Resource Search Results

Oral Health and Diabetes for Patients Experiencing Homelessness: Fact Sheet (2019). Resource Type: Publication. Description: NNOHA and the National Health Care for the Homeless Council partnered to develop this fact sheet on oral health and diabetes for patients experiencing homelessness. This purpose is to highlight linkages between periodontal disease, diabetes, and homelessness, as well as address, frequently asked questions related to understanding and caring for individuals who are experiencing homelessness. More Details...

Non-Opioid Substance Use, Mental Health, & Homelessness: Healing Hands (2019). Resource Type: Publication. Description: This issue of "Healing Hands" highlights the relationship between non-opioid substance use disorder, mental health, and homelessness. Approximately half of people experiencing homelessness have diagnosable substance use disorders at some point in their lives and experience stigma, serious mental illness, and poor health outcomes as a result. More Details...

EHR Vendors Most Frequently Used by Health Centers: 2014 through 2017, according to information reported in the UDS. (2019). Resource Type: Publication. Description: These graphs and tables use health center reported UDS data from 2014 through 2017 to identify the 10 EHRs most frequently used among health center programs, and shows the change between years. Updated in late 2018 with 2017 data, these graphs and tables use health center reported UDS data from 2014 through 2017 to identify the 10 EHRs most frequently used among health center programs, and shows the change between years. Download the PDFs below for all the information. 2014 and 2015 information was taken from the EHR Form in the UDS, and 2016 and 2017 information was retrieved from the Health IT Form in the UDS. 2018 information will be added when available. Each of these forms can be seen in the UDS manual for the given year here.  Efforts have been taken to normalize data for aggregation purposes such as to combine those that reported "Next Gen" and those that reported "NextGen"; otherwise, all information is used as reported by health centers without further verification.   More Details...

Oral Health - Full Partners on the Team (2019). Resource Type: Archived Webinar. Description: In this webinar, experts will discuss the clinical, organizational, data and technical opportunities and challenges to advancing or enhancing your model of oral health in team-based care. More Details...

Using Financial and Operational Data to Plan for Growth (2019). Resource Type: Archived Webinar. Description: Develop a framework for identifying strengths, challenges, and opportunities for performance improvement in preparation for growth, including best practices from Capital Link's one-on-one work with health centers. More Details...

Socially Vulnerable Older Adults and Medical-Legal Partnership (2019). Resource Type: Publication. Description: The report details three medical-legal partnership programs serving older adults and their impact on preventing homelessness, improving financial stability, and other social determinants. More Details...

The Health Equity Starter Kit: A Brief Tutorial: Coffee Break Webinar (2019). Resource Type: Archived Webinar. Description: This Coffee Break Webinar is intended for anyone interested in using HOP’s free online tool, the Health Equity Starter Kit. In this session we describe how to best navigate our Health Equity Starter Kit, and highlight examples of some of the available resources within each section. More Details...

Compendium of Telehealth Research and Publications: A Summary of Recent Research along with Takeaways for Health Centers (2019). Resource Type: Publication. Description: In early 2019, HITEQ completed a literature review of recent research and publications about telehealth. Within this compendium, HITEQ summarizes these articles and discusses possible implications or considerations for health centers. The purpose of the rapid review was to determine whether the current research shows that services delivered via telehealth are equivalent to in-person services and if the use of telehealth services affects the use of other services. They found that, overall, telehealth is comparable to in-person care, however further research is needed to determine the impacts of telehealth use on other services. In other words, the question of whether telehealth can effectively substitute in-person care remains unanswered. More Details...

Health Centers as Assets in Their Community: Assessing Your Environment (Market Assessment) (2019). Resource Type: Archived Webinar. Description: This session is designed to provide attendees with a tour of the range of research resources available for health centers to assess market opportunities (many of them are free for all to use). We will review techniques for how to determine the size and location of the low-income, uninsured and under-served population, estimate the level of unmet need, and translate this information into workforce needs and a preliminary capital project budget. More Details...

Looking at PACE...An Opportunity for Community Health Centers (2019). Resource Type: Archived Webinar. Description: Join us to learn more about Program of All-Inclusive Care for the Elderly (PACE) and how to implement a program at your health center to better serve the growing population of patients aged 55 and older with chronic conditions, while supporting their independent living in the community. More Details...

Complex Care Health Settings and Medical-Legal Partnerships (2019). Resource Type: Publication. Description: This fact sheet describes five complex care settings that have integrated medical-legal partnership services into care delivery to tackle SDOH. It also features data on the ways these partnerships have demonstrated initial success in improving both physical and mental health conditions as well as stabilizing income and housing for patients with complex conditions while also curbing costly overuse of health care services by addressing the root causes of patients’ problems. More Details...

UDS Sealant Measure FAQ (2019). Resource Type: Publication. Description: Find answers to Frequently Asked Questions (FAQ) about the HRSA UDS Sealant Measure for children ages 6-9 for dental caries. Developed in consultation with oral health specialists and HRSA staff. More Details...

Health Center Security & Compliance System Implementation Guide: 1/1/2019 (2019). Resource Type: Publication. Description: This toolkit provides a framework for Health Centers to evaluate compliance and security concerns as they purchase, adopt, and implement technology solutions. There are ever-increasing cybersecurity guidelines and protection measures that Health Centers must navigate and digest. Newer and rurally located Health Centers can especially benefit from guidance and decision support that assists them in determining how to implement systems in a manner that meets compliance requirements and doesn’t expose information to undue security risk. Identifying and managing these types of risk can be especially important when procuring new Health IT e.g. EHRs, Medical Devices, Data Warehouses for the Health Center. This toolkit provides a framework for Health Centers to evaluate compliance and security concerns as they purchase, adopt, and implement technology solutions. Every time a Health Center adopts and implements newly procured technology, they could be exposing themselves to compliance gaps and security risks. Often these topics are addressed after the solution is implemented and are an after-thought. Unfortunately, the later in the adoption process that security is considered, the costlier it becomes to address as it may require redesign or reconfiguration of software, systems, and processes. Especially important for covered entities, like Health Centers, is for this process to meet the regulations outlined within HIPAA. Throughout this document, the related HIPAA requirements are highlighted within each section so as to better understand where this process sits within broader security risk assessment SRA practices. In the Appendix of this guide is an EHR/Health IT Systems checklist that can be used as an implementation interview guide when procuring new resources. This guide can help organizations identify security concerns and design the appropriate solution starting at the design and vendor-selection phase, thereby increasing the likelihood that security will be considered fully throughout the implementation process. Download the full toolkit below, which includes the following sections: System overview Information classification and inventory Business Associate Agreements and Contracts Risk Analysis Identity management Encryption Auditing and logging Contingency planning Workstation requirements Patching Security testing Vendor and developer access Physical security Network segmentation More Details...

Addressing Childhood Obesity in Health Centers: Promising Practices and Lessons Learned: January 2019 (2019). Resource Type: Publication. Description: The HITEQ Center interviewed ten health centers and health center partners to identify solutions and promising practices for addressing childhood obesity across the health center program. The focus included how health centers are meeting the Uniform Data System UDS measure and how they are taking further steps to identify and intervene with those at risk of obesity leveraging health information technology, electronic health records, and the data they have. Seven key areas are identified in the resulting issue brief. In the Fall of 2018, the HITEQ Center interviewed ten health centers and health center partners to identify solutions and promising practices for addressing childhood obesity across the health center program. The focus included how health centers are meeting the Uniform Data System UDS measure, Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents CMS155v6, and how they are taking further steps to identify and intervene with those at risk of obesity by leveraging health information technology, electronic health records, and resulting data. Seven key areas of improvement from interviews are identified in the resulting issue brief: Key 1. Embed Needed Data Capture in Workflow Key 2. Implement Successful Monitoring to Support Decision Making Key 3. Understand the Evidence Base Key 4. Identify Key Data and Metrics Key 5. Target Interventions Appropriately Key 6. Consider Alternative Appointment Types and Locations Key 7. Create Comprehensive, Accessible Interventions Download the issue brief below to see health center examples, related research, and health IT tools for each of these keys. More Details...

SDOH Academy Resources (2019). Resource Type: E-Learning. Description: The Social Determinants of Health (SDOH) Academy is a HRSA-funded virtual training series designed to help staff from health centers, health center controlled networks, and primary care associations develop, implement, and sustain SDOH interventions in their clinics and communities. The power of The SDOH Academy is that it does not focus on a single intervention. Instead, multiple HRSA-funded national training and technical assistance partners work together to offer a coordinated curriculum on multiple community-based SDOH interventions. More Details...

Community Health Worker Clinical Integration Toolkit (2019). Resource Type: Publication. Description: With a long history of successfully and effectively addressing health disparities, Community Health Workers (CHWs) can fill the gaps in services that many health care organizations experience in reaching underserved populations. For instance, six published studies on CHW interventions on the prevention and management of diabetes have shown significant positive outcomes, including changes in HbA1c levels and improved self-reports of dietary changes. More Details...

Addressing Violence in Public Housing Communities: Case Examples of Violence Prevention and Intervention Strategies from Public Housing Primary Care Grantees (2019). Resource Type: Publication. Description: The purpose of this report is to provide Health Centers located in or immediately accessible to public housing with best practices and examples of violence prevention and intervention programs that can be implemented in their communities. NCHPH conducted background research on violence and crime statistics from the Federal Bureau of Investigation Uniform Crime Reporting Program, interviewed four Health Center staff, and analyzed the interviews to identify overlapping themes, lessons learned, and successful strategies used to address and prevent violence. More Details...

Using Social Determinants of Health Data & New Technology Tools to Connect with Appropriate Community Resources: We asked the questions, now what? Updated in December 2018 (2018). Resource Type: Publication. Description: The collection of data related to patients' non-medical needs through use of Social Determinant of Health SDoH assessment tools, can accelerate systemic population health improvement, as well as engage patients in addressing their social non-medical needs such as transportation, shelter, or intimate partner violence services through coordinated access to appropriate services. This case study discusses the process a health center may use to identify and stratify need, and profiles a number of new technologies, including Aunt Bertha, Now Pow, and 211 Community Information Exchange, for connecting patients to appropriate community resources.   Download full case study at the bottom of the page. The collection of data related to patients' non-medical needs such as transportation, housing, food security, safety, etc. through use of Social Determinant of Health SDoH assessment tools e.g., NACHC’s PRAPARE, AAFP’s The EveryONE Project, can accelerate systemic population health improvement, as well as engage individual patients in addressing those needs through coordinated access to appropriate services.  According to a 2017 American Academy of Family Physicians AAFP survey, 83% of respondents agreed that family physicians should identify and help with social determinants of health. Research from Kaiser Permanente suggests that, of those patients screened for social determinants of health, approximately two-thirds needed some services. PRAPARE pilot data from participating health centers identified housing, utilities, and food as the most frequently identified needs. Unfortunately, 80% of the family physicians surveyed by AAFP responded that they don’t have time to discuss social determinants of health with patients and more than half feel unable to provide their patients with solutions.  So, tools are needed to help providers meet these newly identified needs, with existing resources. A number of these tools are profiled in the resource available for free download below. Much like other screenings that are embedded in the regular workflow and used to assess the risk or severity of the patient’s condition, such as the PHQ-9, Social Determinants of Health assessment tools like PRAPARE are designed to operate similarly.  Identifying level of risk or need among patients screened for social determinants of health in order to strategize responses is generally done with ‘risk scoring’. Here are two examples: SDoH only: A health center could assign 1 point per social determinant of health identified. Multiple sources: A health center could assign points based on number of chronic conditions, medications, ED visits in the last 12 months, and SDoH, as discussed in this HITEQ population health presentation. Whatever approach is taken, it is important to look at the distribution of risk scores or need levels across the patient population to ensure reasonable proportions identified as high, moderate, and low. Note that Care Management, Competency A in the PCMH 2017 standards is concerned with this. In this resource download below!, we focus on what technology tools exist to address social non-medical needs identified through screening. For those patients with high need, the standard response is likely to be health center-based and intensive. For example, patients with high need may be provided with 1 intensive case management, social workers, and referral coordinators; 2 direct assistance with connecting to resources; 3 follow up with external providers; and 4 regular in-person follow-up visits. This is likely to take up the majority of available staff capacity. However, gathering social determinants of health information may also point to other needs among patients with more moderate needs or in a broader array of areas such as paying utilities or legal services. Given staff capacity and resource limitations, as well as patient preferences, those patients may require another way to be connected with appropriate community resources. It is important that any approaches used allow for tracking and follow-up, as well as provide information about community service capacity. The tools in the case study below including Aunt Bertha, Now Pow, and 211 Community Information Exchange support this process by facilitating connection with community resources and needed follow-up, partially answering the question We collected social determinant of health data, now what do we do? Download the resource below for full case studies and lessons learned from using Aunt Bertha, 211 Community Information Exchange, and other new tools for connecting patients with community resources! More Details...

Behavioral Health Workforce Development; Training Across the Various Behavioral Health Disciplines (2018). Resource Type: Archived Webinar. Description: During this webinar, you will hear from the CHCI’s Chief Behavioral Health Officer and CHCI Behavioral Health Staff as they provide insight into the crucial components of effectively training behavioral health students working toward different behavioral health degrees. More Details...

Update on the HRSA UDS Sealant Measure - December 2018 (2018). Resource Type: Archived Webinar. Description: In 2015, HRSA introduced the first oral health clinical quality measure to the UDS, with the UDS Sealants Measure. This session will highlight the 2017 UDS data results for the dental sealants measure. Topics to be included: common challenges health centers have experienced in developing, modifying, and/or implementing clinical workflows and procedures to report on the measure. Best practices and work-arounds to address data collection and reporting challenges will be shared for those health centers that are not yet using the EDR vendor-developed solutions for reporting on the measure. More Details...