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Quick Finds: Value-Based Health Care Transformation

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Introduction. Use this page to quickly find all resources from the Clearinghouse database on Value-Based Health Care Transformation.

Background. Value-based health care is an emerging health care delivery model that ties payments to patient outcomes. The Clearinghouse’s Value-based Health Care Transformation topic area covers related issues including Enabling Services (ES), Patient-Centered Health Outcomes, Patient Engagement, Programs and Services, and Value-Based Payment.

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Results for: Topic Area = Value Based Health Care Transformation

Displaying records 1 through 50 of 80.

CalAIM: Major Components and Current Implementation Status (2022). Resource Type: Archived Webinar. Description: This webinar reviews the major components of the California Advancing and Innovating Medi-Cal (CalAIM) initiatives, including: Enhanced Care Management, Community Supports, Behavioral Health (Criteria to Access Specialty Mental Health and No Wrong Door), and the Population Health Management Strategy and Roadmap. Presenters will provide an overview of the initiatives, timeline, and strategic implications for health centers. This conversation is meant to be a high-level overview of the most impactful initiatives to health centers. More Details...

“Acting on Social Determinants of Health Screening Data to Address Barriers to Health” Webinar (2022). Resource Type: Archived Webinar. Description: AAPCHO, Health Outreach Partners (HOP), MHP Salud, and National Health Care for the Homeless Council (NHCHC) hosted a HRSA-sponsored webinar to explore strategies to screen special and vulnerable populations for social determinants of health (SDOH) and build effective practices to begin addressing SDOH through outreach and enabling services (ES). 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...

Increasing Health Care Enrollment for Survivors of Domestic Violence (2022). Resource Type: Toolkit. Description: People who have experienced intimate partner violence (IPV) have unique health care needs, making insurance that covers comprehensive medical and behavioral health benefits all the more critical. Community health centers play an important role in helping survivors enroll in coverage and receive quality primary health and oral health care services. A special enrollment period for survivors makes enrollment possible across the year with additional provisions to make coverage more affordable for survivors. Health Partners on IPV + Exploitation developed two resources to support health care enrollment for survivors of domestic violence. More Details...

Social Determinants of Health Lessons Learned, Challenges, and Barriers: A Resource for Health Centers, Vol. 2 (2022). Resource Type: Publication. Description: The Association of Asian Pacific Community Health Organizations (AAPCHO), Health Outreach Partners (HOP), MHP Salud, and National Health Care for the Homeless Council (NHCHC), four HRSA-funded National Training and Technical Assistance Partner organizations, released a report on lessons learned, challenges, barriers, and impact stories shared from the (4) sessions of the “Screening Methods and Strategies for Using Data on Outreach and Enabling Services to Address Social Determinants of Health” Learning Collaborative. This Learning Collaborative explored strategies to screen special and vulnerable populations for social determinants of health (SDOH) and successfully utilize data to build effective practices to begin addressing SDOH through outreach and enabling services. With these lessons learned, AAPCHO, HOP, MHP Salud, and NHCHC will continue this work with a webinar and successive learning collaborative in 2022-2023. More Details...

Value Based Payment Contract Review Checklist for FQHCs: Checklist for FQHCs reviewing contracts, as a supplement to video module. Developed in 2022. (2022). Resource Type: Other. Description: The checklist, which can be downloaded below, will walk you 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. More Details...

Eyes on Access: Introduction to Comprehensive Vision Services in Health Centers (2022). Resource Type: Archived Webinar. Description: This is a Part 1 archive of a 2-part webinar series in Spring 2022 that reviewed the interconnection of vision, chronic disease and quality of life. Data substantiating community needs, disparities and barriers was reviewed. This webinar series addresses how health centers can integrate vision services into primary care. More Details...

Mobile Clinic Licensing 101 (2022). Resource Type: Archived Webinar. Description: CPCA hosted a webinar training session for licensing a mobile clinic on April 25, 2022. This webinar provides an overview of the following: o Mobile Clinic Definitions o Licensing requirements for a mobile clinic operated by a Primary Care Clinic in California as enforced by the California Department of Public Health (CDPH) o What to expect once you have applied for licensure o Who to contact for updates on the status of your application o Additional considerations, requirements, and best practices for operating a mobile clinic More Details...

Addressing Health Care Challenges for Migrant Farmworkers (2022). Resource Type: Archived Webinar. Description: Today in the Golden State, farmworkers encounter numerous risks to their health and increased barriers to care before, during, and after migration. Health centers play a crucial role in addressing disparities in accessing COVID-19 services, education, and resources in special and vulnerable communities. Health centers that serve migrant farmworker and their families face unique challenges. Mobility results in poor continuity of care, and the health issues that fact migrant farmworkers and other mobile underserved populations are often magnified or compounded by their migratory lifestyle. In this webinar, we provide examples, tools, and best practices to help health centers better integrate health center teams (e.g., providers and community health workers) and external partnerships (e.g., community-based organizations and local government). More Details...

Trends in Community Health Center Design (2022). Resource Type: Publication. Description: As we develop facilities that strengthen the work of our teams and facilitate improved outcomes for our patients, we are called to not only replicate past successes but to explore new ideas. Before you begin your next capital project, it is helpful to consider how your health center peers are responding to these common challenges. More Details...

Healing-Centered Approaches to Addressing Adolescent Relationship Abuse and Trafficking (2022). Resource Type: Archived Webinar. Description: School-based health providers can play an important role in promoting healthy relationships among adolescents. This webinar, co-hosted by the School-Based Health Alliance and Health Partners on IPV and Exploitation, will offer strategies for talking about relationship abuse and trafficking with adolescent patients in school-based health settings. Presenters will also share ideas for collaborating with community resources and partnering with youth to prevent violence and promote healthy relationships. 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...

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...

Optimizing Nurse Care Coordinators in Hepatitis C (HCV) Treatment (2021). Resource Type: Archived Webinar. Description: Please join the National Nurse-Led Care Consortium for a webinar on Optimizing Nurse Care Coordinators in Hepatitis C (HCV) Treatment where we will hear from our expert panel as they discuss real-world examples of successful HCV treatment programs where the Nurse Care Coordinator role was key to developing best practice and positive patient outcomes. More Details...

Diabetes Prevention for Patients of Color at Community Health Centers Webinar (2021). Resource Type: Archived Webinar. Description: In the “Diabetes Prevention for Patients of Color at Community Health Centers” webinar, AAPCHO and the National Nurse-Led Care Consortium (NNCC) held a 90-minute webinar focused on the unique needs of patients of color in diabetes prevention efforts. More Details...

Successful Practices in Accountable Care Series: Numbers 1-24 (2021). Resource Type: Publication. Description: This publication combines individual documents in the Successful Practices in Accountable Care series, which ran from 2016-2020. The volume includes case studies from successful organizations, as well as discussions of focus areas. 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...

La Esperanza Winter 2022 Edition: Emerging Issues Among MSAW Populations: A Holistic Approach to Mental Health Resources for Migrant and Seasonal Agricultural Workers (2021). Resource Type: Publication. Description: MHP Salud develops and distributes two issues of La Esperanza, a newsletter for Community HealthWorkers/Promotores and program staff that fosters continuing education and sharing of resources to all potential and existing Health Centers. The topics for this newsletter will include the role of CHWs in addressing emerging health issues experienced by Migrant and Seasonal Agricultural Workers. More Details...

The Value Transformation Framework: Applied to Diabetes Control in Federally Qualified Health Centers (2021). Resource Type: Publication. Description: Diabetes and pre-diabetes impact more than 114 million Americans. Federally qualified health centers (FQHCs) provide care to some of the most high-risk and underinsured individuals throughout the US, twenty-one percent of whom report being told they have diabetes, compared to 11% of the general adult population. It is widely agreed our health care system requires a transformation to effectively address diabetes and its complications. More Details...

Using American Rescue Plan Act (ARPA) Funds to Build Health Center Value Based Payment (VBP) Capability (2021). Resource Type: Publication. Description: This document provides guidance on ways that FQHCs can utilize American Rescue Plan Act funds to develop and expand their VBP capabilities. Areas of focus for short-term investments include improving data and IT, integrating services, and improving access and health equity. More Details...

Centering the Nurse Home Visitor Client Experience During the COVID-19 Pandemic (2021). Resource Type: Archived Webinar. Description: The COVID-19 pandemic has upended virtually every facet of life. By necessity, healthcare organizations have limited or restricted in-person care to reduce the transmission of SARS-CoV-2. Unfortunately, this has kept many consumers from accessing timely healthcare. More Details...

Just Breathe (2021). Resource Type: Publication. Description: This collection of wellness and recovery resources has been designed for survivors of domestic violence to track their progress and develop techniques for calming oneself and moving forward in the healing process. More Details...

Approaches to Financing Medical Respite/Recuperative Care Programs (2021). Resource Type: Publication. Description: Also known as recuperative care, medical respite care is short-term care for individuals experiencing homelessness who are too frail to recover from illness or injury on the streets or in shelters but not sick enough to remain in the hospital. This white paper describes trends and opportunities for funding medical respite programs and services and offers methods to expand and scale programs through innovative financing mechanisms and increased flexibility in payment policy. The paper outlines various approaches to finance medical respite programs, offering providers, state and federal Medicaid leadership, policymakers, and managed care organizations (MCOs) specific partnership options to ensure continuity and quality of care for patients with long-term health and housing needs. More Details...

Woven with Elders: Pacific Islander Vaccine Toolkit (2021). Resource Type: Toolkit. Description: The Pacific Islander Center of Primary Care Excellence (PI-CoPCE) was established to improve the health of Pacific Islanders (PIs) in the United States and U.S. Pacific through primary care support, research, workforce development, and community initiatives. 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...

Ten Strategies for Creating Inclusive Health Care Environments for LGBTQIA+ People (2021) (2021). Resource Type: Publication. Description: Creating welcoming, inclusive, and affirming health care environments is critical for increasing access to care for LGBTQIA+ people. This guide presents ten strategies every health care organization can do to become more affirming and welcoming for LGBTQIA+ patients and staff and sets a foundation for comprehensive organizational change. More Details...

The Path Forward: Collaboration & Resources (2021). Resource Type: Archived Webinar. Description: The fourth of five webinars in the Weitzman Institute\'s Path Forward \"Moving from Screening to Solving for Social Needs\" series focusing on forging partnerships and collaboration among a wide spectrum of stakeholders to address the adverse social determinants of health with presenters Taylor Justice; Co-Founder & President, Unite Us, Sue Birch; Director, Washington State Health Care Authority, and Laura Sankey; Principal, Inspired Perspectives, and Nationally Recognized SDOH Expert. 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...

Population Management Approach to Reaching Key Populations as they Become Eligible (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...

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...

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...

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...

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...

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...

ACO Academy 2020 (2020). Resource Type: Archived Webinar. Description: As health centers continue to transition to value-based care and population health, more and more payer contracts include some form of risk (or financial burden for the services provided versus the amount of reimbursement expected in return). NACHC’s Accountable Care Academy is a 4-part webinar series focused on the fundamental considerations for risk-based contracts and how to prepare health centers for participation in arrangements with risk. More Details...

Value-Based Care: A Primer for Outreach and Enabling Services Staff (2020). Resource Type: Publication. Description: This publication outlines community health center traditional payment models and introduces value-based care and incentive payments to community health centers. It examines different incentive-based payment models and compares them to the current fee-for-service model community health centers have traditionally relied upon. More Details...

Making the Value Connection Whitepaper (2020). Resource Type: Publication. Description: Through the generous support of Cedars-Sinai, Capital Link and IHQC designed and piloted the Making the Value Connection (MVC) Program, a learning collaborative that creates resources to support community clinics in incorporating a comprehensive definition of value into their strategic priorities. 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...

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...

PCA Enabling Services Virtual Summit Podcast Series (2020). Resource Type: Other. Description: The first-ever PCA Enabling Services Virtual Summit and podcast series is co-organized and hosted by the Health Center Association of Nebraska (HCAN) in partnership with Health Outreach Partners (HOP). The seven podcast episodes cover a variety of Enabling Services topics, with a focus towards Primary Care Associations. More Details...

Enabling Services Data Collection: Documenting Health Center Interventions In A Value-Based Payment Environment (2020). Resource Type: Archived Webinar. Description: In collaboration with Health Outreach Partners (HOP), AAPCHO promoted the importance of documenting social determinants of health (SDoH) interventions to demonstrate the value and scope of health center enabling services (ES). AAPCHO and HOP was joined by the Community Health Care Association of New York State (CHCANYS) to highlight how state, regional, and national partners can leverage SDoH and ES data for Value-Based Payment (VBP). More Details...

Medicare FQHC Updates: Calendar Year 2020 (2020). Resource Type: Publication. Description: Every year the Centers for Medicare and Medicaid Services issues an annual rule, the Physician Fee Schedule Final Rule, which provides details on new policies for Medicare providers. This update provides a summary of the latest changes, including any specific provisions in the CY2020 Physician Fee Schedule directly impacting FQHCs. More Details...

1332 Waivers and Health Centers: Update to Emerging Issues Brief 12 (2020). Resource Type: Publication. Description: This factsheet provides an update to 1332 Waivers and Health Centers: Emerging Issues #12, published in June of 2016. Section 1332 of the Patient Protection and Affordable Care Act allows states to waive certain provisions of the ACA in order to implement alternative approaches to coverage options. There have been a number of developments in this field; this update will reiterate topics that remain unchanged and highlight current waiver policy. More Details...

Developing Cross-Sector Partnerships (2020). Resource Type: Publication. Description: This guide provides health center staff with tools and strategies to initiate, develop, and sustain community partnerships to better serve older adult residents of public housing. Content of this publication was developed through a 4-session learning collaborative launched by the SDOH academy with a small cohort of HRSA-funded health centers, HCCNs, and PCAs. More Details...

Digest of Resources for Medical-Legal Partnerships — COVID-19 (2020). Resource Type: Other. Description: A digest of resources to tackle the urgent, overlapping health and legal needs exacerbated by the COVID-19 pandemic. Includes a townhall webinar highlighting remote legal practices, COVID-19-related legal needs such as eviction prevention, and practical advice from New York and Austin MLP programs. More Details...

Facilitating Change: Working Together, Engaging Others and Motivating for Change (2020). Resource Type: Archived Webinar. Description: Health centers are undergoing tremendous changes: considering shifting to value-based payment models; continuing to implement and optimize technology; creating data-driven quality improvement programs; and developing and enhancing multi-disciplinary care teams. More Details...

Enabling Services Case Study: A Focus on Behavioral Health: Wellspace Health, Sacramento, CA (2019). Resource Type: Publication. Description: This publication is part of a series of case studies that highlight innovative models for providing enabling services to help reduce barriers to care and address social determinants of health. This case study features Wellspace Health's (WSH) "Health, Access, Referrals, and Transitions" (HART) program. WSH's HART program utilizes case management services to connect patients to care and to make care transitions to critical clinical and behavioral health services. The HART program provides intensive case management and addresses substance use disorders, suicide prevention, provides street outreach, and respite and recuperative services. More Details...

Panel Management in the Age of Value-Based Care: Health Center Case Studies Developed with Chiron Strategy Group, June 2019 (2019). Resource Type: Publication. Description: This downloadable HITEQ resource offers guidance on improving panel management activities, including real-life examples from two health centers of the challenges and successes in managing panels. More Details...

HITEQ Highlights: Developing Community Health Centers Along the Continuum of Pay for Performance (2019). Resource Type: Archived Webinar. Description: This HITEQ Highlights webinar described the continuum of value-based contracting, and suggested steps for health centers to move up the continuum. It also outlined basic elements of infrastructure to perform well in a value-based environment. Presenters from Yakima Valley Farm Workers Clinic presented their experience. More Details...

Improving the Health Outcomes of Both Patients AND Populations (2019). Resource Type: Archived Webinar. Description: This national webinar focuses on empowering health centers to initiate a population health strategy at their organization. More Details...

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This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $6,625,000 with 0 percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.