Resource Search Results

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...

Barriers Encountered by Agricultural Workers Seeking Specialty Care and Potential Solutions (2018). Resource Type: Publication. Description: An issue brief for health center staff outlining the continuing challenges in providing specialty care to agricultural workers and their families. It highlights experiences of workers and provides recommendations, including opportunities for telehealth. 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...

Addressing Diabetes in the Homeless Population: The Audacity to Be Bold (2018). Resource Type: Archived Webinar. Description: This presentation discusses how a community health center, which includes Health Care for the Homeless funding, tracked and improved the health outcomes of their diabetic patients. The use of process improvement tools, team-based care, and additional clinical care activities were targeted to improve the A1C. This improvement journey was highlighted in the health center’s recent HRSA operational site visit. More Details...

Using Non-Billable Staff in Care Teams for Quality Outcomes (2018). Resource Type: Archived Webinar. Description: Non-traditional support staff are critical to a care team and can add efficiencies to workflows for improved patient care. This webinar explores different care team formations with non-billable staff working at the top of their licensure, with special attention on workflows related to pre-visit planning and standing orders. The webinar centers on NCQA 2017 PCMH Standards, specifically the Team-Based Care and Practice Organization concept, which measures how practices provide continuity of care, communicate roles and responsibilities of the medical home to patients/families/caregivers, and organize and train staff to work to the top of their license and provide effective team-based care. More Details...

ADAPTING YOUR PRACTICE: Recommendations for the Care of Patients who are Homeless or Unstably Housed Living with the Effects of Traumatic Brain Injury (2018). Resource Type: Publication. Description: This document is for health care professionals, program administrators, other staff, and students serving individuals with traumatic brain injury (TBI) who are homeless or at risk for homelessness. Its purpose is to improve patient care by enhancing understanding of recommended strategies for the successful screening, treatment, and management of traumatic brain injury in unstably housed populations. Some clinicians may be reluctant to screen for a history of traumatic brain injury, feeling that there is little they can do to help. We hope the information in this guideline will persuade clinicians that simple accommodations will not only increase access to care, but also improve patient outcomes. More Details...

Suicide Risk Assessment and Management for LGBTQ People (2018). Resource Type: Publication. Description: This publication offers a brief summary of what is known about suicidal behavior and risk among LGBTQ people, followed by information and resources for health centers to help both young and old LGBTQ people get support and tap into internal and community resilience. 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...

Know Your A1C Tool / Conozca Su A1C (2018). Resource Type: Publication. Description: One of the most commonly reported positive health outcomes in Community Health Worker-led diabetes interventions is the improvement/stabilization of A1C levels reported in patients. The hemoglobin A1C test is a marker widely used to diagnose pre-diabetes and diabetes and to monitor diabetes control in patients. More Details...

Community Health Workers & Hypertension and Heart Health Interventions (2018). Resource Type: Publication. Description: Community Health Workers & Hypertension and Heart Health Interventions: A Resource for Program Managers and Administrators is a resource for Community Health Worker program managers and administrators. It explains how Community Health Worker-led intervention programs can positively impact patients who have hypertension. About 75 million American adults (1 in every 3) have high blood pressure. Although high blood pressure can be easily detected and can be controlled with lifestyle changes and medication, almost a third of individuals with hypertension don’t know they have it, and only about half have it under control. Due to their close understanding of and trust from the communities they serve, CHWs can be particularly strong champions for patients with hypertension and/or at risk of heart disease. More Details...

What's new in STI epidemiology, prevention, and treatment for Men Who Have Sex With Men (MSM)? (2018). Resource Type: Archived Webinar. Description: Rates of syphilis and gonorrhea have been increasing in the United States, and most cases occur in men who have sex with men (MSM). In this webinar, Dr. Kevin Ard will review recent trends in STIs and examine causes for these trends. He will also discuss the controversial impact of HIV pre-exposure prophylaxis (PrEP) on STI incidence among MSM. Dr. Ard will outline steps clinicians and health centers can take to address STIs in 2018. More Details...

Increasing Access To Care thorugh Tele-Dentistry: Promising Practice (2018). Resource Type: Publication. Description: Teledentistry is an emerging trend among health centers to expand access to dental care. This promising practice will discuss the story of Ravenswood Family Health Center in California and their use of the virtual dental home model. More Details...

Facing the Challenges of Oral Health for Seniors (2018). Resource Type: Archived Webinar. Description: This webinar explores the characteristics of the senior population that directly affect elder oral health care delivery, diagnosis, treatment, and prevention. The emphasis is on the important connections between oral health and the total health of elder individuals. More Details...

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...

Providing Trauma-Informed Care at Health Centers for HIV-Positive Men Who Have Sex With Men (2018). Resource Type: Publication. Description: This brief offers health centers an introduction to providing trauma-informed care for HIV-positive men who have sex with men (MSM). The overall aims are to help health center staff understand the disproportionate prevalence of trauma and stress-related disorders among HIV-positive MSM, recognize the relationship of trauma to overall health and decreased engagement in primary care among HIV-positive MSM. This brief will also outline the promising practices in trauma-informed care to improve engagement of HIV-positive MSM in behavioral health and primary care. More Details...

SO/GI Data Collection Demonstration Videos (2018). Resource Type: Other. Description: These videos demonstrate best practices in sexual orientation and gender identity data collection. They address common questions and issues that arise for frontline and clinical staff when asking patients about their sexual orientation and gender identity. We hope these videos can provide a valuable training tool for health care staff looking for sample language and best practices. More Details...

Treating Global Health At Your Doorstep Starts with a Good Patient History: The most potent, cost-effective, and accurate diagnostic tool that we have even in our advanced age of technology remains an accurate and comprehensive linguistically and culturally appropriate patient history. (2018). Resource Type: Archived Webinar. Description: Technology is a vital part of our society. It has been critical in the advancement of medicine; however, in some cases there is an overdependence by clinicians on diagnostic technology which may impede a fuller understanding of the circumstances of patients in the exam room. The most potent, cost-effective, and accurate diagnostic tool that we have even in our advanced age of technology remains an accurate and comprehensive linguistically and culturally appropriate patient history. In this webinar, Dr. Ed Zuroweste and Dr. Laszlo Madaras, who collectively have over 50 years of practice in primary care, ask the question, “Has it become so normal to ask for tests for the most basic assessments that part of the art of medicine is being lost?” The presenters will explore the value of taking a culturally and linguistically appropriate history from the patient together with a thorough – and focused – physical exam. Spending a few minutes with the patient asking open-ended questions may save time and money by: getting the correct diagnosis and treatment plan; preventing expensive, unnecessary, and potentially harmful tests; reducing the number of specialists who may not need to see the patient; and even possibly improving patient satisfaction. The session will look at the impact of global health conditions on primary care practice in the United States and describe what primary care clinics can do to more systematically prepare for emerging diseases. At the conclusion of the webinar, participants will be able to: More Details...

Diabetes Clinical Management and Periodontal Care for Diabetic Patients Individuals Experiencing Homelessness (2018). Resource Type: Archived Webinar. Description: This session will focuses on providing up-to-date standards of the American Diabetes Association guidelines for screening diabetic patients with periodontal disease, clinical recommendations for treatment and management of patients diagnosed with diabetes, the role of oral health and dental conditions for effective screening, and health center experiences in supporting patients in diabetes management. Successful strategies for how health centers have adapted their treatment and management of diabetes for individuals experiencing homelessness are also shared. More Details...

Health Center Strategies for Addressing the Opioid Crisis: The Opioid Crisis and the Impact on Homeless Populations (2018). Resource Type: Archived Webinar. Description: Health Centers and supportive housing providers are confronting the opioid crisis head on in communities across the country with positive results. This webinar explores practical approaches and funding strategies to address the impact of the Opioid Crisis on homeless and vulnerable populations. More Details...