Tables
3A and 3B provide demographic data on
patients of the program and are included
in both the Universal Report and
the Grant Reports.
For
the Universal Report, include
as patients all individuals receiving
at least one face-to-face encounter for
services as described below which is within
the scope of any of the programs covered
by UDS. Regardless of the number or types
of services received, each patient is
to be counted only once on Table 3A, once
in the race/ethnicity section of Table
3B and once in the language section of
Table 3B.
The
Grant Reports include only
individuals who received at least one
face-to-face encounter within the scope
of the program in question. As discussed
above, patients are to be reported only
once in each report filed, however if
the same patient is served in more than
one program, they will be reported on
the grant report for each program that
served them.
An
encounter is a face-to-face contact between
a patient and a provider who exercises
independent professional judgment in the
provision of services to the patient,
and the services rendered must be documented
to be counted as an encounter. See the
“General Instructions: Definitions” section
above, for complete definitions of patients
and encounters.
TABLE 3A: PATIENTS BY
AGE AND GENDER
Report
the number of total patients by
appropriate categories for age and gender.
For reporting purposes, use the individual's
age on June 30 of the reporting period.
TABLE 3B: PATIENTS BY ETHNICITY/RACE/LANGUAGE
HISPANIC
OR Latino Identity (Ethnicity):
- Report
the number of patients in each
category. The total on Table 3B line
4 must equal the total on Table 3A,
line 39 Columns A + B.
- This
table collects information on whether
or not patients consider themselves
to be of Latino or Hispanic identity.
Report on line 1 persons of Cuban, Mexican,
Puerto Rican, South or Central American,
or other Spanish culture or origin,
regardless of race.
Race:
- Report
the number of patients in each racial
category. The total on Table 3B line
11 must equal the total on Table 3A,
line 39 Columns A + B.
- All
patients must be classified in one of
the racial categories (including “Unreported
/ refused to report”). This includes
individuals who also consider themselves
to be “Latino” or “Hispanic”.
If your data system has not separately
classified these individuals by race,
then report them all on line 10 as “race
unreported”
- Patients
are further divided on the Race table
into three separate ethnic categories:
-
5b. Native Hawaiian – Persons
having origins in any of the original
peoples of Hawaii.
-
5c. Other Pacific Islanders –
Persons having origins in any of
the original peoples of Guam, Samoa,
or other Pacific Islands.
-
Line 5. “ Hawaiian / Pacific
Islander”, must equal lines
5b + 5c
-
5a. Asian – Persons having
origins in any of the original peoples
of the Far East, Southeast Asia,
or the Indian subcontinent including,
for example, Cambodia, China, India,
Japan, Korea, Malaysia, Pakistan,
the Philippine Islands, Thailand,
and Vietnam.
- “American
Indian”/Alaska Native (line 7)
should be considered to include persons
having origins in any of the original
peoples of North and South America (including
Central America), and who maintain tribal
affiliation or community attachment.
- “More
than one race” (line 9a). Use
this line only if your system captures
multiple races (but not a race and an
ethnicity!) and the patient has chosen
two or more races. This is usually done
with an intake form which lists the
races and tells the patient to “check
one or more.
Note:
Grantees are required to report race and
ethnicity for all patients; however, some
grantees' patient registration systems
are configured to capture data for patients
who were asked to report race or ethnicity.
Grantees who are unable to distinguish
a White Latino patient from a Black Latino
patient (because their system only asks
patients if they are White, Black or Latino),
are instructed to report these patients
as "unreported".
LANGUAGE:
- Report
on line 12 the number of patients who
are best served in a language other
than English or with sign language.
- Include
those patients who were served by a
bilingual provider and those who may
have brought their own interpreter.
NOTE:
Data reported on line 12, Language, may
be estimated if the health center does
not maintain actual data in its PMS. Wherever
possible, the estimate should be based
on a sample.
QUESTIONS AND ANSWERS FOR TABLES 3A
AND 3B
- Are
there any changes to Tables 3A or 3B?
No.
However, in 2007 an additional race
category was added for “More than one
race”. With the addition of this race
classification, the UDS racial classifications
are consistent with those used by the
Census Bureau as per the October 30,
1997, Federal Register Notice entitled,
‘‘Revisions to the Standards for the
Classification of Federal Data on Race
and Ethnicity,’’ issued by the Office
of Management and Budget (OMB). These
standards govern the categories used
to collect and present federal data
on race and ethnicity. The OMB requires
five minimum categories (White, Black
or African American, American Indian
or Alaska Native, Asian, and Native
Hawaiian or Other Pacific Islander)
for race. In addition to the five race
groups, the OMB also states that respondents
should be offered the option of selecting
more than one race. The addition of
Line 9 permits reporting of those people
who have chosen to report two or more
races. The report now also excludes
Asian from the subtotal of line 5.
-
How do you report Patients of Latino/Hispanic
ethnicity now?
In
2007, we divided the table into two
sections. Patients who, in the past,
were reported on line 5 (Latino / Hispanic)
will be reported on line 1 and
will be reported on lines 5 through
11as appropriate. If “Latino/Hispanic”
is the only identity recorded in the
center’s files, these patients will
be reported on line 10 as having an
“Unreported” racial identification.
- How
do we report individuals who receive
different types of services or use more
than one of the grantee’s service delivery
sites? For example, a person who receives
both medical and dental services or
a woman who receives primary care from
one clinic, but gets prenatal care at
another.
UDS
Tables 3A and 3B provide unduplicated
counts of patients. Grantees are required
to report each patient once and only
once on Table 3A and once in each section
of Table 3B, regardless of the type
or number of services they receive or
where they receive them. Each
person who has received at least one
encounter reported on Table 5 is to
be counted once and only once on Table
3A, once on lines 1-4 of Table 3B and
once on lines 5a through 11 on Table
3B. Encounters are defined in detail
in the General Instructions. Note the
following:
-
Persons
who only receive WIC services and
no other services at the agency
are not to be counted as patients
or reported on Table 3A or Table
3B.
-
Persons
who only receive lab services or
whose only service was an immunization
or screening test as part of a community
wide health promotion/disease prevention
effort are not to be counted as
patients or reported on Table 3A
or Table 3B.
NOTE: The sum of Table 3A, Line 39, Column A + B (total patients
by age and gender) must equal Table 3B,
Lines 4 (total patients by ethnicity)
and 11 (total patients by race); Table
4, Line 6 (total patients by income);
and Table 4 Line 12, Column A + B (total
patients by insurance status). The sum
of Table 3A, Lines 1-20, Column A + B
(total patients age 0-19 years) must equal
Table 4, Line 12, Column A (total patients
age 0-19 years).
- Do we need to collect information on and report on
the race and ethnicity of all of our
patients?
Yes.
UDS requires the classification of race
and ethnicity information in order to
assess health disparities across sub-populations.
The format for the classification of this
information has been stipulated by OMB,
and the UDS manual follows the standards
established by OMB.
Reporting Period: January 1, 2008 through December 31, 2008
TABLE
3A – PATIENTS BY AGE AND GENDER
Age
Groups |
Male Patients
(a) |
Female
Patients
(b) |
Number
of Patients |
1 |
Under
age 1 |
|
|
2 |
Age
1 |
|
|
3 |
Age
2 |
|
|
4 |
Age
3 |
|
|
5 |
Age
4 |
|
|
6 |
Age
5 |
|
|
7 |
Age
6 |
|
|
8 |
Age
7 |
|
|
9 |
Age
8 |
|
|
10 |
Age
9 |
|
|
11 |
Age
10 |
|
|
12 |
Age
11 |
|
|
13 |
Age
12 |
|
|
14 |
Age
13 |
|
|
15 |
Age
14 |
|
|
16 |
Age
15 |
|
|
17 |
Age
16 |
|
|
18 |
Age
17 |
|
|
19 |
Age
18 |
|
|
20 |
Age
19 |
|
|
21 |
Age
20 |
|
|
22 |
Age
21 |
|
|
23 |
Age
22 |
|
|
24 |
Age
23 |
|
|
25 |
Age
24 |
|
|
26 |
Ages
25 – 29 |
|
|
27 |
Ages
30 – 34 |
|
|
28 |
Ages
35 – 39 |
|
|
29 |
Ages
40 – 44 |
|
|
30 |
Ages
45 – 49 |
|
|
31 |
Ages
50 – 54 |
|
|
32 |
Ages
55 – 59 |
|
|
33 |
Ages
60 – 64 |
|
|
34 |
Ages
65 – 69 |
|
|
35 |
Ages
70 – 74 |
|
|
36 |
Ages
75 – 79 |
|
|
37 |
Ages
80 – 84 |
|
|
38 |
Age
85 and over |
|
|
39 |
Total Patients
(Sum Lines 1-38) |
|
|
Reporting
Period: January 1, 2008 through December
31, 2008
TABLE
3B – PATIENTS BY ETHNICITY/RACE/LANGUAGE
PATIENTS
by HISPANIC/Latino Identity |
Number
(a) |
number
of patients |
|
|
|
|
|
|
|
|
|
|
Total Patients (Sum Lines 1-3) |
|
PATIENTS
by race |
Number
(a) |
number
of patients |
|
|
|
|
|
|
|
|
|
|
Asian |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
Patients (SUM
LINES 5 - + 5A +6 - 10) |
|
Users
by Language |
Number
(a) |
number
of patients |
|
patients
best served in a language other
than English |
|
|
|
|
|