Quick Finds: Value-Based Health Care Transformation

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...

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...

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...

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...

Managing Your Health Center's Cost of Care (2018). Resource Type: Archived Webinar. Description: This session focused on the factors that influence the cost of care, providing information from new resources – a Capital Link study examining four-year trends across a series of cost-focused ratios and an updated NACHC issue brief providing a methodology for calculating costs. More Details...

Cost Per Visit: Measuring Health Center Performance (2018). Resource Type: Publication. Description: Developed by Capital Link and the National Association of Community Health Centers (NACHC) as an update to NACHC’s original 2003 publication,Cost Per Visit – Measuring Health Center Performance, reviews in detail the process and methodology for calculating the component costs of care with a focus on cost per visit across all service lines — medical, dental, mental health (including substance abuse), and vision services. It also examines methods for reducing health center costs through population health management, global payment methodologies, and tying reimbursements to outcomes. More Details...

Payment Innovation and Health Center Dental Programs: Case Studies from Three States (2018). Resource Type: Publication. Description: As dental care reimbursement follows the trends of healthcare overall towards value-based payment reimbursement, lessons from pioneers in dental payment innovation will inform effective health center strategies that will both strengthen the dental safety network and improve the oral health of the communities they serve. This document outlines interviews from organizations in three states on how health center dental programs are adapting clinical care systems under payment innovation incentives. More Details...

Effective Partnerships Guide: Improving Oral Health for Migrant and Seasonal Head Start Children and their Families (2018). Resource Type: Publication. Description: The purpose of this guide is to create an opportunity for Migrant and Seasonal Head Start (MSHS) programs and health centers to learn more about each other’s programs, share resources, foster new partnerships and strengthen ones already in place. Although the guide focuses primarily on oral health, information about medical health services is included. More Details...

Enabling Services Data Collection Implementation Packet: Enabling Services Accountability Project (2017). Resource Type: Toolkit. Description: This toolkit includes tools and recommendations for how health centers can better capture data on enabling services (ES). This will help health centers provide a better understanding of the role of ES in health care access, utilization and outcomes for Asian Americans, Native Hawaiians, and Pacific Islanders (AA&NHPIs), and useful information to appropriately address these needs. More Details...

Promising Practices Report: Community Outreach and Education Efforts of the Metta Health Center Program Within the Lowell Community Health Center (2017). Resource Type: Publication. Description: This report describes the development of a culturally tailored outreach and health education program through the use of radio and public access TV programming by the Metta Health Center Program in Lowell, MA. The health center has been recognized by the Office of Minority health as an exemplar provider of culturally competent care in meeting and exceeding all the standards set forth in the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health Care. More Details...

HITEQ Health App Decision Tree: A tool developed In collaboration with the Children's Health Fund to help choose appropriate Health Apps (2017). Resource Type: Publication. Description: There are thousands of consumer health applications health apps, which run on smartphones, watches, tablets, and other mobile devices. These Health Apps are available for download for general consumers, patients, and healthcare professionals. Currently, there is no governmental agency that provides certification or guidance on health apps, although there are several projects from organizations such as HL7, the FDA, ONC, and OCR that are working to provide guidance. User discrepancy in terms of the validity and safety of the health apps they choose to use are primarily based on ratings or recommendations. This guide seeks to provide a health app decision tree that can assist medical professionals and consumers in making wise choices when using health apps. There are thousands of consumer health applications health apps, which run on smartphones, watches, tablets, and other mobile devices. These health apps are available for download for general consumers, patients, and healthcare professionals. Currently, there is no governmental agency that provides certification or guidance on health apps, although there are several projects from organizations such as HL7, the FDA, ONC, and OCR that are working to provide guidance. User discrepancy in terms of the validity and safety of the health apps they choose to use are primarily based on ratings or recommendations. This guide seeks to provide a health app decision tree that can assist medical professionals and consumers in making wise choices when using health apps. The Children's Health Fund was made aware of a use case in which a health app that was targeted for use by adults was used for a child and consequently caused a detrimental health issue. Currently there are no certifying bodies for consumer-oriented health apps and consequently many doctors must navigate this domain themselves. This guide seeks to provide a health app decision tree that can assist medical professionals and consumers in making wise choices when using health apps. Download the decision tree below. 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...

ICD-10 Z-Codes for Social Determinants of Health: A quick reference guide for providers and health care leaders (2017). Resource Type: Publication. Description: This resource will equip health center stakeholders with the understanding of how standardized social determinants of health (SDoH) data can be used and which ICD10 z-codes are pertinent as a standardized SDoH data set. This resource describes ways standardized social determinant of health (SDoH) data can be used and provides a quick reference guide to which ICD-10 codes can help document standardized SDoH data.  Download here or below. More Details...

Outreach and Value-Based Care (2017). Resource Type: Publication. Description: HOP’s new resource Outreach & Value-Based Care: Impacting Health Care Delivery and Cost through Integrated Community Health Outreach Programs, describes how health centers can use their outreach teams to enhance value under service delivery models such as Patient Centered Medical Homes (PCMH) and Accountable Care Organizations. It offers examples of how outreach programs can enhance revenues from alternative payment models such as shared savings, pay-for-performance, and PCMH supplemental payments. The resource is a complement to HOP’s Outreach Business Value Toolkit. More Details...

Asian Americans, Native Hawaiians, and Pacific Islander (AA&NHPI)-Serving Health Centers and Medicaid (2017). Resource Type: Publication. Description: This fact sheet outlines the impact of potential cuts to Medicaid on Asian American, Native Hawaiian and Pacific Islanders (AA&NHPIs) and health centers. More Details...

HITEQ-Social-Determinants-Data-Infographic-2017: Coding Social Determinants of Health (SDH) for Optimizing Value (2017). Resource Type: Other. Description: SDH coding is important for clinical management and outcomes reporting for payment reform and value based payment (particularly capitate payment), as well as other policy work. SDH coding begins with care providers, who often may need to understand how these data can be used to benefit not only the patient they are serving but also the broader population served by the organization. More Details...

Coding Social Determinants of Health (SDOH) for Optimizing Value: An Infographic for Providers on the Benefits of Coding for SDH (2017). Resource Type: Publication. Description: The purpose of the infographic is to describe how SDH data would be used for a variety of goals that would have traction with the clinic staff audience who may likely need to modify workflows and behavior in order to collect such data.  The visual case could be used in presentations or hung on a provider break room wall. SDH coding is important for clinical management and outcomes reporting for payment reform and value based payment (particularly capitate payment), as well as other policy work. SDH coding begins with care providers, who often may need to understand how these data can be used to benefit not only the patient they are serving but also the broader population served by the organization. More Details...

Why Collect Standardized Data on Social Determinants of Health?: A slide deck outlining the potential use of ICD10 coding for SDOH. (2017). Resource Type: Publication. Description: This resource will equip health center stakeholders with the motivation, knowledge, and ability needed to collect and use standardized social determinants of health data. This resource describes the importance of collecting Standardized SDOH Data in the context of value based payment.  The resource reviews commonly used codes in ICD-10 that can help document SDOH.  Finally, the slide deck describes useful tools for collecting these data and what’s on the horizon for health centers to strengthen their efforts to move “upstream” in addressing health disparities. Download this slide deck below. More Details...

Current Population Health Management in Health Centers: The Case for Implementing Population Health Management and Addressing the Social Determinants of Health (2016). Resource Type: Publication. Description: This is a 27-slide module on population health management in the Federally Qualified Health Centers (FQHCs). The module provides several examples of current initiatives that support PHM and SDM as well as the use of these concept in supporting health equity in navigating the Affordable Care Act (ACA). This is a 27-slide module on population health management in the Federally Qualified Health Centers (FQHCs). The module provides several examples of current initiatives that support population health management and social determinants of health as well as the use of these concept in supporting health equity in navigating the Affordable Care Act (ACA). The module also serves to specifically outline the rationale of PHM in areas of cost efficiency, quality improvement and patient care including value-based reimbursement and risk contracts, targeting care and resources to improve outcomes, and patient engagement and care management.   More Details...

What MACRA Means for Health Centers: Payment reform and health center impact (2016). Resource Type: Publication. Description: This HITEQ brief outlines Medicare Access and CHIP Reauthorization Act (MACRA) MACRA, what it signals for payment reform, and when it impacts health centers. Medicare Access and CHIP Reauthorization Act (MACRA) establishes the Quality Payment Program through the Merit Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs). Although most health centers are not affected by MACRA, they need to understand its components since MACRA reflects national trends to shift payment from volume- to value-based. This resource identifies several strategies health centers can take to respond to these shifting dynamics, even if MACRA requirements do not directly affect them for now. More Details...

Introduction to Value-Based Payment for Health Centers: What is Value-Based Payment and why are Health Centers Considering Payment Reform? (2016). Resource Type: Publication. Description: This HITEQ brief introduces value-based payment and role of health centers as payment models shift. The brief answers key questions about health centers’ engagement in value-based payment, including health-center specific Alternative Payment Methodology (APM), reasons to engage in payment reform, the shifts in primary care payment going forward, and the transition to value-based payment. Value-based payment is a systematic method of paying for care that rewards the cost-effective improvement of the health and well-being of a population.  Payment reform is changing current volume-based payment system to alternative payment models (APMs) that link payment to outcomes and align financial incentives with providing value. By engaging in value-based payment models, health centers can lay the foundation for financial sustainability, high quality care, and engaged staff. This resource outlines value based payment and payment reform specifically tailored to the health center environment. 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. More Details...

Enabling Services: Gateways to Better Care (2016). Resource Type: Publication. Description: This fact sheet was developed by AAPCHO and the National Association for Community Health Centers (NACHC). It provides an overview of the leading role health centers play in providing enabling services, or non-clinical services that improve access to care, and the important and positive impacts these services can have on health outcomes, costs, access and patient satisfaction. More Details...

Needs Assessment in Action Profiles (2016). Resource Type: Publication. Description: A community health needs assessment is a major undertaking for any health center. The Needs Assessment in Action Profiles: Innovative Approaches to Identifying the Needs of Underserved Communities is a resource for health centers to learn about effective strategies utilized by their peers. This resource offers examples of three innovative approaches that have been successfully implemented by health centers across the country. Each profile includes information on the population assessed, data collection methods, how findings were shared and applied, and lessons learned. Health centers can use this resource to apply proven strategies to the planning and implementation of their own needs assessment. More Details...

Outreach Reference Manual: The Role of Outreach in Care Coordination Chapter (2015). Resource Type: Publication. Description: HOP’s Outreach Reference Manual chapters provide direction for how to most effectively use outreach to increase access to and utilization of comprehensive primary health care services across many underserved communities. This chapter makes the case for integrating outreach workers into care coordination teams and shares examples of how health centers can accomplish this. More Details...

Outreach Reference Manual: Program Planning and Evaluation Chapter (2015). Resource Type: Publication. Description: HOP’s Outreach Reference Manual chapters provide direction for how to most effectively use outreach to increase access to and utilization of comprehensive primary health care services across many underserved communities. This chapter guides readers through participatory planning methodologies and the development of three key frameworks: 1) a logic model that articulates what the program’s impact will be, 2) a work plan that outlines how the program will achieve that impact, and 3) an evaluation plan that outlines how the program will evaluate if it was successful. More Details...

Outreach Reference Manual: Clinical Outreach Chapter (2015). Resource Type: Publication. Description: HOP’s Outreach Reference Manual chapters provide direction for how to most effectively use outreach to increase access to and utilization of comprehensive primary health care services across many underserved communities. Clinical outreach is defined as the coordination and provision of clinical services in an outreach setting. It is an approach to meet individuals and communities where they are and to extend care in settings that best fit their needs and the context of their lives. The purpose of this chapter is to support health centers by providing a practical framework and guidance on undertaking clinical outreach efforts. It explores the different facets of clinical outreach and how it can be planned and implemented. More Details...

Community Health Needs Assessment Toolkit (2015). Resource Type: Toolkit. Description: The toolkit, "Community Health Needs Assessment: A Comprehensive Guide to Understanding and Responding to the Needs of Your Community,” provides a wealth of information, practical tools, and strategies to support organizations in their efforts to meet the health needs of underserved populations. The easy-to-use toolkit guides the user through the 5 key steps of the needs assessment process, and it is intended for health centers, Primary Care Associations, safety net providers, and local and state agencies. More Details...

Innovative Outreach Practice Reports (2012). Resource Type: Publication. Description: HOP's Innovative Outreach Practices are a platform for organizations to showcase their outreach efforts, share their ideas and best practices, as well as mentor other organizations that seek both the inspiration and practical tools required to implement strategies, programs, and activities that have proven effective in the field. More Details...

Highlighting the Role of Enabling Services at Community Health Centers: Collecting Data to Support Service Expansion and Enhanced Funding: The Enabling Services Accountability Project (2010). Resource Type: Publication. Description: This issue brief, written collaboratively between AAPCHO and the National Association of Community Health Centers (NACHC), describes the importance of enabling services (ES), such as interpretation and eligibility assistance, and how better quantifying the provision of these services can demonstrate their value to private and public payers. More Details...

Enabling Services at Community Health Centers (2010). Resource Type: Publication. Description: This report introduces the important role enabling services (ES) play in the delivery of high quality care for medically underserved Asian Americans, Native Hawaiians, and Pacific Islanders (AA&NHPIs). It details the high utilization of such services and the impact they have on patients' health outcomes. It concludes with recommendations for establishing a nationally recognized standard for ES data collection and utilization, integrating ES into the Patient-Centered Medical Home (PCMH) model, and funding to sustain and ensure quality services. More Details...