Resource Search Results

Hepatitis B and the Opioid Epidemic: Opportunities to Increase Adult Vaccination: Webinar Resources (2019). Resource Type: Archived Webinar. Description: This webinar focuses on strategies to prevent and eliminate hepatitis B as a U.S. public health threat, particularly among special and vulnerable populations impacted by the opioid epidemic. To access the slides and recording, follow the link provided More Details...

Considerations for Heart Health for LGBTQ Identified Patients (2019). Resource Type: Archived Webinar. Description: Lisa Neff, Community Impact Director at the American Heart Association and Dr. Alex Gonzalez, Medical Director at Fenway Community Health, will discuss cholesterol, diabetes, and other heart health considerations as they pertain to the LGBTQ community. The webinar will cover strategies for care including the AHA's Check. Change. Control, Cholesterol program and diabetes management strategies tailored to the needs of LGBTQ people. More Details...

Clinical Leadership Core Competencies: Domains, Skills, Tasks (2019). Resource Type: Publication. Description: This document outlines 11 domains, related tasks, and behavioral examples for Core Competencies for Clinical Leaders. These domains and related tasks and examples were identified and vetted through a National Advisory Panel made up of key staff who would have interaction with the Clinical Leader position in various settings. More Details...

Nutrition and Diabetes Guide: How Medical Nutrition Therapy Can Improve Diabetes Management (2019). Resource Type: Publication. Description: For people experiencing homelessness, diabetes management remains challenging. This new guide explores the role of Medical Nutrition Therapy and Registered Dietitians in managing diabetes with people without homes and overcoming challenges related to nutrition. Learn more about how other providers are implementing this intervention and how you can bring this back to your own health center in this new resource. More Details...

Understanding and Addressing the Social Determinants of Health for Black LGBTQ People: An Example of the Way Forward for Health Centers (2019). Resource Type: Archived Webinar. Description: Presentation OverviewContextual FactorsStructural DeterminantsInterpersonal DeterminantsIndividual DeterminantsWay Forward Increasing Awareness and Integration of the Lived Experiences of Black LGBTQ PeopleExamining and Changing our Personal Views and BehaviorsAssessing the Institutional Cultures of our Health ServicesProviding Resources and Mechanisms to Empower Black LGBTQ PeopleSupporting the Resilience of Black LGBTQ People More Details...

Homelessness & Adverse Childhood Experiences: The Health and Behavioral Health Consequences of Childhood Trauma (2019). Resource Type: Publication. Description: Childhood trauma is a predictor of poor health outcomes and people experiencing homelessness are more likely to experience adverse experiences in childhood. Learn more about how you can screen for and address ACEs in our new resource. More Details...

Using Health Information Technology to Facilitate SBIRT Service Delivery in Health Centers: HITEQ Highlights Webinar (2019). Resource Type: Archived Webinar. Description: The webinar discussed the use of health information technologies (IT) to facilitate the workflow of providing SBIRT services. Focus areas included: coding and billing for SBIRT services, using health IT to enhance SBIRT screening, communication, data capture and documentation, clinical decision support, and information sharing and reporting. The webinar presented examples and experiences of health centers currently using health IT to facilitate effective SBIRT service delivery. 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...

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...

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...

Examining Implicit Bias: Tools and Techniques for Self-Inquiry and Compassionate Care for LGBT People (2018). Resource Type: Publication. Description: A primary objective for health care professionals is to establish solid, trusting relationships with patients in order to promote healthier behaviors. As with other minority groups, when working with lesbian, gay, bisexual, transgender, and queer (LGBTQ) patients, it is especially important to build rapport as a way to counteract the exclusion, discrimination, and stigma that many have experienced previously in health care. Despite our best intentions, however, internal –or implicit–biases may affect the way we talk to and behave with patients. For health care professionals, biases can lead to inequitable care, either through biased clinical decisions, or through communicating bias in conversation with patients. More Details...

Supplemental Anticipatory Guidance: For Children and Adolescents Experiencing Homelessness (2018). Resource Type: Publication. Description: A key component of well-child visits, anticipatory guidance—a proactive, age-based education and counseling technique—provides an opportunity for health care professionals, parents, and the child to ask questions and discuss issues of concern. This publication supplements standard anticipatory guidance to account for the unique challenges presented by homelessness that may affect a child’s health and development. 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...

Chief Executive Officer (CEO) Competencies Domains and Skills/Tasks: CEO Core Competencies (2018). Resource Type: Publication. Description: This document outlines 12 domains, related tasks, and behavioral examples for Core Competencies for the Health Center CEO. These domains and related tasks and examples were identified and vetted through a National Advisory Panel made up of key staff who would have interaction with the CEO position in various settings. More Details...

From Affiliation to Action: Proven Strategies to Make it Easier to Host Health Professions Students (2018). Resource Type: Archived Webinar. Description: In this webinar clinical leadership will explore the elements of our enhanced teaching arrangements within the medical, behavioral health, nursing, and dental disciplines. More Details...

Multi-system Coordination: Building and Maintaining a Coordinated Provider Community: Highlights examples of health and housing multi-system coordination for very complex patients (2018). Resource Type: Archived Webinar. Description: People experiencing homelessness are at the intersection of multiple systems, including health, housing, and the justice system. This webinar highlights examples of multi-system coordination for very complex patients that aim to not only increase access to care but also to collaboratively manage care among multiple providers. More Details...

Understanding and Addressing the Health Needs of Youth Experiencing Homelessness: Strategies for Increasing Access and Quality Care for Hard to Reach Youth (2018). Resource Type: Archived Webinar. Description: Significant health disparities including higher rates of mental health and substance use impact youth experiencing homelessness, yet they are at risk of underutilizing services and care. This webinar explores the needs of youth experiencing homelessness with an emphasis on LGBTQ youth, best practices in providing care, and the intersection of behavioral health for this vulnerable population. More Details...

Suicide and Homelessness: Data Trends in Suicide and Mental Health Among Homeless Populations (2018). Resource Type: Publication. Description: This fact sheet details common risk factors for suicidal behaviors, mental health and clinical utilization trends of HCH grantees reported in the 2016 Uniform Data System dataset, and circumstantial data reported in the National Violent Death Reporting System. 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...

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...