North Country Healthcare, Inc.
- Location
- Flagstaff, AZ 86004
- Grant number
- H80CS00651
- Project director
- Anne Newland
Who this health center serves · 2024
The population behind the quality numbers — from this center's HRSA UDS report.
Services
Special populations served
- 416 experiencing homelessness
- 268 migrant/seasonal agricultural workers
- 1,413 veterans
16 delivery sites · 173,562 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 | 42.2% | 51.3% | Below median · 32th |
| Breast cancer screening | 48.2% | 52.3% | Below median · 41th |
| Colorectal cancer screening | 26.8% | 40.5% | Bottom quartile · 20th |
Chronic disease control
| Measure | This center | National median | Percentile |
|---|---|---|---|
| Blood-pressure control | 62.9% | 66.2% | Below median · 35th |
| Diabetes: HbA1c poor control (>9%) (lower=better) | 29.1% | 27.2% | Below median · 39th |
| Statin therapy | 74.6% | 78.1% | Below median · 33th |
| Aspirin/antiplatelet for heart disease | 69.8% | 75.7% | Below median · 29th |
Behavioral health
| Measure | This center | National median | Percentile |
|---|---|---|---|
| Depression screening & follow-up | 66.7% | 75.3% | Below median · 33th |
| Depression remission | 2.7% | 12.7% | Bottom quartile · 6th |
Prevention & wellness
| Measure | This center | National median | Percentile |
|---|---|---|---|
| Childhood immunization | 30.6% | 28.4% | Above median · 55th |
| Adult BMI screening & follow-up | 92.8% | 68.5% | Top quartile · 89th |
| Child BMI counseling | 78.9% | 73.5% | Above median · 61th |
| Tobacco screening & cessation | 41.4% | 85.7% | Bottom quartile · 3th |
| HIV screening | 18.4% | 47.0% | Bottom quartile · 17th |
Maternal & oral health
| Measure | This center | National median | Percentile |
|---|---|---|---|
| Low birth weight (lower=better) | 6.7% | 6.3% | Below median · 46th |
| Dental sealants | 38.7% | 59.6% | Bottom quartile · 19th |
HRSA quality recognition
Health Center Quality awards, 2021–2023. 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 →