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Introduction. Use this page to quickly find all resources from the Clearinghouse database on Clinical Issues.

Background. Clinical Issues resources span a wide variety of clinical topics including behavioral health, diabetes, HIV/AIDS, Oral Health, Research and Data, and Substance Use Disorders.

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Results for: Topic Area = Clinical Issues

Displaying all 490 records.

Interim Adapted Clinical Guidelines for Post-COVID Conditions (Long-COVID) (2021). Resource Type: Publication. Description: The CDC recently released interim guidance for supporting individuals with Post-COVID conditions, also known as “Long-COVID.” The purpose of this guide is to adapt the CDC clinical guidance for health care providers to meet the unique needs and challenges that people experiencing homelessness may face while managing Long-COVID. More Details...

Nurse Closer Process: Using Nonclinician Staff to Make Patient Visits More Efficient (2019). Resource Type: Other. Description: The Nurse Closer process was designed and implemented to use non clinician staff to make patient visits more efficient. The model drives quality by combining team-based care with technology and allows all team members to work at the maximum capacity of their license. The goal of the process is to achieve higher value care with out increasing clinical expenses or provider burn out. More Details...

We Can Do This: COVID-19 Public Education Campaign (2021). Resource Type: Website. Description: The U.S. Department of Health & Human Services announced a national effort to help community partners promote COVID-19 vaccine confidence. The campaign includes educational materials targeted to specific audiences, including rural communities, and seeks volunteers for the COVID-19 Community Corps. Don’t miss the Spanish-language website, JuntosSíPodemos.HHS.gov. More Details...

Rural Resource Toolkit for COVID-19 Vaccinations (2021). Resource Type: Toolkit. Description: This toolkit is full of resources created specifically for rural communities to meet residents where they are, giving equal access to information so everyone can have the facts and decide for themselves whether getting vaccinated against COVDI-19 is right for them. More Details...

Customizable COVID-19 Vaccine Communication Toolkit for Rural Communities (2021). Resource Type: Toolkit. Description: This toolkit provides easy access to customizable communication templates that include print ads, poster, brochure, social media posts, and an online resource guide. More Details...

COVID-19 Vaccine Booster Planning Checklist (2021). Resource Type: Publication. Description: This document is a resource for health centers to assess their readiness to administer COVID-19 booster shots. A booster shot refers to a vaccine given to someone who built enough protection after completing an initial series of vaccinations, but that protection may have decreased over time. COVID-19 booster shots will be given to individuals in accordance with all requirements and recommendations from FDA, CDC, and the CDC Advisory Committee on Immunization Practices (ACIP). More Details...

Brief: Leveraging legal services on the Homeless Patient Aligned Care Team (H-PACT) (2020). Resource Type: Publication. Description: This brief highlights the potential for partnership between the legal community and H-PACTs at VAMCs, and profiles MLPs that are successfully tackling the unmet legal needs of Veterans experiencing and at-risk of homelessness through this approach More Details...

HIV Testing, Prevention, and Treatment for Sexual and Gender Minority People (2021). Resource Type: Online Self-Paced Learning Modules. Description: This module reviews current methods and recommendations for HIV testing, prevention, and treatment for LGBTQIA+ people, including information on pre-exposure prophylaxis (PrEP) for HIV prevention. More Details...

Healthcare for Transgender and Gender Diverse People (2021). Resource Type: Online Self-Paced Learning Modules. Description: This module will guide learners through the basics of health care for transgender and gender diverse people. Participants will learn terminology, demographics and health disparities along with gender affirmation care and treatment. More Details...

Healthcare for LGBTQIA+ Youth (2021). Resource Type: Online Self-Paced Learning Modules. Description: This module discusses the unique health and developmental challenges of LGBTQIA+ youth and describes ways to address these issues in clinical settings. More Details...

Healthcare for LGBTQIA+ Older Adults (2021). Resource Type: Online Self-Paced Learning Modules. Description: This module provides an overview of the unique medical, behavioral health, and social service needs of LGBTQIA+ older adults, as well as strategies to address these needs. More Details...

Behavioral Health Care for LGBTQIA+ People (2021). Resource Type: Online Self-Paced Learning Modules. Description: This module discuses behavioral health disparities faced by LGBTQIA+ populations, and discusses evidence-based clinical practices in LGBTQIA+ behavioral health care. More Details...

ACCELERATE PrEP for HIV Training Modules (2020). Resource Type: Online Self-Paced Learning Modules. Description: The PrEP for HIV Training Course is a free, online training program developed by Program ACCELERATE in partnership with The Fenway Institute. The training course offers learning about the latest evidence on PrEP, how to assess patients for PrEP eligibility, how to prescribe and monitor PrEP, and how to offer supportive, welcoming care for patients at higher risk of HIV. The estimated total time to complete the course is between 2-2.5 hours. If you exit before completing a module, your progress will be saved. More Details...

Why Weight? Improving the health of LGBTQIA+ patients by reducing weight stigma (2021). Resource Type: Archived Webinar. Description: Weight-related discrimination in the U.S. is common and is associated with substantial social, economic, and health costs. Allegra Gordon (she/her), ScD, MPH, Assistant Professor at Boston University’s School of Public Health and Jamie Dannenberg (she/they), MS, RD, LDN, outpatient eating disorder dietitian at Metrowest Nutrition and co-creator of thirdwheelED, invite you to explore how we can improve health outcomes of LGBTQIA+ patients through a weight-inclusive approach to healthcare. This webinar will offer an introduction to the current state of the science on weight stigma and its effects on health, as well as critical insights on weight stigma in relation to LGBTQIA+ identities. Participants will come away from the webinar with concrete recommendations for creating a weight-inclusive medical practice. More Details...

Trauma Informed Care for LGBTQIA+ People (2021) (2021). Resource Type: Archived Webinar. Description: Trauma Informed Care for LGBTQIA+ Patients In this webinar, participants will explore the principles of trauma informed care for LGBTQIA+ patients, including best practices for the implementation of affirming, trauma-informed programming. The webinar will include provider and patient perspectives of the patient journey, focusing on opportunities for trust building and for the recognition and support of patients who have been affected by trauma. More Details...

TelePrEP and Tele-STI Care: Optimizing Safer Sex in the Pandemic (2020). Resource Type: Archived Webinar. Description: The webinar discusses what is known about sexual behavior during the pandemic and what constitutes safer sex in the COVID-19 era. The talk contextualizes PrEP as part of a sexual harm reduction strategy and discusses models for remote PrEP delivery and clinical monitoring. Practical issues, such as STI screening and reimbursement, are also discussed. More Details...

Supporting LGBTQIA+ Youth Who Have Experienced Trafficking (2020). Resource Type: Archived Webinar. Description: In partnership with Futures without Violence, this webinar provides strategies for the identification of LGBTQIA+ youth at risk for trafficking. Participants will learn about the health impacts of this experience for LGBTQIA+ youth, and explore research-informed and promising practices for the implementation of trauma-sensitive policies and practices. More Details...

Sexual Health in the time of COVID-19 (2020). Resource Type: Archived Webinar. Description: In this webinar, Dr. Ken Mayer discusses sexual health in the time of COVID-19. Participants learn how to counsel patients on the transmission of the SARS-CoV-2 virus, and how to protect themselves in the context of sexual health. Dr. Mayer will offer strategies for providers to help patients minimize risk of SARS-CoV-2 acquisition while affirming the desire for intimacy, and participants will learn how telehealth technology can be used to provide remote sexual health counseling and screening for STIs. More Details...

PrEP Care for Patients Experiencing Homelessness (2021). Resource Type: Archived Webinar. Description: In this national, panel-style webinar, participants will learn about promising and best practices for PrEP programming for patients experiencing homelessness. Panelists, including a medical provider, an administrator, and a nurse, will discuss barriers to care, ideas for creating welcoming and affirming environments, and strategies for PrEP navigation for people experiencing homelessness. More Details...

Motivational Interviewing to Improve Chronic Illness Management in Marginalized Populations (2021). Resource Type: Archived Webinar. Description: In this webinar, Dr. Sylvie Naar will discuss the use of motivational interviewing to support LGBTQIA+ patients in the management of chronic illness including diabetes and HIV. Participants will get a taste of the best and promising practices for the use of MI strategies to improve health outcomes and understand how MI can be a foundation for communicating cultural humility. More Details...

Mental Health and Substance Use Among Gay, Bisexual and MSM (2021). Resource Type: Archived Webinar. Description: Minority stress, stigma, discrimination and homophobia can lead to some people to turn to the use of substances as a coping mechanism. In this webinar, participants will explore best and promising practices for health centers in supporting the mental health of gay and bisexual men who use opioids, methamphetamines, and/or other substances as a means of coping with environmental stressors. More Details...

LGBTQIA+ Patients and Social Determinants of Health Screening and Documentation (2020). Resource Type: Archived Webinar. Description: In this webinar, Dr. Bisola Ojikutu discusses screening for Social Determinants of Health (SDOH) for lesbian, gay, bisexual, transgender, queer, intersex, asexual and other gender minority (LGBTQIA+) patients. Webinar content will focus on SDOH disparities for LGBTQIA+ people, existing screening tools, and their adaptation for culturally affirming screening and referral for LGBTQIA+ people. More Details...

Housing and Older LGBTQIA+ Adults – Part 1 (2021). Resource Type: Archived Webinar. Description: This two-part webinar series will explore the impact of housing as a social determinant of health, particularly for LGBTQIA+ older adults. Participants will learn how structural inequity in housing assistance programs, family systems, and limited affirming placement options can lead to increased challenges for LGBTQIA+ older adults when securing safe and stable housing. Webinar attendees will learn best and promising practices for inclusive screening, and how to provide affirming referrals for housing or support for aging-in-place. More Details...

Foundations of LGBTQIA+ Health, Part 2: For Clinicians (2021). Resource Type: Online Self-Paced Learning Modules. Description: This module builds off the Foundations of LGBTQIA+ Health Part 1 by offering specific information for clinicians, including: effective communication with LGBTQIA+ patients, asking about sexual orientation and gender identity, and addressing health disparities through clinical care. More Details...

Foundations of LGBTQIA+ Health, Part 1 (2021). Resource Type: Online Self-Paced Learning Modules. Description: This module provides an overview of LGBTQIA+ health terms, concepts, and disparities. We recommend that all learners start here. More Details...

Engaging Families of Transgender and Gender Diverse Youth (2021). Resource Type: Archived Webinar. Description: In this webinar, participants will learn strategies for engaging families and caregivers in supporting transgender and gender diverse (TGD) children and youth. Webinar attendees will explore best and promising practices for implementing interventions in order to decrease family rejection, improve physical and mental health outcomes, and ensure safe and stable housing for TGD youth. More Details...

The State of the COVID-19 Vaccine (2021). Resource Type: Archived Webinar. Description: In this webinar participants will learn more about the status of clinical trials for the COVID-19 vaccine, discuss strategies for a culturally responsive pandemic response, and explore the challenges surrounding safe, reliable, and equitable distribution of the COVID-19 vaccine. More Details...

Telehealth and PrEP/HIV Care Outcomes (2021). Resource Type: Archived Webinar. Description: Participants of this training will learn about the current research in telehealth and PrEP/HIV care outcomes, including PrEP @ Home and considerations for the administration and management of PrEP during COVID-19. Additionally, training participants will explore the topic of PrEP program implementation in a health center setting, including best practices for systems of care and improving adherence. More Details...

NNOHA Teledentistry User’s Guide (2021). Resource Type: Publication. Description: Teledentistry is an emerging trend to help improve access to oral health care, improve the dental care delivery system, and lower costs. NNOHA has worked with health centers since Spring 2020 to develop and test a variety of strategies to deliver dental services via synchronous teledentistry. This User’s Guide gives an overview of teledentistry, describes its use in health center dental programs, and includes practical tools for implementing teledentistry. More Details...

HIV and Diabetes (2021). Resource Type: Archived Webinar. Description: This webinar, intended for our clinical audience, will explore best practices for the management of co-occurring HIV and diabetes. Drs. Janet Lo and Kevin Ard will present cases highlighting the risk of developing diabetes among patients with HIV. Participants of this webinar will learn about the metabolic side effects of antiretroviral medications and discuss drug interactions between anti-diabetic and antiretroviral medications. More Details...

Health Equity and COVID-19 (2021). Resource Type: Archived Webinar. Description: COVID-19 has been shown to disproportionately affect people from racial and ethnic minority groups due to deep-rooted inequities in health and social systems. Participants in this webinar will discuss the unique challenges and barriers to care faced by members of these communities in the time of a global pandemic, including best practices for culturally responsive care. More Details...

Coordinating Hepatitis C (HCV) and HIV Treatment in Primary Care (2021). Resource Type: Archived Webinar. Description: HCV and HIV are overlapping epidemics with serious clinical implications for infected patients. Community health centers are poised to prevent and treat these viral infections by understanding the implications of comorbidity and by creating a welcoming environment for those at risk for, previously infected, or currently infected with one or both diseases. Join the National Nurse-Led Care Consortium and the National LGBTQIA+ Health Education Center for a webinar exploring the link between HCV and HIV, and particular considerations for community-based primary care providers. We will be joined by infectious disease specialists Dr. Kevin Ard and nurse practitioner Maggie Beiser, Director of HCV Services at Boston Health Care for the Homeless Program, who will share expertise and cases that demonstrate best practices for preventing and/or treating co-infection. More Details...

Behavioral Health Care for LGBTQIA+ Patients during COVID-19 (2021). Resource Type: Archived Webinar. Description: The COVID-19 pandemic has had a profound negative impact on the mental health of people in marginalized communities across the United States. Issues of isolation, anxiety, depression, thoughts of suicide or self-harm, all have seen a dramatic rise over the past year. For LGBTQIA+ communities, where many of these issues were already alarmingly high, the impact has been even more concerning. In this webinar, Dr. Alex Keuroghlian, MD, MPH, will address the ways mental health disparities effecting LGBTQIA+ people have been impacted by the COVID-19 pandemic, and discuss how providers might meet the needs of those within this community. More Details...

Sexual Health and Older Adults (2021). Resource Type: Archived Webinar. Description: Sexual health is an integral part of overall health, and this remains so as people age. In this webinar, Dr. Kevin Ard and Dr. Mark Simone-Skidmore discuss core terms and concepts for sexual orientation and gender identity and address common misconceptions about sexuality and aging. Participants will learn special considerations for the sexual health care of older adults, including a demonstration of how to elicit an affirming sexual history. More Details...

Engaging the Families of Transgender and Gender Diverse Children (2021). Resource Type: Publication. Description: This publication engages pediatric primary care providers, mental health providers, health center administrators and support staff in learning how to actively engage families in the support of their transgender and gender-diverse (TGD) children, with the aim of improving the health outcomes for TGD youth. More Details...

HIV and Diabetes Mellitus (2021). Resource Type: Publication. Description: This 2021 fact sheet from the National LGBTQIA+ Health Education Center provides information for health centers to manage co-occurring diabetes and HIV, including information about the metabolic side effects of antiretroviral medications. More Details...

Partnering with Schools to Get Adolescents Immunized: Innovations and Mental Health Opportunities (2021). Resource Type: Archived Webinar. Description: This webinar, hosted by HHS Maternal Child Health Bureau (MCHB), gathers a host of experts to address various ways to partner with schools to facilitate the vaccination of adolescents. Accompanying the webinar is a valuable list of available resources. More Details...

Growing Our Own: Cultivating the Next Generation of Primary Care Physicians in Community Health Centers (2017). Resource Type: Publication. Description: It is critical to advance policies and programs that help community health centers (CHCs) become Educational Health Centers (EHCs)2 and “grow their own” primary care training opportunities. This paper explores several pathways for promoting CHCs as teaching environments - enhanced partnerships between Academic Medical Centers (AMCs) and CHCs (with either the AMC or the CHC as the sponsoring institution3), and CHCs participating in HRSA Teaching Health Center (THC) funding opportunities (with sponsorship either by the CHC alone or by a consortium body) - and posits a spectrum of options and costs associated with each of these pathways to train medical residents. More Details...

Sharing COVID-19 Vaccine Information Through Social Media (2021). Resource Type: Archived Webinar. Description: This live session will help prepare nurses to share information and stories on social media. We’ll walk through the basics of individual social media channels as well as best practices for sharing your own content and engaging with others’. More Details...

How to Tell Your COVID-19 Vaccination Story (2021). Resource Type: Archived Webinar. Description: This interactive workshop will walk nurses through how to tell their personal COVID-19 vaccine story, how to construct a meaningful narrative, and how to share their story for the benefit of others. More Details...

OSHA’s COVID-19 Emergency Temporary Standard:: Clinical, Operational, and Compliance Impact for Health Centers (2021). Resource Type: Archived Webinar. Description: Please join NACHC and Feldesman Tucker Leifer Fidell, LLP (FTLF) for an overview of the ETS and a discussion on COVID-19 safety precautions that recognize workforce fatigue. NACHC will provide insight on finding the appropriate balance between regulatory requirements and workforce capacity. More Details...

The Role of Dental Providers in Vaccine Delivery (2021). Resource Type: Publication. Description: This NEW NNOHA publication describes COVID-19 vaccine delivery strategies developed by health centers in states across the country that are utilizing dental providers for vaccine administration. It also highlights policy opportunities to consider for the future that support medical/dental integration and whole-person care in health centers. More Details...

Advancing Health Center and School Partnerships to Improve COVID-19 Vaccination Administration for Adolescents (2021). Resource Type: Publication. Description: This short guide contains strategies, practices and sample resources from health centers, schools and school based health centers to improve adolescent access to covid-19 vaccinations. More Details...

Caring for Yourself While Caring for a Loved One (2021). Resource Type: Publication. Description: This is a resource for health centers to offer to caregivers of older adult patients who may be experiencing isolation or at risk for burnout. This publication communicates to caregivers the importance of taking care of their own physical and emotional health. This resource is intended for older adult patients. Physical copies are available at no cost for health centers. More Details...

Webinar: Laying the Foundation for Lawyers on the Health Center Team Part I: SDOH Needs and Legal Staffing (2020). Resource Type: In-Person Training. Description: As part of our work as an HRSA-funded National Training and Technical Assistance Partner (NTTAP), the National Center for Medical-Legal Partnership published a toolkit that provides the health center community with information and resources on how to integrate patient-centered lawyers as part of the health care team. Learnings from the toolkit were unpacked in a 5-part webinar series. More Details...

Collaboration Between Medical-Legal Partnerships, FQHCs, and Domestic Violence Programs to Support Patients (2021). Resource Type: In-Person Training. Description: Through this national webinar, the National Center for Medical-Legal Partnership (NCMLP) and Futures Without Violence (FUTURES) joined forces to share strategies on how MLPs can successfully partner with FQHCs and community-based domestic violence programs to improve health outcomes, decrease isolation, and support health care for survivors. Presenters highlighted how civil legal service providers partner with FQHCs to address the increased needs of individuals affected by IPV/HT during COVID-19. More Details...

Addressing Financial & Legal Problems To Improve the Mental Health of Adults & Children During the Pandemic (2021). Resource Type: In-Person Training. Description: The COVID-19 pandemic’s compounding effects of job loss, isolation, dismantled support systems, grief, and disruptions in care, all resulted in significant financial strain and legal problems that impacted the mental health and well-being of adults and children. In this webinar, subject matter experts in social determinants of health and medical-legal partnership interventions discussed: 1) how financial strains such as high debt, low income and unemployment are associated with suicide attempts and should be considered key factors when assessing mental health interventions; and 2) how legal services delivered alongside social, medical, and behavioral health services can help improve the overall health and well-being of children. The multidisciplinary audience will be prompted to share insights, tools, and COVID-related strategies on how their health centers, legal services organizations, medical-legal partnerships, or other community based organizations have responded to the unique behavioral and mental health needs of adults and children during the pandemic. More Details...

CHATS: Head Injury Identification and Accommodation Tool (2021). Resource Type: Toolkit. Description: This resource provides a tool for patients to help identify potential head injury, as well as information on services and an advocate guide. More Details...

Food Insecurity: The Digital Transformation in Social Determinants of Health (2020). Resource Type: Archived Webinar. Description: The fourth webinar in the Weitzman Institute's Path Forward "The Digital Transformation in Social Determinants of Health" fall series focusing on addressing food insecurity as an important public health issue. The content expert for the webinar is Sarah Carroll; Director of the Center for Care Transformation at AVIA. The following organizations served as panelists for the webinar: Jacob Luria, Co-Founder and CEO, Algorex Health; Catherine Macpherson, Vice President Product Strategy & Development, Chief Nutrition Officer, Moms Meals; and Laura Robbins, Co-Founder and COO, Advocatia Solutions. More Details...

Oral Health and Behavioral Health in Patients Experiencing Homelessness (2021). Resource Type: Publication. Description: NNOHA and the National Health Care for the Homeless Council developed this publication to bring awareness to the intersection of oral health and behavioral health concerns or cognitive impairment in people experiencing homelessness. The publication will share the impacts of behavioral health illness on oral health and how behavioral health and dental providers can work together to address this intersection in their practices. More Details...

Protocol for HRSA-supported Community Health Centers to Engage Patients through Universal Education Approaches on Exploitation (E), Human Trafficking (HT), Domestic Violence (DV) and Intimate Partner Violence (IPV) (2021). Resource Type: Publication. Description: The protocol purpose is to prevent exploitation, human trafficking, domestic violence, and intimate partner violence by helping patients have healthy relationships and promote their health as workers. The protocol will enable the health center to provide trauma-informed, survivor-centered care; intervention with clinical and case management services; and formalized ways to connect patients with community-based services that provide resources for domestic violence, employment assistance, housing, food, civil legal aid, and other basic needs. More Details...

HITEQ Electronic Patient Engagement Tool Selection Rubric (2021). Resource Type: Other. Description: This Excel-based scoring rubric is intended to be used by health centers to assess electronic patient engagement tools (like automated outreach SMS platforms) to determine which tool is most likely to meet the health center\'s needs. The tool assists health centers in assessing the following areas: Patient communication features Operations features Health IT Integration Attribution and value based care features Patient generated data/ remote patient monitoring features Administration It provides guidance for weighting and scoring and provides calculated final scores for up to 5 tools. Download the Excel-based tool below. More Details...

Weight Management Planning for Older Adults: A Guide for Health Centers (2021). Resource Type: Publication. Description: Physical distancing and loss of social supports during the COVID-19 pandemic may result in situations where vulnerable older adults experience emotional distress and poorer health outcomes. This webinar focused on helping participants understand the importance of early identification of ways to identify and support socially isolated and lonely older adults. More Details...

Isolation & Loneliness: The Digital Transformation in Social Determinants of Health (2020). Resource Type: Archived Webinar. Description: The third webinar in the Weitzman Institute\'s Path Forward \"The Digital Transformation in Social Determinants of Health\" fall series focusing on addressing isolation and loneliness as an important public health issue. The content expert for the webinar is Gretchen Alkema, PhD; Vice President of Policy and Communications, The SCAN Foundation. Presenters for the webinar includes: Andrew Parker, Founder & CEO of Papa; Cindy Jordan, Founder & CEO & Christina Myren; Chief Operating Officer of Pyx Health; and Ashwin Patel, Co-Founder & CEO of InquisitHealth. More Details...

Social Determinants of Health (SDOH) & Diabetes Prevention Programs Among Public Housing Residents: Infographic (2021). Resource Type: Publication. Description: This infographic provides examples of the Social Determinants of Health (SDOH) contributing to the prevalence of diabetes among public housing residents with corresponding examples of diabetes prevention promising practices provided by Public Housing Primary Care (PHPC) grantees. More Details...

Using AI, Data, and Tech to Move from Screening to Solving for Social Needs: The Digital Transformation in Social Determinants of Health (2020). Resource Type: Archived Webinar. Description: The first of five webinars in the Weitzman Institute\'s Path Forward \"The Digital Transformation in Social Determinants of Health\" fall series focusing on addressing why SDoH matters and innovations in using AI, data, and tech to move from screening to solving for social needs. Panelists for this session include: Dr. Paul Grundy, MD, MPH, FACOEM, FACPM; Chief Transformation Officer, Innovaccer, Margaret Flinter, PhD, APRN, FNP-c, FAAN, FAANP, Senior Vice President and Clinical Director, Community Health Center, Inc., April Joy Damian, PhD, MSc, CHPM, PMP; Associate Director, Weitzman Institute, Nancy Lopez, PhD, Director & Co-founder, Institute for the Study of “Race” & Social Justice, University of New Mexico, and David Kulick, MPH, Co-founder, Adaptation Health More Details...

Predictive Analytics, Assessing Vulnerability, and Community Referrals: The Digital Transformation in Social Determinants of Health: Predictive Analytics, Assessing Vulnerability & Community Referrals (2020). Resource Type: Archived Webinar. Description: The second webinar in the Weitzman Institute\'s Path Forward \"The Digital Transformation in Social Determinants of Health\" series focusing on predictive analytics, assessing vulnerability, and community referrals. Panelists include Kurt Waltenbaugh; Founder & CEO of Carrot Health, John Showalter; Chief Product Officer at Jvion, Erine Gray; Founder & CEO of Aunt Bertha, and Ruben Amarasingham; Founder & CEO of Pieces Tech. More Details...

Pharmacy Access Office Hours: Part II: Clinical Pharmacy or Advanced Practice Services in a CHC (2021). Resource Type: Archived Webinar. Description: In this three-part series, experts from El Rio and Holyoke CHCs present on a variety of topics encompassing Clinical Pharmacy or Advanced Practice Services. The second session, on Thursday June 17 covered “What do I have and what is possible” (Who are your current staff and what practice models are available to you). More Details...

Office Hour for Clinical Leaders: New Models of Provider Leadership (2021). Resource Type: Archived Webinar. Description: With provider burnout and turnover as their catalyst, Anchorage Neighborhood Health Center (ANHC) began a journey to create a more distributive and shared CMO leadership model. During this Office Hour, ANHC CEO Tammy Green will talk about this journey to a more sustainable leadership model. She will share highlights, lessons learned, and lessons still being learned. More Details...

The Path Forward: Re-Imagining Primary Care During and Beyond the Pandemic (2020). Resource Type: Archived Webinar. Description: As the nation struggles with the dual pandemics of COVID-19 and racism, the moment is upon us to deeply examine and reshape the primary care delivery system for underserved communities. In this webinar, leadership of the Community Health Center, Inc. and its Weitzman Institute will lay out a road map for the new Path Forward. We invite health center and safety net providers, staff, consumer leaders and others to join the conversation and contribute their expertise, perspective and ideas. More Details...

Heat-Related Illness Clinician’s Guide (2021). Resource Type: Other. Description: Agricultural work, which requires performing physically demanding work for long hours in hot and sometimes humid weather, places workers at high risk. This guide provides information to clinicians on the prevention and treatment of heat-related illness. Since workers may not be familiar with all of the symptoms of heat stress, it is important that clinicians discuss heat illness symptoms and prevention with agricultural workers and others who are at risk. More Details...

No Two People Are the Same: Respecting Cultural Diversity when Delivering Healthcare (2020). Resource Type: Archived Webinar. Description: This webinar defines health equity disparities and literacy, as well as the cultural competence that affect delivery of services. It focuses on barriers to culture, linguistic competency and cross-cultural communication in framework that allows organizations to plan and develop an equitable environment. REGISTRATION required to view this free webinar. More Details...

Addressing Trauma, Racism, and Bias in Behavioral Health Service Delivery (2020). Resource Type: Archived Webinar. Description: This webinar focuses on trauma, racism and bias. It paints a portrait of the current landscape with health disparity data and a discussion of social determinants. It reviews trauma, with a focus on Adverse Childhood Experiences (ACEs) and their neurobiological impact. Finally, clinical bias is addressed, with a review of challenges and potential solutions. REGISTRATION required to access this free recording. More Details...

NHRA Rural Vaccine Resource Library (2021). Resource Type: Publication. Description: The National Rural Health Association (NRHA) developed these tools and resources to help you address many of the specific questions and concerns members of your rural community have about the COVID-19 vaccines. This resource library aims to provide resources for rural community leaders, including faith leaders, to use in their COVID-19 Vaccine confidence activities. More Details...

Intimate Partner Violence/Human Trafficking: Building Partnerships Between Community Health Centers And Domestic Violence Advocacy Programs (2020). Resource Type: Archived Webinar. Description: This webinar will feature the critical role of domestic violence advocacy programs in supporting patients on intimate partner violence/human trafficking (IPV/HT) and how to build meaningful collaborations including initiating Memoranda of Understanding (MOUs) and bidirectional warm referrals. More Details...

Integrating Eye Care Services into Primary Care (2021). Resource Type: Publication. Description: Eye disorders and vision loss are among the costliest, yet most preventable, conditions in the United States, costing $168 billion in direct medical costs in 2019. It is estimated a full 96% of vision impairment and loss is avoidable. Without significant planning and intervention, research suggest national expenditures could rise to as much as $717 billion by the year 2050, due in large part to the aging of the U.S. population. More Details...

Increasing Staff Capacity to Respond to Intimate Partner Violence/Human Trafficking During COVID-19 (2021). Resource Type: Archived Webinar. Description: This webinar offers a combination of self-care and organizational practice strategies to help prevent provider burn out and bolster staff readiness for implementing CUES, as well as trauma-informed and healing-centered practices. More Details...

Clinical Research in the Health Center Setting: Managing Legal and Compliance Risks (2021). Resource Type: Publication. Description: This Issue Bulletin describes legal and compliance risks that health centers should consider before engaging in research opportunities, including an overview of the federal regulations that protect research participants; the application of federal fraud, waste and abuse laws in research; and the malpractice, insurance and Federal Tort Claims Act (FTCA) considerations. More Details...

The Path Forward Series Finale (2021). Resource Type: Archived Webinar. Description: The final webinar in the Path Forward \"Moving from Screening to Solving for Social Needs\" series wraps up by highlighting all of the webinars in the series, examining the role of community centers in addressing social determinants of health (SDOH), and ending with a call of action with presenters Margaret Flinter, PHD, APRN; Senior VP and Clinical Director, CHC, Inc., Trishan Panch, MD, MPH; Co-Founder, Wellframe, Co-Director – Applied AI for Healthcare, Harvard TH Chan School of Public Health, President Elect – Harvard TH Chan School of Public Health Alumni Association, and Yvette Highsmith-Francis, MBM; Vice President, Eastern Region, CHC, Inc. More Details...

Promoting Vaccine Confidence in Older Adults (2021). Resource Type: Archived Webinar. Description: This webinar focused on approaches to building trust through tailored interventions that incorporate community norms and address barriers to vaccine uptake in the older adult patient population. More Details...

The Path Forward on Social Determinants of Health: Environment (Heat) (2021). Resource Type: Archived Webinar. Description: The third of five webinars in the Path Forward \"Moving from Screening to Solving for Social Needs\" series focusing on the intersection of health and environment, particularly heat, with presenters Jeremy Hess; Professor, Global Health, Medicine (Emergency Medicine), Environmental & Occupational Health Sciences, Dr. Vivek Shandas; Professor, Nohad A. Toulan School or Urban Studies and Planning – Portland State University; Founder and Director – Sustaining Urban Places Research Lab, and Dr. David Hondula; Senior Sustainability Scientist, Global Institute of Sustainability and Innovation; Associate Professor, School of Geographical Sciences and Urban Planning, Arizona State University; Faculty Affiliate, Epidemiology and Data Services, Maricopa County Department of Public Health. More Details...

The Path Forward on Social Determinants of Health: Safety: Advancing Community and Personal Safety (2021). Resource Type: Archived Webinar. Description: The second of five webinars in the Path Forward \"Moving from Screening to Solving for Social Needs\" series focusing on community and personal safety with presenters Tracy Nordstrom; Placemaker and Principal, Verve, Dr. Mariela Alfonzo; Founder& CEO, State of Place, Frode Kjersem; CEO, bSafe USA. More Details...

The Path Forward on Social Determinants of Health: Housing (2021). Resource Type: Archived Webinar. Description: The first of five webinars in the Weitzman Institute\'s Path Forward \"Moving from Screening to Solving for Social Needs\" series focusing on the intersection of stable housing and health outcomes with presenters Tim Shaw; Associate Director of Policy, Financial Security Program, Aspen Institute, David Rich; Executive Director of Supportive Housing Works, and Jason Shaplen; Chief Strategy and New Ventures Officer, Community Health Center, Inc. More Details...

Communicating Effectively About Vaccines: New Communication Resources for Health Officials (2010). Resource Type: Publication. Description: Communicating effectively with parents about the importance of vaccines is a key issue for the public health community to address. In August 2009, ASTHO commissioned a survey of U.S. parents and guardians to gather information about effective messages and materials for state and territorial health officials to use to better address parental concerns and promote the benefits of vaccines. More Details...

Vaccine Acceptance Among Pregnant Women and Mothers of Young Children: COVID-19 (2021). Resource Type: Publication. Description: As multiple effective vaccines are developed, their distribution and overall acceptance by the public is crucial to stop the spread of COVID-19. Research conducted by Principal Investigator of the Human Immunomics Initiative, Dr. Julia Wu, in collaboration with Pregistry focused on a crucial population- mothers and their children. Estimates of global vaccine acceptance among pregnant women and mothers of young children are yet unknown. Acceptance of COVID-19 vaccination among pregnant women and mothers of children younger than 18-years-old, as well as potential predictors, were assessed through an online survey, administered by Pregistry between October 28 and November 18, 2020. More Details...

Strategies for Youth: COVID-19 Vaccination (2021). Resource Type: Archived Webinar. Description: Weitzman Echo special one-time session to discuss Community Health Center Inc.\'s approach on the most reassuring and expedient ways to reach youth and their parents during the COVID-19 vaccination rollout. More Details...

Evolving Care Team Models, Strategies to Assess Provider Satisfaction, and Addressing Burnout (2021). Resource Type: Archived Webinar. Description: This Project ECHO Webinar was part of a three-part webinars series on provider burnout and satisfaction during the COVID-19 vaccination rollout. This session addresses the topic of emerging models of team-based care in the COVID and post COVID environment. This COVID-19 ECHO session is a collaboration with HRSA\'s National Health Center Training and Technical Assistance Partners on Team-Based Care. More Details...

Awareness Campaign Resources: COVID-19 Vaccine: available in Haitian Creole and Spanish (2021). Resource Type: Toolkit. Description: Migrant Clinicians Network, in partnership with the National Resource Center for Refugees, Immigrants, and Migrants (NRC-RIM) created materials for COVID-19 Vaccine awareness campaigns for Spanish-speaking and Haitian Creole-speaking communities. More Details...

Pharmacy Access Office Hours: Clinical Pharmacy or Advanced Practice Services in a Community Health Center (2021). Resource Type: Archived Webinar. Description: This session addresses recent developments in the 340B program, as well as a focused session on clinical pharmacy or practice services. More Details...

Building Clinical Informatics Session 4: Evaluating Usability and Human-Centered Design for Happy Users and Better Performance (2021). Resource Type: Archived Webinar. Description: Evaluating usability and implementing human-centered design principles can improve reimbursement, care team satisfaction, data quality, and reduce staff time spent on clinical tasks. This webinar describes how engaging vendor partners in user-centered improvements can improve the vendor-customer relationship and the care team experience. More Details...

Vaccine in Dental Clinics Job Instruction Sheet (2021). Resource Type: Publication. Description: NNOHA has worked with health center dental leaders who are engaged in delivering COVID-19 vaccines to develop this Job Instruction resource for dental providers. More Details...

Health Center Showcase: The National Diabetes Prevention Program (2021). Resource Type: Archived Webinar. Description: The National Diabetes Prevention Program (National DPP) is an evidence-based lifestyle change program that aims to prevent diabetes among at-risk adults. In this webinar, health centers from across the country shared their National DPP experiences as showcased in NNCC\'s recent case study. The health centers also provided updates about developments with their programs since the onset of COVID-19. More Details...

Who Wants To Be A Vaccinator: Volunteers, Students, and Other Professionals (2021). Resource Type: Archived Webinar. Description: To meet the demand for knowledge on COVID-19 vaccines, CHCI and its Weitzman Institute is moving back to weekly COVID-19 national webinar sessions! More Details...

Staff Roles, Responsibilities, and Training Throughout the Vaccination Cycle (2021). Resource Type: Archived Webinar. Description: To meet the demand for knowledge on COVID-19 vaccines, CHCI and its Weitzman Institute is moving back to weekly COVID-19 national webinar sessions! More Details...

FTCA Office Hours for Clinical Leaders: April 2021 (2021). Resource Type: Archived Webinar. Description: NACHC, in collaboration with Feldesman Tucker Leifer Fidell (FTLF), will be holding two virtual FTCA Office Hours to answer health center clinical leaders’ specific questions. Topics covered include coverage for COVID-19 related activities, navigating telehealth, coverage for virtual services, issues related to COVID-19 vaccine delivery, deeming of volunteer health professionals, preparing for a virtual site visit, and risk management. More Details...

Vaccine Ambassador Program and Job Description (2021). Resource Type: Template. Description: As communities embark on COVID-19 vaccine campaigns, they are confronting a long history of discrimination and negative interactions with medical services experienced by racial and ethnic minority groups and people experiencing homelessness (PEH), which can contribute to mistrust and vaccine hesitancy. To build vaccine confidence, communities should consider hiring Vaccine Ambassadors to engage PEH and homeless service providers by facilitating two-way communication and disseminating accurate vaccine information. This document describes how. More Details...

Dental Providers Administering the COVID-19 Vaccine (2021). Resource Type: Archived Webinar. Description: In response to the COVID-19 pandemic, many states have created emergency orders to allow dentists and dental hygienists to administer vaccinations. This webinar will feature three health centers that are utilizing dental providers to administer vaccines. The health centers will describe their vaccination program models including training, staffing, operations and compliance. More Details...

Benioff Community Health Outreach Worker Model: Considerations for Vaccine Ambassador Programs (2021). Resource Type: Publication. Description: This brief describes the Benioff Homelessness and Housing Initiative's cross-discipline program model that peered medical teams with Community Health and Outreach workers to inform vaccine ambassador programs. More Details...

Increasing Access to COVID-19 Vaccines Among Homeless Populations: Successful Partnerships Series (2021). Resource Type: Archived Webinar. Description: This webinar series highlighted successful partnerships between Health Care for the Homeless health centers and local governments around the United States in their efforts to effectively get vaccines to people experiencing homelessness. More Details...

Reducing COVID-19 Vaccine Waste (2021). Resource Type: Toolkit. Description: Every dose of COVID-19 vaccine is precious and can save lives. In response to concerns about wasted vaccine and to assist in identifying various causes of vaccine waste and potential countermeasures to reduce their occurrence, the Public Health Foundation developed the Process Decision Program Chart for COVID-19 Vaccine Waste. More Details...

COVID-19 Vaccination Training Programs and Reference Materials for Healthcare Professionals (2021). Resource Type: Toolkit. Description: Some healthcare professionals administering COVID-19 vaccine may have extensive experience with immunization practices, since they routinely administer recommended vaccines in their clinical practice. For others, administering COVID-19 vaccine may be their first clinical experience with vaccination. The CDC compiled a list of immunization training and educational materials, including basic and COVID-19-vaccine-specific information. More Details...

The COVID-19 Pandemic Resources and Information: Spanish and English (2020). Resource Type: Other. Description: We at Migrant Clinicians Network have a priority to support both clinicians and the vulnerable patients they serve. MCN continually develops strategies and resources to support health centers, health departments, community groups, and clinicians as they reach out to communities that are often overlooked and give care to patients who might otherwise have nowhere to go. We remain highly concerned for the vulnerable populations that already encounter numerous barriers to health and to care. More Details...

Leading with Optimism in Challenging Times (2021). Resource Type: Archived Webinar. Description: In this national webinar you will hear New York Times Best Selling Author, Shawn Achor, talk about his research in positive psychology, Jordan Voigt, president of Genesis Medical Center, Davenport, who will share the story of Genesis Health System, recently featured in Harvard Business Review, and we will explore “what leading with optimism really looks like” in times of significant challenge. More Details...

Maintaining Access to Dental Services During COVID-19 (2021). Resource Type: Publication. Description: At the outset of the COVID-19 pandemic, dental services were deemed non-essential and oral health services stopped. For people experiencing homelessness especially, however, dental services are critical. Over time, Health Care for the Homeless health centers innovated strategies to reopen and sustain access to these crucial services. This paper tracks themes from these innovations and recommends strategies to keep oral health services going during a pandemic. More Details...

Antigen Testing in Congregate Shelters: Process Outline and Implementation Playbook (2021). Resource Type: Publication. Description: Ongoing testing is still needed to identify cases and properly treat those with symptomatic or asymptomatic COVID. The CDC has issued Interim Testing Guidance for shelters and encampments to inform practices. Use this Antigen Testing Playbook for step-by-step guidance on implementing a comprehensive testing strategy in congregate shelters. More Details...

A Clinical Resource Guide for Community Care Centers During the COVID-19 Pandemic (2021). Resource Type: Publication. Description: The COVID-19 pandemic is requiring a comprehensive infectious disease response. People experiencing homelessness are at a unique disadvantage in adhering to infectious diseases prevention and control directives. In response, many communities have created facilities that provide 24/7 shelter, urgent and medical respite care, and infection prevention and control measures. This guide will focus on the needs of homeless populations requiring a stay at centers because they have tested positive for COVID-19, have been exposed to it, or are thought to be particularly vulnerable to COVID-19 exposure. More Details...

COVID-19 Vaccine:  Tips from your Community Health Worker (2021). Resource Type: Publication. Description: COVID-19 vaccines are a critical tool to help stop the spread of disease and protect our communities. MHP Salud\'s Tips from your Community Health Worker resource for is designed for health workers supporting patients with Limited English Proficiency (LEP). The tips and resources aim to help health centers build vaccine confidence among the migrant and agricultural worker population and their families. More Details...

Bridging Patient Access: Best Practices for Community Health Workers (2021). Resource Type: Publication. Description: As telehealth services continue to bridge patient access to health services, it is important for health centers to focus on best practices that ensure excellent delivery of care. Thisguideincludeshelpful information about telehealth service delivery, tips for providing good virtual care, and how Community Health Workers(CHWs)can engage in telehealth. More Details...

Sexual Health and Older LGBTQIA+ Adults - 2021 (2021). Resource Type: Publication. Description: Sexual health is an integral part of overall health, and this remains so as people age. This publication describes core terms and concepts for sexual orientation and gender identity, addresses common misconceptions about sexuality and aging, and outlines special considerations for the sexual health care of older adults, including a demonstration of how to elicit an affirming sexual history. More Details...

The Invisible Second Patient: Supporting the Family Caregiver (2021). Resource Type: Archived Webinar . Description: This webinar focused on educating participants about engaging family caregivers as a part of the healthcare team and the value of promoting opportunities for their own self-care. More Details...

The Importance of Social Connection for Older Adults During COVID-19 (2021). Resource Type: Archived Webinar . Description: Physical distancing and loss of social supports during the COVID-19 pandemic may result in situations where vulnerable older adults experience emotional distress and poorer health outcomes. This webinar focused on helping participants understand the importance of early identification of ways to identify and support socially isolated and lonely older adults. More Details...

Promoting Health Literacy in Older Adults (2021). Resource Type: Archived Webinar . Description: This webinar focused on applying an individualized approach to clarify and improve communication with older adult patients and support their healthcare engagement. More Details...

Managing Diabetes in Older Adults within a Dental Setting: A Practical Integrated Care Approach (2021). Resource Type: Archived Webinar . Description: This webinar focused on the benefits of implementing and monitoring blood glucose and hemoglobin A1C testing for older adults in their health center oral health services. More Details...

The COVID-19 Pandemic: Supporting LGBTQIA+ Patients (2021). Resource Type: Field-Generated Publication. * Description: This 2021 publication from the National LGBTQIA+ Health Education Center details how the COVID-19 pandemic affects LGBTQIA+ subpopulations. This brief provides strategies and resources to improve the capacity of health centers to meet the needs of LGBTQIA+ patients during the pandemic. More Details...

COVID-19 Vaccination Clinic Implementation Toolkit (2021). Resource Type: Toolkit. Description: This is a toolkit for decision-makers and implementers of vaccine clinics. Our goal was to create a “vaccination clinic in a box” that could be replicated in, and tailored to, many types of settings. The guide includes prompts for questions you may need to ask, examples of many types of documents that you may need (and information about where to find more documentation), and lessons-learned from our experience. More Details...

SC Primary Health Care Association COVID Testing and Vaccine Education Video (2021). Resource Type: Video. Description: As of Monday, March 22nd there has been 459,772 confirmed cases of COVID-19 in South Carolina. This video offers some directions and a few resources as proactive measures. Prominent in this video is a discussion of equity in relationship to the vaccine and vaccine hesitancy among persons of color. Available with sub-titles in Spanish. More Details...

FTCA Office Hours for Clinical Leaders: March 2021 (2021). Resource Type: Archived Webinar. Description: NACHC, in collaboration with Feldesman Tucker Leifer Fidell (FTLF), will be holding two virtual FTCA Office Hours to answer health center clinical leaders’ specific questions. Topics covered include coverage for COVID-19 related activities, navigating telehealth, coverage for virtual services, issues related to COVID-19 vaccine delivery, deeming of volunteer health professionals, preparing for a virtual site visit, and risk management. More Details...

Addressing Vaccine Hesitancy: Media, Web Page, Person to Person, and Target Populations (2021). Resource Type: Archived Webinar. Description: Weitzman ECHO COVID-19 combines specific didactic, case-based learning and COVID-19 experiences and expertise in primary care to front line Safety Net healthcare providers across the country during this pandemic. More Details...

Partnering for the COVID Vaccine: Lessons from the Flu-LEAD Project (2021). Resource Type: Archived Webinar. Description: The National Nurse-Led Care Consortium, the National Center for Health in Public Housing, and subject matter experts from the U.S. Department of Housing and Urban Development hosted a webinar about leveraging health center and housing authority partnerships for COVID vaccine distribution. More Details...

Infographic: COVID-19 mRNA Vaccine FAQ (2021). Resource Type: Other. Description: This infographic is meant to be a client-facing handout providing education and FAQs on the Pfizer and Moderna COVID-19 vaccines. While it is designed to be accessible to populations experiencing homelessness, it is applicable to all patients. More Details...

Using SMBP to Diagnose and Manage Hypertension (2021). Resource Type: Archived Webinar. Description: Out-of-office BP measurements are recommended to confirm the diagnosis of hypertension. Recent research estimates that up to 30% of patients with non-hypertensive in-office blood pressure readings have elevated blood pressures when measured outside of the office (Masked Hypertension). In addition, up to 35% of people with elevated office blood pressures may have normal blood pressures when measured outside of the office (White-Coat Hypertension). SMBP helps prevent these misclassifications and helps ensure patients are diagnosed more accurately. More Details...

US Blood Pressure Validated Device Listing (2021). Resource Type: Website. Description: Uncontrolled high blood pressure (“BP”) is the leading risk factor for death and disability. The accurate measurement of BP is essential for the diagnosis and management of hypertension. One important aspect of accurate measurement is whether the BP measurement device has been validated for clinical accuracy. This website lists blood pressure measurement devices that have been validated for clinical accuracy as determined through an independent review process. More Details...

Taking Control of My Blood Pressure: Natalia's Story (2018). Resource Type: Video. Description: Natalia, a Community Health Center patient, explains how she has taken control of her blood pressure with the help of self-measured blood pressure monitoring (SMBP) at Samuel U. Rodgers Health Center. More Details...

Taking Control of My Blood Pressure: D'Angelo's Story (2018). Resource Type: Video. Description: D’Angelo, a Community Health Center patient, explains how he has taken control of his blood pressure with the help of self-measured blood pressure monitoring (SMBP) at Whitney M. Young, Jr. Health Center. More Details...

SMBP: Evidence-based Protocols for Using it in Clinical Practice (2021). Resource Type: Video. Description: An overview of SMBP, its benefits, and how to use it in a clinical practice. More Details...

SMBP Joint Policy Statement 2020 (2020). Resource Type: Publication. Description: Self-measured BP monitoring, the measurement of BP by an individual outside of the office at home, is a validated approach for out-of-office BP measurement. Several national and international hypertension guidelines endorse self-measured BP monitoring. Indications include the diagnosis of white-coat hypertension and masked hypertension and the identification of white-coat effect and masked uncontrolled hypertension. Other indications include confirming the diagnosis of resistant hypertension and detecting morning hypertension. More Details...

SMBP CPT Coding (2021). Resource Type: Publication. Description: Self-measured blood pressure (SMBP) refers to blood pressure (BP) measurements obtained outside of a physician’s practice, usually at home. When combined with clinical support (e.g., one-on-one counseling, web-based or telephonic support tools, education), SMBP can enhance the quality and accessibility of care for people with high blood pressure and improve blood pressure control. SMBP can be used to assess BP control and to make a diagnosis of hypertension. SMBP allows patients to actively participate in the management of their BP and has been shown to improve adherence to antihypertensive medications. More Details...

Self-Measurement: How Patients and Care Teams are Bringing Blood Pressure to Control (2018). Resource Type: Video. Description: This video showcases several community health centers' work to implement self-measured blood pressure monitoring (SMBP) programs in their clinics. The health centers provided blood pressure monitors to their at-risk patients for use at home as part of a project funded by the Centers for Disease Control and Prevention. More Details...

Self-Measured Blood Pressure Monitoring: Action Steps for Clinicians: Action Steps for Clinicians (2014). Resource Type: n.a.. Description: The purpose of this guide is to facilitate the implementation of SMBP plus clinical support in four key areas: Preparing care teams to support SMBP, selecting and incorporating clinical support systems, empowering patients, and encouraging health insurance coverage for SMBP plus additional clinical support. For each area, the guide lists actions that can facilitate the implementation of SMBP plus additional support. Beside each action step, it provides corresponding electronic resources to assist with these actions. It also includes appendices that describe proper SMBP preparation and technique, clinical support interventions that are effective when used with SMBP, the proper way to check a home blood pressure monitor for accuracy, and the burden and cost of hypertension. More Details...

Self-Measured Blood Pressure Monitoring (SMBP) Implementation Toolkit (2020). Resource Type: Publication. Description: This toolkit is designed to help organizations implement self-measured blood pressure monitoring (SMBP) successfully into their care processes and workflows. SMBP refers to blood pressure measurements taken outside of the clinical setting, usually at home. SMBP helps with both diagnosis and management of hypertension and increases patient participation in their own care. SMBP, when combined with other clinical supports, improves hypertension control. More Details...

How to Use your Home Blood Pressure Monitor (English) (2018). Resource Type: Video. Description: One of the most accurate ways to measure your blood pressure is to do it yourself, outside of the doctor’s office, in a comfortable setting like your home. It’s called self-measured blood pressure monitoring (SMBP). This short video will teach you how to use your home blood pressure monitor so that you can share your readings with your provider and, together with your health care team, make better decisions about your health care. For more information, visit millionhearts.hhs.gov. More Details...

Como Usar Su Monitor de Presión Arterial (2018). Resource Type: Video. Description: Una forma precisa de medir su presión arterial es hacerlo usted mismo fuera del consultorio del doctor, en un ambiente cómodo, como su casa. Se llama automedida de la presión arterial o AMPA, SMBP en inglés. Este corto video le enseñará los pasos que debe seguir para usar su monitor de presión arterial en su hogar para que pueda compartir sus lecturas con su doctor y, junto con su equipo de atención de salud, tomar mejores decisiones sobre su atención medica. More Details...

Are Community Health Center Patients Interested in Self-Measured Blood Pressure Monitoring (SMBP) – And Can They Do It? (2021). Resource Type: Publication. Description: Self-measured blood pressure monitoring (SMBP) helps diagnose and manage hypertension from outside the clinic, which has implications for patient empowerment and outcomes, continuity of care, and resilience in care communities catering to vulnerable populations. More Details...

Accelerating Use of SMBP through Clinical-Community Care Models (2020). Resource Type: Publication. Description: Self-measured blood pressure monitoring (SMBP), the regular measurement of blood pressure by a patient outside the clinical setting, plus additional support, is a proven, cost-effective but underutilized strategy to improve hypertension outcomes. To accelerate SMBP use, the Centers for Disease Control and Prevention (CDC) funded the National Association of Community Health Centers, the YMCA of the USA, and Association of State and Territorial Health Officials to develop cross-sector care models to offer SMBP to patients with hypertension. More Details...

7-Step SMBP Quick Guide: Helping patients achieve and maintain blood pressure goals (2020). Resource Type: Publication. Description: The recent COVID-19 pandemic has led to a rapid increase in the use of telemedicine by many health care organizations, physicians and care teams. Using telemedicine modalities with self-measured blood pressure (SMBP) can help patients with hypertension achieve and maintain blood pressure goals. More Details...

Teledentistry During COVID-19: A promising practice (2021). Resource Type: Publication. Description: This promising practice features Petaluma Health Center in CA. The health center implemented a teledentistry program during the COVID-19 pandemic. This promising practice shares their experience in ensuring continuity of oral health care through teledentistry. More Details...

NACHC COVID-19 Communications Toolkit for Health Center Staff (2021). Resource Type: Toolkit. Description: This Toolkit is intended to provide health center staff with simple Key Messages (which can be tailored for use with specific populations); Frequently Asked Questions; Sample Social Media posts; and useful template communications materials to create confidence in the COVID-19 vaccine and encourage health center staff and the communities they serve to get the vaccine and help protect against COVID-19. More Details...

Standards of Medical Care in Diabetes - 2021 (2021). Resource Type: Publication. Description: This annually updated evidence-based guide provides a comprehensive approach to the prevention, screening, management, and patient health literacy and self-management of diabetes. Sections address special populations that include children, elders, pregnant women, the food insecure, migrant and seasonal agricultural workers, and those with comorbid health conditions. Facilitating behavior change to reduce diabetes risk, complement sections focused on Prediabetes and the delay in progression of diabetes. More Details...

Prediabetes Risk Test (2021). Resource Type: Other. Description: This 8-question risk test can be taken online or on paper and uses an individual’s demographics, family, and medical history to assess their risk of developing diabetes. For those identified as being high-risk, information on the National Diabetes Prevention Program are included to encourage enrollment in a life-style change program to prevent or delay diabetes. More Details...

National Diabetes Statistics Report - 2020 (2021). Resource Type: Publication. Description: This periodically updated report provides national data on the prevalence of diabetes within the United States. Assessed data includes the incidence of prediabetes, risk for diabetes complications, and the coexisting conditions and complications frequently experienced by those diagnosed with diabetes. More Details...

Military Lessons Drive Covid-19 Vaccine Plan at Philadelphia Health Center (2021). Resource Type: Publication. Description: Retired Major Dr. Robert Heininger was responsible for health policies on his military base in Georgia and is now applying what he learned to operation of five Federally Qualified Health Centers, specifically around administration of COVID-19 vaccines. More Details...

Coping with COVID-19: Trauma-informed Care for Pediatric NICU Providers During the COVID-19 Pandemic (2020). Resource Type: Online Self-Paced Learning Modules. Description: This is a FREE online continuing education course that provides 1 credit to nurses, physicians, social workers, and licensed marriage and family therapists. All other professions are welcome to take the course, and will receive a Certificate of Completion. More Details...

Coping with COVID-19: Trauma-informed Care for Frontline Maternity Providers During the COVID-19 Pandemic (2020). Resource Type: Online Self-Paced Learning Modules. Description: This is a FREE online continuing education course that provides 1 credit to nurses, physicians, social workers, and licensed marriage and family therapists. All other professions are welcome to take the course, and will receive a Certificate of Completion. More Details...

Process for Tracking Utilization of COVID-19 Therapeutics (2021). Resource Type: Document. Description: This resource discusses who should report on the use of federally purchased therapeutics, rules governing reporting, and the process of reporting. More Details...

Pfizer-BioNTech COVID-19 Vaccine: Storage and Handling Summary (2021). Resource Type: Document. Description: This resource outlines how to store and handle the Pfizer-BioNTech COVID-19 vaccine. More Details...

Overview of Direct Order Process for COVID-19 Therapeutics (2021). Resource Type: Document. Description: The United States Government (USG) is responsible for the allocation and distribution of monoclonal antibody (mAb) therapeutics for the treatment of COVID-19 as per the Emergency Use Authorizations (EUA) issued by the U.S. Food and Drug Administration (FDA). The USG has developed a process for sites to directly order from the distributor, AmerisourceBergen (ABC). More Details...

Moderna COVID-19 Vaccine: Storage and Handling Summary (2021). Resource Type: Document. Description: This document outlines how to store and handle the Moderna COVID-19 vaccine. More Details...

FTCA Office Hour for Clinical Leaders: January 2021 (2021). Resource Type: Archived Webinar. Description: NACHC, in collaboration with Feldesman Tucker Leifer Fidell LLP, is continuing to hold a series of Office Hours to answer health center specific COVID-19 FTCA-related questions. Topics discussed include coverage for COVID-19 related activities, navigating telehealth, coverage for virtual services, issues related to COVID-19 vaccine delivery, deeming of volunteer health professionals, preparing for a virtual site visit, and risk management. More Details...

COVID-19 Vaccine Posters and "I Got Vaccinated" Social Media Images (2021). Resource Type: Toolkit. Description: To aid your vaccine communication efforts, NACHC has two new resources: Posters: NACHC’s new COVID-19 vaccine posters (in standard printer size) can help health centers positively promote the vaccine. Customizable social media graphics: Encourage staff and providers who have gotten the vaccine to share their experience on their social media channels with NACHC’s \"I got vaccinated against COVID\" social media graphics. More Details...

Common Questions and Concerns — COVID-19 Vaccine (English/Spanish) (2021). Resource Type: Field-Generated Publication. * Description: This document provides answers to common questions about the COVID-19 vaccine from patients, including "What are the side effects of the COVID-19 vaccine?" and "Can the vaccine give me or my family COVID-19?" More Details...

COVID-19 Homeless System Response: Vaccine Planning and Distribution (2021). Resource Type: Publication. Description: Vaccines are a vital, lifesaving tool that prevent illness and death. Vaccines have greatly reduced or eliminated many infectious diseases that once routinely killed or harmed adults and children, particularly those living in poverty. It is essential that households experiencing homelessness have access to the COVID-19 vaccine. Many states and counties around the country have prioritized vaccine access both for homeless service providers and individuals experiencing homelessness. More Details...

Consumer Perspectives of the COVID-19 Vaccine: COVID-19 & the HCH Community (2021). Resource Type: Publication. Description: To better understand how people experiencing homelessness view the COVID-19 vaccine, the National Health Care for the Homeless Council conducted focus groups with steering committee members of its National Consumer Advisory Board and with consumers from local community homeless service programs. This brief is intended to (1) share their direct feedback so those planning vaccination events can better reach priority populations like those experiencing homelessness, and (2) identify actions that should be taken now to maximize the uptake of the vaccine. More Details...

Microplanning for COVID-19 Vaccine Delivery (2021). Resource Type: Publication. Description: This short document outlines the process for COVID-19 vaccine delivery to serve as a planning guide for health centers. The guide addresses the role of the board and the C-Suite in determining the organization's role, then focuses on the core leadership team in four major planning areas: design workflow, data use, education,and engagement. More Details...

Breaking the Cycle of Integenerational Diabetes Webinar: Webinar highlights strategies to address diabetes impacting multi-generational families (2021). Resource Type: Archived Webinar. Description: This webinar highlights health center programs that reach into underserved communities to address diabetes care across generations More Details...

A Call for Reinforcements in Diabetes Care: Maximizing the Role of Non-Clinical Staff and Partners Publication: Issue brief and case studies highlightin promising practices for non-clinical staff with links to the community (2020). Resource Type: Publication. Description: Successful diabetes care for vulnerable populations demands a multi-prong approach and support from a range of community resources to address SDOH. This report outlines promising practices utilizing interdisciplinary teams and community resources can support consumers’ self-management and in-turn More Details...

Strategies for Increasing HIV Screening Rates at Your Health Center (2020). Resource Type: Publication. Description: Health centers are always searching for innovative strategies to increase their HIV screening rates. This year, health centers have gotten creative by combining HIV testing with COVID-19 screening, while others are mailing at-home HIV testing kits to patients. Finding strategies to help increase HIV screening at your health center is a lesson in trial and error. We hope our latest blog will give you some ideas on improving your HIV screening rates! More Details...

Federal Activities and Approaches to Advance Social Determinants of Health Data Use and Interoperability in Support of Community Health Centers: HITEQ Highlights Webinar (2020). Resource Type: Archived Webinar. Description: View this HITEQ Center webinar, where the The Health and Human Services, Office of the National Coordinator for Health IT present on the current state of federal activities and standards based approaches for collecting, sharing, and using SDoH data with a focus on technical and policy considerations. The presentation describes available standards, tools, and initiatives for health center use and input. More Details...

The HCH Community & COVID-19: Vaccines for Clients and Staff (2020). Resource Type: Archived Webinar. Description: As vaccines for COVID-19 are approved and become available for distribution, questions abound on when they will be available for people experiencing homelessness as well as staff working in community-based programs (such as health centers and homeless shelters). This discussion identified the main challenges to vaccinating the HCH community, the strategies needed to ensure a successful vaccination campaign, and the immediate action steps to consider in order to be prepared. More Details...

Public Housing Primary Care (PHPC) COVID-19 Dashboard (2020). Resource Type: Publication. Description: This dashboard by NCHPH provides the latest COVID-19 statistics in Public Housing Primary Care (PHPC) Health Centers, including race and ethnicity data and additional resources. More Details...

COVID-19 Vaccination Communication Toolkit: CDC Vaccine Communications Toolkit (2020). Resource Type: Toolkit. Description: Ready-made materials to inform healthcare teams and staff. More Details...

Ask Me Anything: Microplanning for Flu and COVID-19 Vaccines, Part 1 (2020). Resource Type: Archived Webinar. Description: The first in a series of 30-minute Q&A sessions with the Association of Immunization Managers’ CEO, Claire Hannan. Hannan answers questions and provides guidance on microplanning for both Flu and COVID-19 vaccinations in 2020/2021. More Details...

Supporting Implementation of Smoking Cessation Programs in Public Housing Primary Care Settings: Learning Collaborative (20; Session 2 11). Resource Type: Archived Webinar. Description: During this learning collaborative health center staff learned about different aspects for implementation of smoking cessation programs. More Details...

Diabetes and Seasonal Influenza (Flu) During COVID-19: Protect Yourself! (2020). Resource Type: Publication. Description: This infographic addresses the importance of influenza (flu) prevention among public housing residents with diabetes during the COVID-19 pandemic. More Details...

Culturally Competent Care: Learning Collaborative (20; Session 2 11). Resource Type: Other. Description: This is a learning collaborative series of 4 sessions where Health Center staff learned about standards for providing culturally and linguistically appropriate services (CLAS) to their patients. Slides and recordings for all sessions are available here as well as resources to facilitate the implementation of CLAS in health center settings. More Details...

The HCH Community & COVID-19: Vaccines for Patients and Staff (2020). Resource Type: n.a.. Description: As COVID-19 vaccines become available, questions abound on how to immunize patients and staff of health centers that serve people experiencing homelessness. This issue brief outlines unique considerations for this vulnerable population. More Details...

Food Insecurity and Trauma Informed Approaches to BMI and Diabetes Care While Experiencing Homelessness (2020). Resource Type: Archived Webinar. Description: This archived webinar describes the importance of trauma-informed care in assessing Body Mass Index in the context of diabetes treatment for patients experiencing homelessness. More Details...

A Brief Case for Safety: Preventing Errors Associated with Vaccine Management (2020). Resource Type: Publication. Description: Developed by ECRI, this brief case study focuses on best practices for vaccine management. It provides a checklist for health centers and free clinics to help prepare for immunization activities and vaccine distribution. More Details...

Emergency Preparedness: Infectious Disease Risk: Risk Communication: Infectious Disease (2019). Resource Type: Archived In-Person Training. Description: Sarah Darcy, Media Relations Manager for South Shore Health System, speaks on risk communication and how it relates to infectious disease. More Details...

Integrating Smoking Cessation Services in Community-Based Primary Care (2020). Resource Type: Archived Webinar. Description: A one-hour webinar that explores best practices for smoking cessation treatment for residents of public housing. More Details...

Implementing Opt-Out HIV Screening in Your Health Center: Understanding Opt-Out HIV Testing (2020). Resource Type: Publication. Description: Getting tested for HIV is a powerful step towards taking control of one’s sexual health. Opt-out HIV testing, sometimes referred to as universal screening, is defined as conducting HIV testing after notifying patients that the test will be conducted and that they may decline or defer testing. According to the Centers for Disease Control and Prevention (CDC), opt-out testing is an evidence-based approach that has been shown to remove the stigma associated with HIV testing, foster earlier diagnosis and treatment, reduce transmission risk, and is cost-effective. More Details...

Ending the HIV Epidemic: The Health Center Role: HITEQ Highlights Webinar (2020). Resource Type: Archived Webinar. Description: This presentation will be led by Dr. Tim Long, and will focus on the four pillars of Ending the HIV Epidemic and primary care HIV prevention. This webinar will focus on the clinical aspects of Ending the HIV epidemic, and use of health IT and EHR to support clinical care. More Details...

Addressing Intimate Partner Violence and Human Trafficking in the Health Center Setting: HITEQ Highlights Webinar (2020). Resource Type: Archived Webinar. Description: The coronavirus pandemic and consequent stay-at-home orders may increase danger for those at risk for or experiencing intimate partner violence and human trafficking (IPV/HT). Due to COVID-19, many health centers have shifted health encounters to virtual platforms, which offer unique opportunities to provide trauma-informed care and connect in new ways with those who may be experiencing abuse. Yet, telehealth and virtual visits also present health centers with new challenges related to privacy, safety and digital health equity. More Details...

This bilingual tool for Community Health Workers can be printed into a pamphlet that participants can use to track their A1C and other biometric data. (2018). Resource Type: Publication. Description: Community Health Workers & Hypertension and Heart Health Interventions: A Resource for Program Managers and Administrators is a resource for Community Health Worker program managers and administrators. It explains how Community Health Worker-led intervention programs can positively impact patients who have hypertension. About 75 million American adults (1 in every 3) have high blood pressure. Although high blood pressure can be easily detected and can be controlled with lifestyle changes and medication, almost a third of individuals with hypertension don’t know they have it, and only about half have it under control. Due to their close understanding of and trust from the communities they serve, CHWs can be particularly strong champions for patients with hypertension and/or at risk of heart disease. More Details...

The Role of CHWs in Addressing Hypertension (2020). Resource Type: Publication. Description: Community Health Workers (CHWs) are uniquely qualified to support individuals with hypertension. CHW interventions are known to improve health outcomes among individuals diagnosed with hypertension and support at-risk individuals to prevent the development of the condition. The purpose of this guide is to assist health centers and partners in identifying the roles of CHWs in addressing hypertension. More Details...

The Role of CHWs in Addressing Diabetes (2020). Resource Type: Publication. Description: Community Health Worker (CHW) interventions have demonstrated success in improving health outcomes among individuals diagnosed with diabetes. Additionally, CHWs support at-risk individuals to prevent the development of the condition. The purpose of this guide is to assist health centers and partners in identifying the roles of CHWs in addressing diabetes. More Details...

Telehealth for Supportive Housing Providers - CSH Three Part Telehealth Series: Guidance for Providers looking to adapt and are considering Billing for themselves (2020). Resource Type: Publication. Description: In the COVID19 environment technology can be used as a complement to face-to-face services, and also as a service on its own. Technology options can be especially useful for people with depression or suffering from distress, and when there are difficulties in physically meeting with tenants. More Details...

Nurses on the Front Line: Models for 2020 Flu and COVID-19 Vaccines (2020). Resource Type: Publication. Description: This document outlines key components for planning the implementation of the COVID-19 vaccine, as well as models and lessons learned for the 2020 flu vaccine. More Details...

NNOHA Teledentistry Workflow (2020). Resource Type: Publication. Description: A sample generic workflow provides an example of how oral health care can be delivered through teledentistry. More Details...

Know Your A1C Tool / Conozca Su A1C (2018). Resource Type: Publication. Description: One of the most commonly reported positive health outcomes in Community Health Worker-led diabetes interventions is the improvement/stabilization of A1C levels reported in patients. The hemoglobin A1C test is a marker widely used to diagnose pre-diabetes and diabetes and to monitor diabetes control in patients. More Details...

Hepatitis C Virus (HCV) Cost Calculator (2020). Resource Type: Toolkit. Description: NNCC’s HCV Cost Calculator is an interactive tool designed to evaluate the costs and benefits of Standard vs Enhanced HCV Care. The HCV Cost Calculator uses a numerical value-based model of health center staff training, screening, and treatment regimen to estimate the cost-benefit comparison and return on investment (ROI) to the health center. More Details...

Hepatitis Awareness Month: Providing Care for Patients During COVID-19 (2020). Resource Type: Archived Webinar. Description: This webinar explored resources available to providers that treat patients seeking viral hepatitis services during the COVID-19 pandemic More Details...

Diabetes, Heart Disease, and LGBTQIA+ Populations (2020). Resource Type: Archived Webinar. Description: Dr. Alex Gonzalez of Fenway Health  and Katherine Overton of the American Heart Association discuss diabetes and heart disease in LGBTQIA+ populations. More Details...

Care for LGBTQIA+ People of Color (2020) (2020). Resource Type: Archived Webinar. Description: In this talk from the 2020 Advancing Excellence in Sexual and Gender Minority Health conference, Dr. Darrell Wheeler identifies challenges and solutions for supporting the health of LGBTQIA+ people of color. More Details...

Addressing the Opioid Crisis: Innovative Programs Serving People Experiencing Homelessness: Health center case studies for the Opioid Crisis. (2020). Resource Type: Publication. Description: Health centers are increasingly seeing individuals who are suffering from Opioid Use Disorder (OUD) and other Substance Use Disorders (SUDs), and many of these individuals are also faced with housing instability or are experiencing homelessness. Innovation is being driven at the ground level by providers including health centers, public health departments, harm reduction agencies and supportive housing agencies that are all concerned with the impact of OUD and other SUDs on the health of the people they serve. Essential in any innovative care model are the services needed to ensure people experiencing homelessness have access to evidence-based care, including Medication Assisted Treatment (MAT). More Details...

Health Centers' Experienced and Anticipated COVID-19 Testing Challenges (2020). Resource Type: Publication. Description: This report documents health centers’ experienced and anticipated challenges with COVID-19 testing. This report discusses the findings from NACHC’s open call for information on this topic and has testimonials from health center staff on their experiences. More Details...

Health Centers' Challenges with COVID-19 Testing (2020). Resource Type: Infographic. Description: This infographic illustrates high-level findings from the aforementioned report, which has additional testimonials from health center staff on their challenges with testing for COVID-19. More Details...

Flu Vaccine Guidance during COVID-19 for providers serving people without homes (2020). Resource Type: Infographic. Description: People experiencing homelessness are uniquely vulnerable to COVID-19 and the Flu and may face additional barriers to receiving vaccinations. A flu vaccine this season can also help reduce the burden on our healthcare systems responding to the COVID-19 pandemic. This infographic describes these key considerations. More Details...

Flu LEAD (Linkages to End Access Disparities) Initiative 2020 Information: A Pilot Project to Increase Influenza Vaccination Coverage among HUD-Assisted Residents (2020). Resource Type: Publication. Description: This NCHPH informational page provides an overview, and resources about the Flu LEAD pilot project directed by the U.S Department of Housing and Urban Development (HUD and the Health Resources and Services Administration (HRSA) to increase influenza vaccination coverage among residents of Public Housing Agencies (PHAs). More Details...

Promising Health Center Practices During COVID-19 (2020). Resource Type: Publication. Description: This document provides a compendium of promising practices for health centers during COVID-19. This robust collection of field examples speaks to the breadth and depth of change and transformation carried out by health centers and their partners as they continued serving their communities in the midst of a pandemic response. More Details...

Influenza Vaccine Readiness in an Era of COVID-19: Reflections from Community Health Center Leaders (2020). Resource Type: Publication. Description: This document contains interviews conducted by the National Association of Community Health Centers (NACHC) with a diverse group of health center leaders to ascertain issues being considered in light of the urgent need for expansive influenza vaccine overage in the face of the novel coronavirus pandemic. More Details...

Guide to Improving Care Processes and Outcomes in Health Centers: An approach to quality improvement (2016). Resource Type: Publication. Description: The quality improvement QI approach outlined in this Guide can be used to augment current QI approaches used in your health center, or can serve as a placeholder QI methodology when there isn’t already a robust QI process in place. It provides a framework and tools for documenting, analyzing, sharing and improving key workflows and information flows that drive performance on high-stakes care performance measures, and related improvement imperatives. This webpage provides strategies and tools that health centers and their partners can use to enhance care processes and outcomes targeted for improvement, such as hypertension and diabetes control, preventive care, and many others.   This webpage provides strategies and tools that health centers and their partners can use to enhance care processes and outcomes targeted for improvement, such as hypertension and diabetes control, preventive care, and many others. For authorship and acknowledgement for this Guide, see the bottom of this guide. The quality improvement QI approach outlined in this Guide can be used to augment current QI approaches used in your health center, or can serve as a placeholder QI methodology when there isn’t already a robust QI process in place. The approach provides a framework and tools for documenting, analyzing, sharing and improving key workflows and information flows that drive performance on high-stakes care performance measures, and related improvement imperatives.  The diagram to the left illustrates the data-driven, health IT-enabled continuous quality improvement approach that this Guide supports.  For an overview of the information contained herein access this recorded webinar and companion materials including transcript and slides for reference.     Background to Guide Guide Context and Approach This section includes guidance on leveraging Health IT to improve quality and clinical performance including data validation tools, Clinical Decision Support Quality Improvement worksheets, and change packages for recommended approaches related to various quality of care measures. Read More...   The diagram below illustrates the Guide’s focus on helping health centers adapt to the intensifying performance improvement imperatives they face pyramid tip. The Guide does this by providing strategies and tools to help analyze and improve critical workflows and information flows layers beneath the pyramid tip. For an introduction to the Guide that was presented as part of a webinar, see here the pertinent discussion is between these times/markers on the recording: 43:46-58:44     Audience The strategies and tools in this Guide are designed for quality, clinical and other health center staff, and health center partners that support quality improvement efforts. Read More... Everyone in a health center has a stake in successful quality improvement, and many different staff roles might be the first to encounter this Guide. For initial review, roles including QI/clinical/data/operations team members or leads are likely most appropriate. To drive substantial improvements, these tools and strategies should then be shared and used more widely with pertinent health center team members responsible for the organization’s clinical, operational and other activities key to successful QI. A QI team is typically the driving force behind the cross-stakeholder work outlined in this Guide. For more on building QI teams, see here.   Various organizations that support or depend on information from QI efforts within health centers can also become better QI partners by understanding and applying the strategies and tools in this Guide. These partners include:   Support organizations such as HCCNs, PCAs, payers and others   Organizations that supply health centers with technology that play a critical QI role, such as EHR and population health software vendors    Why Using this Guide is Important for Health Centers Quality improvement has traditionally been a core health center activity as health centers try to continually maximize value and efficiency. Dramatic healthcare payment reforms, increasingly tying payment to QI efforts and results, make effective QI a business imperative for all provider organizations. Wherever your organization is on the QI journey – from beginning through highly sophisticated – this Guide uses tools such as the CDS/QI Worksheets -- see under 'Document/ Analyze Flows; Identify Improvements' and strategies such as the CDS 5 Rights Framework that can enhance your QI efforts and results. Read More... Payment reforms seek to transform healthcare to achieve 3 key goals often referred to as the ‘Triple Aim’ or ‘Three-part Aim’:   Better care for individuals   Better health for populations   Lower cost   Key stakeholders assert that to achieve these goals, it’s important to also improve work life for clinicians and staff. Adding this dimension to the 3 goals above is referred to as the ‘Quadruple Aim.’ This shift to value-based payment is driven by both the public and private sector, and directly affects FQHC financial health. For example, the Merit-based Incentive Payment System is transforming Medicare by tying provider payments to performance on quality measures, clinical performance improvement activities, costs, and use of health IT. Medicaid and private payers are also driving transformation through increasing use of value and/or risk-based contracts that require successful QI.   Many health centers already use robust QI approaches such as those outlined in this quality improvement primer as part of UDS measure reporting and improvement efforts. Many likewise leverage powerful health IT capabilities such as population health management tools including disease/condition registries; EHR tools to enhance ordering, documentation and data review; and SMS texting with patients in this QI work. The drivers noted above, however, require increasingly sophisticated and effective approaches to health IT-enabled Quality Improvement health IT/QI. Other closely related terms include eCQI used by ONC and CMS and CDS-enabled QI CDS/QI, so those are terms referenced in some materials in this Guide as well.   The framework, strategies, and tools in this Guide can help your organization enhance its health IT/QI approach and results. In addition to the benefits this delivers in addressing payment drivers noted above, it can also improve staff satisfaction by streamlining care workflows, improve health center business strength by avoiding duplicated efforts and decreasing costs, and improve patient satisfaction by meeting their care needs more efficiently and effectively. How to Use this Guide The next main section of this resource, Health IT-Enabled QI Guide Details provides a step-by-step approach and tools for analyzing and enhancing care processes targeted for outcome improvement. The steps are outlined in the pathway under the first heading in that section, Approach to health IT-enabled QI. Read More... The Essential CDS/QI Worksheet is a core resource for analyzing and improving target-focused care. A preliminary workflow analysis and enhancement brainstorming exercise can be accomplished in as little as an hour by one or more health center staff reviewing the tutorial and using this worksheet. More comprehensive QI projects addressing all the steps in the pathway typically take up to a year or longer. In any case, the QI work should be a collaborative process involving all stakeholders within the health center, and ideally key partners as well such as the HCCN or PCA working with the health center, and their EHR and population health software vendors. Scanning these evidence-based strategies and tools will give health centers and their partners a sense for whether/how they can augment your current QI work. Users can then apply these approaches and resources with their team to the depth that would be most valuable and feasible given available time and resources. For a “quick win” exercise to identify potential high-yield, target-focused care process improvement opportunities, see this presentation Health IT Enabled QI: A Guide to Improvement. For additional ideas on introductory QI exercises, see the brief slide set, Five Minutes of Quality Improvement: Tackling Small QI Tasks. Contact the HITEQ Center for support on implementing the QI approach in this Guide.   Strategies and tools from this Guide in action:   CDS Learning Session ‘Quick Win’ Exercise: Sixteen community health centers in New Orleans conducted a valuable ‘Quick Win’ exercise using an earlier version of the Essential CDS/QI worksheet see here for further details about this exercise and results. In this activity, small teams from each health center e.g., a clinician and administrator were given a 20-minute overview of several key health IT/QI concepts and tools outlined in this Guide the broad CDS definition, CDS 5 Rights framework, and an earlier version of the CDS/QI Worksheet, each of which is explained later in this guide.   Immediately following, for just 20 minutes, each team independently used an enlarged version of the Essential CDS/QI Worksheet on a flip chart to document key workflows and information flows for their improvement target e.g., lipid or diabetes control. During this time, they also brainstormed refinements to one or more of the CDS 5 Rights “who, what, when, where, how” dimensions.   During the report-out following this brainstorming, health centers noted excitement about trying these enhancements to improve care processes and outcomes related to their target.   Using the Guide for Yearlong, Target Focused QI: Other QI projects have used the strategies and tools outlined in this Guide in yearlong, target focused QI efforts and have realized benefits for quality improvement and care processes, and increasingly in outcomes. In many cases these efforts involved collaboration with HCCNs and/or HIE/EHR/population management software vendors. These initiatives include:   A network of health centers in CA working on blood pressure control. The lead health center in this project, Petaluma Health Center, is a 2015 Million Hearts Hypertension Control Champion. View project report slides.   Improving blood pressure and diabetes in control in Trenton, NJ that included a health center among the participants. View project report slides .   Health centers in several states working on hypertension diagnosis and management several of which are achieving aggressive blood pressure improvement targets. Link to project overview.   Health IT-Enabled QI Guide Details Approach to Health IT-enabled QI The outline depicted in the figure below provides a step-by-step approach to analyzing and enhancing care processes targeted for outcome improvement. The sections below provide guidance and tools on addressing each of these steps. Read More...   Check/ Reinforce Foundations Successful health IT/QI efforts require a firm foundation of people, process, and technology elements. Read More... Cultivate a shared commitment within your team to improving care delivery and results, including fully leveraging health IT capabilities. Successful QI efforts deliver a ‘win-win-win’ for patients and their care teams, as well as broader organizational goals. This infographic and report examines characteristics of health centers that have achieved high clinical, financial and operational performance.     Ensure that key foundations for successful QI efforts are in place. For example, leadership and team support; stable well-utilized health IT systems such as EHR, population management software; bandwidth and capacity for the QI work; and shared understanding about QI goals and processes.  For some specific resources around ensuring key foundations, see here for Motivating Factors for Engaging in Health IT-enabled QI, and Engaging the Data Creators.  Also, see here for A Buyer’s Guide to Business Intelligence Tools.  Here is a tool to assess analytics capability in health centers, that also provides insights into the nuance of working with data and building a data-driven culture. A brief video introduction to using this tool is here.   Ensure access to and validate data that will underpin the QI efforts. For example, ensure that EHR and/or population management software can deliver needed data and reports, and produce the same values for targeted performance measures and related data as manual review/calculation. See here for questions to consider to help determine if you are fully utilizing your EHR capabilities for population management, and if additional tools are needed. This checklist can help with data validation and interpretation a webinar that includes an introduction to this checklist is here, and the pertinent discussion is between these times/markers on the recording: 8:15- 43:45. See here for a basic auditing tool Excel Template for data reports, and a case study on data validation.   Identify and address barriers to collaboration on effective process improvement such as stakeholder conflicts or conflicting goals among all concerned, including providers, care delivery and quality staff, partners e.g., health IT vendors, and patients.   Layer the approach and tools outlined below onto your general QI methodology, as well as any current target-focused QI activities. If no QI framework is in place, consider using the approach outlined in this Guide as a starting point, and build that out further through options such as those provided in the primer, Continuous Quality Improvement CQI Strategies to Optimize your Practice. Understand Health IT-enabled QI Everyone participating in the QI work should have a shared understanding of key definitions e.g., CDS, frameworks e.g., CDS 5 Rights, strategies e.g., the QI process outlined under the Implement and Evaluate Changes heading., tools e.g., Essential CDS/QI Worksheet, and key QI project success factors.   Read More... ‘Clinical Decision Support’ CDS is a key underpinning for the QI approach outlined in this Guide, but its meaning here might be different than what you have in mind especially if ‘alert’ figures prominently in your definition. In this Guide, CDS is defined as a process for improving health-related decisions and actions with pertinent knowledge and patient information to enhance health and care delivery. Under this definition, CDS is about supporting care decisions and actions, ideally in a manner that makes the appropriate decisions and actions the easy ones to execute. That is, facilitating workflow not interrupting it – as alerts often do. There are many different ways to provide this support e.g., CDS intervention types. See the CMS CDS tipsheet page for more details, including example CDS intervention types e.g., order sets, focused patient data summaries, documentation templates.   The CDS 5 Rights framework is a best practice QI approach recommended by CMS in the tipsheet above to support decisions and actions that drive performance targeted for improvement. It asserts that optimizing care processes and outcomes requires getting the right information to the right people in the right formats through the right channels at the right times see figure below. The tools and approaches outlined in this Guide help organizations implement this framework and enhance the contributions, experience and results for those involved in care delivery.   The Essential CDS/QI Worksheet see excerpt images below is a core health IT/ QI tool best used for initial efforts to map care processes and reveal potential enhancements. That is, to document and analyze target-focused information flows and workflows, and to brainstorm improvement opportunities see figure with excerpts from this worksheet below. The tutorial that follows provides guidance and examples on how the worksheet can be used. to streamline and enhance care processes. The Enhanced CDS/QI Worksheet,  pointed to below under the bullet titled 'For a deeper dive into health IT/ QI Foundations', is a more robust but more complicated tool for those already skilled in using the Essential CDS/QI Worksheet View the Tutorial on how to use the Essential CDS/QI Worksheet   See a completed Outpatient Essential CDS/QI Worksheet Example that uses this tool to illustrate the workflows and information flows that produced very high levels of blood pressure control in a small practice: Ellsworth Hypertension QI Case Study Note: this example used an earlier version of the Essential CDS/QI Worksheet that did not contain the ‘Foundational Activities’ section. This case study was originally developed for ONC and is also posted on here on healthit.gov. Attend to key QI project success factors:   Focus on People, Process, and Technology in that order, recognizing that engaging everyone involved is critical for success.     Focus on ‘the most important things’ when selecting improvement targets, opportunities to enhance care processes for the target, and activities to ensure successful implementation of those process changes.     QI activities involve a chain of stakeholders including health center QI leads, clinicians and staff, and ultimately patients. As the QI project unfolds and each of these groups is touched by the effort, seek to escalate engagement, insights, and momentum toward goals. For a deeper dive into health IT/QI foundations, consider these resources:   Tasks and Key Lessons from each chapter in “Improving Outcomes with Clinical Decision Support, and Implementer’s Guide, 2nd Edition.” These bulleted lists provide detailed guidance on successful CDS-enabled QI programs and interventions.   Enhanced CDS/QI Worksheet: Similar in concept to Essential version, but with additional space to document/review optimal care activities for the target, and the individual CDS 5 Rights dimensions for the current state. Consider using only after you are comfortable with the Essential CDS/QI Worksheet version Note: this example used an earlier version of the Enhanced CDS/QI Worksheet that did not contain the 'Foundational Activities' section.   View the Tutorial on how to use this Enhanced Worksheet [download the PDF and run locally for best results].   See a completed Outpatient Example: CHC Inc. hypertension QI case study   White papers and guides on HIT-CDS/QI:   Qualis Health: Integrating Clinical Decision Support Tools into Ambulatory Care Workflows for Improved Outcomes and Patient Safety   AHRQ: Using Health Information Technology to Support Quality Improvement in Primary Care   ONC: How-To Guides for Clinical Decision Support CDS Implementation Select Targets; Initiate QI Project   Successful QI efforts typically require significant time, energy and resources, so it is important to choose targets where the return will warrant the investment. This requires a clear and accurate understanding of baseline performance on the target.   Read More... Consider targets associated with business imperatives, such as UDS reporting especially for conditions where the health center is under-performing, and value-based payment initiatives from the private sector and CMS e.g., the Quality Payment Program which is radically overhauling Medicare payments to clinicians, and related value/risk-based payment models for Medicaid. Seek QI synergies with pertinent health center initiatives such as PCMH recognition and HRSA Health Center Quality Improvement Grant Awards.   Examine local performance gaps and improvement opportunities when reviewing payment drivers noted above and selecting targets. See the figure below from the HIMSS guidebook on improving outcomes for examples of local factors to consider in selecting targets for quality improvement intervention. Image Reference: Osheroff JA, Teich JM, Levick D, et. al. Improving Outcomes with Clinical Decision Support: An Implementer’s Guide, 2nd ed. Chicago: HIMSS. 2012.   Measure and understand your baseline performance on your targets. The CMS/ONC eCQI Resource Center has information about quality measure specifications for providers. The Checklist for Analyzing Performance Measure Data has detailed information about validating and interpreting these data. Document/Analyze Flows; Identify Improvements   A helpful QI adage is that “systems are perfectly designed to produce the results they deliver.” This truism highlights the importance of understanding current care processes that are driving sub-optimal performance on the targeted measure e.g., diabetes control, preventive care, use of expensive tests so they can be refined to deliver better results. The CDS/QI worksheet supports this analysis through a structured, broadly applicable framework for documenting, analyzing, sharing and improving target-focused care activities. Read More... Use the CDS/QI worksheet to help examine patient-specific and population management information flows and workflows, as well as foundational activities such as EHR configuration, policies, staff training, etc., that are producing sub-optimal performance on the target. For example, if the QI target is hypertension control, consider the current status of staff competency and training on measuring blood pressure appropriately foundational activities; registry use to identify and recall patients with poorly controlled blood pressure population management activities; and optimizing pre-visit huddles, order set use, and patient engagement/care plan adherence tools patient-specific supports.   Walk through the care process with special attention to the patient experience and document results in the Essential CDS/QI Worksheet.   Engage all care team members in the workflow/information flow and improvement analysis– including the patient, if possible.   If you are comfortable with the Essential CDS/QI Worksheet, consider using the Enhanced CDS/QI Worksheet instead of, or in addition to, the Essential Worksheet for a deeper dive into the ‘optimal state’ and the details of each CDS 5 Rights dimension.   Analyze this current state “what is?” to identify opportunities to improve target-focused information flow, workflow and results; i.e., to better address the CDS 5 Rights for the target. Document these potential enhancements in the CDS/QI Worksheet. Review the tutorial for the worksheet you are using i.e., essential vs. enhanced for guidance. For example, consider enhancements such as:   documentation templates, and related workflows for completing them, that make it easier to identify patient barriers to adherence with the care plan foundational activity;   text messages and/or personal calls to patients to decrease no-show rates patient-specific support, and   performance dashboards and related conversations to share target measure results with teams and clinicians as a springboard for brainstorming strategies to accelerate improvement population management activities.   Review evidence-based best care practices for the target “what should be”   Consider available best practice ‘change packages’ for the target:   For hypertension management, the CDC Hypertension Control Change Package presents change concepts, change ideas, and proven tools that outline ‘what should be’ best practices in categories that correspond to the categories on the CDS/QI Worksheets i.e., Foundation Activities, Population Management, and Patient-specific Supports and its subcomponents.   For detecting hypertension that may be ‘Hiding in Plain Sight’ in health centers and diagnosing hypertension so it can be managed appropriately to reduce heart attacks and strokes, see this similarly-structured “HIPS” change package.   For improving colorectal cancer screen rates as called for in the national "80% by 2018" campaign, see this similarly-structured change package   Examine other case examples and best practices for successful target-focused care strategies e.g., QI case studies published by ONC, and other resources:   Case examples on hypertension control:   Ellsworth Medical Clinic hypertension QI case study: narrative discussion and details presented in an earlier version of the Essential CDS/ QI Worksheet.   CHC, Inc.2 hypertension QI case study: narrative discussion and details presented in an earlier version of the Enhanced CDS/QI Worksheet. This study was originally developed for ONC and is also posted here on healthit.gov.   EHR Innovations for HTN Challenge results   Colorectal cancer screening recommendations for community health centers from the Oregon Primary Care Association and the National Colorectal Cancer Screening Roundtable    Case example on tobacco use screening and smoking cessation support at Miramont Family Medicine. This case study was originally developed for ONC and is also posted here on healthit.gov   Define potential workflow and information flow enhancements for the target “what could be here?” by combining ‘top down’ approaches i.e., starting from ‘what should be?’ best practices and ‘bottom up’ approaches i.e., improvement opportunities that emerge from the “what is?” analysis with stakeholders.   Prioritize identified enhancements to implement: Identify several enhancements that are most likely to deliver the greatest benefit in the shortest time with the least effort for initial implementation that is, use the “low hanging fruit” approach – see prioritization tools such as this Prioritization Matrix. Give special attention to changes that could yield strong benefits across multiple targets, or that appear especially promising for strengthening critical workflows and information flows e.g., related to patient engagement, registry use to identify and close care gaps, pre-visit planning, and efficiently executing evidence-based care plans. Implement & Evaluate Changes Implementing enhanced care processes requires that people e.g., health center clinicians, other staff, and patients do things differently. Formal change management approaches can help ensure that these changes are successful and that they produce desired results.   Read More... Use a QI methodology e.g., PDSA cycles to engage frontline staff and other key stakeholders in care processes and results to design, implement and evaluate the prioritized changes. Be sure to do this work with all the stakeholders and not to them i.e., seek and act on team members’ and patients’ input and feedback throughout the process. Be ready to modify patient care and quality improvement activities, CDS intervention details across any of the CDS 5 Rights dimensions, and other parameters if needed as improvement cycles unfold. Monitor implementation activities with structured tools that help you document and manage who’s doing what when, as well as the results. Sample monitoring tools:   Worksheets from Chapter 8: Putting Interventions into Action and Chapter 9: Measuring Results and Continuously Refining the Program in “Improving Outcomes with Clinical Decision Support: An Implementer’s Guide. Second Edition” provided with permission from HIMSS   IHI PDSA Worksheet: http://www.ihi.org/resources/Pages/Tools/PlanDoStudyActWorksheet.aspx   Validate and analyze performance measure data to make sure that the results are accurate, and that the team understands what they mean and what to do about them. This checklist can support this process. Harvest/Spread Results Ongoing attention to performance on key targets beyond ‘focused QI projects’ is generally warranted e.g. because performance may backslide for various reasons. In addition, there is a growing list of targets on which improvement is imperative. It is therefore important to ‘harvest’ learning, strategies and tools from each project that can be applied in an ongoing way to the target, and spread to other targets. The CDS/QI Worksheet’s structure can facilitate such cross fertilization among QI targets.   Read More... As the scheduled initiative concludes, review the QI project with stakeholders to better understand what worked well, what could have been done better, and what useful tools were created.   Apply this learning and these results to strengthen ongoing ‘maintenance’ efforts on the current target and other target-focused QI initiatives.   Transition target-related QI efforts from ‘project-focused’ to ‘this is how we do business.’ Build in ability to detect the need for, and implement, tweaks to target-related processes when required because of changes to people/processes/technology.   Incorporate proactively the insights and results from each QI project into subsequent QI initiatives. Although a particular target-focused QI project may be time-limited, the QI and clinical teams should remain alert for ways to continually improve care across all targets. For example, learning from a QI project might indicate opportunities to more broadly modify clinical and quality work and roles, as well as health IT configurations with this latter triggering feedback to developers about broadly needed enhancements.   Contact the HITEQ Center if you are interested in sharing results further with your peers, and opportunities for health IT/QI peer learning.   Acknowledgements Origins and Ongoing Refinement of this Guide: The content in this resource is drawn from and builds on widely used CDS/QI tools and strategies that have evolved over the past decade. The HITEQ Center plans to continue refining this Guide based on input from users like you, so please consider sharing your feedback through the comment form. Read More... The content in this Guide is an adapted and expanded version of care process improvement guidance posted here on healthit.gov. That original material was developed by Jerome Osheroff, MD, TMIT Consulting, LLC in collaboration with ONC and Deloitte, and this version on HITEQ was also developed by Osheroff/TMIT in collaboration with JSI and others.   Guide Reviewers Individuals below each provided helpful feedback on an earlier draft of this guide; those marked with * provided particularly detailed feedback that led to substantial enhancements: Sheila Allen, MPH; Chief Compliance and Quality Officer, HealthNet, Inc. *Daren Anderson, MD; Director of the Weitzman Institute and VP/Chief Quality Officer of Community Health Center, Inc Sasha East, MD; Internal Medicine Resident, Robert Wood Johnson University Hospital Renu George, MD; Internal Medicine Resident, Robert Wood Johnson University Hospital *Meg Meador, MPH, C-PHI;  NACHC Director of Clinical Integration and Education *Jillian Maccini, MBA; Consultant, JSI Laura Methvin, MD; Internal Medicine Resident, Robert Wood Johnson University Hospital Alan Mitchell; Program Director, Performance Improvement, Primary Care Development Corporation PCDC * Nivedita Mohanty, MD; Director of Evidence-based Practice, Alliance of Chicago Rick Reifenberg MD, FAAP, FACP, Associate Medical Director, HealthNet Inc.   Refinements to material on this page to enhance its use and usefulness are planned based on user feedback HITEQinfo@jsi.com.   Recommended citation for this Guide: Osheroff, Jerome A. "Improving Care Processes and Outcomes in Health Centers. HRSA Health Information Technology, Evaluation and Quality Center. JSI. 9 Sept. 2016. Web. 21 Nov. 2016 More Details...

Improving Identification and Diagnosis of Hypertensive Patients Hiding in Plain Sight (HIPS) in Health Centers (2018). Resource Type: Publication. Description: Hypertension is the most prevalent chronic condition diagnosed among patients served in the safety net in; the United States; however, many safety-net patients with hypertension are not formally diagnosed and may remain untreated and at increased risk for cardiovascular events. Identifying undiagnosed hypertension using algorithmic logic programmed into clinical decision support (CDS) approaches is a promising practice but has not been broadly tested in the safety-net setting. More Details...

Information for Patients About Dental Amalgam Fillings (2020). Resource Type: Publication. Description: Page of FDA website where the FDA recommends patients in some risk factor groups discuss restoration options with their dentist, regarding amalgam fillings that contain mercury. More Details...

Accelerating Use of Self‑measured Blood Pressure Monitoring (SMBP) Through Clinical‑Community Care Models (2020). Resource Type: Publication. Description: The project aimed to increase the use of Self-Measured Blood Pressure Monitoring (SMBP) through the coordinated action of health department leaders, community organizations and clinical providers. More Details...

Influenza Vaccination Technical Assistance Materials for Health Centers Curated by the Flu LEAD (Linkages to End Access Disparities) Team (2020). Resource Type: Publication. Description: The following HRSA document contains technical assistance resources that may be helpful to health centers and other Health Center Program stakeholders interested in supporting clinical and community efforts to increase seasonal influenza vaccination rates. More Details...

Oral Health Value-Based Care: The Federally Qualified Health Center (FQHC) Story (2020). Resource Type: Publication. Description: NACHC collaborated with the DentaQuest Partnership for Oral Health Advancement to produce this white paper examining the role of FQHCs as facilitators of oral health value-based care. It also outlines various ways that FQHCs are positioned to respond effectively to the COVID-19 epidemic. More Details...

Social Determinants of Health for Public Housing Residents: Access to Healthy Food (2020). Resource Type: Publication. Description: Using data and maps created by National Center for Health in Public Housing (NCHPH) and other national data sources, this publication is one in a series that identifies the prevalence of social factors and population health indicators that affect public housing residents. It is intended for non-clinical health center staff, decision makers, and public housing stakeholders. More Details...

GUIDANCE Sliding Coinsurance for CMS/Medicare Care Management Services (2020). Resource Type: Publication. Description: While health centers are required to impose Medicare coinsurance for CMS/Medicare care management services, the coinsurance may be “slid” commensurate with the sliding fee discount program (SFDP) policy of the health center. Federal anti-kickback statutes and beneficiary inducement prohibitions include exceptions allowing health centers to discount coinsurance for patients who are eligible for the health center’s sliding fee discount program without violating Medicare rules. More Details...

Bridging the Digital Divide: Using Technology to Improve Access to Health Care for Public Housing Residents (2020). Resource Type: Publication. Description: The purpose of this report is to outline the digital needs and challenges of public housing residents, the risks and benefits of using technology to improve patient care, and recommendations on how to prepare health centers and patients to optimize digital tools, improve access to care, and enhance efforts through partnerships to bridge the digital divide. More Details...

Delivering Telelegal Services During COVID-19 (2020). Resource Type: n.a.. Description: This town hall featured teams from Los Angeles, Montana, and Alaska who have experience delivering remote medical-legal partnership services in urban, rural, and frontier settings More Details...

Advance Care Planning During COVID-19 (2020). Resource Type: Archived Webinar. Description: This town hall conversation explores the legal, policy, operational, and capacity issues related to advance care planning. More Details...

Testing for COVID-19 in Homeless Shelters & Encampments: Discussing CDC’s New Health Department Guidance & NHCHC’s Newest Issue Brief (2020). Resource Type: Archived Webinar. Description: As capacity for COVID-19 testing grows in most communities, high-risk settings such as homeless shelters and encampments are increasingly being prioritized for universal testing events. New CDC guidance for health departments outlines factors that local and state agencies can use to further inform specific policies being developed for these venues. A new National HCH Council issue brief provides lessons learned and testing strategies that HCHs in five cities have found to work successfully when conducting universal testing. This webinar summarized these new resources and hosted active discussion. More Details...

Reimagining Care (7/8/2020): Ensuring Access to Coverage During a Pandemic and Beyond (2020). Resource Type: Archived Webinar. Description: COVID-19 has fundamentally changed how health centers deliver care. Health centers have also changed the way they provide a diverse range of non-medical enabling services that address patient barriers to care and social determinant of health. More Details...

Partnership Opportunities for Health Centers, EnVision Centers, and Public Housing Agencies (2020). Resource Type: Archived Webinar. Description: The recent COVID-19 crisis his highlighted the magnitude of health inequities faced by public housing residents and the need for a coordinated approach in providing health prevention and treatment, as well as the basic goods and services needed to survive, e.g., food, medicine and shelter. More Details...

Secondary Traumatic Stress Identification, Mitigation and Improving Work Satisfaction for Health Center Staff During the COVID-19 Pandemic (2020). Resource Type: Archived Webinar. Description: Webinar hosted by NCHPH. Recording slides and handouts available. More Details...

Clinician's Guide to the EPA's Worker Protection Standard (2020). Resource Type: Publication. Description: The EPA’s Worker Protection Standard (WPS) protects agricultural workers from the health risks associated with pesticides. This guide, jointly developed by Farmworker Justice and Migrant Clinicians Network, provides information to clinicians about the WPS, including basic protections, reporting and monitoring requirements, and important considerations for migrant health clinicians. More Details...

Building Resilience in the Midst of a Pandemic: What Health Care Workers and Leaders Can Do During the COVID-19 Pandemic (2020). Resource Type: Archived Webinar. Description: A lot of energy has been devoted to the critical need for PPE, the lack of respirators, tests, and the pressure on health centers to help “flatten the curve.” This crisis has left little time to address the impact of workplace and personal stressors on providers and other staff as they try to balance the fear of contracting the virus while carrying a heavy, complex workload. This webinar provided tips and recommendations for leadership, health center staff working at clinical sites on how to create a healthy environment and cope with anxiety, depression and other behavioral disorders caused by COVID-19. More Details...

TelePrEP for Health Centers: Telehealth Resources and Innovations for HIV Pre-Exposure Prophylaxis (PrEP), June 2020 (2020). Resource Type: Publication. Description: Pre-exposure prophylaxis, or PrEP, has long been recognized as an effective treatment in the effort to end the HIV epidemic. Prescribing PrEP should be considered as part comprehensive prevention plan that includes a discussion about adherence to PrEP, condom use, other sexually transmitted infections (STIs), and other risk reduction methods. This HITEQ brief presents an overview of how health centers can utilize telehealth for PrEP access, or TelePrEP, for comprehensive care, and includes innovations and resources that health centers can utilize to extend these services to their patient populations. More Details...

Returning to Primary Care: Diabetes Care During a Public Health Crisis (2020). Resource Type: Archived Webinar. Description: The current public health crises have shown how critical it is for health centers to transform care delivery, especially for the vulnerable and safety-net population. Health centers provide care to individuals disproportionally at risk for, and affected by, diabetes. In this three-part webinar series, NACHC's Quality Center provided applications of evidence-based interventions for diabetes that can be readily and quickly implemented in the context of a changing healthcare environment. More Details...

HITEQ Highlights: Shared Care Planning Optimization Using the EHR (2020). Resource Type: Archived Webinar. Description: The HITEQ Center, in collaboration with the National Council for Behavioral Health, hosted a webinar on Shared Care Planning Optimization Using the EHR. The webinar provided an overview on the importance of shared care planning and how we can better optimize the electronic health record to make it the most successful and inclusive of the team. Components of shared care planning and different tools that will help with the creation and accessibility of shared care plans were discussed. More Details...

HITEQ Highlights: Hear from your Peers: Using the EHR for Routine HIV Screening (2020). Resource Type: Archived Webinar. Description: The HITEQ Center, in collaboration with BC3 Technologies, LLC, hosted this webinar that explored key concepts and best practices in utilizing an electronic health record in routine HIV Screening. This webinar sought to motivate and educate the clinical team on how the electronic health record can be used as a tool in the workflow of a primary practice. Aspects of clinical decision support, reminders, and alerts were covered with an emphasis on best practices, challenges, solutions, and lessons learned. More Details...

Health Information Technology support for HIV Screening and Prevention Services: Environmental scan for Ending the HIV Epidemic (2020). Resource Type: Publication. Description: In the 2019-2020 contract year, as part of the Ending the HIV Epidemic initiative HITEQ conducted an environmental scan to determine the role of EHRs and health IT in health center capacity and ability to expand HIV screening and prevention. HITEQ reviewed existing data and existing literature, and conducted 15 interviews with health centers and health center partners. The results are structured as a SWOT analysis, outlining strengths and weaknesses internal to health center health IT systems as well as opportunities and threats, factors that are external to health centers. More Details...

Informational Guide for Public Housing Residents During COVID-19 – Know the Basics of Seeking Care: Know the Basics of Seeking Care (2020). Resource Type: Publication. Description: This infographic provides general information on how public housing residents can seek care for COVID-19, testing services provided by health centers near public housing agencies and how the Public Charge rule does not apply for these services. More Details...

MSAW/Housing Playbook and Risk Mitigation: Samples from Family Health La Clinica, Wisconsin (2020). Resource Type: Template. Description: Three documents from Family Health La Clinica, shared by the Wisconsin PCA. Resources include a Playbook, Risk Mitigation Strategy, and Housing & Workplace Best Practices. More Details...

Informational Guide for Public Housing Residents — COVID-19: Know the Basics (2020). Resource Type: Publication. Description: This infographic provides general information on COVID-19. More Details...

Understanding Your Federal Funding Streams and Appropriate Stewardship (2020). Resource Type: Archived Webinar. Description: This webinar explores fundamental ways to manage and maximize the impact of federal funds from multiple funding streams for COVID-19. More Details...

PrEP at Home (2020). Resource Type: Archived Webinar. Description: In this webinar, Dr. Ken Mayer and Julian Dormitzer, NP, address telePrEP and the PrEP at home model for LGBTQIA+ patients. The webinar covers the basics of starting and monitoring PrEP with an at-home start, and also address specific needs and concerns for sexual and gender minority people around PrEP and telePrEP. There is also a focus on PrEP at home in the time of COVID-19. More Details...

PrEP and Informatics (2020). Resource Type: Archived Webinar. Description: In this webinar experts from Fenway Health and HITEQ discuss using data, electronic health records, and informatics to make informed decisions regarding PrEP (pre-exposure prophylaxis) for HIV prevention. The webinar covers both clinical data usage and administrative staff support in using data and informatics for optimizing PrEP in health centers. More Details...

Pharmacy and Finance for PrEP (2020). Resource Type: Archived Webinar. Description: In this webinar Dr. Rupa Patel discusses pharmacy and financing considerations for initiating and managing PrEP. Dr. Patel, Assistant Professor of Medicine and Director of the PrEP for HIV Program at the Washington University of Medicine in St. Louis, will explore these topics and provide guidance for health centers providing PrEP to their patients. More Details...

HIV Prevention/PrEP at Health Centers: An Overview and Current Best Practices (2019). Resource Type: Archived Webinar. Description: Dr. Kevin Ard and Dr. Jennifer Reske-Nielsen discuss HIV and PrEP in primary care and sexual health clinic settings, and the current state of HIV research and treatment in the United States. More Details...

Behavioral Health Care for Transgender and Gender-diverse People (2020). Resource Type: Archived Webinar. Description: In this webinar, Dr. Alex Keuroghlian discusses behavioral health care for transgender and gender-diverse people at health centers. This session will contextualize mental health inequities across diagnostic categories within a gender minority stress framework, propose culturally responsive tailoring of evidence-based clinical practices, and offer strategies for building inclusive, affirming, and trauma-informed environments within health centers in order to optimize behavioral health outcomes. More Details...

Payment and Delivery Reform: Medicaid in the Time of COVID-19 (2020). Resource Type: Publication. Description: NACHC hosted a 3-part virtual peer learning opportunity on “Medicaid in the Time of COVID-19” as a year-end wrap-up to the 2019 Payment and Delivery Reform Summit. More Details...

Snapshot: FQHCs and Oral Health (2020). Resource Type: Publication. Description: n.a. More Details...

Supporting Aging in Place Programs: The Role of Community Health Workers (2019). Resource Type: Archived Webinar. Description: This webinar reviewed the common health needs of older adults as they age in place, and explained the value of implementing Community Health Worker-led Aging in Place programs. More Details...

Sexual Health and Wellness for LGBTQIA+ Older Adults (2020). Resource Type: Archived Webinar. Description: This two-part webinar series explored the importance of discussing safe sexual practices with LGBTQIA+ older adults and explained the value of connecting at-risk individuals to HIV prevention methods like PrEP. More Details...

Improving Diabetes Care Quality in Rural Communities (2020). Resource Type: Archived Webinar. Description: This webinar explores the role of telehealth delivery to overcome geographic and financial barriers to providing diabetes monitoring and patient lifestyle education. More Details...