2016 Health Center Profile

NORTH COUNTRY HEALTHCARE, INC.
FLAGSTAFF, ARIZONA

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Total Patients Served: 49,643

EHR installed at all sites and used by all providers PCMH Recognition as of Wednesday, October 18, 2017

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  2014 2015 2016
Total Patients
Total Patients 49,784 48,718 49,643
Age (% of total patients)
Children (< 18 years old) 21.0% 20.1% 20.1%
Adult (18 - 64) 64.6% 65.6% 65.5%
Older Adults (age 65 and over) 14.4% 14.3% 14.4%
Patients By Race & Ethnicity (% known)
Non-Hispanic White1 73.4% 72.6% 72.2%
Racial and/or Ethnic Minority 28.1% 29.6% 30.4%
Hispanic/Latino Ethnicity 14.7% 17.0% 16.4%
Black/African American 1 1.8% 1.8% 1.9%
Asian 1 0.9% 1.1% 1.0%
American Indian/Alaska Native 1 10.8% 9.7% 10.7%
Native Hawaiian / Other Pacific Islander 1 0.4% 0.8% 0.5%
More than one race 1 5.0% 4.9% 5.2%
Language (% known)
Best Served in another language 5.1% 2.9% 2.3%
  2014 2015 2016
Income Status (% of patients with known income)
Patients at or below 200% of poverty 93.2% 89.0% 86.0%
Patients at or below 100% of poverty 72.7% 68.2% 61.8%
Insurance Status (% of total patients)
Uninsured 16.3% 13.1% 17.3%
Children Uninsured (age 0-17 years) 22.5% 19.5% 22.1%
Medicaid/CHIP 2 35.3% 38.1% 37.1%
Medicare 12.6% 12.2% 11.6%
Dually Eligible (Medicare and Medicaid) (of Medicare) - 1.5% 1.6%
Other Third Party 35.8% 36.6% 34.0%
Special Populations
Homeless 0.1% 0.1% 0.4%
Agricultural Worker 0.1% 0.3% 0.4%
Public Housing3 0.0% 0.0% 0.0%
School Based 1.0% 1.1% 1.0%
Veterans 0.5% 0.9% 1.3%
Gender of Patients by Age
Women's Data (% of total women)
Women's Health (ages 15-44) 40.1% 40.9% 41.1%
Patients Under 15 Who are Female 14.4% 14.2% 13.9%
Patients 15-64 Who are Female 71.1% 71.7% 71.9%
Patients 65 and Over Who are Female 14.4% 14.1% 14.3%
Men's Data (% of total men)
Men's Health (ages 15-44) 34.0% 33.7% 33.8%
Patients Under 15 Who are Male 20.6% 19.8% 19.7%
Patients 15-64 Who are Male 65.0% 65.5% 65.7%
Patients 65 and Over Who are Male 14.4% 14.7% 14.7%
Services (% of patients) 2014 2015 2016
Medical 96.0% 96.3% 93.4%
Dental 7.2% 7.4% 8.3%
Mental Health 0.6% 1.7% 2.9%
Substance Abuse 0.0% 0.0% 0.0%
Vision 0.0% 0.0% 0.0%
Enabling 41.4% 37.0% 37.3%
  2014 2015 2016
Patients
Medical Conditions (% of Patients with Medical Conditions)
Hypertension 4 17.4% 15.8% 22.2%
Diabetes 5 7.8% 9.1% 11.8%
Asthma 4.7% 3.4% 4.8%
HIV 0.3% 0.3% 0.4%
Prenatal
Prenatal Patients6 912 892 820
Prenatal Patients who Delivered 495 461 437
  2014 2015 2016 Adjusted Quartile Ranking 7
2015 2016
Quality of Care Measures
Perinatal Health
Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 78.1% 78.8% 82.1% 3 2
Low Birth Weight 8.6% 9.0% 8.7% 3 3
Preventive Health Screening & Services
Cervical Cancer Screening 45.2% 35.7% 43.0% 4 3
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 26.8% 35.8% 41.2% 3 3
Body Mass Index (BMI) Screening and Follow-Up 36.3% 48.7% 72.5% 3 2
Adults Screened for Tobacco Use and Receiving Cessation Intervention 79.9% 83.0% 91.3% 3 2
Colorectal Cancer Screening 29.6% 31.4% 35.3% 3 3
Childhood Immunization Status 8 67.1% 60.0% 42.8% 4 2
Screening for Clinical Depression and Follow-Up Plan 62.9% 74.0% 79.4% 1 1
Dental Sealants for Children between 6-9 Years - 17.1% 34.3% 4 3
Chronic Disease Management
Use of Appropriate Medications for Asthma 91.4% 94.3% 77.1% 2 4
Coronary Artery Disease (CAD): Lipid Therapy 71.8% 51.2% 59.3% 4 4
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 79.5% 75.2% 3.9% 3 4
Controlling High Blood Pressure (Hypertensive Patients with Blood Pressure < 140/90) 58.1% 61.2% 60.0% 3 3
Diabetes: Hemoglobin A1c Poor Control 8(Diabetic Patients with HbA1c > 9%) or No Test During Year 31.4% 30.0% 37.6% 3 4
HIV Linkage to Care 66.7% 66.7% 100.0% - -
  2014 2015 2016
Cost Data
Health Center Service Grant Expenditures $4,671,460 $5,885,543 $6,433,519
Total Cost $37,200,834 $42,398,474 $45,988,144
Total Cost Per Patient $747.24 $870.28 $926.38
Program Conditions 10

There are no conditions for this grantee

Data are rounded to the first decimal place
'-' - Data Cannot be Calculated

% Change: The change in a variable from one year to another expressed as a percent. For example for 2010 - 2012, the formula used to calculate percent change would be: %Change = ((Value 2012 - Value 2010) / Value 2010) X 100

  1. Includes Hispanic/Latino and Non-Hispanic/Latino.
  2. Includes Medicaid, Medicaid CHIP, and Other Public Insurance CHIP.
  3. Measure revised in 2014 UDS to include patients served in health centers with and without Public Housing Primary Care funding.
  4. Hypertensive adults as a percent of estimated adult medical patients of ages 18-85.
  5. Diabetic adults as a percent of estimated adult medical patients of ages 18-75.
  6. All health centers who provide prenatal care directly or by referral are included in the prenatal care calculations, effective 2014.
  7. Adjusted Quartile Rankings: Provides a health center's adjusted quartile ranking compared to health centers nationally for each of the clinical performance measures. Clinical performance for each measure is ranked from quartile 1 (highest 25% of reporting health center) to quartile 4 (lowest 25% of reporting health centers). Adjusted quartile ranking is not calculated when there are fewer than 30 patients in the universe count. To learn more about the Health Center Adjusted Quartile Ranking please refer to https://bphc.hrsa.gov/datareporting/reporting/ranking.html and for FAQ's please refer to https://bphc.hrsa.gov/datareporting/reporting/rankingfaq.html.
  8. The Childhood Immunizations measure was revised in 2013 and is not comparable to prior years.
  9. Measure changed in 2015 to address uncontrolled diabetes for patients with Hba1c > 9.
  10. Program conditions are based on non-compliance with Health Center Program requirements and are updated daily. To learn more about the Health Center Program requirements, please visit https://www.bphc.hrsa.gov/about/requirements/index.html.
*Note: Health center profile data are aggregated to the health center parent organizational level, which may be comprised of multiple service delivery sites.

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