Quick Finds: Promising/Best Practices

Performance Measure Data Definition Worksheet (2022). Resource Type: Toolkit. Description: The Performance Measure Data Definition Worksheet can be used during the Quality Improvement (QI) process to assess the alignment of your health center’s workflows and documentation and your EHR vendor’s reporting logic processes. More Details...

Improving Care Coordination and Health Outcomes for Diabetic Patients through Medical and Dental Integration: Promising Practice (2022). Resource Type: Publication. Description: CommUnityCare in Texas shares how their organization implemented medical and dental integration through NNOHA Integration of Diabetes and Oral Health Learning Collaborative to help improve the health outcomes of patients with diabetes. More Details...

Guide to Attracting Funding Resources to Address Social Determinants of Health Needs (2022). Resource Type: Publication. Description: This Guide to Attracting Funding Resources to Address Social Determinants of Health Needs will explore, from the community health center perspective, approaches to attract investments in SDOH that meet common, critical patient needs such as housing. More Details...

Using Teledentistry to Improve Prenatal Care (2022). Resource Type: Publication. Description: This publication describes how the University of California, Irvine Family Health Center provides synchronous teledentistry services to pregnant patients. More Details...

Concurrent Treatment of Smoking Cessation and SUD in Primary Care (2022). Resource Type: Webinar. Description: n.a. More Details...

HITEQ Highlights: Deploying Smartphone Apps to Advance Mental Health in Primary Care: HITEQ Highlights Webinar (2022). Resource Type: Archived Webinar. Description: Patient engagement through electronic health apps are one solution to the need for timely and ongoing patient support. This session discussed a program to support mental health through an integrated behavioral health model using a mental health app at Cambridge Health Alliance. More Details...

Work as a Social Driver of Health: How La Casa Family Health Center Identifies Farmworkers (2022). Resource Type: Podcast. Description: What happens when health center care teams know more about a patient’s occupation? This data can be especially important if the patient is an essential worker, as the Health Choice Network, a health center-controlled network based in Miami, and their partners at La Casa Family Health Center in New Mexico, learned during the COVID pandemic when treating a high-risk group of dairy farmworkers. This episode of NACHC’s podcast, Health Centers on the Front Lines, takes us behind the scenes at a health center and its partner network as they change the culture around disclosure of occupation among patients. More Details...

Environmental Determinants of Health: Fostering Environmental Health Programs in Public Housing Primary Care (2022). Resource Type: Webinar. Description: n.a. More Details...

Managed Care Data Checklist: Companion Document to Video Module: Payer Data: The Managed Care Data (2022). Resource Type: Toolkit. Description: This checklist will walk you, the health center, through a series of common considerations for contracts you may receive from payers with a specific focus on contracts that include value-based payment components. This document assists organizations in understanding the necessary data and data-related tools for managing population health within a managed care environment. More Details...

Serving Veterans in Health Centers: A Compendium of Success Stories (2022). Resource Type: Publication. Description: These ten success stories from around country share how health centers are successfully supporting the unique needs of local military veterans. From oral health care and care coordination to housing and outreach to the VA, these stories capture the ingenuity, advocacy and passion of local health centers giving back to Veterans. More Details...

Using Health IT and EHRs to Address the Burden Providers Experience: Takeaways for primary care safety net settings including federally qualified health centers and look-alikes. June 2022. (2022). Resource Type: Publication. Description: Providers are burnt out and most expect it to get worse. Burnout is typically defined as a psychological response to job stressors characterized by emotional exhaustion, detachment, and a sense of ineffectiveness. Investigations of burnout in primary care have usually focused on factors associated with burnout among individual clinicians. But, it may be more useful to think about organizational-level burnout, which can shift the focus from individual responsibility to organizational solutions. More Details...

Promising Practices: Providing Behavioral Health Care in a Medical Respite Setting (2022). Resource Type: Publication. Description: This report presents a summary of the findings and highlights promising practices in behavioral health care that are currently being implemented in medical respite care (MRC) programs across the country. It outlines strategies and approaches that can be replicated and adapted to other programs’ unique contexts, equipping them to deliver high-quality care that is consistent with the Standards for Medical Respite Care and is responsive to the needs of people experiencing homelessness (PEH) in their communities. More Details...

Bright Spots in HIV Screening: Health center examples, developed June 2022 (2022). Resource Type: Publication. Description: Since 2020, health centers have reported the HIV Screening clinical quality measure on Table 6B of the UDS. This measures the portion of medical patients aged 15 through 65 who have at least one HIV test recorded between their 15th and 66th birthday. HITEQ hosted discussions with health centers in fall of 2021 to find out how they have made progress on this particular clinical quality measure. More Details...

Telehealth Office Hours: Remote Self-Monitoring Blood Pressure Program (2022). Resource Type: Archived Webinar. Description: NACHC offers monthly Telehealth Office Hours for health center, PCA, and HCCN staff who have questions or want to share information about telehealth related policy and operational activities. In addition to updates and Q&A, each session will focus on a specific topic of concern. More Details...

Eyes on Access: Steps for Integrating Comprehensive Eye Health and Vision Services into Health Centers (2022). Resource Type: Archived Webinar. Description: This is a Part 2 archive of a 2-part webinar series in Spring 2022 that reviewed the operational activities necessary to implement or enhance vision services in a health center. Learners reviewed planning factors such as provider configuration, cost, volume and supervision. More Details...

Considerations for Sustaining a Culture of Cybersecurity: Part II: Cybersecurity Risk and Preparation (2022). Resource Type: Archived Webinar. Description: With the rise in cyberattacks of government agencies and large-scale companies, organizations large and small are questioning if they are doing all they should to protect their data. More Details...

Considerations for Sustaining a Culture of Cybersecurity: Part I: Understanding the Essentials (2022). Resource Type: Archived Webinar. Description: With the rise in cyberattacks of government agencies and large-scale companies, organizations large and small are questioning if they are doing all they should to protect their data. More Details...

Telehealth Office Hours: Tele-Behavioral Health Best Practices for Health Centers Now and Into the Future (2022). Resource Type: Archived Webinar. Description: In this session, Clinical Psychologist Dr. Jonathan Neufeld will review the best practices for building, operating and sustaining a telebehavioral health practice in an FQHC setting. He will cover strategies for improving etiquette, assessing and mitigating patient risk, and updates on telehealth billing and policies related to the COVID-19 pandemic and public health emergency. More Details...

Social Determinants of Health— Medicaid Coverage and Payment (2022). Resource Type: Publication. Description: Recent guidance from the Centers for Medicare and Medicaid Services (CMS) provides new clarity on Medicaid and SCHIP authority for reimbursement of SDOH screening and interventions in particular circumstances. This publication demonstrates opportunities to use SDOH screening tools such as PRAPARE to improve the delivery of care through enhanced data collection and relationships with safety-net programs. More Details...

Finding the Sweet Spot: Using Medicare Wellness Visits to Promote Diabetes Prevention in Older Adults (2022). Resource Type: Archived Webinar . Description: This National Center for Equitable Care for Elders webinar focused on the value of the Medicare Annual Wellness visit for developing personalized plans to prevent or mitigate diabetes in older adults. The webinar demonstrated how an individualized approach to diabetes prevention and management in older adults should take into account the 4Ms of Age Friendly Health Systems: Mobility, Mentation, Medications and What Matters Most. More Details...

Identifying Older Adult Depression in a Dental Setting (2022). Resource Type: Archived Webinar . Description: This National Center for Equitable Care for Elders (NCECE) webinar highlighted best practices for integrating mental health and dental care through assessments and appropriate referrals. The webinar explained the bi-directional relationship between poor oral health and behavioral health needs, described the impact of social risk factors on oral health disparities in older adults, and demonstrated integrative strategies for establishing an interdisciplinary team-based approach for treating older adult mental health More Details...

Improving Health of Public Housing Residents Through Intentional Health Center and Housing Authority Partnerships (2022). Resource Type: Archived Webinar. Description: In collaboration with the National Nurse-Led Care Consortium, the National Center for Health in Public Housing conducted a webinar highlighting the health center and housing authority partnerships that have led to improved health for public housing residents. More Details...

Developing a Postdoctoral Psychology Residency Program in Your Community Health Center (2022). Resource Type: Archived Webinar. Description: Two years later, we continue to witness the pandemic’s toll on mental health – and a sustained increased demand for mental health services. Behavioral health care providers who are experienced in integrated care settings are needed now more than ever. Join this webinar to learn how your health center can establish its own postdoctoral clinical psychology residency program. This webinar will address considerations such as program structure, design, curriculum, the supervisor’s role, required resources, and the benefits of sponsoring an in-house formal postdoctoral clinical psychology residency training program. More Details...

Integrating Oral Health and Primary Care for Patients with Diabetes (2022). Resource Type: Publication. Description: This promising practice features Horizon Health Care, Inc. in South Dakota. This health center implemented a medical and dental integration program for patients with diabetes while participating in NNOHA\'s Integration of Diabetes and Oral Health Learning Collaborative. More Details...

Health Literacy and COVID-19: Approaches to Patient Communication (2022). Resource Type: Publication. Description: This resource will review lessons learned about health communication during the pandemic and share strategies to address low literacy in under-resourced patient populations, including agricultural workers and older adults. More Details...

Integrating Oral Health and Primary Care for Patients with Diabetes: Promising Practice (2022). Resource Type: Publication. Description: This promising practice features Horizon Health Care, Inc. in South Dakota. This health center implemented a medical and dental integration program for patients with diabetes while participating in NNOHA\'s Integration of Diabetes and Oral Health Learning Collaborative. More Details...

Health Literacy and COVID-19: Approaches to Patient Communication (2022). Resource Type: Publication. Description: This resource will review lessons learned about health communication during the pandemic and share strategies to address low literacy in under-resourced patient populations, including agricultural workers and older adults. Understanding how health literacy impacts health outcomes is crucial for health centers to provide accurate health information that is easy to understand, both verbally and through patient education materials. More Details...

MLP in Health Centers (Session 1): A deep dive on laying the foundation & funding the model (2022). Resource Type: In-Person Training. Description: The first session of the webinar series featured Ann C. Mangiameli (Managing Attorney at Legal Aid of Nebraska) and Brad L. Meyer (CMPE, CEO of Bluestem Health) as panelists. They spoke from their experience to help health center and MLP staff better understand how to develop and implement their MLP models and explore effective methods for funding. More Details...

National Audience Webinar and Launch of SDOH Innovations Showcase Competition (Part I) (2022). Resource Type: Archived Webinar. Description: During the keynote, Dr. Hasshan Batts shared how his personal journey has informed community-based efforts to improve the health and well-being of structurally marginalized people in Allentown, PA. Dr. Batts is currently the Executive Director of the Promise Neighborhoods of the Lehigh Valley where he uses the concept of “Radical Welcome” to engage with individuals that are often excluded from community efforts. Dr. Batts also shared how PNLV is currently leading an innovative community engagement project in partnership with a community health center, health system, university, and community partners. During this session, the innovation competition activity and requirements were shared with attendees. More Details...

Lessons from the Fields: Farmworker Communities Confronting COVID-19 (2022). Resource Type: Other. Description: FJ report on the impacts of COVID-19 on farmworker communities and promising practices implemented by community organizations to respond to farmworkers\' needs. The report highlights community health centers, Migrant and Seasonal Head Start, and community-based organizations. More Details...

SDOH 2: Housing is Healthcare: Stable Housing Creates Positive Health Outcomes (2021). Resource Type: E-Learning. Description: Health Centers have a role forging relationships with community partners to help stabilize patients' housing which in turn has been demonstrated to improve health outcomes. More Details...

Building the Case for Implementing Postgraduate NP Residency and NP/PA Training Programs (2021). Resource Type: Archived Webinar. Description: Join us as we discuss the the drivers and processes of implementing a postgraduate nurse practitioner residency program at your health center, the benefits of implementing a postgraduate residency program, and the residency tracks for Family, Psychiatric/Mental Health, Pediatric, and Adult-Gerontology Nurse Practitioners. We are joined by Charise Corsino, Program Director of the Nurse Practitioner Residency Program, and Nicole Seagriff, Clinical Program Director of the Primary Care Nurse Practitioner Residency Program, from the Community Health Center Inc. More Details...

“Are We Prepared for the Next Emergency?” Webinar Series (2021). Resource Type: Archived Webinar. Description: Health Centers are likely to be the first point of contact for those seeking care for injuries, infectious diseases, and other emergency-related illnesses. As first-line responders, health centers are responsible for dealing with health emergency case management. The purpose of this webinar series was to increase awareness and understanding of the need for preparing for new emergencies beyond the COVID-19 pandemic. The webinar series provided an overview of best practices and challenges health centers face during emergencies and the role of primary care associations to lead the health centers’ emergency response. More Details...

Fundamentals of Comprehensive Care (2021). Resource Type: Archived Webinar. Description: Join us as we discuss the core concepts of team-based care and introduce elements of team-based care that builds upon these basics to support your teams in advancing their capability to provide satisfying and effective care to complex patient populations. We are joined by Margaret Flinter, Senior Vice President/Clinical Director for Community Health Center, Inc., and both Thomas Bodenheimer, MD, Physician and Founding Director, and Rachel Willard Grace, Director, from the Center for Excellence in Primary Care. More Details...

A Framework for Health and Housing Partnerships for COVID-19 Vaccine Distribution: Health and Housing Partnerships build community capacity to bridge barriers to health equity. (2021). Resource Type: Publication. Description: Addressing the COVID pandemic through vaccine distribution gives communities the opportunity to find strategies and activities that ensure communities with limited access all are included. Health and housing partnerships can work to break down structural barriers to ensure there is access to vaccines, vaccine boosters and other therapies that move the country moves health equity. More Details...

Using Teledentistry to Ensure Continuity of Care during COVID-19: Promising Practice (2021). Resource Type: Publication. Description: This promising practice shares how Petaluma Health Center in California used teledentistry to ensure continuity of care during the COVID-19 pandemic. This publication is translated from English to Spanish. More Details...

Teledentistry for Substance Use Disorder: Promising Practice (2021). Resource Type: Publication. Description: This promising practice shares how Terry Reilly Health Center in Idaho uses teledentistry as a tool to increase access to oral health care for patients experiencing substance use disorder. More Details...

Promising Practice: Teledentistry by Finger Lakes Community Health (2021). Resource Type: Publication. Description: This publication, in Spanish, shares out Finger Lakes Community Health uses Teledentistry to increase access to care. The promising practice shares how they implemented teledentistry and lessons learned. More Details...

Addressing Tobacco Dependency to Reduce COVID-19 Risks and Complications Webinar Series (2021). Resource Type: Archived Webinar. Description: Smoking is a major risk factor for most respiratory related infections. The early evidence in this area found that compared with non-smokers, smokers are more likely to develop serious COVID-19 disease. Recent studies also show that current smokers have been more likely to access various forms of smoking cessation assistance during the COVID-19 pandemic. This offers an opportunity for Health Centers to offer smoking cessation services, referrals, and in-house psychological and pharmacological interventions. These two webinars provided examples of cessation plans and resources that can be shared with patients trying to stop smoking. More Details...

Donut Stress Just Test: (HIV, HCV, and STI Screening Campaign) (2021). Resource Type: Patient Material. Description: Patient and Care Team campaign to promote opt-out HIV, HCV, and STI screenings. More Details...

The Health Of Asian Americans, Native Hawaiians And Pacific Islanders Served At Health Centers: An Analysis of the 2019 Uniform Data System (2021). Resource Type: Publication. Description: This report examines current patient demographics and utilization of health services at health centers serving Asian Americans (AAs) and Native Hawaiians and Pacific Islanders (NH/PIs), and highlights the differences between these centers and the national average of all health centers in the United States. More Details...

Health Center Role in Housing Innovations: Pay for Success Models: Publication Series highlighting health center role to advance innovative housing models (2021). Resource Type: Publication. Description: Learn more about the role for health centers in Pay for Success Models as part of the current trend towards measuring outcomes to understand successful social interventions to address the Social Determinants of Health (SDOH), including housing.  More Details...

The Role of Dental Providers in Vaccine Delivery and Policy Recommendations (2021). Resource Type: Publication. Description: This NNOHA publication describes COVID-19 vaccine delivery strategies developed by health centers in states across the country who 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...

How Health Centers Can Support Asian/Asian American Students Returning to School During COVID-19 Webinar – August 2021 (2021). Resource Type: Archived Webinar. Description: In the “How Health Center’s Can Support Asian/Asian American (A/AA) Students Returning to School During COVID-19,” webinar, speakers from AAPCHO, Bay Area Community Health (BACH), and Stop AAPI Hate Youth Campaign focused on the mental health needs of A/AA youth and young adults from middle school to college. Presenters shared best practices for integrating trauma-informed care at the community health level in the face of prevalent Asian hate seen throughout the pandemic. More Details...

Promising Practice: Behavioral and Oral Health Integration: Promising Practice (2021). Resource Type: Publication. Description: Community Health Centers of South Central Texas integrated oral health and behavioral health. The partnership between the dental department and behavioral health consultants has improved the quality of health care and increased access to care. This promising practice shares Community Health Centers of South Central Texas’ strategies for integrating the two disciplines. More Details...

Pharmacy Operations Troubleshooting Guide Topic: Mitigating Manufacturer Actions Impacting 340B Financial Savings to Health Centers (2021). Resource Type: Toolkit. Description: This publication identifies a number of promising practices or actions that health centers can take to mitigate the negative financial impact due to manufacturer actions on health center patients and health center 340B savings. More Details...

Community Health Worker/Peer Workforce: Recruiting and Hiring for Social Determinants of Health Screening: Best Practices Guide and Findings from COVID-19 Pandemic (2021). Resource Type: Publication. Description: As our public health community continues to eliminate COVID-19-related disparities and health inequities in general, we can draw upon lessons learned and practices from health centers that have been successful in hiring, training, integrating, and retaining CHWs/Peers, with lived experience, to pave the way for our future work in addressing and eliminating social determinants of health disparities that impact our most vulnerable communities. In this guide, we share best practices around these topics that have been developed through interviews and research, focused on the CHW and Peer role in SDOH screening and addressing related disparities, like impacts of COVID-19. More Details...

Voices from the Field: Farmworker Communities Confronting COVID-19 (2021). Resource Type: Other. Description: This video shares stories and promising practices to support farmworker communities during the COVID-19 pandemic. It features farmworkers, farmworker community based organizations, Migrant and Seasonal Head Start, and migrant health centers. It is in Spanish and English with English subtitles. More Details...

The Health of Asian American and Native Hawaiian/Pacific Islander Patients Served at Health Centers: An Analysis of the 2019 Uniform Data System – Webinar (June 2021) (2021). Resource Type: Archived Webinar. Description: AAPCHO hosted the “Health of Asian American and Native Hawaiian/ Pacific Islander Patients Served at Health Centers: An Analysis of the 2019 Uniform Data System” where we shared our data analysis of the Health Resources and Services Administration (HRSA) 2019 Uniform Data System (UDS) and made recommendations to increase access to care and improve health outcomes for Asian American (AA) and Native Hawaiian/Pacific Islander (NH/PI) patients served at HRSA-funded health centers. Presenters will share key findings from AAPCHO’s updated and annual report, “The Health of AAs and NH/PIs Served at Health Centers: An Analysis of the 2019 Uniform Data System.” 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...