Resource Search Results

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...

A Roadmap for Implementing Population Health Management: The implementation of population health management and social determinants of health in healthcare centers (2016). Resource Type: Publication. Description: This is a 22-slide module on the implementation of population health management and social determinants of health in healthcare centers using the framework of the Institute for Healthcare Improvement (IHI) for health equity. This is a 22-slide module on the implementation of population health management and social determinants of health in healthcare centers using the framework of the Institute for Healthcare Improvement (IHI) for health equity. This outline provides a foundation that begins with electronic health records (EHR) and its progression to PHM. A step by step road map to implementation is outlined including adjusting organizational culture, conducting a vendor assessment, population stratification, work processes, patient registries, piloting and measuring implementation, and improvement. More Details...

Health Center Value Proposition Template: The Value of Health Centers in Assisting their Community to Meet the Triple Aim (2016). Resource Type: Publication. Description: This customizable document uses health center data to support them in demonstrating their value to potential partners and key stakeholders. The document provides evidence for how health centers align with the Triple Aim. Health centers can fill in and customize the value proposition template to demonstrate the value of their primary care services and care model in providing high quality, cost-effective care to those most in need.  The template is structured around the three tenants of the Triple Aim: 1. Improving population health through economic and job growth; addressing social determinants of health; and providing high quality care through a health home model, quality outcomes and implementation of health information technology. 2. Improving patient experience by providing care that is responsive to the needs and realities of the patient population, including patient portals, non-traditional hours and timely appointments. 3. Reducing the per capita cost of health care by engaging in payment reform efforts and providing high-quality care at a low cost. Download the template to create your value proposition below. More Details...

Trauma Informed Care Webinar Series (2016). Resource Type: Archived Webinar. Description: Featuring nationally celebrated trauma expert Matt Bennett, this four-part webinar series examines how the Trauma-Informed Care paradigm can play a critical role not only in transforming providers’ approaches to care, but also in informing direct advocacy for real solutions to end homelessness. More Details...

Strategies for Providing Health Care for Frequent Users in Rural Communities: Rural Communities Build Health and Housing Partnerships (2016). Resource Type: Archived Webinar. Description: Access to healthcare and other critical services in rural communities is impacted by various factors from travel distances between locations to limited financial resources and provider capacity. Community health centers, supportive housing and social service providers and other health system providers have a great deal to benefit from partnerships that address Social Determinants of Health and enable them to share information, coordinate successful strategies and leverage resources. More Details...

Shelter Health: Opportunities for Health Care for the Homeless Projects (2016). Resource Type: Publication. Description: This issue brief identifies certain health issues that can be particularly affected by shelter conditions, identifies opportunities for health centers to be engaged in local efforts to improve shelter health, and describes environmental health services supported by the federal Health Center Program. More Details...

Ask & Code: Documenting Homelessness Throughout The Health Care System (2016). Resource Type: Publication. Description: Emerging health care financing models require much more sophisticated actuarial calculations than previous payment arrangements, often taking into account risk factors such as homelessness. Homelessness also has direct implications for clinical treatment decisions and integrated care models and should be noted in individual patient records. This policy brief provides a rationale for using the ICD-10-CM code for homelessness, outlines the challenges to maximizing this code, and offers strategies to consider to ensure health care providers ask about homelessness and record patients’ housing status. More Details...

Serving Transgender and Gender Nonconforming Persons: Establishing and Improving Models of Care for Those without Homes (2016). Resource Type: Publication. Description: Drawing from current literature and interviews conducted with health centers and a social support organization, this guide provides promising practices to consider when establishing or improving upon TGNC health services, including community needs, program structure, and funding. More Details...

Health and Housing Partnership Profiles - Housing the First 100 Orlando FL: Case Study on Frequent User Intiatives in Orlando FL (2016). Resource Type: Publication. Description: This Profile focuses on Orlando FL, and Orange Blossom Family Health - the Healthcare for Homeless Center in Orlando as part of a series of real Health Center Case Studies engaged in effective Frequent User Initiatives in communities around the country. More Details...

Integrating Community Health Workers into Primary Care Practice: A Resource Guide for HCH Programs (2016). Resource Type: E-Learning. Description: The National HCH Council developed this resource guide to share experiences and successful recruitment and supervision strategies with other HCH projects looking to employ CHWs. This guide incorporates current research and uses feedback from administrators, supervisors, CHWs, hospital staff, community members, and clients involved in the HCIA project. More Details...

Integrated Care Teams to Improve Quality of Care: Health and Housing Integrated Care Models (2016). Resource Type: Archived Webinar. Description: A two-part webinar series to highlight models of integrated care for vulnerable populations includng models of integrated care for primary and behavioral health More Details...

Care Coordination for Individuals Experiencing Homelessness: Healing Hands (2016). Resource Type: Publication. Description: This issue of Healing Hands discusses some of the benefits of care coordination as well as ongoing and emerging challenges for implementation of care coordination initiatives, and then presents several provider case studies that highlight solutions and emerging strategies in care coordination for clients experiencing homelessness. More Details...

Advance Care Planning for Individuals Experiencing Homelessness: In Focus (2016). Resource Type: Publication. Description: This literature review sheds light on current aging, disease, and mortality trends of people without homes while exploring their concerns about death and preferences for advanced care. It also explores implications for policy and practice to better meet the needs of individuals experiencing homelessness. 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...

Managed Care and Homeless Populations: Linking the HCH Community and MCO Partners (2016). Resource Type: Publication. Description: The brief includes the health care needs of this group, describes Health Care for the Homeless projects and the patients receiving care in these venues, a description of managed care, common goals between both entities, and issues that both providers and plans should consider when creating or strengthening partnerships. Because health care providers and insurance plans use different language, the terms “patient” and “member” are used throughout this brief to refer to the individuals being served. More Details...

Health and Housing Partnership Profiles - Washtenaw MI: Case Study on Frequent User Intiatives in Washtenaw MI (2016). Resource Type: Publication. Description: This Profile focuses on Washtenaw MI, and the multiple health sector providers joined with local government and housing providers to target resources and services for the most vulnerable in the community as part of a series of real Health Center Case Studies engaged in effective Frequent User Initiatives in communities around the country. More Details...

Finding Resources for Health and Housing Partnerships: Partnerships to Create New Funding Mechanisms (2016). Resource Type: Archived Webinar. Description: Looking for resources to support your health center partnerships? This webinar highlights funding sources to seek out to support health partnerships with housing providers in their community More Details...

Health and Housing Partnership Profiles - Houston TX: Case Study on Frequent User Intiatives in Houston TX, (2016). Resource Type: Publication. Description: This Profile focuses on Houston TX and Healthcare for Homeless - Houston as part of a series of real Health Center Case Studies engaged in effective Frequent User Initiatives in communities around the country. More Details...

Strategic Guidance for Health and Housing Partnerships: Step by Step Strategies for Health and Housing Partnerships (2015). Resource Type: Publication. Description: This indepth resource guide explores the importance and value of partnering with supportive housing providers, partner perspectives and goals, how to assess your organization's and your partner organization's readiness, and how to make partnerships last. More Details...

Who Are Frequent Users in Health and Housing Systems?: A Closer Look at Definitions Used by Communities to Identify the People Cycling Through the Crisis Care Systems (2015). Resource Type: Archived Webinar. Description: Are frequent users costing your crisis care systems and not producing positive houtcomes? Is your community looking at how to identify the frequent users across multiple crisis care systems in an effort to deliver more effective services and save resources? This webinar highlights how various communities develop the criteria to define 'frequent user' across the systems of care and how to match data to identify those individuals. More Details...