Northern Counties Health Care, Inc.
- Location
- St Johnsbury, VT 05819
- Grant number
- H80CS00632
- Project director
- Christopher Towne
Who this health center serves · 2024
The population behind the quality numbers — from this center's HRSA UDS report.
Services
Special populations served
- 114 experiencing homelessness
- 98 migrant/seasonal agricultural workers
- 1,010 veterans
- 22,409 public-housing residents
10 delivery sites · 79,373 patient visits in 2024.
Clinical quality measures · 2024
Self-reported to HRSA on the Uniform Data System (UDS) — covers all the center's patients, every payer. "National median" and percentile are vs all health centers reporting the measure (denominator ≥ 30). How UDS differs from other programs →
Cancer screening
| Measure | This center | National median | Percentile |
|---|---|---|---|
| Cervical cancer screening | 51.5% | 51.3% | Above median · 51th |
| Breast cancer screening | 64.9% | 52.3% | Top quartile · 82th |
| Colorectal cancer screening | 56.8% | 40.5% | Top quartile · 87th |
Chronic disease control
| Measure | This center | National median | Percentile |
|---|---|---|---|
| Blood-pressure control | 79.6% | 66.2% | Top 10% · 93th pctile |
| Diabetes: HbA1c poor control (>9%) (lower=better) | 13.6% | 27.2% | Top 10% · 98th pctile |
| Statin therapy | 79.2% | 78.1% | Above median · 57th |
| Aspirin/antiplatelet for heart disease | 56.3% | 75.7% | Bottom quartile · 6th |
Behavioral health
| Measure | This center | National median | Percentile |
|---|---|---|---|
| Depression screening & follow-up | 47.5% | 75.3% | Bottom quartile · 11th |
| Depression remission | 27.9% | 12.7% | Top quartile · 79th |
Prevention & wellness
| Measure | This center | National median | Percentile |
|---|---|---|---|
| Childhood immunization | 36.2% | 28.4% | Above median · 68th |
| Adult BMI screening & follow-up | 38.6% | 68.5% | Bottom quartile · 15th |
| Child BMI counseling | 13.1% | 73.5% | Bottom quartile · 4th |
| Tobacco screening & cessation | 77.4% | 85.7% | Below median · 28th |
| HIV screening | 17.8% | 47.0% | Bottom quartile · 16th |
HRSA quality recognition
Health Center Quality awards, 2021–2025. Quality Leader = top 10/20/30% nationally on clinical quality; National Quality Leader = best-in-class on a clinical domain.
Closing the gaps behind these measures is exactly what population health management is for. Quaility is an AI-native population health platform built for health centers — it unifies your EHR, claims, and payer data into one record, then closes care gaps with AI and staff-led outreach, turning the annual UDS report into year-round improvement.
Population health management for health centers →