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Displaying records 1 through 16 of 16 found.

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...

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...

Patient Centered Health Home: Digital Story (2016). Resource Type: Video. Description: This digital story is a great resource for use by outreach staff to inform the community about the unique features of a Patient Centered Health Home. Through this video, and through the story of Mr. Mendoza, patients learn what they might experience in a health home before, during, and after a visit.  More Details...

Systems Orientation for Clinical Leaders (eLearning) (2019). Resource Type: Online Self-Paced Learning Modules. Description: This eLearning module discusses the importance of systems orientation as part of a clinical leader's core competency development. Real-life examples and case scenarios are used to focus on enhancing a clinical leader's ability to: Utilize both "big picture" and detailed "systems thinking" when analyzing issues and making decisions; Align clinical, tactical operations with the health center's mission, vision, and values; Manage change among the clinical staff as the health center moves into new care models (e.g., Patient Centered Medical Home model); Actively work to integrate Public/Population Health issues with routine delivery of primary care. More Details...

Accountable Care Best Practices: Massachusetts League of Community Health Centers (2018). Resource Type: Publication. Description: The state of Massachusetts implemented Accountable Care Organizations in 2018 to support Medicaid lives. This document explores support at the state-level, team based care, considerations for implementation, and ACO measurements. More Details...

Helping Kids Get At-Home Care (2018). Resource Type: Publication. Description: What would you do if your one-year old child depended on a ventilator to breathe, and the home nursing care needed to monitor it wasn’t available? Would you keep your child in the hospital indefinitely? Would you quit your job to be home with your child, and stay up all night to make sure they didn’t stop breathing? Would you put them in a long-term nursing facility 80 miles away where they’d have the care they needed, but where you wouldn’t see them for days at a time? In 2015, for several parents in Washington State, the heartbreaking answer to all these questions was yes. More Details...

The Fundamentals of Developing a FQHC APM (2017). Resource Type: Archived Webinar. Description: This webinar provides the basis for developing capitated FQHC APM and some best practices. More Details...

Successful Practices in Accountable Care: Mountain Family Health Centers (2017). Resource Type: Publication. Description: This document outlines Mountain Family Health Centers' path to accountable care, focusing on their pursuit of value-based model of care. More Details...

Section 2703 Health Homes and Health Centers: Providing Care for Chronic Conditions (2017). Resource Type: Publication. Description: This fact sheet provides an update on health home initiatives and PCMH More Details...

Preparing for Value-Based Care: A Guide for Health Centers (2018). Resource Type: Publication. Description: This publication serves as a primer on value-based care for community health centers, specifically as a means of treating chronic diseases. 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...

Optimizing Team Resources: Patient/Provider Scheduling and Panel Size (2018). Resource Type: Archived Webinar. Description: Health centers continue to devote significant resources to the transition to a team-based model of primary care delivery. This session goes "back to basics" to take a fresh look at techniques designed to expand capacity, utilizing existing resources within a sustainable structure. From defining target outcomes to simplifying scheduling templates to aligning panel size, participants will learn a replicable process for moving forward with each of their primary care teams through what is often a divisive operational imperative. More Details...

Integrating Team-Based Care to Improve Clinical Outcomes (2018). Resource Type: Publication. Description: This publication serves as a primer on care team formation for community health centers, specifically as a means of treating chronic diseases. 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...

Creating a Place for Care: Fostering Alignment and Eliminating Barriers in the Patient-Centered Medical Home (2016). Resource Type: Publication. Description: This resource is designed to assist health centers in the facility design process to ensure that their physical space is aligned with their process of care and the unique needs and preferences of the patients they serve. More Details...

Advancing Health Care Through Care Coordination (2017). Resource Type: Archived Webinar. Description: Care coordination emphasizes collaboration between providers to increase quality of care and ultimately improve patient outcomes. In addition, this model can help reduce the overall cost of care by reducing medication errors, repetitive tests, and prevent hospital admissions. During this webinar, panelists share information about their care coordination efforts and offer important considerations for health centers hoping to start, improve, or expand care coordination programs. More Details...

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 $6,375,000 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.