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...

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...

Office Hour: Resiliency and Joy in Work (2018). Resource Type: Archived Webinar. Description: This Office Hour webinar features subject matter experts who address - and answer participants' questions about - the critical issue of resiliency and joy in work as part of a Clinical Leader's core competency development. The focus is on understanding and actualizing joy in practice, both personally and for/with the clinical team. 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...

Screening and Interviewing Candidates (2018). Resource Type: E-Learning. Description: In this course, we will walk through the steps of the recruitment processes involving phone screening and interviewing candidates. More Details...

Advertising and Sourcing Candidates (2018). Resource Type: E-Learning. Description: In this course, we will walk through some of the first steps of the recruitment process involving advertising and sourcing candidates. More Details...

Leveraging National Diabetes Prevention Programming For Your Health Center (2018). Resource Type: Archived Webinar. Description: AAPCHO, in partnership with the National Nurse-Led Care Consortium hosted this webinar about the National Diabetes Prevention Program and discusses ways in which community health centers (CHCs) and community-based organizations (CBOs) can take advantage of local, state, regional, and national resources to improve diabetes screening and prevention practices to special and underserved populations throughout the Continental U.S., Hawaii, and the Pacific Islands. More Details...

Strategies for Using PRAPARE and other Tools to Address Homelessness: Quick Guide and Recommendations (2018). Resource Type: Publication. Description: Social determinants of health are an important piece of the health care continuum, and identifying what social determinants patients are experiencing is key to addressing their health care needs. The Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences (PRAPARE) tool is one screening method used to assess the needs of individuals seeking care. The National HCH Council and the Corporation for Supportive Housing recently conducted a learning collaborative that identified key challenges and strategies from state and local health center perspectives. Emerging from these discussions, our new publication provides recommendations for addressing these challenges and lessons learned from the project. More Details...

Data Driven Programming to Maximize Care for Residents of Public Housing: Presented for National Nurse Care Consortium (NNCC) for health centers serving public housing patients (2018). Resource Type: Publication. Description: This presentation walks public housing-focused health centers, such as those with public housing primary care grants, through available UDS reports and tools that can be used for informing services and planning. A number of specific examples are shown of how information from the UDS can be used for improvement. Other information provided serves as a reference for reporting of public housing on Table 4 of the UDS.  More Details...

Building Data Teams and Skills: Maximizing Data Literacy and Data Governance for a Data Driven Culture: A compendium of references and tools, created in October 2018 (2018). Resource Type: Publication. Description: This compendium of references and tools is intended to support Quality Improvement efforts and to build skills across health center staff, in particular those who may be tasked with leading data literacy and data governance activities or are new to the health center world.  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...

NNOHA Health Center Workforce Survey Analysis of 2018 Results (2018). Resource Type: Publication. Description: NNOHA conducts a survey every 5 years to its members on the trends of the dental workforce in health centers. The most recent survey is from 2018. This document provides an analysis of the results from this survey. More Details...

HUD Policy Brief for Health Centers - Housing Choice Vouchers: Understanding the Role and Impact of Housing Policy for Health Centers (Housing Choice Vouchers) (2018). Resource Type: Publication. Description: Health centers need to understand the resources and how to access to support affordable housing for their clients. Federal HUD rental assistance and vouchers provide the necessary supports for housing for low income and vulnerable populations. 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...

Managing Your Health Center's Cost of Care (2018). Resource Type: Archived Webinar. Description: This session focused on the factors that influence the cost of care, providing information from new resources – a Capital Link study examining four-year trends across a series of cost-focused ratios and an updated NACHC issue brief providing a methodology for calculating costs. More Details...

Medical-Legal Partnership Origin Story: People's Community Clinic in Austin (2018). Resource Type: Publication. Description: This issue brief traces an Austin TX health center's efforts to build an MLP, including planning process, how the nuts and bolts of the partnership came together, and how it’s expanded over time. 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...