North Country Family Health Center, Inc.
- Location
- Watertown, NY 13601
- Grant number
- H80CS24165
- Project director
- Joey M Horton
Who this health center serves · 2024
The population behind the quality numbers — from this center's HRSA UDS report.
Services
Special populations served
- 48 experiencing homelessness
- 25 migrant/seasonal agricultural workers
- 201 veterans
10 delivery sites · 60,150 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 | 35.6% | 51.3% | Bottom quartile · 21th |
| Breast cancer screening | 58.7% | 52.3% | Above median · 67th |
| Colorectal cancer screening | 52.0% | 40.5% | Top quartile · 78th |
Chronic disease control
| Measure | This center | National median | Percentile |
|---|---|---|---|
| Blood-pressure control | 73.9% | 66.2% | Top quartile · 81th |
| Diabetes: HbA1c poor control (>9%) (lower=better) | 26.5% | 27.2% | Above median · 54th |
| Statin therapy | 83.0% | 78.1% | Top quartile · 78th |
| Aspirin/antiplatelet for heart disease | 80.0% | 75.7% | Above median · 65th |
Behavioral health
| Measure | This center | National median | Percentile |
|---|---|---|---|
| Depression screening & follow-up | 76.4% | 75.3% | Above median · 53th |
| Depression remission | 9.1% | 12.7% | Below median · 35th |
Prevention & wellness
| Measure | This center | National median | Percentile |
|---|---|---|---|
| Childhood immunization | 32.9% | 28.4% | Above median · 62th |
| Adult BMI screening & follow-up | 84.4% | 68.5% | Above median · 73th |
| Child BMI counseling | 78.6% | 73.5% | Above median · 60th |
| Tobacco screening & cessation | 91.7% | 85.7% | Above median · 72th |
| HIV screening | 51.6% | 47.0% | Above median · 56th |
Maternal & oral health
| Measure | This center | National median | Percentile |
|---|---|---|---|
| Dental sealants | 52.8% | 59.6% | Below median · 40th |
HRSA quality recognition
Health Center Quality awards, 2021–2024. 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 →