Resource Search Results

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...

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...

How Medical-Legal Partnership Services Can Help Address the Opioid Crisis (2018). Resource Type: Publication. Description: This issue brief from the National Center for Medical-Legal Partnership examines how legal services delivered alongside medical and behavioral health services can help support successful recovery from substance use disorders. More Details...

Calories, Cavities, and Kids: The Role of Dental Professionals in Addressing Childhood Obesity (2018). Resource Type: Archived Webinar. Description:  The webinar addresses the role of dental professionals in addressing childhood obesity More Details...

HIV and STI Prevention among LGBTQ People (2018). Resource Type: Archived Webinar. Description: During this webinar, participants will learn how to 1) describe risk factors for HIV and STIs among LGBTQ people, 2) summarize strategies to reduce HIV and STIs among LGBTQ people and 3) identify how to incorporate a package of prevention services into routine clinical care for LGBTQ people. More Details...

Addressing the Opioid Epidemic: How the Opioid Crisis Affects Homeless Populations (2017). Resource Type: Publication. Description: This fact sheet provides data on how the opioid crisis disproportionately affects people experiencing homelessness and points to treatment recommendations. More Details...

Coding Social Determinants of Health (SDOH) for Optimizing Value: An Infographic for Providers on the Benefits of Coding for SDH (2017). Resource Type: Publication. Description: The purpose of the infographic is to describe how SDH data would be used for a variety of goals that would have traction with the clinic staff audience who may likely need to modify workflows and behavior in order to collect such data.  The visual case could be used in presentations or hung on a provider break room wall. SDH coding is important for clinical management and outcomes reporting for payment reform and value based payment (particularly capitate payment), as well as other policy work. SDH coding begins with care providers, who often may need to understand how these data can be used to benefit not only the patient they are serving but also the broader population served by the organization. More Details...

Diabetes Prevention:New Pathways for Reimbursement (2017). Resource Type: Archived Webinar. Description: In this webinar, participants will hear Dr. Ann Albright, the Director of the Division of Diabetes Translation at the CDC give an overview of the National DPP, Kelly McCracken of the National Association of Chronic Disease Directors (NACDD) provide details on a project in Maryland and Oregon to demonstrate how the National DPP’s lifestyle change program can be delivered to the Medicaid population as well as become a covered benefit for that population, and Laura Summers of Leavitt Partners provide an overview of an online National DPP Coverage Toolkit to assist private and public payers interested in covering the service More Details...

Understanding And Combating Stigma: A Toolkit For Improving Care And Support For People Affected By HBV (2017). Resource Type: Toolkit. Description: This toolkit is written for health care providers and community health advocates who want to improve the care and support for people affected by HBV. The aim of this toolkit is to support you and anyone you are working with to confront and reduce the stigma associated with HBV, and to promote increased prevention, care and treatment of hepatitis B. Anyone can get HBV. We need to work together to promote understanding and action to combat HBV-related stigma and discrimination to combat this disease. More Details...

Behavioral Interviewing (2016). Resource Type: Archived Webinar. Description: This webinar was held on Tuesday, January 12, 2016. Speaker Ann Hogan focused on: What is a Behavioral Interviewing question? Why is it important you include Behavioral based questions in your interview process? How to ask Behavioral based questions Strategies to use to make sure the candidate has answered your question Review of Employment Laws that affect the hiring process More Details...

Connect for Health: Design of a Clinical-Community Childhood Obesity Intervention Testing Best Practices of Positive Outliers: Connect for Health (2016). Resource Type: Template. Description: HRSA has promoted this multidisciplinary care model as a best-practice for the implementation of childhood obesity multidisciplinary care teams. 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...

Self-Measured Blood Pressure Monitoring: Action Steps for Clinicians: Action Steps for Clinicians (2014). Resource Type: n.a.. Description: The purpose of this guide is to facilitate the implementation of SMBP plus clinical support in four key areas: Preparing care teams to support SMBP, selecting and incorporating clinical support systems, empowering patients, and encouraging health insurance coverage for SMBP plus additional clinical support. For each area, the guide lists actions that can facilitate the implementation of SMBP plus additional support. Beside each action step, it provides corresponding electronic resources to assist with these actions. It also includes appendices that describe proper SMBP preparation and technique, clinical support interventions that are effective when used with SMBP, the proper way to check a home blood pressure monitor for accuracy, and the burden and cost of hypertension. More Details...

Adapting Your Practice: Recommendations for the Care of Homeless Patients with Opioid Use Disorders (2014). Resource Type: Publication. Description: Clinicians experienced in homeless health care routinely adapt their practice to foster better outcomes for their patients. This document was written for health care professionals, program administrators, other staff, and students serving individuals with opioid use disorders who are homeless or at risk of homelessness. Its purpose is to improve patient care by enhancing understanding of recommended strategies for the successful treatment and management of opioid use disorders in marginalized populations. 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...

Tips to Have Less Stress (2021). Resource Type: Patient Material. Description: A patient education material to share with agricultural workers when identifying ways to reduce stress More Details...

The Importance of Recognizing and Responding to Toxic Stress in Primary Care Settings (2021). Resource Type: Archived Webinar . Description: Presented by Dr. Elena Reyes. This webinar will provide an overview of Adverse Childhood Experiences (ACE’s) and their relationship to Toxic Stress, including models explaining their impact on chronic health conditions. Presenters will review the importance of recognizing a history of toxic stress and responding to patients with a trauma-informed approach in primary care settings. Presented on 5/25/2021 More Details...

Preparing for Your Mental Health Visit Tips to prepare for your first visit with your mental health provider. (2021). Resource Type: Patient Material. Description: Esta publicación brinda consejos para prepararse para su primera visita con su proveedor de salud mental. More Details...

Preparándose para su cita de salud emocional Consejos para prepararse para su primera cita con su proveedor de salud emocional. (2021). Resource Type: Patient Material. Description: This publication provides tips to prepare for your first visit with your mental health provider. More Details...