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Displaying records 901 through 920 of 1605 found.

Behavioral Health Integration Compendium: Curated Guidance and Resources from Experienced Organizations, developed with Chiron Strategy Group (2018). Resource Type: Publication. Description: Many health centers collaborate with external behavioral health providers or provide co-located or integrated behavioral health services within their health center. Some of the most significant challenges are determining which data to share, how to store it within the Electronic Health Record, and how to use it within primary care. This compendium of literature and resources offers some guidance related to behavioral health data integration, complete with key health center considerations for each. Many health centers collaborate with external behavioral health providers or provide co-located or integrated behavioral health services within their health center. Some of the most significant challenges are determining which data to share, how to store it within the Electronic Health Record, and how to use it within primary care. This compendium of literature and resources offers some guidance related to behavioral health data integration, complete with key health center considerations for each. Click on each heading below to access the original pieces being profiled. Integrating Behavioral and Primary Care — Technology and Collaboration This article focuses on the challenges of integrating data between primary care and behavioral health. It discusses a number of concerns, and approaches that have been taken, including the benefits of developing structured data within the EHR. Health Center Takeaway: Patient consent for sharing sensitive health information can be integrated into the EHR, which will allow for greater information sharing while complying with Federal privacy expectations. Can technology shape the future of behavioral health? This article includes a number of different ways that technology plays a part in integrated behavioral health, highlighting: Adoption of telehealth as a means to augment care; Inclusion of behavioral health data in Health Information Exchanges, citing the experience of Arizona; and An example of an application being developed with NIH support that hopes to provide collaborative care tools to patients. Health Center Takeaway: Health centers are encouraged to investigate whether insurers will reimburse for telehealth and what is required to do so, to see if developing a telehealth program might augment the availability of behavioral health services for your patients. HITEQ has a number of resources related to telehealth. Integrated Behavioral Health Partners Three Case Studies on Behavioral Health Data Sharing Three California case studies where organizations shared behavioral health data.  The website includes details regarding mental health data, substance use data, consent, methods of sharing, and challenges. Health Center Takeaway: Use these examples of different approaches to consent and level of information sharing to foster conversation among your leadership on how to create greater data integration. Center for Health Care Strategies Integrating Physical and Behavioral Health Care in Medicaid Toolkit Section IV: Information Exchange CHCS has developed a rich resource for behavioral health integration.  This section focuses on information exchange, and has a number of helpful resources identified. Health Center Takeaway: The last two resources are integrated care plan templates; if you have an external behavioral health partner, consider how you might share data between the two organizations in a standardized format. Patient-Centered Primary Care Institute Behavioral Health Integration: Obstacles & Successes Lessons learned from this interview: Change the mindset from the bringing together of two services to truly integrating whole health Shift from historic care delivery methods to a focus on achieving better health outcomes Building trust with primary care providers is essential Health Center Takeaway: Determining what patients need will help guide the type of integration services your health center develops, which can include different approaches for different sites. SAMHSA’s Quick Start Guide to Behavioral Health Integration for Safety-Net Primary Care Providers This guide helps any health center think about where it is in the process of integrating behavioral health, with a number of embedded links for additional information. Key areas of Administration, Workforce, and Clinical Practice. Health Center Takeaway: Use this guide to identify barriers to a fully-developed program, and find resources to help overcome them. Zufall Health Center Integrated Behavioral Health and Primary Care Change Package Zufall Health Center partnered with a local behavioral health system to create an Integrated Behavioral Health system, using grant funding to help support the pilot. This collection of lessons learned focuses on: Leadership Commitment Clinical Information Systems and Measurable Improvement Integrated Care Delivery Clinical Decision Support Patient/Family Engagement Health Center Takeaway: Leadership must assess organizational capacity to collaborate, and then collect baseline data on health outcomes, including preventative screenings, ED visits, hospitalizations as some of the early steps. Implementing measurement and management of key clinical outcomes are critical next steps. NCQA Mainstreaming Behavioral Health Care NCQA has developed a Distinction in Behavioral Health Integration, which allows recognition of Patient Centered Medical Homes who have integrated care teams in place using evidence-based protocols and ongoing quality measurement and improvement. Health Center Takeaway: Many health centers have achieved recognition as a Patient Centered Medical Home PCMH or are along the way.  Aligning behavioral health integration work to earn this Distinction can help provide a roadmap for implementation of integration activities, and externally create validation for potential funders. How Intermountain Healthcare's Mental Health Integration is Improving Care Intermountain Healthcare is a large health system, with 22 hospitals and 180 clinics. It has been developing Mental Health Integration services for a number of years, with three key components: Their mental health assessment tool activates a team consultation workflow to determine which patients are referred. They designed an operational system in which mental health specialists and nurse care managers are included in the primary care staff, through full-time co-location or frequent rotation.They evaluate the program regularly to monitor patient outcomes, team effectiveness and the culture of healthcare delivery from the perspective of the patient and the care provider. Health Center Takeaway: Integrating behavioral health takes time. Intermountain Healthcare has created an efficient process to develop programs and they plan for two years to implement and become revenue-neutral. Health centers would benefit from a long-term approach with a commitment of upfront internal or external funding.   Deeper Reading If you are looking for more in-depth reading on the topic, visit the following links for longer articles. Electronic Health Record Challenges, Workarounds, and Solutions Observed in Practices Integrating Behavioral Health and Primary Care This Journal of the American Board of Family Medicine article describes the electronic health record EHR-related experiences of practices striving to integrate behavioral health and primary care using tailored, evidenced-based strategies from 2012 to 2014; and the challenges, workarounds and initial health information technology HIT solutions that emerged during implementation. Behavioral Health Information Network of Arizona: 2014 HIMSS HIE Community Roundtable This HIMSS presentation describes the design and implementation of a Health Information Exchange in Arizona that integrates behavioral health data and is 42 CFR Part 2 compliant.  Useful for any health center leadership involved in such a project with their affiliated Health Information Exchange. More Details...

Apoyando a Mi Mama Con Su Diabetes - Supporting My Mother with Her Diabetes: A Digital Story about Diabetes (2016). Resource Type: Video. Description: A young woman shares her story and educates us on how she helps her mother manage diabetes. This digital story is narrated in Spanish with English subtitles. More Details...

Agricultural Health Safety Bilingual Picture Dictionary: "Seguridad en Palabras/ Safety in Words" (2016). Resource Type: Patient Material. Description: MCN's Bilingual Picture Dictionary, "Seguridad en Palabras/ Safety in Words," illustrates work place hazards and best practices for health and safety in agriculture. Developed with support from the OSHA Susan Harwood Grant Program, this resource will bolster Hispanic workers' English vocabulary and will help prevent agricultural injuries. More Details...

Ag Worker Needs Assessment (2018). Resource Type: Toolkit. Description: Agricultural Worker Community Needs Assessment helps health centers assess the health care needs of the local agricultural worker population. The toolkit, located in the Needs Assessement tab on the Health Center Toolbox webpage, includes an Introduction, Points to Remember, Sample Policy & Procedure, Determining What Information is Needed, and sample needs assessments in English and Spanish. More Details...

Adolescent-Focused Motivational Interviewing: An Interactive and Educational Introduction to Breaking Through Barriers to Positively Impact Change (2019). Resource Type: Archived Webinar. Description: This interactive, introductory webinar was designed specifically for SBHC professionals dedicated to identifying and reducing risk behaviors among their youth populations. Through discussion, activities, and video this webinar introduces you to using MI strategies in real-world practice to improve your ability to identify risk behaviors, communicate effectively with youth and motivate them toward positive, healthier choices. More Details...

Administrative Strategies for Increasing Retention (2018). Resource Type: Online Self-Paced Learning Modules. Description: This course focuses on steps you can take to increase retention at your health center. There are many things you can do to increase retention at your health center. While there is not a "one size fits all" recipe to increase retention, it is important to look at all aspects of retention. More Details...

Addressing the Transportation Needs of Older Adults (2018). Resource Type: Archived Webinar. Description: Safe and accessible transportation is a top concern for older adults, caregivers, and their communities. As adults age, maintaining mobility is fundamental to their health and quality of life. More Details...

Addressing Structural Vulnerabilitiesin Healthcare for Migrant and Seasonal Agricultural Workers (2018). Resource Type: Archived Webinar. Description: In this webinar we will examine the structural vulnerabilities of migrant and seasonal agricultural workers through the lens of immunization disparities, opioid misuse and pain management. The faculty will present a series of case studies to illustrate the real-world impact of structural vulnerabilities on this population. Faculty will also introduce practical tools and information about structural vulnerabilities which can be incorporated into medical education to meet key domains as outlined in the AAMC Competency-Based Learning and Assessment project. More Details...

Addressing Social Determinants of Health for LGBT People (Part 2) (2018). Resource Type: Archived Webinar. Description: In the second part of the series, Dr. Cahill will address ways to provide health care to LGBT patients while acknowledging Social Determinants of Health and describe steps that health centers can use to address trauma of LGBT people experiencing health disparities and stigma. The webinar will also address policy solutions that support LGBT people and reduce vulnerability to health disparities. More Details...

Addressing Social Determinants of Health for LGBT People (Part 1) (2018). Resource Type: Archived Webinar. Description: This webinar will address social determinants of health (SDOH) that can increase the vulnerability of LGBT people to health disparities. These include poverty, homelessness, housing, discrimination, minority stress, incarceration, health care, and education. More Details...

Addressing HIV and Sexually Transmitted Infections Among LGBTQ People: A Primer for Health Centers (2019). Resource Type: Publication. Description: Some lesbian, gay, bisexual, transgender, and queer (LGBTQ) people face an increased risk for HIV and sexually transmitted infections (STIs). The increased risk of HIV and STIs in these populations stems from both social and biological factors.Health center clinicians can help address HIV and STIs among LGBTQ people by screening appropriately based on a comprehensive sexual history, providing culturally appropriate safer sex counseling, and offering biomedical prevention strategies, such as vaccinations and pre-exposure prophylaxis for HIV (PrEP). More Details...

Addressing Health Equity through Health and Housing Partnerships: Strategies for health and housing providers to address the inequities in our systems that impact access to quality health care for homeless and vulnerable populations. (2019). Resource Type: Publication. Description: Community health centers can strengthen their efforts to address the inequities and barriers for homeless and vulnerable populations to access quality health care. More Details...

Addressing Food Insecurity Among Older Adults in Clinical Settings (2020). Resource Type: Archived Webinar. Description: Because food insecurity is a serious threat to the health and well-being of older adults in the U.S., this webinar sought to equip health centers’ healthcare providers to screen and intervene on this important public health issue. More Details...

Addressing Diabetes Risk Factors in Elementary School Children Through Community Partnerships (2019). Resource Type: Publication. Description: Health centers, in collaboration with schools and other community partners, can play a powerful role in performing appropriate screening, prevention, and management of elementary-aged children with obesity and other pre-diabetic indicators. This resource highlights ways health centers (such as federally qualified health centers) can enhance these efforts through school partnerships. More Details...

Adding Restorative Care to Health Center Mobile Dental Programs: Promising Practice (2012). Resource Type: Publication. Description: Community Health Center, Inc in CT has provided mobile dental services to school-aged children since 2002. One challenge for this program was that children were not completing restorative care recommended in the mobile dental program. This promising practices shares how this health center added restorative care to their mobile dental program. More Details...

A Team-Based Approach to Improving Opioid Management in Primary Care for Vulnerable Populations (2019). Resource Type: Archived Webinar. Description: Prescription opioid use and misuse have reached a crisis level in the U.S., with roughly 58 opioid prescriptions for every 100 residents in 2017 and more than 46 people dying daily from overdoses involving prescription opioids. (Source: Centers for Disease Control Opioid Prescribing Rate Maps). Although treatment plans and improved support options for managing opioid medications for individuals with chronic pain are being developed, implementing these evidence-based strategies in real world primary care settings can be challenging. Community and healthcare centers that treat patients who use opioids long-term for their chronic pain struggle with this issue and need tools and structured guidance in order to make meaningful change. This session will introduce the Six Building Blocks program which provides an evidence-based quality improvement roadmap to help primary care teams implement effective, guideline-driven care for their chronic pain and long-term opioid therapy patients. The session will discuss lessons learned during the implementation of this program and address key elements needed to transform systems of care. Faculty will also discuss upcoming opportunities for more in depth training and resource development designed to address pain management and opioid misuse in the primary care setting. More Details...

A Roadmap for Delivering Child Care in Agricultural Communities (2019). Resource Type: Toolkit. Description: This workbook is designed to help you identify challenges and assets in your agricultural community, as well as help you understand how these factors play a role in accessing child care services. This workbook also offers important resources you can use to overcome common barriers and suggests where to find more information. 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...

Resiliency & Joy in Work for Clinical Leaders (eLearning) (2019). Resource Type: Online Self-Paced Learning Modules. Description: This eLearning course discusses the importance of resiliency and joy in work as part of a clinical leader's core competency development. The focus will be on striving for an understanding and actualization of joy in practice both personally and for the clinical team. The topics of resilience, joy, emotional intelligence, and mindfulness are addressed in this self-paced course. More Details...

Ransomware Guidance Presentation for Health Centers: Updated with Ransomware Strategies from CISA (2019). Resource Type: Publication. Description: This ransomware guidance presentation for health centers, updated with ransomware strategies from CISA, provides information about ransomware, HIPPA implications, recent examples from the news, and suggested resources. 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 $6,625,000 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.