2017 Nevada Health Center Data

UDS Data Comparisons

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

  2015 2016 2017
Total Patients 83,917 88,962 93,240
Age (% of total patients)
Percentage of Children (< 18 years old) 32.41% 31.40% 31.13%
Number of Children (< 18 years old) 27,199 27,932 29,023
Percentage of Adults (18 to 64) 60.14% 61.17% 60.51%
Number of Adults (18 to 64) 50,469 54,422 56,421
Percentage of Older Adults (Age 65 and over) 7.45% 7.43% 8.36%
Number of Older Adults (Age 65 and over) 6,249 6,608 7,796
Patients By Race & Ethnicity (% known)
Percentage of Racial and/or Ethnic Minority Patients 66.07% 65.86% 66.64%
Number of Racial and/or Ethnic Minority Patients 53,840 56,676 60,342
Total Racial and/or Ethnic Minority Patients (Denominator) 81,487 86,050 90,553
Percentage of Hispanic/Latino Ethnicity Patients 52.46% 51.95% 50.54%
Number of Hispanic/Latino Ethnicity Patients 43,339 45,471 46,522
Total Hispanic/Latino & Non-Hispanic Latino Patients (Denominator for Hispanic/Latino Ethnicity) 82,621 87,527 92,052
Percentage of Non-Hispanic White Patients 37.57% 37.40% 36.44%
Number of Non-Hispanic White Patients 27,647 29,374 30,211
Percentage of Black/African American Patients1 9.72% 9.54% 11.26%
Number of Black/African American1 7,149 7,496 9,334
Percentage of Asian Patients 1 3.42% 3.45% 3.52%
Number of Asian Patients1 2,515 2,706 2,919
Percentage of American Indian/Alaska Native Patients 1 1.30% 1.05% 1.13%
Number of American Indian/Alaska Native Patients1 953 824 934
Percentage of Native Hawaiian / Other Pacific Islander Patients 1 0.88% 0.94% 1.27%
Number of Native Hawaiian/Other Pacific Islander Patients 1 649 736 1,056
Total Patients (Denominator for Native Hawaiian/Other Pacific Islander) 83,917 88,962 93,240
Percentage of Patients with More than one race 1 0.69% 1.02% 3.60%
Number of Patients with More than one race 1 509 801 2,982
Total Patients with Known Race Ethnicity (Denominator) 73,580 78,547 82,910
Language (% known)
Percentage of Patients Best Served in Another Language 27.93% 16.83% 16.13%
Number of Patients Best Served in Another Language 23,441 14,968 15,044
  2015 2016 2017
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 42,429 40,275 40,739
Percentage of Patients at or below 200% of Poverty 96.32% 94.87% 96.61%
Number of Patients at or below 200% of Poverty 40,869 38,207 39,356
Percentage of Patients at or below 100% of Poverty 74.96% 71.64% 72.49%
Number of Patients at or below 100% of Poverty 31,803 28,854 29,533
Insurance Status (% of total patients)
Percentage of Uninsured Patients 30.18% 26.95% 26.07%
Number of Uninsured Patients 25,324 23,974 24,307
Percentage of Children Uninsured (age 0-17 years) 16.93% 17.23% 14.16%
Number of Children Uninsured (age 0-17 years) 4,605 4,814 4,110
Percentage of Medicaid/CHIP Patients2 41.69% 44.18% 42.25%
Number of Medicaid/CHIP Patients 2 34,982 39,307 39,394
Percentage of Medicare Patients 7.51% 7.23% 7.59%
Number of Medicare Patients 6,298 6,435 7,076
Percentage of Dually Eligible (Medicare and Medicaid) Patients 2.40% 3.02% 2.80%
Number of Dually Eligible (Medicare and Medicaid) Patients 2,014 2,685 2,612
Percentage of Patients with Other Third Party Payer 20.63% 21.63% 24.09%
Number of Patients with Other Third Party Payer 17,313 19,246 22,463
Special Populations
Percentage of Homeless Patients 5.48% 4.58% 6.98%
Number of Homeless Patients 4,599 4,076 6,504
Percentage of Agricultural Worker Patients 3.56% 3.32% 0.89%
Number of Agricultural Worker Patients 2,985 2,955 832
Percentage of Public Housing Patients3 0.10% 0.00% 0.60%
Number of Public Housing Patients3 86 - 559
Percentage of School Based Patients 1.42% 1.78% 1.42%
Number of School Based Patients 1,193 1,580 1,326
Percentage of Veterans Patients 0.48% 0.55% 0.52%
Number of Veteran Patients 401 491 488
Total Insurance Source Patients (Denominator) 83,917 88,962 93,240
Total Insurance Source Patients Aged 0 - 17 (Denominator) 27,199 27,932 29,023
Gender of Patients by Age (% Female)
Percentage of Female Patients (ages 15-44) 41.36% 42.26% 41.14%
Number of Female Patients (ages 15-44) 20,747 22,213 22,165
Percentage of Patients Under 15 Who are Female 23.23% 23.06% 22.63%
Number of Patients Under 15 Who are Female 11,655 12,124 12,191
Percentage of Patients 15-64 Who are Female 69.22% 69.66% 69.04%
Number of Patients 15-64 Who are Female 34,721 36,618 37,196
Percentage of Patients 65 and Over Who are Female 7.55% 7.27% 8.33%
Number of Patients 65 and Over Who are Female 3,787 3,823 4,486
Total Female Patients (Denominator) 50,163 52,565 53,873
Services (% of patients) 2015 2016 2017
Total Patients (Denominator) 83,917 88,962 93,240
Percentage of Medical Patients 90.42% 90.13% 88.16%
Number of Medical Patients 75,878 80,179 82,205
Percentage of Dental Patients 14.81% 13.80% 13.54%
Number of Dental Patients 12,426 12,280 12,627
Percentage of Mental Health Patients 1.20% 3.60% 4.80%
Number of Mental Health Patients 1,007 3,201 4,472
Percentage of Substance Abuse Patients 0.07% 0.09% 0.07%
Number of Substance Abuse Patients 61 84 61
Percentage of Vision Patients 0.00% 0.00% 0.00%
Number of Vision Patients - - -
Percentage of Enabling Patients 0.74% 7.41% 8.82%
Number of Enabling Patients 624 6,589 8,226
  2015 2016 201711
Patients
Medical Conditions (% of Patients with Medical Conditions)
Percentage of Hypertension Patients4 23.25% 26.43% 31.90%
Number of Hypertension Patients4 11,844 14,448 17,940
Percentage of Diabetes Patients5 13.59% 14.14% 16.67%
Number of Diabetes Patients5 6,735 7,539 9,108
Percentage of Asthma Patients 4.13% 4.24% 4.90%
Number of Asthma Patients 3,132 3,403 4,024
Percentage of HIV Patients 0.54% 1.01% 1.04%
Number of HIV Patients 411 808 853
Prenatal
Number of Prenatal Patients 6 1,927 1,533 349
Number of Prenatal Patients who Delivered 1,115 756 111
Quality of Care Measures
Perinatal Health
Percentage of Prenatal Patients with Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 57.97% 62.43% 74.21%
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 1,117 957 259
Percentage of Newborns with Low Birth Weight 6.67% 6.73% 11.93%
Number of Newborns with Low Birth Weight 75 51 -
Preventive Health Screening & Services
Percentage of Cervical Cancer Screening12 37.08% 53.87% 48.08%
Number of Cervical Cancer Screening Patients12 10,594 13,642 12,547
Percentage of Children Age 3-17 for Weight Screening and Counseling on Nutrition and Physical Activity 91.89% 78.08% 86.23%
Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity 14,559 13,301 15,815
Percentage of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 71.98% 77.48% 85.21%
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 35,322 41,545 47,531
Percentage of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling13 86.78% 91.11% 76.52%
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling13 36,903 40,326 31,071
Percentage of Patients Screened for Colorectal Cancer14 24.09% 29.56% 27.31%
Number of Patients Screened for Colorectal Cancer14 5,029 5,990 6,095
Percentage of Children Under Age 3 Who Received Appropriate Childhood Immunizations 8 86.08% 43.25% 43.63%
Number of Children Under Age 3 Who Received Appropriate Childhood Immunizations 8 1,070 679 726
Percentage of Patients Screened for Clinical Depression and if Positive had Follow-up Plan Documented15 36.92% 62.81% 64.20%
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 15 20,393 29,523 34,965
Percentage of Children Age 6-9 Who Received Dental Sealant 16 36.81% 21.00% 62.27%
Number of Children Age 6-9 Who Received Dental Sealants16 395 147 241
Chronic Disease Management
Percentage of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention17 80.59% 80.27% 87.50%
Number of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention17 951 655 1,148
Percentage of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 77.95% 76.12% 83.99%
Number of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 930 1,100 1,243
Percentage of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 58.93% 58.96% 73.60%
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 726 961 1,447
Percentage of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) 18 65.81% 64.63% 58.75%
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) 18 7,794 9,338 10,539
Percentage of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year 19 39.47% 43.19% 33.54%
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year 19 2,658 3,256 3,055
Percentage of Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 86.49% 90.00% 81.82%
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 64 45 18
  2015 2016 2017
Cost Data
Health Center Service Grant Expenditures $15,203,329 $18,396,238 $20,450,828
Total Cost $69,172,635 $79,445,028 $88,680,717
Total Cost Per Patient $824.30 $893.02 $951.10

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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