Reporting on Performance


chartsOnce a year, all Federally Qualified Health Centers (FQHC’s) must provide a report to the Health Resources and Services Administration (HRSA). The report, which is public record, is the Uniform Data System (UDS) and is a core system of information appropriate for reviewing the operation and performance of health centers.

The data is used to improve health center performance and operation and to identify trends over time which enables HRSA to establish or expand targeted programs and identify effective services and interventions to improve the health of communities. UDS data is compared with national data to review differences between the U.S population at large and those individuals and families who use  health centers for primary care.

The data collected through this report is analyzed to ensure compliance with legislative mandates, report program accomplishments, and justify budget requests to the U.S. Congress. UDS data also informs Health Center Program grantees, partners and communities about Health Centers and their patients.

The UDS includes:

■ The number and socio-demographic characteristics of people served.
■ Types and quantities of services provided.
■ Counts of staff who provide these services.
■ Information about the quality of care provided to patients.
■ Cost and efficiency data relative to the delivery of services.
■ Sources and amounts of health center income.


■ Comply with legislative and regulatory requirements
■ Inform HRSA, Congress, and the public of health center performance and operations
■ Document program effectiveness
■ Identify trends over time
■ Permit comparison with national benchmarks

In 2016, MEHOP had 8,168 patients who had a total of 42,156 visits.

  • 28% – Private Insurance
  • 31%  – Medicaid and CHIP
  • 38% -  200% of poverty and below (eligible for discounts on fees for services)
  • 8% – Medicare

Some of the items that we report on regarding the services and quality of care provided to patients is;

  • Childhood immunizations
  • Cervical cancer screenings for 21 to 64 years of age
  • Weight assessment and counseling for 3 to 17 years of age
  • BMI with counseling for 18 years of age and older
  • Tobacco use screening and cessation 18 years of age and older
  • Percent of patients age 5 to 64 with persistent asthma and prescribed medications
  • Percent of patients age 50 to 75 with appropriate screening for colorectal cancer
  • Percent of patients age 12 and older screened for depression and counseling
  • Percent of children age 6 to 9 with moderate to high risk of cavities who received sealants on first permanent molars
  • Weights of babies at birth
  • Controlled hypertension age 18 and older
  • Controlled diabetes age 18 to 75

These reporting measures allow MEHOP staff to annually review performance and operations, program accomplishments, identify areas for improvements and maintain an understanding of the patients we serve so that in turn we can better serve their healthcare needs.