2018 Hospital Service District No. 1-A of the Parish of Richland Health Center Program Awardee Data

DELHI, LOUISIANA

3-year project period; end date 4/30/2020

Service Area Map

Total Patients: 5,664

  Health Center Quality Leader Bronze  Access Enhancer  Health Disparities Reducers  Advancing Health Information Technology (HIT) for Quality OSV Badge PCMH Recognition as of Wednesday, August 28, 2019

UDS Data Comparisons

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

  2016 2017 2018
Total Patients 4,758 5,278 5,664
Age (% of total patients)
Percentage of Children (< 18 years old) 35.69% 32.74% 32.06%
Number of Children (< 18 years old) 1,698 1,728 1,816
Percentage of Adults (18 to 64) 43.23% 47.92% 50.00%
Number of Adults (18 to 64) 2,057 2,529 2,832
Percentage of Older Adults (Age 65 and over) 21.08% 19.34% 17.94%
Number of Older Adults (Age 65 and over) 1,003 1,021 1,016
Patients By Race & Ethnicity (% known)
Percentage of Racial and/or Ethnic Minority Patients 39.57% 43.00% 43.90%
Number of Racial and/or Ethnic Minority Patients 1,870 2,128 2,431
Percentage of Hispanic/Latino Ethnicity Patients 1.29% 1.63% 2.22%
Number of Hispanic/Latino Ethnicity Patients 61 86 123
Percentage of Non-Hispanic White Patients 60.47% 57.00% 56.10%
Number of Non-Hispanic White Patients 2,856 2,821 3,106
Percentage of Asian Patients 1 0.15% 0.16% 0.07%
Number of Asian Patients1 7 8 4
Percentage of Native Hawaiian / Other Pacific Islander Patients 1 0.42% 0.46% 0.51%
Number of Native Hawaiian/Other Pacific Islander Patients 1 20 23 28
Percentage of Black/African American Patients1 37.71% 41.10% 41.67%
Number of Black/African American1 1,781 2,034 2,307
Percentage of American Indian/Alaska Native Patients 1 0.08% 0.10% 0.20%
Number of American Indian/Alaska Native Patients1 4 5 11
Percentage of Patients with More than one race 1 0.44% 0.00% 0.00%
Number of Patients with More than one race 1 21 0 0
Total Patients with Known Race Ethnicity (Denominator) 4,723 4,949 5,537
Total Racial and/or Ethnic Minority Patients (Denominator) 4,726 4,949 5,537
Total Hispanic/Latino & Non-Hispanic Latino Patients (Denominator for Hispanic/Latino Ethnicity) 4,742 5,265 5,537
Language (% known)
Percentage of Patients Best Served in a Language Other Than English 0.21% 0.02% 0.00%
Number of Patients Best Served in a Language Other Than English 10 1 0
  2016 2017 2018
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 927 1,744 1,997
Percentage of Patients at or below 200% of Federal Poverty Guideline 85.76% 78.90% 81.57%
Number of Patients at or below 200% of Poverty 795 1,376 1,629
Percentage of Patients at or below 100% of Poverty 53.18% 52.81% 55.43%
Number of Patients at or below 100% of Poverty 493 921 1,107
Insurance Status (% of total patients)
Percentage of Uninsured Patients 8.51% 18.87% 16.12%
Number of Uninsured Patients 405 996 913
Percentage of Children Uninsured (age 0-17 years) 4.53% 23.26% 11.40%
Number of Children Uninsured (age 0-17 years) 77 402 207
Percentage of Medicaid/CHIP Patients2 37.07% 36.83% 44.49%
Number of Medicaid/CHIP Patients 2 1,764 1,944 2,520
Percentage of Medicare Patients 28.08% 21.71% 19.62%
Number of Medicare Patients 1,336 1,146 1,111
Percentage of Dually Eligible (Medicare and Medicaid) Patients 4.81% 6.06% 6.23%
Number of Dually Eligible (Medicare and Medicaid) Patients (included in above) 229 320 353
Percentage of Patients with Other Third Party Payer 26.33% 22.58% 19.77%
Number of Patients with Other Third Party Payer 1,253 1,192 1,120
Total Insurance Source Patients (Denominator) 4,758 5,278 5,664
Total Insurance Source Patients Aged 0 - 17 (Denominator) 1,698 1,728 1,816
Special Populations
Percentage of Homeless Patients 3.45% 0.00% 0.07%
Number of Homeless Patients 164 0 4
Percentage of Agricultural Worker Patients 0.06% 0.00% 0.07%
Number of Agricultural Worker Patients 3 0 4
Percentage of Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 0.00% 0.00% 0.00%
Number of Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 0 0 0
Percentage of School-Based Health Center Patients 24.63% 22.24% 21.26%
Number of School-Based Health Center Patients 1,172 1,174 1,204
Percentage of Veterans Patients 2.65% 2.05% 2.42%
Number of Veteran Patients 126 108 137
Gender of Patients by Age (% Female)
Percentage of Female Patients (ages 15-44) 28.92% 32.15% 35.24%
Number of Female Patients (ages 15-44) 748 944 1,128
Percentage of Patients Under 15 Who are Female 25.48% 23.40% 22.31%
Number of Patients Under 15 Who are Female 659 687 714
Percentage of Patients 15-64 Who are Female 52.86% 56.95% 59.89%
Number of Patients 15-64 Who are Female 1,367 1,672 1,917
Percentage of Patients 65 and Over Who are Female 21.66% 19.65% 17.81%
Number of Patients 65 and Over Who are Female 560 577 570
Total Female Patients (Denominator) 2,586 2,936 3,201
Services (% of patients) 2016 2017 2018
Percentage of Medical Patients 100.00% 82.57% 72.42%
Number of Medical Patients 4,758 4,358 4,102
Percentage of Dental Patients 7.82% 20.25% 33.16%
Number of Dental Patients 372 1,069 1,878
Percentage of Mental Health Patients 15.59% 17.43% 18.68%
Number of Mental Health Patients 742 920 1,058
Percentage of Substance Use Disorder Patients 0.00% 0.00% 1.31%
Number of Substance Use Disorder Patients 0 0 74
Percentage of Vision Patients 0.00% 0.00% 0.00%
Number of Vision Patients 0 0 0
Percentage of Enabling Patients 48.65% 66.65% 26.27%
Number of Enabling Services Patients 2,315 3,518 1,488
Total Patients (Denominator) 4,758 5,278 5,664
  2016 2017 201811
Patients
Medical Conditions (% of Patients with Medical Conditions)
Percentage of Hypertension Patients4 45.90% 50.23% 51.75%
Number of Hypertension Patients4 1,337 1,413 1,389
Percentage of Diabetes Patients5 18.50% 19.87% 21.44%
Number of Diabetes Patients5 476 504 524
Percentage of Asthma Patients 3.30% 4.82% 5.39%
Number of Asthma Patients 157 210 221
Percentage of Symptomatic/Asymptomatic HIV Patients 0.13% 0.09% 0.00%
Number of Symptomatic/Asymptomatic HIV Patients 6 4 0
Prenatal
Number of Prenatal Patients 6 5 3 0
Number of Prenatal Patients who Delivered 5 1 0
  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% 33.33% - - -
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 5 1 0 - -
Percentage of Newborns with Low and Very Low Birth Weight 0.00% 0.00% - - -
Number of Newborns with Low Birth Weight 0 0 0 - -
Preventive Health Screening & Services
Percentage of Patients Screened for Cervical Cancer12 42.86% 64.39% 55.75% - 2
Number of Patients Screened for Cervical Cancer12 346 425 315 - -
Percentage of Children Age 3-17 for Weight Screening and Counseling on Nutrition and Physical Activity 82.86% 50.48% 64.58% - 3
Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity 1,071 526 848 - -
Percentage of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 75.71% 65.65% 92.32% - 1
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 2,171 1,556 2,368 - -
Percentage of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling13 95.71% 99.39% 81.72% - 3
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling 2,184 1,807 1,663 - -
Percentage of Patients Screened for Colorectal Cancer14 64.29% 69.18% 58.51% - 1
Number of Patients Screened for Colorectal Cancer 824 844 722 - -
Percentage of Children 2 Years of Age Who Received Age Appropriate Vaccines by Their 2nd Birthday 8 19.05% 11.63% 13.64% - 4
Number of Children 2 Years of Age Who Received Age Appropriate Vaccines by Their 2nd Birthday 8 8 5 6 - -
Percentage of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 15 75.71% 77.94% 85.02% - 1
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 15 2,287 1,823 2,207 - -
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 52.38% 26.09% 60.00% - -
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 11 6 12 - -
Chronic Disease Management
Percentage of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention17 100.00% 66.67% 84.21% - -
Number of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention17 13 12 16 - -
Percentage of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 78.57% 90.16% 78.57% - 3
Number of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 182 275 44 - -
Percentage of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 90.00% 91.15% 94.35% - 1
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 374 278 267 - -
Percentage of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg)18 58.57% 62.99% 61.34% - 3
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) 18 783 890 852 - -
Percentage of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year19 14.29% 15.28% 18.32% - 1
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year 19 68 77 96 - -
Percentage of Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 66.67% 100.00% - - -
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 2 1 - - -
  2016 2017 2018
Cost Data
Health Center Service Grant Expenditures $2,180,805 $1,785,172 $1,956,902
Total Accrued Costs (Excluding Donations) $3,361,631 $4,061,140 $5,106,890
Total Accrued Cost per Total Patient $706.52 $769.45 $901.64
Program Conditions 10

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. 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