percentage of Hispanic/Latino Ethnicity Patients 5.05% 5.43% 5.90%
Number of Hispanic/Latino Ethnicity Patients 847 916 979
Percentage of Non-Hispanic White Patients 25.70% 25.82% 22.90%
Number of Non-Hispanic White Patients 4,179 4,243 3,692
Percentage of Asian Patients 1 0.68% 0.66% 0.66%
Number of Asian Patients1 110 109 107
Percentage of Native Hawaiian / Other Pacific Islander Patients 1 0.08% 0.04% 0.04%
Number of Native Hawaiian/Other Pacific Islander Patients 1 13 7 6
Percentage of Black/African American Patients1 70.86% 69.56% 71.16%
Number of Black/African American1 11,523 11,432 11,472
Percentage of American Indian/Alaska Native Patients 1 0.45% 0.32% 0.32%
Number of American Indian/Alaska Native Patients1 73 53 51
Percentage of Patients with More than one race 1 0.65% 1.36% 2.21%
Number of Patients with More than one race 1 105 224 356
Total Patients with Known Race Ethnicity (Denominator) 16,262 16,434 16,121
Total Racial and/or Ethnic Minority Patients (Denominator) 16,724 16,823 16,439
Total Hispanic/Latino & Non-Hispanic Latino Patients (Denominator for Hispanic/Latino Ethnicity) 16,777 16,868 16,599
Language (% known)
Percentage of Patients Best Served in a Language Other Than English 1.16% 1.27% 1.47%
Number of Patients Best Served in a Language Other Than English 194 214 244
  2016 2017 2018
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 13,581 13,100 14,685
Percentage of Patients at or below 200% of Federal Poverty Guideline 98.12% 98.44% 97.77%
Number of Patients at or below 200% of Poverty 13,326 12,896 14,358
Percentage of Patients at or below 100% of Poverty 90.95% 89.79% 89.40%
Number of Patients at or below 100% of Poverty 12,352 11,762 13,129
Insurance Status (% of total patients)
Percentage of Uninsured Patients 17.44% 12.12% 12.69%
Number of Uninsured Patients 2,928 2,045 2,108
Percentage of Children Uninsured (age 0-17 years) 4.51% 3.77% 6.75%
Number of Children Uninsured (age 0-17 years) 194 132 311
Percentage of Medicaid/CHIP Patients2 61.73% 70.65% 67.06%
Number of Medicaid/CHIP Patients 2 10,364 11,923 11,138
Percentage of Medicare Patients 6.03% 6.32% 5.79%
Number of Medicare Patients 1,012 1,066 962
Percentage of Dually Eligible (Medicare and Medicaid) Patients 2.42% 2.22% 3.49%
Number of Dually Eligible (Medicare and Medicaid) Patients (included in above) 406 375 580
Percentage of Patients with Other Third Party Payer 14.80% 10.91% 14.46%
Number of Patients with Other Third Party Payer 2,485 1,841 2,402
Total Insurance Source Patients (Denominator) 16,789 16,875 16,610
Total Insurance Source Patients Aged 0 - 17 (Denominator) 4,304 3,499 4,609
Special Populations
Percentage of Homeless Patients 0.50% 0.49% 0.73%
Number of Homeless Patients 84 82 121
Percentage of Agricultural Worker Patients 0.28% 0.24% 0.19%
Number of Agricultural Worker Patients 47 40 31
Percentage of Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 27.90% 93.14% 90.07%
Number of Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 4,684 15,717 14,961
Percentage of School-Based Health Center Patients 0.00% 2.38% 8.41%
Number of School-Based Health Center Patients 0 402 1,397
Percentage of Veterans Patients 0.52% 0.48% 0.60%
Number of Veteran Patients 87 81 100
Gender of Patients by Age (% Female)
Percentage of Female Patients (ages 15-44) 50.00% 50.64% 48.57%
Number of Female Patients (ages 15-44) 5,324 5,489 5,005
Percentage of Patients Under 15 Who are Female 16.06% 12.69% 18.50%
Number of Patients Under 15 Who are Female 1,710 1,375 1,906
Percentage of Patients 15-64 Who are Female 76.71% 79.52% 74.85%
Number of Patients 15-64 Who are Female 8,168 8,619 7,713
Percentage of Patients 65 and Over Who are Female 7.23% 7.80% 6.66%
Number of Patients 65 and Over Who are Female 770 845 686
Total Female Patients (Denominator) 10,648 10,839 10,305
Services (% of patients) 2016 2017 2018
Percentage of Medical Patients 66.00% 66.09% 83.70%
Number of Medical Patients 11,080 11,152 13,903
Percentage of Dental Patients 40.90% 36.22% 36.36%
Number of Dental Patients 6,867 6,112 6,040
Percentage of Mental Health Patients 2.42% 5.62% 13.15%
Number of Mental Health Patients 407 949 2,185
Percentage of Substance Use Disorder Patients 0.00% 0.00% 0.00%
Number of Substance Use Disorder Patients 0 0 0
Percentage of Vision Patients 0.00% 0.00% -
Number of Vision Patients 0 0 -
Percentage of Enabling Patients 0.00% 0.00% 0.00%
Number of Enabling Services Patients 0 0 0
Total Patients (Denominator) 16,789 16,875 16,610
  2016 2017 201811
Patients
Medical Conditions (% of Patients with Medical Conditions)
Percentage of Hypertension Patients4 27.78% 38.59% 32.39%
Number of Hypertension Patients4 2,277 3,392 3,237
Percentage of Diabetes Patients5 13.83% 16.88% 13.41%
Number of Diabetes Patients5 1,111 1,454 1,313
Percentage of Asthma Patients 5.85% 5.45% 4.96%
Number of Asthma Patients 648 608 689
Percentage of Symptomatic/Asymptomatic HIV Patients 0.23% 0.30% 0.18%
Number of Symptomatic/Asymptomatic HIV Patients 25 33 25
Prenatal
Number of Prenatal Patients 6 41 21 18
Number of Prenatal Patients who Delivered 5 4 3
  2016 2017 2018 Adjusted Quartile Ranking 7
2017 2018
Quality of Care Measures
Perinatal Health
Percentage of Prenatal Patients with Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 100.00% 85.71% 88.89% - -
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 41 18 16 - -
Percentage of Newborns with Low and Very Low Birth Weight 60.00% 50.00% 66.67% - -
Number of Newborns with Low Birth Weight 3 2 2 - -
Preventive Health Screening & Services
Percentage of Patients Screened for Cervical Cancer12 30.14% 17.49% 23.56% - 4
Number of Patients Screened for Cervical Cancer12 1,194 751 931 - -
Percentage of Children Age 3-17 for Weight Screening and Counseling on Nutrition and Physical Activity 96.00% 86.63% 89.98% - 1
Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity 2,691 1,956 2,756 - -
Percentage of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 95.30% 88.49% 93.75% - 1
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 7,342 7,594 6,439 - -
Percentage of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling13 52.51% 78.97% 60.67% - 4
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling 3,879 4,252 4,143 - -
Percentage of Patients Screened for Colorectal Cancer14 27.00% 10.54% 18.15% - 4
Number of Patients Screened for Colorectal Cancer 778 333 517 - -
Percentage of Children 2 Years of Age Who Received Age Appropriate Vaccines by Their 2nd Birthday 8 82.99% 38.13% 18.11% - 4
Number of Children 2 Years of Age Who Received Age Appropriate Vaccines by Their 2nd Birthday 8 122 61 23 - -
Percentage of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 15 73.46% 82.56% 85.58% - 1
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 15 5,673 6,554 6,505 - -
Percentage of Children 6 through 9 Years of Age at Moderate to High Risk of Caries Who Received a Sealant on a First Permanent Molar16 21.43% 55.88% 29.09% - 4
Number of Children 6 through 9 Years of Age at Moderate to High Risk of Caries Who Received a Sealant on a First Permanent Molar16 68 57 16 - -
Chronic Disease Management
Percentage of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention17 90.74% 86.31% 90.91% - 2
Number of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention17 196 227 250 - -
Percentage of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 78.54% 78.05% 78.57% - 3
Number of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 172 96 88 - -
Percentage of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 60.83% 62.63% 70.89% - 4
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 132 186 151 - -
Percentage of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg)18 49.76% 48.56% 50.94% - 4
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) 18 1,133 1,647 1,649 - -
Percentage of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year19 26.82% 49.24% 41.28% - 4
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year 19 298 716 542 - -
Percentage of Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 50.00% 100.00% 100.00% - -
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 1 4 2 - -
  2016 2017 2018
Cost Data
Health Center Service Grant Expenditures $3,755,484 $3,934,512 $3,853,470
Total Accrued Costs (Excluding Donations) $11,187,025 $11,543,989 $11,841,213
Total Accrued Cost per Total Patient $666.33 $684.09 $712.90
Program Conditions 10

Condition Titles
Required and Additional Health Services-90-a: Providing and Documenting Services within Scope of Project

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://bphc.hrsa.gov/programrequirements/compliancemanual/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

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

Accessibility Statement:
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.

Related

:

View all Louisiana Program Grantees

View National and State Program Grantee Data