Quick Finds: Clinical Issues

The Road to Health:​ How to Prevent or Delay Type 2 Diabetes in your Community​: NCHPH Learning Collaborative (2023). Resource Type: Archived Webinar. Description: The epidemic of type 2 diabetes is exacting a staggering toll on individuals, families, and communities in the United States and, increasingly, around the world. In the United States, the burden is disproportionately borne by American Indian and Alaska Natives, African Americans, Hispanic or Latino Americans, and Asian and Pacific Islanders. More Details...

Financing PrEP in the Current Era (2023). Resource Type: Archived Webinar. Description: In this webinar, Dr. Kevin Ard discussed recent developments in the field of PrEP, such as licensure of long-acting injectable medication for HIV pre-exposure prophylaxis (PrEP), availability of a generic PrEP formulation, and concerns about the 340B program. These developments have led to questions about financing PrEP in 2023 and beyond. In this interactive session, experts on PrEP will discuss the current PrEP financing landscape and what may be in store for the future. More Details...

Emerging Best Practices for Monkeypox in Community Health Primary Care (2023). Resource Type: Microlearning. Description: This microlearning is a status update as of Fall 2022 on the national picture of Monkeypox contagion and what health centers and providers can do to encourage vaccination and reduce any associated stigma. More Details...

Telehealth and LGBTQIA+ Communities Toolkit (2023). Resource Type: Toolkit. Description: Since the beginning of the COVID-19 pandemic, telehealth has become an essential way to provide patient care and services with underserved communities, including lesbian, gay, bisexual, transgender, queer, intersex, asexual and all sexually and gender diverse (LGBTQIA+) people. By 2021, 95% of health centers had used telehealth (audio or video) to deliver medical care and 90% of health centers had used telehealth to deliver behavioral health services. The following Telehealth and LGTBQIA+ Communities Toolkit offers a curated list of resources to help begin or expand upon your organization’s telehealth program, with a special focus on supporting LGBTQIA+ communities. More Details...

Food Decision Making and its Effects on Sugar Control: NCHPH Webinar (2023). Resource Type: Archived Webinar. Description: The foods and beverages that people consume have a profound impact on their health. The scientific connection between food and health has been well documented for many decades. More Details...

Harvard Medical School's Sexual and Gender Minority Health Teaching Module Series (2023). Resource Type: Archived Webinar. Description: These modules, developed by Harvard Medical School, are intended to train medical educators and clinicians in patient care for sexual and gender minorities and offer more effective teaching strategies. More Details...

The COVID-19 Pandemic and What it Taught Us: Collective Trauma and Moving Forward (2023). Resource Type: Podcast. Description: In this eight-episode series, hear about the impact of the COVID-19 pandemic on our mental health and wellbeing, and what we learned from this unprecedented experience of collective trauma and challenges. Listen in to HOP’s staff speak with experts from various fields of mental health, healthcare, education, and advocacy about our collective experience with the COVID-19 pandemic and what it might all mean as we process, try to heal, and move forward together. More Details...

Technology Strategies to Improve Pediatric Immunization: HITEQ Highlights Webinar (2023). Resource Type: Archived Webinar. Description: The importance of effective pediatric immunization strategies cannot be overstated at this moment in public health. Given all the potential barriers to access, how can technology support primary care in improving systems for effective vaccine uptake? Participants heard from Dr. Melissa Stockwell, whose research includes translational health IT interventions to promote vaccination as well as the use of large-scale, patient-centered communication technologies, like text messaging, for surveillance of vaccine-preventable diseases and adverse events. More Details...

Impacto Del Covid-19 En Los Trabajadores Agrícolas (2023). Resource Type: Publication. Description: A Spanish version of the National Center for Farmworker Health\'s Covid-19 Fact Sheet updated in October 2022. This fact sheet reports data and research surrounding Covid-19 prevalence among agricultural worker communities, their disproportional impact, occupational and housing risks, access to care, and Covid-19 vaccination of farmworkers. Through the following link the reader can download the Spanish language pdf and disseminate with partners. More Details...

Unwinding of Medicaid Continuous Coverage Requirement: State-by-State Tracker (2023). Resource Type: Publication. Description: This tracker examines whether the following information can be found on the state Medicaid or state Marketplace website or in public documents: 1) the state’s unwinding plan or a summary; 2) an alert to update contact information; 3) communications materials/toolkits for partners; 4) an unwinding FAQ; and 5) whether the state plans to launch an unwinding data dashboard or publicly post key unwinding data. More Details...

Improving Vaccine and Healthcare Access Among Residents of Supportive Housing: Lessons Learned From COVID-19 (2023). Resource Type: Publication. Description: The COVID-19 pandemic has had an outsized impact on people experiencing homelessness, residents of supportive housing, patients of health centers, and people living with chronic conditions and disabilities. With the advent of the vaccine, numerous studies have sought to understand the calculus of people to take or refrain from taking the vaccine. More Details...

The Key Ingredient for Diabetes Prevention and Control Programs (2023). Resource Type: Publication. Description: This publication provides a fact sheet that Community Health Workers and Peer Specialists are trusted members of the community who empower their peers through education and connections to health and community resources in diabetes prevention and control. More Details...

Self-Care for Farmworkers-Advice from your CHW (2023). Resource Type: Publication. Description: Farmworkers face certain barriers to self-care due to unique challenges related to living and working conditions. However, self-care should be a priority to help them improve their overall mental health. Here are some tips from a community health worker to help improve the self-care of farmworkers. More Details...

Trauma-Informed Care in Medical Respite (2023). Resource Type: E-Learning. Description: Trauma-informed care (TIC) is essential for service delivery within medical respite care. This course provides an overview of TIC principles and how they are applied within medical respite programs. More Details...

Trauma-Informed Approaches to COVID-19 Vaccine Hesitancy (2023). Resource Type: E-Learning. Description: This course will provide an overview of the concepts of trauma and trauma informed care for patients who are interacting with Vaccine Ambassadors seeking to help with vaccine hesitancy for the COVID-19 vaccination. Learn the fundamentals of trauma, trauma-informed principles, and secondary trauma and how to identify and utilize these skills within the Vaccine Ambassador Project. More Details...

Medical Respite Care: The Role of Case Managers, Community Health Workers, and Peers (2023). Resource Type: E-Learning. Description: Case managers, community health workers (CHWs), and peers are often the primary staff responsible for care coordination and implementation of care plans in medical respite. Beyond this, they build relationships and safety for medical respite care clients. This course provides an overview of each role within the medical respite program and recommended best and promising practices for staff within these roles. More Details...

Capital Expansion for Health & Housing Webinar - Everything You Need to Know (2023). Resource Type: Archived Webinar. Description: This national webinar will assist health centers in understanding the basics of health and housing capital expansion and essential first steps for project development. More Details...

Action to Ensure Americans Receive Critical Information on Health Care Coverage (2023). Resource Type: Publication. Description: The Federal Communications Commission in January 2023 provided guidance to federal and state governmental agencies, as well as their partners, to enable them to make Medicaid enrollment calls and send text messages without violating robocall and robotext prohibitions. More Details...

Promoting Health Equity for Black Transgender MSM in HIV Prevention, Treatment, and Access (2023). Resource Type: Archived Webinar. Description: Join us for a fireside chat with Dr. Tonia Poteat, PhD, PA-C, MPH from the UNC Center for Health Equity Research and Deborah Dunn where they discuss the importance of promoting health equity for Black Trans MSM seeking HIV prevention, treatment or testing. Topics include, but are not limited to discussing the effects of racism, transphobia, and other risk factors that contribute to medical mistrust in the Black and Trans community, as well as, the unique sexual and reproductive health needs of Black Trans MSM. More Details...

More than a Database: Understanding Community Resource Referrals within a Broader Framework: HITEQ Highlights Webinar (2023). Resource Type: Archived Webinar. Description: Addressing patients’ social determinants of health via community resource referrals has historically primarily been the domain of social workers and information and referral specialists; however, community resource referral technology platforms have more recently entered the market. More Details...

10 Things to Know about the Unwinding of the Medicaid Continuous Enrollment Provision (2023). Resource Type: Publication. Description: This brief describes 10 key points about the unwinding of the Medicaid continuous enrollment requirement, highlighting data and analyses that can inform the unwinding process as well as recent legislation and guidance issued by the Centers for Medicare and Medicaid Services (CMS) to help states prepare for the end of the continuous enrollment provision. More Details...

Unwinding the Medicaid Continuous Enrollment Provision and Returning to Regular Operations after COVID-19 (2023). Resource Type: Publication. Description: The expiration of the continuous coverage requirement authorized by the Families First Coronavirus Response Act (FFCRA) presents the single largest health coverage transition event since the first open enrollment period of the Affordable Care Act. As a condition of receiving a temporary 6.2 percentage point Federal Medical Assistance Percentage (FMAP) increase under the FFCRA, states have been required to maintain enrollment of nearly all Medicaid enrollees. When the continuous coverage requirement expires, states will have up to 12 months to return to normal eligibility and enrollment operations. Additionally, many other temporary authorities adopted by states during the COVID-19 public health emergency (PHE), including Section 1135 waivers and disaster relief state plan amendments (SPAs), will expire at the end of the PHE, and states will need to plan for a return to regular operations across their programs. CMS will continue to update this page as additional tools and resources are released. More Details...

Strategic Approaches to Engaging Managed Care Plans to Maximize Continuity of Coverage as States Resume Normal Eligibility and Enrollment Operations: January 2023 Update (2023). Resource Type: Publication. Description: The COVID-19 pandemic and implementation of federal policies to address the resulting public health emergency (PHE) have disrupted routine Medicaid and Children’s Health Insurance Program (CHIP) eligibility and enrollment operations. States will have a 12-month unwinding period following tthe end of the PHE to initiate all pending post-enrollment verifications, redeterminations, and renewals. CMS is working closely with states and other stakeholders to ensure, as states resume routine operations, that renewals of eligibility occur in an orderly process that minimizes beneficiary burden and promotes continuity of coverage for eligible individuals, including those who no longer qualify for Medicaid or CHIP and therefore may transition to a different form of coverage, such as through a Marketplace. More Details...

Healing Hands: Involuntary Commitment: Ethics at the Nexus of Mental Health Care and Homelessness (2023). Resource Type: Publication. Description: This issue of Healing Hands aims to unravel some of the difficulties at the core of the conversation about involuntary commitment. We will first look at the landscape of mental illness and homelessness in the United States, then some of the key issues and quandaries involved in involuntary commitment. We’ll discuss some interpersonal practices and communication strategies that clinicians can incorporate to lessen the trauma involved in involuntary commitment, and look at some considerations for structural and systemic change. More Details...

Children's Health and Education Mapping Tool (2022). Resource Type: Online Self-Paced Learning Modules. Description: The Children's Health and Education Mapping Tool, developed in partnership with HealthLandscape, allows users to harness the power of geographic information systems technology for data-driven decision-making. Users can search, map, and download data on child health, education, and socioeconomic status at the county level compared to national averages. The tool can map, filter, and view critical characteristics of public schools, school-based health centers, and other healthcare facilities. These abilities can help users plan where to target new services, collaborate with and learn from others in their area, advocate, and fundraise with compelling visuals and relevant data for grant applications. More Details...

Children's Health and Education Mapping Tool (2022). Resource Type: Online Self-Paced Learning Modules. Description: The Children's Health and Education Mapping Tool, developed in partnership with HealthLandscape, allows users to harness the power of geographic information systems technology for data-driven decision-making. Users can search, map, and download data on child health, education, and socioeconomic status at the county level compared to national averages. The tool can map, filter, and view critical characteristics of public schools, school-based health centers, and other healthcare facilities. These abilities can help users plan where to target new services, collaborate with and learn from others in their area, advocate, and fundraise with compelling visuals and relevant data for grant applications. More Details...

Community Inclusion and Cultural Humility in Diabetes Prevention (2022). Resource Type: Archived Webinar. Description: The National Nurse-Led Care Consortium (NNCC) hosted a webinar focused on cultural humility and strategies for community inclusion in diabetes care. Subject matter expert Tiana Matthews-Martinez RD shared best implementations practices and real accounts of developing patient-centered diabetes prevention programs, treatments, and educational interventions tailored toward residents of public housing. Participants learned how to apply cultural humility to diabetes care while engaging community members in culturally and linguistically responsive healthcare practices to address racial and ethnic health disparities. More Details...

Coffee Chat: Updated CDC COVID-19 Guidance & Winter Planning for the HCH Community (2022). Resource Type: Archived Webinar. Description: Attendees joined us for a discussion about winter planning for people experiencing homelessness as we face numerous respiratory illnesses. We heard from the CDC about the updated COVID-19 guidance and Council staff shared the newly published COVID-19 Pandemic Manual. This was an informal discussion and people came to ask questions and share what is going well or challenges they were facing in there community. Guidance on Management of COVID-19 in Homeless Service Sites and in Correctional and Detention Facilities https://www.cdc.gov/coronavirus/2019-ncov/community/homeless-correctional-settings.html NHCHC COVID-19 Pandemic Guidance https://nhchc.org/wp-content/uploads/2022/11/COVID-Manual_Final-11-22.pdf More Details...

Diabetes Continuum of Care: Environmental Impacts on Diabetes Access to Care Webinar: Part 4 of the 2022 Diabetes Special and Vulnerable Populations Task Force National Learning Series (2022). Resource Type: Archived Webinar. Description: This session was part 4 of 4 in the 2022 Diabetes Special and Vulnerable Populations Task Force National Learning Series. This session was entitled \"Environmental Impacts on Diabetes Access to Care Webinar\" and featured guest speakers from the National Association of Community Health Centers. More Details...

Parkinson’s Disease Resources for Community Health Centers (2022). Resource Type: Publication. Description: Developed in partnership with the Parkinson's Foundation​​​​​​​, this document promotes resources focused on improving quality of life for older adult patients affected by Parkinson’s Disease, as well supporting those who care for them. It highlights key materials from the Parkinson’s Foundation for health center providers and staff in order to connect patients and their caregivers to materials and services that can help address challenges as this disease progresses. More Details...

Diabetes Continuum of Care: Emergency Preparedness for Diabetes Management: Part 3 of 4 in the 2022 Diabetes Special and Vulnerable Populations Task Force National Learning Series (2022). Resource Type: Archived Webinar. Description: This session was part 3 of 4 in the 2022 Diabetes Special and Vulnerable Populations Task Force National Learning Series. This session was entitled \"Emergency Preparedness for Diabetes Management\" and featured guest speakers from Community Health of South Florida, Inc., Medcentro Puerto Rico, and California Primary Care Association. More Details...

Performance Measure Data Definition Worksheet (2022). Resource Type: Toolkit. Description: The Performance Measure Data Definition Worksheet can be used during the Quality Improvement (QI) process to assess the alignment of your health center’s workflows and documentation and your EHR vendor’s reporting logic processes. More Details...

NTTAP Webinar Series - December 12, 2022: HIV Prevention: Combating PrEP Implementation Challenges (2022). Resource Type: Archived Webinar. Description: Expert faculty present case-based scenarios illustrating common challenges to integrating HIV PrEP in primary care. As part of improving clinical workforce development, this session will delve into a variety of specific PrEP implementation challenges. Participants will leave with strategies to overcome these obstacles to establish or strengthen their PrEP program. More Details...

Improving Care Coordination and Health Outcomes for Diabetic Patients through Medical and Dental Integration: Promising Practice (2022). Resource Type: Publication. Description: CommUnityCare in Texas shares how their organization implemented medical and dental integration through NNOHA Integration of Diabetes and Oral Health Learning Collaborative to help improve the health outcomes of patients with diabetes. More Details...

Using MLP to Address the Legal Needs among Racial & Ethnic Minorities Living with HIV (2022). Resource Type: Archived Webinar. Description: In this webinar, the presenters discussed recent HIV epidemiological data and the current landscape of healthcare and social needs for this patient population. Presenters also shared best practices and examples for health center and MLP staff to improve screening and implementation of legal interventions that are designed to help reduce and prevent racial disparities and health inequities for people living with HIV. More Details...

Understanding and Preventing Homeless Mortality (2022). Resource Type: Archived Webinar. Description: The toll of homelessness has been shown to have long-term consequences on health and quality of life. What is not as well documented is the impact of homelessness on mortality and the incidence of specific causes of death. Homeless mortality is often underestimated due to lack of consistent housing status reporting on death certificates and incomplete data from various siloed record systems. Understanding the extent and cause of mortality among people experiencing homelessness is necessary to know how to prevent future mortality. This webinar will highlight the progress of four counties in the Bay Area, California, Alameda, Marin, San Francisco, and Santa Clara, who have worked to identify and investigate homeless mortality. Lessons from these communities will help guide others’ work in using data-driven approaches to measure and ultimately prevent death. More Details...

Diabetes Continuum of Care: Understanding Social Determinants of Health and Structural Barriers Affecting Diabetes Care.: Part 1 of the 2022 Diabetes Special and Vulnerable Populations Task Force National Learning Series (2022). Resource Type: Archived Webinar. Description: This session is part 1 of 4 in the 2022 Diabetes Special and Vulnerable Population Task Force National Learning Series. This session was entitled \"Understanding Social Determinants of Health and Structural Barriers Affecting Diabetes Care\" More Details...

World AIDS Day: Spreading the Word About PrEP (Blog Post) (2022). Resource Type: Publication. Description: This World AIDS Day blog post highlights the progress being made towards ending the HIV and AIDS global epidemics. More Details...

Resiliency Toolkit: A Comprehensive Guide for Health Centers & Their Staff (2022). Resource Type: Publication. Description: In the face of unprecedented turnover, burnout, compassion fatigue, and moral distress and injury, it is important to remember that there are paths forward for organizations and their leaders. While self-care remains important, it is imperative that organizations create supportive environments with trauma-informed management to help their staff be able to care for themselves in the best way possible. By focusing on resiliency and wellbeing, organizations can set goals to guide their strategic initiatives to increase these in their workforces. More Details...

Advancing MLP in Health Centers Serving Special Populations: Case Studies Covered through an MLP Peer Learning Collaborative (2022). Resource Type: Publication. Description: In 2021, health center MLP practitioners gathered for a four-part learning collaborative designed to help them develop and improve their partnership models to better serve the needs of special populations. This factsheet summarizes the learning goals, case studies, and some of the salient points shared throughout the four sessions. More Details...

Equitable Diabetes Prevention: Keys to Success from a Pacific Islander Community (2022). Resource Type: Podcast. Description: The National Nurse-Led Care Consortium (NNCC) and the Association of Asian Pacific Community Health Organizations (AAPCHO) invite you to listen to the second episode in NNCC’s Fall podcast series where we discuss equitable diabetes prevention services for special and vulnerable populations, specifically Pacific Islanders. NNCC's Jillian Bird speaks to Jen Lee from AAPCHO and Cecilia Sigrah from Kosrae Community Health Center in the Federated States of Micronesia about the rollout of their Pacific Islander Diabetes Prevention Program (PI-DPP) and the outcomes of providing a tailored prevention program. More Details...

Data Dashboard – COVID-19: Health Care for the Homeless Comparative Data (2022). Resource Type: Other. Description: This new COVID-19 Data Dashboard features comparative data on testing results, testing capacity, clinic closures, telehealth visits, and virus disparity by race and ethnicity from health centers, health centers with only 330(h) funding, and all health centers with 330(h) funding. More national health center data is available on HRSA's website. New health center COVID-19 data is collected weekly, and we will continue to update these figures as new data emerges. More Details...

HIV and Monkeypox (2022). Resource Type: Archived Webinar. Description: In this webinar, Dr. Kevin Ard will discuss monkeypox and HIV. In the 2022 global monkeypox outbreak, people with HIV represented approximately 40% of those with monkeypox. In this clinically-focused webinar, participants will learn up-to-date information about the epidemiology, manifestations, testing, treatment, and prevention of monkeypox, with a focus on care for those with or at risk for HIV. More Details...

Nurse-Led Health Care and Health Centers (2022). Resource Type: Publication. Description: The National Nurse-Led Care Consortium (NNCC) has developed a brief discussing opportunities for health centers to optimize recent increases in the nurse practitioner (NP) workforce across health centers. The brief provides a comprehensive overview of nurse-managed health centers and highlights the role of nurse-led care on improved provision of primary care. More Details...

Enhancing the Resilience of Transgender and Gender Diverse Youth and their Families (2022). Resource Type: E-Learning. Description: In this module, we explore shifting our perspectives on Trans and Gender-Diverse (TGD) from a focus on disparities to a focus on resiliencies and strengths, and how health centers can build and promote this strength. More Details...

All About Nutrition: How Health Centers Can Promote Nutrition Education in Efforts to Prevent Diabetes and Chronic Disease (2022). Resource Type: Archived Webinar. Description: This webinar focused on promising strategies and lessons learned from nutrition education experts, who will help guide a conversation around supporting chronic disease prevention through nutrition, food access, and connections to community resources. More Details...

Affirming Care for Transgender and Gender Diverse Children and Adolescents (2022). Resource Type: E-Learning. Description: In this module for pediatric and family medicine care teams, we will identify best and promising practices for transgender and gender diverse (TGD) youth, explore how gender affirming clinical care supports the mental health of TGD youth, and learn how providers can help guide families in accessing psychosocial and community resources to support TGD youth. More Details...

The Intersection of Tobacco and Opioid Use Disorder: A Guide for Health Center Providers (2022). Resource Type: Publication. Description: The National Nurse-Led Care Consortium (NNCC) and the Health Promotion Council (HPC) have developed an issue brief for health center providers on the intersection of tobacco use disorder (TUD) and opioid use disorder (OUD). The brief outlines the benefits of addressing TUD and OUD simultaneously and covers promising tools, resources and treatment options More Details...

Update on Trans-Competent Primary Care (2022). Resource Type: Archived Webinar. Description: This talk is from the 2022 Advancing Excellence in Transgender Health Care Conference. More Details...

Trauma Informed Care for Trans and Gender Diverse Patients (2022). Resource Type: Archived Webinar. Description: This talk is from the 2022 Advancing Excellence in Transgender Health Care Conference. More Details...