Quick Finds: Clinical Issues

Clinical Leadership Core Competencies: Domains, Skills, Tasks (2024). Resource Type: Publication. Description: Defining health center clinical leadership core competencies for the purpose of professional self-development along a clinical leader’s journey has been a work in progress within NACHC since 2014. Health center clinical leaders and advisors have developed and kept up-to-date this comprehensive set of core competencies that includes tasks and skills, behavioral examples, and proficiently levels aligned and integrated with NACHC’s Value Transformation Framework (VTF). More Details...

Screening for SDOH and Social Risk Factors in HIV-Vulnerable Populations: A Guide for Health Centers Serving Residents of Public Housing and HUD-Assisted Individuals (2024). Resource Type: Publication. Description: Health centers can support HIV+ patients and those vulnerable to HIV by integrating screening for the SDOH into their standard operating procedures. In this reference guide, we present a step-by step approach to integrating SDOH screening into the clinical and social support operations of health centers and PHAs. More Details...

Navigating Comprehensive Care for Refugees: Integrating Clinical Care, Cultural Sensitivity, and Community Collaboration (2024). Resource Type: Archived Webinar. Description: Presented by Kasey Harding, Director of the Center for Key Populations at Community Health Center, Inc., this webinar will explore clinical and cultural considerations depending on the country of origin, patient education, challenges in documentation, and care coordination with community organizations. This webinar will also include clinical and support staff to discuss lessons learned and best practices for operational aspects of refugee health clinics. More Details...

HIV Prevention and Care for People Assigned Female at Birth (2024). Resource Type: Archived Webinar. Description: Presented by Dr. Whitney Irie and Dr. Kevin Ard in collaboration with the National LGBTQIA+ Health Education Center, this webinar will train health centers on best and promising practices for prevention and treatment of HIV among cisgender women, non-binary people assigned female at birth, and transgender men. More Details...

Using Geriatric Principles to Care for Aging Patients Living with HIV (2024). Resource Type: Archived Webinar. Description: As the United States population ages and the survival rate of individuals living with HIV increases, there is a need to incorporate geriatric principles and assessments into the health center workflow when providing care for aging patients living with HIV. This webinar will provide recommendations on the optimal environment of care as well as how to assess a patient’s function and quality of life. More Details...

Strategies for Supporting People with Behavioral Health Needs in Medical Respite Care (2024). Resource Type: E-Learning. Description: This course builds on the previous courses to provide an overview and recommendations on how programs can support people with behavioral health needs. This course focuses on identifying specific strategies that can be utilized by program staff to increase the staff and programs'; ability to address the needs of people with behavioral health conditions. More Details...

Crisis Intervention and De-escalation in Primary Care Learning Collaborative: Session 3: Developing Crisis Prevention Policies and Procedures (2024). Resource Type: Archived Webinar. Description: This Learning Collaborative will provide four learning sessions to help healthcare workers identify, de-escalate, and intervene in crisis behaviors in the healthcare setting. These four sessions will use evidence-based practice interventions that promote safety for patients and staff by emphasizing preventive measures and least-restrictive/non-physical interventions to reduce the risk of unsafe crisis behaviors. Each session of the Learning Collaborative will provide an opportunity for the participants to plan de-escalation and crisis interventions that promote patient and staff safety in their health centers. This Learning Collaborative aligns with the Health Center Performance Improvement domain of Quality, Patient Care, and Safety as it addresses approaches to reduce behaviors that may harm patients. More Details...

Colon Cancer Screening: Health Center Programs and Screening Recommendations (2024). Resource Type: Publication. Description: Medically disadvantaged communities, notably residents of public housing and the HUD-assisted, are less likely than the general U.S. population to perform their colorectal cancer screening within recommended guidelines and more likely to be diagnosed with colorectal cancer. More Details...

Mental Health Awareness Issue Brief: Adverse Childhood Experiences (ACEs) and their Impact on Mental Health (2024). Resource Type: Publication. Description: Adverse Childhood experiences (ACEs) have a lifelong impact on the health and wellbeing of patients. The impact of ACEs on patient care is significant. By prioritizing trauma informed/culturally competent care (TIC), social services and clinical staff can help to improve the impact of medical and behavioral health services. More Details...

Caring for LGBTQIA+ Youth at Health Centers (2024). Resource Type: Archived Webinar. Description: Presented by the National LGBTQIA+ Health Education Center, this webinar will focus on both disparities and resilience among LGBTQIA+ youth, including practical strategies for reaching and engaging LGBTQIA+ youth into primary care and behavioral health care. In addition to learning of health risks faced by LGBTQIA+ youth, webinar participants will become more familiar with LGBTQIA+ youth culture, and will learn of ways to forge trusting relationships and create welcoming environments. More Details...

Integrating Behavioral Health into Pediatric Care, Part 1 (2024). Resource Type: Archived Webinar. Description: This webinar series (Part 1 and Part 2) will explore the critical integration of behavioral health into pediatric care, addressing the increasing prevalence of mental health issues among children and adolescents. Recent statistics reveal that up to 20 percent of children experience mental health disorders, emphasizing the urgent need for a holistic approach to pediatric health care. With the shortage of child and adolescent psychiatrists and therapists, addressing behavioral health in primary care is critical. More Details...

Pediatric Dental Care: Building a Successful Program (2024). Resource Type: Archived Webinar. Description: This webinar provides health center information on access to dental care by pediatric patients, the importance of integrating dental care into primary care practices, and the visualization of data to measure success of a pediatric oral health program. This training was in conjunction with National Network for Oral Health Access (NNOHA). More Details...

Pediatric Dental Care: Building a Successful Program (2024). Resource Type: Archived Webinar. Description: This webinar provides health center information on access to dental care by pediatric patients, the importance of integrating dental care into primary care practices, and the visualization of data to measure success of a pediatric oral health program. More Details...

Crisis Intervention and De-escalation in Primary Care Learning Collaborative: Session 2: Implementing Evidence-Based De-escalation and Crisis Intervention Techniques in Health Care Settings (2024). Resource Type: Archived Webinar. Description: This Learning Collaborative will provide four learning sessions to help healthcare workers identify, de-escalate, and intervene in crisis behaviors in the healthcare setting. These four sessions will use evidence-based practice interventions that promote safety for patients and staff by emphasizing preventive measures and least-restrictive/non-physical interventions to reduce the risk of unsafe crisis behaviors. Each session of the Learning Collaborative will provide an opportunity for the participants to plan de-escalation and crisis interventions that promote patient and staff safety in their health centers. This Learning Collaborative aligns with the Health Center Performance Improvement domain of Quality, Patient Care, and Safety as it addresses approaches to reduce behaviors that may harm patients. More Details...

Patient-Centered Telehealth for LGBTQIA+ Communities (2024). Resource Type: Publication. Description: The purpose of this publication is to educate health center staff on how to reduce barriers to LGBTQIA+ patient care by improving telehealth programming. More Details...

Disaster Equity: Preparedness, Response, and Recovery for LGBTQIA+ Patients of Health Centers (2024). Resource Type: Publication. Description: Climate change and natural disasters pose substantial threats to communities, the effects of which are exacerbated by inequalities in vulnerable populations—particularly those with intersectional marginalized identities (e.g., LGBTQIA+ people who are Black, Indigenous, and/or have a disability) and are disproportionately affected by chronic disease. It is vital that health centers pay special attention to the marginalized communities who have been historically forgotten in emergency preparedness and response plans. Social determinants of health such as stigma, discrimination, violence, neighborhood characteristics, transportation, and a lack of recognition of families and relationships in institutional policies dramatically impact the effects of natural disasters on LGBTQIA+ people. This publication will summarize the issues at hand and provide strategies for health centers to promote disaster management equity for LGBTQIA+ patients. More Details...

Care for Transgender and Gender Diverse Children Whose Parents Are Involved in a Custody Dispute (2024). Resource Type: Publication. Description: The purpose of this brief is to: Provide a foundation and context for clinicians to feel better prepared and confident to educate family court professionals Offer best practices to illustrate how clinicians can appropriately and compassionately navigate care when co-parents disagree regarding medically necessary interventions Assist clinicians as they consider structural interventions to improve outcomes for TGD children and their families in the family court system More Details...

Strengthening NP/PA Residency Programs through Academic, Clinical, & Community Partnerships (2024). Resource Type: Archived Webinar. Description: This webinar explores the essential components of successful primary care nurse practitioner/physician associate (NP/PA) residency programs, including program structure and the value of academic, clinical, and community partnerships. Along with experts from CHC, this webinar includes a health center spotlight on successfully implementing a residency program with strong partnerships. By the end, viewers will have a clear understanding of how to build effective, sustainable NP/PA residency programs and enhance clinical workforce development. More Details...

Crisis Intervention and De-escalation in Primary Care Learning Collaborative: Session 1: How to Identify and Prevent Crisis Behaviors in Health Care Settings (2024). Resource Type: Archived Webinar. Description: This Learning Collaborative will provide four learning sessions to help healthcare workers identify, de-escalate, and intervene in crisis behaviors in the healthcare setting. These four sessions will use evidence-based practice interventions that promote safety for patients and staff by emphasizing preventive measures and least-restrictive/non-physical interventions to reduce the risk of unsafe crisis behaviors. Each session of the Learning Collaborative will provide an opportunity for the participants to plan de-escalation and crisis interventions that promote patient and staff safety in their health centers. More Details...

An Introduction to Anal Cancer and Anal Dysplasia Screening (2024). Resource Type: Archived Webinar. Description: Presented by Dr. Ami Multani, this webinar will present the current evidence base on screening (living with and without HIV) for anal cancer, and will discuss the potential benefits and drawbacks of screening patients in primary care. Resources will be provided on further training for performing anal Pap and high-resolution anoscopy. More Details...

Safe Practices in Dental Care (2024). Resource Type: Archived In-Person Training. Description: This conference seminar addresses building an infection prevention and control (IPC) program in a health center dental department that addresses personal protective equipment, hand hygiene, injections, sharps, and sterilization and disinfection procedures. The seminar will review assigning roles and responsibilities to everyone on the team using project management tools. Measuring and reporting success with the IPC program will also be highlighted. Information shared references the Center for Disease Control and Prevention expectations for safe care for dental practices. More Details...

HRSA Behavioral Health Web Portal (2024). Resource Type: Other Resource Collection. Description: This external website includes a repository of potentially-relevant, curated resources from an organization outside of the HRSA-funded training and technical assistance organizations. (Note: resources in such collections do not undergo review by the Clearinghouse). This web portal describes that national approach to address behavioral health in the United States and includes resources in support of the President's mental health strategy, the HHS roadmap for behavioral health integration, interdepartmental efforts, and national focus areas. More Details...

Ending the HIV Epidemic in the United States, First Steps for Health Centers Webinar (2024). Resource Type: Archived Webinar. Description: The National HIV/AIDS Strategy provides an update to the HIV National Strategic Plan (2021) and intends for the HIV epidemic to end by 2030. In addition, the strategy sets forth expectations to ensure patients living with HIV are treated, HIV health outcomes are improved, and health disparities are reduced. To aid in this effort, health centers have an opportunity to use their multidisciplinary teams and community partners to provide adequate support for individuals living with HIV and newly diagnosed with HIV. This webinar will provide an opportunity for health center staff to learn approaches to coordinating care for those newly diagnosed with HIV and identify how to measure success with their HIV program(s). This training will be in conjunction with the National LGBTQIA+ Education Center, The Fenway Institute, Fenway Health. More Details...

Community Health Center Chartbook 2024: Analysis of 2022 UDS Data (2024). Resource Type: Publication. Description: The annual Community Health Center Chartbook presents data on Federally Qualified Health Centers, including Health Center Program Grantees and Look-Alike organizations. The chartbook includes summary data on health center patients, services, staffing, quality outcomes, and impact on access to care and health equity. More Details...

Comprehensive BMI and Weight Assessment Strategies (2024). Resource Type: Infographic. Description: This resource highlights BMI and weight assessment counseling within Family Healthy Weight Programs and offers guidance on effective implementation and management for health centers. It provides an overview for health center staff and new team members on clinical issues and best practices More Details...

Strategies to Improve Early Recognition of Pregnancy Associated Cardiomyopathy (2024). Resource Type: Archived webinar. Description: This two-part resource provides an overview of pregnancy-associated cardiomyopathy and a practical discussion of ways to improve outcomes in a clinical settings. The first section explores data from the CDC's Division of Reproductive Health Pregnancy-Related Mortality Surveillance Programs (PMSS and MMRCs). Section 2 explores a clinical case study on how to recognize signs and symptoms and then take action to prevent associated deaths. More Details...

Addressing the Impact of Climate Change on LGBTQIA+ Patients at Health Centers (2024). Resource Type: Archived Webinar. Description: Presented by Leo Goldsmith and Dr. Bhar Chekuri, this webinar will familiarize health centers on the impact of climate change on LGBTQIA+ communities, and will introduce strategies for ensuring an equitable and culturally affirming response to climate change and its health impacts. More Details...

Protect Yourself Against COVID-19 Brochure Template (2024). Resource Type: Patient Material. Description: This resource provides information confirming the safety and effectiveness of the COVID-19 vaccine. More Details...

Children and the COVID-19 Vaccine Brochure Template (2024). Resource Type: Patient Material. Description: This resource provides parents with instructions on ways you can help prevent the COVID-19 virus from transmitting to children, including information about approved vaccines for each age group. More Details...

Hypertension Control and Cholesterol Management Communications Toolkit (2024). Resource Type: Toolkit. Description: This communications toolkit is designed to provide evidence-based messaging on hypertension and cholesterol management. It includes materials developed through NACHC's Million Hearts® initiative. More Details...

Approaches to Mental Health Care for Migratory And Seasonal Agricultural Workers: Mental Health Learning Series (2024). Resource Type: Archived Webinar. Description: Health Outreach Partners and Farmworker Justice co-facilitated a webinar on the overview of mental health disorders and how outreach and enabling services can provide trauma-informed care to screen and support mental health in Migratory, Seasonal, and Agricultural workers (MSAWs). The webinar had a guest speaker, Dr. Javier Rosado, a Clinical Associate Professor at Florida State University College of Medicine who serves as the Director of Clinical Research for the FSU Center for Child Stress and Health. More Details...

Myths and Facts about COVID-19 Vaccines (2024). Resource Type: Other. Description: Now that there are authorized and recommended COVID-19 vaccines in the United States, accurate vaccine information is critical and can help stop common myths and rumors. More Details...

Improving Access to Behavioral Health Services for Populations Facing Homelessness (2024). Resource Type: Publication. Description: Mental health issues can both cause and result from homelessness, with factors like substance use, economic instability, and limited access to housing and healthcare contributing significantly. Behavioral health providers should focus on flexible outreach, partnerships with housing organizations, peer support, and sustainable financing to effectively support this population. The guide will cover the central role of peer support and outreach and engagement strategies. Finally, the guide will cover the financing possibilities and challenges of supporting outreach and engagement efforts. More Details...

Promoviendo un estilo de vida saludable entre los trabajadores agrícolas mediante pruebas, prevención y tratamiento del VIH/SIDA: Una historia sobre la salud sexual y el VIH entre los trabajadores agrícolas (2024). Resource Type: Patient Material. Description: “Promoviendo un estilo de vida saludable entre los trabajadores agrícolas a través de las pruebas, la prevención y el tratamiento del VIH/SIDA: Una historia sobre la salud sexual y el VIH entre los trabajadores agrícolas\", explica información importante sobre el VIH y el SIDA. Infórmese sobre las formas saludables de prevenir, hacerse la prueba y recibir tratamiento contra el VIH/SIDA entre los trabajadores agrícolas. More Details...

Promoting Agricultural Workers Healthy Lifestyle through HIV/AIDS Testing, Prevention, and Treatment: A Story About Sexual Health and HIV Among Agricultural Workers (2024). Resource Type: Patient Material. Description: "Promoting Agricultural Workers Healthy Lifestyle through HIV/AIDS Testing, Prevention, and Treatment: A Story About Sexual Health and HIV Among Agricultural Workers.", explains important information about HIV and AIDS. Learn about healthy ways to prevent, getting tested and treatment for HIV/AIDS among agricultural workers! More Details...

Leveraging Opioid Settlement Dollars - Benefits and Strategies for Health Centers (2024). Resource Type: Publication. Description: As of February 2022, 48 states have accepted settlement for various lawsuits brought against pharmaceutical opioid distributors and one manufacturer in response to the national opioid and overdose crisis. Commonly referred to as the “Opioid Settlement funds”, approximately $26 billion have been distributed to states and local governments to support a range of activities addressing the root causes and impact of the opioid crisis. Beyond the Approved Uses Guidance, there is wide latitude for how to use these funds. The national Opioid Settlement Tracker is a resource that can help Health Centers and Primary Care Associations determine the process for how these funds are allocated and any pathways to influence that process. Housing creation, including supportive housing and recovery housing are cited in the national settlement agreement as potential approved uses. This analysis will focus on how and where funds are being leveraged to support housing access and other services that benefit health center patients. More Details...

Housing and HIV: Bridging the Gap between HIV and Housing in Special and Vulnerable Populations (2024). Resource Type: Archived Webinar. Description: On Wednesday, March 13, 2024, CSH joined National Center for Health and Public Housing and the National LGBTQIA+ Health Education Center to host session 2 the Population Health Management National Learning Series. This session featured a discussion on the drivers of health for individuals at risk for or living with HIV/AIDS and Hepatitis C. Panelist providers shared lessons from the field on addressing social drivers of health (SDOH) needs with special emphasis on housing as an intervention and the importance of cross sector partnerships. More Details...

Tobacco Use Among MSAW: Environmental Scan Findings Report (2024). Resource Type: Publication. Description: This environmental scan provides information about tobacco use and cessation among agricultural workers. Information was collected from a national poll of MSAW organizations and from agricultural worker focus groups. More Details...

Instructions for Using Naloxone (2024). Resource Type: Patient Material. Description: Instructional sheet on how to use Naloxone in the case of an opioid overdose. Available in both English and Spanish. More Details...

Sexual Violence in Agricultural Worker Communities: A Guide for Clinicians (2024). Resource Type: Toolkit. Description: Clinician resource that provides guidance on how to identify and support survivors of sexual violence in agricultural worker communities, as well as best practices when reporting any incidents. Also included are stories from survivors and advocates, and additional resources for community support. Available in both English and Spanish. More Details...

Moving OUD/SUD Care Upstream through Partnership with Legal Aid: Health Center MLP Planning, Implementation & Practice (PIP) Webinar Series (2024). Resource Type: Archived Webinar. Description: This interactive webinar will explore the collaboration between Philadelphia Legal Assistance (PLA) and community health centers in the City of Brotherly Love. Together, they are advancing and strengthening community-based care and treatment for individuals recovering from Opioid and Substance Use Disorders (O/SUD). Learn about the implementation journey and impact of the medical-legal partnerships between PLA and the healthcare teams at Esperanza Health Center and Delaware Valley Community Health (DVCH) – Girard. This webinar is appropriate for anyone interested in the intersection of healthcare and legal services. More Details...

Maternal Mortality Fact Sheet (2024). Resource Type: Publication. Description: This infographic summarizes the racial and ethnic disparities in maternal and infant perinatal outcomes and summarizes NACHC's efforts to improve maternal health and post-partum care, providing up-to-date data, resources, and promising practices. More Details...

Social and Structural Impacts on Diabetes and Comorbidities Management for AA and NH/PI Populations Learning Series: Module 5: Culturally-Responsive Diabetes Care: Integrating Language and Family (2024). Resource Type: Micro-Learning. Description: The Association of Asian Pacific Community Health organizations (AAPCHO) chronic disease management programs, expertise, and national network in the AA and NH/PI community health center space, will feature research, community intervention strategies, and historical context for diabetes and other co-morbidities among AAs and NH/PIs. This self-paced learning series will feature modules that outline various social, political, and structural drivers of health for diabetes and comorbidities management. Modules will include case studies which promote resources, strategies, and interventions to support health center performance improvement and transformation efforts. This is module 5 and was recorded on June 18, 2024. More Details...

Medicaid and CHIP Vaccine Toolkit (2024). Resource Type: Toolkit. Description: The toolkit focuses on CMS' Medicaid and Vaccine toolkit. This resources gives guidance expanding vaccine access and uptake through provider qualifications and considerations, vaccine counseling, and immunization registries. More Details...

Diabetes and Chronic Kidney Disease: Population Health Strategies to Improve Quality of Care and Reduce Cardiovascular Risk (2024). Resource Type: Archived Webinar. Description: National Center for Farmworker Health (NCFH), in collaboration with the National Kidney Foundation (NKF) presented a webinar on chronic kidney disease (CKD) and diabetes in a safety-net setting. The presentation highlighted the impacts of undiagnosed CKD on health outcomes, described the prevalent inequities in CKD and impacts of CKD in rural and agricultural worker populations, and reviewed population health focused quality improvement strategies. More Details...

Social and Structural Impacts on Diabetes and Comorbidities Management for AA and NH/PI Populations Learning Series: Module 4: Bridging Community and Clinic to Promote Diabetes Equity in South Asian Communities (2024). Resource Type: Micro-Learning. Description: The Association of Asian Pacific Community Health organizations (AAPCHO) chronic disease management programs, expertise, and national network in the AA and NH/PI community health center space, will feature research, community intervention strategies, and historical context for diabetes and other co-morbidities among AAs and NH/PIs. This self-paced learning series will feature modules that outline various social, political, and structural drivers of health for diabetes and comorbidities management. Modules will include case studies which promote resources, strategies, and interventions to support health center performance improvement and transformation efforts. This is module 4 and was recorded on June 5, 2024. More Details...

Supporting People Experiencing Homelessness in Smoking Cessation: Healing Hands (2024). Resource Type: Publication. Description: In this issue of Healing Hands, we will look at the impact of cigarette smoking, vaping, and other tobacco use among people experiencing homelessness, including children, teens, families, Indigenous communities with cultural experiences of medicinal tobacco use, and people who experience other forms of social marginalization. We will also consider key aspects of communication and intervention in the realm of smoking cessation, including motivational interviewing, harm reduction, trauma-informed care, and the five stages of change model. We will end with one individual’s story about quitting smoking that illustrates both the challenges and benefits of engaging in tobacco cessation. More Details...

NNOHA User's Guide for Integration of Behavioral Health and Oral Health (2024). Resource Type: Publication. Description: This publication provides guidance on how to implement a behavioral health and oral health integration program. The User's Guide includes a description of NNOHA's systems-based framework for behavioral health integration, promising practices from community health centers, and workflow examples. There is also a readiness assessment to help community health centers determine their level of preparedness to implement a behavioral health integration program. More Details...

Guides for Patients Experiencing Intimate Partner Violence and Exploitation (2024). Resource Type: Publication. Description: Individuals who have experienced or are experiencing intimate partner violence, human trafficking, or exploitation may have challenges utilizing dental services. These resources are intended to support dental professionals and patients prepare for dental visits. More Details...

Physical Activity and Sports Participation for Transgender and Gender Diverse People (2024). Resource Type: Publication. Description: This publication is designed to support health centers in promoting physical activity and sports participation for transgender and gender diverse (TGD) patients. TGD people experience multiple mental and physical health disparities throughout the life course, including increased cardiometabolic risk. Despite these increased risks, preventive health guidelines rarely address the unique needs of TGD people. More Details...