Quick Finds: Clinical Issues

Health Centers: Get Ready – PrEP is a Game Changer (Blog Post) (2022). Resource Type: Publication. Description: This short blog post discusses PrEP, or Pre-Exposure Prophylaxis, as a tool for preventing HIV. More Details...

Health at the Intersection of Sexuality, Gender, and Disability (2022). Resource Type: Archived Webinar. Description: At the intersection of LGBTQIA+ identities and disability status, patients face increased health disparities and increased barriers to care. This webinar will focus on the unique needs of disabled, mad, chronically ill, and neuro divergent LGBTQIA2S+ patients, helping health care providers and centers to provide support for overcoming challenges in access to care, including how to provide culturally responsive care, and how to manage and advocate for affirming and accessible referrals when additional services are needed. More Details...

Implementation Tools and Resources for Enhancing Equity-Focused PrEP Services - Part 4 (2022). Resource Type: Archived Webinar. Description: Using Data to Enhance and Inform PrEP Practice - The final session focused on strategies for using both process and outcome metrics for program monitoring and improvement. We focused on methods for operationalizing health equity metrics, and the importance of examining disaggregated program data to understand differential access and engagement by highest priority. More Details...

Affirming Health Care for LGBTQIA+ People during the COVID-19 Pandemic (2022). Resource Type: Archived Webinar. Description: This panel-style presentation will feature a diverse group of providers in mental health, nursing, and medicine with expertise in LGBTQIA+ health, providing their unique perspectives on how the COVID-19 pandemic has affected patient care for LGBTQIA+ people. Participants will learn strategies to support LGBTQIA+ patients accessing healthcare and how to provide affirming treatment and referrals to address the lasting mental health effects of COVID-19, including increased levels of anxiety, substance use, and depression triggered by social isolation, bereavement, fear, or loss of income. More Details...

Body Image, Perception, and Health Support for Older LGBTQIA+ Adults (2022). Resource Type: Archived Webinar. Description: This National LGBTQIA+ Health Education Center and the National Center for Equitable Care for Elders (NCECE) webinar will examine the relationship between body image, perception, and healthy movement for overall health and diabetes prevention, particularly for older LGBTQIA+ adults. Expert panelists will present approaches for supporting LGBTQIA+ patients with their health goals as they age, provide strategies for developing LGBTQIA+ and body-affirming and inclusive environments for older adults, and share best practices for connecting older LGBTQIA+ patients to appropriate and affirming services aimed at improving health outcomes. More Details...

HHS Issues Guidance on HIPAA and Audio-Only Telehealth (2022). Resource Type: Publication. Description: In June 2022, the U.S. Department of Health and Human Services (HHS), through its Office for Civil Rights (OCR), issued guidance on how covered health care providers and health plans can use remote communication technologies to provide audio-only telehealth services when such communications are conducted in a manner that is consistent with the applicable requirements of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy, Security, and Breach Notification Rules, including when OCR’s Notification of Enforcement Discretion for Telehealth. More Details...

Telehealth Office Hours: Remote Self-Monitoring Blood Pressure Program (June 09, 2022): Remote Self-Monitoring Blood Pressure Program (2022). Resource Type: Archived Webinar. Description: NACHC offers monthly Telehealth Office Hours for health center, PCA, and HCCN staff who have questions or want to share information about telehealth related policy and operational activities. In addition to updates and Q&A, each session will focus on a specific topic of concern. More Details...

Implementation Tools and Resources for Enhancing Equity-Focused PrEP Services - Part 3 (2022). Resource Type: Archived Webinar. Description: Progress and Pitfalls - In this session, participants reported back on their progress on achieving the SMART goal articulate in session 2 and discussed what went smoothly and what did not. Participants shared strategies for overcoming common pitfalls and roadblocks, and the facilitators reviewed the ways in which additional BLUPrInt resources might be useful in these circumstances. More Details...

Health Centers Are Addressing America's Mental Health Crisis (2022). Resource Type: Publication. Description: This factsheet summarizes health centers’ behavioral health services. It highlights data from UDS that shows growth in patients and staff over the last decade, as well as the variety of behavioral health professionals and services offered at health centers. We discuss the growth in telehealth use to continue behavioral health services during the pandemic. Finally, policy suggestions to support behavioral health services at health centers are presented. More Details...

Eyes on Access: Steps for Integrating Comprehensive Eye Health and Vision Services into Health Centers (2022). Resource Type: Archived Webinar. Description: This is a Part 2 archive of a 2-part webinar series in Spring 2022 that reviewed the operational activities necessary to implement or enhance vision services in a health center. Learners reviewed planning factors such as provider configuration, cost, volume and supervision. More Details...

Affirming Reproductive Health Care for LGBTQIA+ People (2022). Resource Type: Archived Webinar. Description: This webinar is designed to help health centers understand the unique needs of LGBTQIA+ people when seeking reproductive health care. Participants will explore the unique barriers to reproductive health care for LGBTQIA+ people and discover promising practices for providing affirming pre-conception counseling and OBGYN and reproductive health care, including strategies for health navigation, and considerations for LGBTQIA+ patients who seek to raise children. More Details...

Two Years On: What the Data Says about COVID-19 Testing and Vaccination Efforts at Health Care for the Homeless Health Centers (2022). Resource Type: Publication. Description: As the COVID-19 pandemic continues to put a strain on communities across the country, health center data will play a central role in measuring its impact in 2022 and beyond. Health center data from the past two years points to the types of data that should be prioritized in order to obtain a clear picture of prevalence, impact, equity and adequate response to the COVID-19 pandemic. More Details...

Street Medicine and Outreach: Bringing Care to People Where They Are: Healing Hands (2022). Resource Type: Publication. Description: This issue is an exploration of street medicine and outreach care. After considering the spectrum of services and forms of service delivery that are encompassed by the term “outreach,” attention will be given to several programs that illustrate the different forms that medical outreach can take, including: A street medicine program, an urban street outreach program, a rural outreach initiative, and outreach care delivered through emergency services personnel. Best practices and considerations for agencies hoping to develop or expand medical outreach services, through in-person on-site services as well as telehealth delivery, will also be presented. More Details...

Key Provisions in the Bipartisan Safer Communities Act: A Summary for the HCH Community (2022). Resource Type: Publication. Description: On June 25, 2022, The President signed into law the Bipartisan Safer Communities Act, the first major piece of gun legislation since the 1994 Gun Violence Prevention Act. While the law covers domestic violence offenders, expanded background checks, and red flag laws, it also increases funding for mental health services, school safety, crisis intervention programs, and violence prevention measures. This fact sheet summarizes the service expansions and related provisions that will likely impact the HCH community. More Details...

Screening for Broadband Access and Digital Health Literacy in Public Housing Patients (2022). Resource Type: Archived Webinar. Description: In this webinar, we described the importance of screening digital health literacy and broadband access; listed potential screening tools; and highlighted a health center that is screening for these issues. More Details...

Lista de verificación para coordinar clínicas de vacunación en el lugar de trabajo y en la comunidad para familias de trabajadores agrícolas (2022). Resource Type: Publication. Description: Esta lista de verificación nueva y mejorada está diseñada para proporcionar a los centros de salud y otras organizaciones comunitarias la información que necesitan saber antes, durante y después de organizar una clínica de vacunación. Esta herramienta también es útil para las organizaciones que colaboran con los empleadores agrícolas y las autoridades de salud pública que atienden a los trabajadores agrícolas y sus familias en diversos entornos. More Details...

Checklist for Coordinating Worksite and Community-Based Vaccine Clinics for Farmworker Families (2022). Resource Type: Publication. Description: This new and improved checklist is designed to provide health centers and other community-based organizations with the information they need to know Before, During, and After hosting a vaccination clinic. This tool is also helpful for organizations collaborating with agricultural employers and public health authorities serving farmworkers and their families in various settings. More Details...

Connecting Health and Social Care - The Status of Efforts in CA (2022). Resource Type: Archived Webinar. Description: This webinar will highlight efforts of CPCA member organizations to connect patients to social care supports using closed-loop referrals. Presenters will provide an overview of efforts across the state, discuss challenges (and solutions) to implementing referral systems, and provide recommendations for primary care clinics interested in expanding their own referral systems. More Details...

Military Culture Course Modules: Core Competencies for Healthcare Professionals (2022). Resource Type: E-Learning. Description: This four-part course focuses on understanding and appreciating the military culture in order to tailor clinical practices based on that understanding and appreciation for clinicians working with Service members. More Details...

Five Strategies to Help Health Centers Protect Against Staff Burnout (2022). Resource Type: Publication. Description: NCFH created this visual resource to assist health centers in their efforts to enable and support a resilient workforce. More Details...

Teledentistry Video Example (2022). Resource Type: Other. Description: This video depicts a condensed live, synchronous teledentistry visit utilizing the six steps of an infant oral care visit. More Details...

Supporting LGBTQIA+ Veterans and Connecting to the Veterans Health Administration (2022). Resource Type: Archived Webinar. Description: This webinar will increase the capacity of health centers to understand the unique mental and physical health needs of LGBTQIA+ veterans. An overview of how VHA addresses these needs and how to connect with what is offered for health center providers and veterans will be provided. More Details...

PrEP Guidelines: Excerpt from a presentation given on May 19, 2022​ on PrEP Clinical Practice Guidelines and Strategies for ending the HIV Epidemic in the US (2022). Resource Type: Archived Webinar. Description: This video is an excerpt from a presentation given on May 19, 2022​ on PrEP Clinical Practice Guidelines and Strategies for ending the HIV Epidemic in the US. Dr. Daskalakis describes what has and has not changed since the 2017 PrEP Guidelines were issued. He reports on a new recommendation to include PrEP as a topic within primary care. Finally, he speaks about regimens for oral and injectable prophylaxis. More Details...

Long-Acting Injectable PrEP for HIV: What Health Centers Need to Know (2022). Resource Type: Archived Webinar. Description: Long-acting injectable cabotegravir was approved for HIV pre-exposure prophylaxis in late 2021. In this interactive webinar, participants will learn about the effectiveness, advantages, and disadvantages of long-acting injectable cabotegravir as well as the clinical and programmatic steps to incorporate it into practice. More Details...

Implementation Tools and Resources for Enhancing Equity-Focused PrEP Services - Part 2 (2022). Resource Type: Archived Webinar. Description: Enhancing PrEP Awareness & Engagement in Your Clinical Setting- Building on session 1, this session went into depth about the specific BLUPrInt tools for PrEP Awareness and Engagement, including an overall program guide, templates for standard operating procedures, checklists, staff training, patient education materials. Participants discussed the ways in which these tools can be adapted to address specific challenges at their site. Participants articulated at least one short-term SMART goal that they will attempt to achieve between session 2 and session 3. More Details...

Implementation Tools and Resources for Enhancing Equity-Focused PrEP Services - Part 1 (2022). Resource Type: Archived Webinar. Description: This four-session series was designed to provide community health centers with concrete tools and resources to better implement, improve or even begin a PrEP program. The sessions were organized around a new implementation website, called HIV BLUPrInt (www.hivbluprint.org), which synthesizes key research findings, best practices, and implementation resources to promote highest-quality, equity-driven program development and delivery. More Details...

Finding the Sweet Spot: Using Medicare Wellness Visits to Promote Diabetes Prevention in Older Adults (2022). Resource Type: Archived Webinar . Description: This National Center for Equitable Care for Elders webinar focused on the value of the Medicare Annual Wellness visit for developing personalized plans to prevent or mitigate diabetes in older adults. The webinar demonstrated how an individualized approach to diabetes prevention and management in older adults should take into account the 4Ms of Age Friendly Health Systems: Mobility, Mentation, Medications and What Matters Most. More Details...

Comprehensive Care: Listening Sessions (2022). Resource Type: Archived Webinar. Description: This webinar discussed strategic initiatives to engage staff across all disciplines in listening sessions and how to utilize this discipline based feedback to create actionable projects to improve discipline specific work flows. More Details...

Affirming HIV and STI Prevention and Treatment for LGBTQIA+ People who are Experiencing Incarceration (2022). Resource Type: Archived Webinar. Description: This case-based webinar will explore the unique considerations for health care providers at the intersection of HIV and STI prevention for LGBTQIA+ people experiencing incarceration. Participants will learn best practices for affirming services and referrals for patients who are currently incarcerated as well as those navigating re-entry. More Details...

Variants & Boosters Door Hanger (2022). Resource Type: Publication. Description: This double-sided door hanger resource explains key details about what variants are and effective preventative measures against new variants. The flip side has information about why boosters are necessary and answers questions about who and when individuals are eligible for boosters. A white space at the back is included for outreach workers to list contact information. More Details...

Colgador de Puerta sobre Variantes y Vacunas de Refuerzo (2022). Resource Type: Publication. Description: Este recurso de colgador de puerta de doble cara explica los detalles clave sobre qué son las variantes y las medidas preventivas efectivas contra nuevas variantes. El reverso tiene información sobre por qué son necesarios los refuerzos y responde a preguntas sobre quiénes son elegibles para los refuerzos y cuándo. Se incluye un espacio en blanco en la parte posterior para que los trabajadores de extensión incluyan la información de contacto. More Details...

NNOHA Teledentistry Checklist and Readiness Assessment (2022). Resource Type: Publication. Description: This document outlines key areas for the successful implementation of teledentistry. It also includes a readiness assessment for community health centers to determine the level of readiness in their organization for teledentistry. More Details...

Medication Support and Medical Respite Care: A Guide for Programs (2022). Resource Type: Publication. Description: Support for medication management is an important part of medical respite care and overall health management. However, it is critical that programs provide appropriate support within their staff’s scope of practice and licensing, and that practices for medication storage and supervision follow state licensure and regulations. Medical respite care programs can utilize this document to determine the most appropriate type of medication support they can provide within their program, and identify steps and strategies to provide this support in a safe and effective way. More Details...

Eyes on Access: Introduction to Comprehensive Vision Services in Health Centers (2022). Resource Type: Archived Webinar. Description: This is a Part 1 archive of a 2-part webinar series in Spring 2022 that reviewed the interconnection of vision, chronic disease and quality of life. Data substantiating community needs, disparities and barriers was reviewed. This webinar series addresses how health centers can integrate vision services into primary care. More Details...

Guide to Methamphetamine Use, Treatment, and Housing Considerations for People Experiencing Homelessness (2022). Resource Type: Publication. Description: The transition into permanent supportive housing following homelessness or housing instability can be particularly challenging for individuals who use methamphetamine and other stimulants. However, there are interventions and supports that can help improve safety, independence, and recovery in housing. This guide explores how service providers can better support people who use methamphetamine in the process of transitioning into and maintaining housing. More Details...

Mobile Clinic Licensing 101 (2022). Resource Type: Archived Webinar. Description: CPCA hosted a webinar training session for licensing a mobile clinic on April 25, 2022. This webinar provides an overview of the following: o Mobile Clinic Definitions o Licensing requirements for a mobile clinic operated by a Primary Care Clinic in California as enforced by the California Department of Public Health (CDPH) o What to expect once you have applied for licensure o Who to contact for updates on the status of your application o Additional considerations, requirements, and best practices for operating a mobile clinic More Details...

Strategies for Collecting Social Needs Data (2022). Resource Type: Other. Description: Implementing a social need screening effectively is an iterative process. Many health centers find that their approach evolves as new concerns or considerations arise. The examples in this resource, gleaned from interviews with health centers, illustrate that unique context and needs drive what works. More Details...

Identifying Older Adult Depression in a Dental Setting (2022). Resource Type: Archived Webinar . Description: This National Center for Equitable Care for Elders (NCECE) webinar highlighted best practices for integrating mental health and dental care through assessments and appropriate referrals. The webinar explained the bi-directional relationship between poor oral health and behavioral health needs, described the impact of social risk factors on oral health disparities in older adults, and demonstrated integrative strategies for establishing an interdisciplinary team-based approach for treating older adult mental health More Details...

Health at the Intersection of Body Image, Identity, and Development: LGBTQIA+ Children and Youth (2022). Resource Type: Archived Webinar. Description: Webinar participants will consider the relationship of body size vs. the overall health of the body for LGBTQIA+ youth and learn how health centers can support LGBTQIA+ children and youth in developing a healthy perception of their bodies. Participants will explore the relationship of childhood identity development to beauty and health standards and learn strategies for providing, or referring to affirming services for LGBTQIA+ youth, including patients experiencing body dysmorphia and/or dysphoria. More Details...

Building Partnerships to Address Food Insecurity (2022). Resource Type: Archived Webinar. Description: The lack of access to socially acceptable means for acquiring healthy foods can lead to individuals and families making tradeoffs that harm their well-being. Screening for food insecurity is a starting point to identifying patient/community needs, but effective partnership plans for support health care providers need ways to promptly connect patients with access to healthy food. This webinar will discuss how health centers can further support or modify current infrastructure to make connections to referral systems that support patient/community abilities to purchase healthy food. More Details...

Meeting Where They Are: Innovating Mobile Services in COVID Aware World (2022). Resource Type: Archived Webinar. Description: The Health Care for the Homeless Community has long been providing innovative care in a mobile setting. The COVID-19 pandemic demonstrated both the need and opportunity to build on the mobile model of care and push for creative ways to do so. This webinar highlighted the efforts of communities who have taken mobile services in a new direction. More Details...

Addressing Health Care Challenges for Migrant Farmworkers (2022). Resource Type: Archived Webinar. Description: Today in the Golden State, farmworkers encounter numerous risks to their health and increased barriers to care before, during, and after migration. Health centers play a crucial role in addressing disparities in accessing COVID-19 services, education, and resources in special and vulnerable communities. Health centers that serve migrant farmworker and their families face unique challenges. Mobility results in poor continuity of care, and the health issues that fact migrant farmworkers and other mobile underserved populations are often magnified or compounded by their migratory lifestyle. In this webinar, we provide examples, tools, and best practices to help health centers better integrate health center teams (e.g., providers and community health workers) and external partnerships (e.g., community-based organizations and local government). More Details...

Improving Health of Public Housing Residents Through Intentional Health Center and Housing Authority Partnerships (2022). Resource Type: Archived Webinar. Description: In collaboration with the National Nurse-Led Care Consortium, the National Center for Health in Public Housing conducted a webinar highlighting the health center and housing authority partnerships that have led to improved health for public housing residents. More Details...

Building Partnerships to Address Housing Insecurity (2022). Resource Type: Archived Webinar. Description: The COVID-19 pandemic has highlighted the need to focus on different patients’ demographics that have been disproportionately affected by the virus. Additionally, the public health emergency interrupted capacity building health centers have been developing for patient-centered services to different special populations. This webinar will discuss how health centers can further support or modify current infrastructure to meet the needs of the patients experiencing homelessness (PEH) or in public housing, for COVID-19 care and beyond. More Details...

Innovations in HIV care for Two-Spirit and LGBTQIA+ Native people (2022). Resource Type: Archived Webinar. Description: This webinar is designed to help health centers recognize and respond to the unique considerations for the prevention and treatment of HIV for Two-Spirit and LGBTQIA+ Native people. Participants of this webinar will hear from expert panelists discussing best practices for providing affirming, high-quality HIV prevention and treatment in both rural and urban settings. More Details...

Meeting the Needs of the LGBTQIA+ Community at Community Health Centers in the South (2022). Resource Type: Archived Webinar. Description: Lesbian, gay, bisexual, transgender, queer, intersex, and asexual (LGBTQIA+) citizens are a diverse community. However, they share a common need for culturally competent health care that recognizes and responds to specific risks and challenges due to social and structural inequities such as stigma and discrimination. This webinar aims to educate stakeholders on the needs and experiences of the LGBTQIA+ community and inform how HRSA health centers can effectively serve this community by addressing local needs and disparities and identifying opportunities to advance health equity through training, education, and collaboration with local community organizations. More Details...

Developing a Postdoctoral Psychology Residency Program in Your Community Health Center (2022). Resource Type: Archived Webinar. Description: Two years later, we continue to witness the pandemic’s toll on mental health – and a sustained increased demand for mental health services. Behavioral health care providers who are experienced in integrated care settings are needed now more than ever. Join this webinar to learn how your health center can establish its own postdoctoral clinical psychology residency program. This webinar will address considerations such as program structure, design, curriculum, the supervisor’s role, required resources, and the benefits of sponsoring an in-house formal postdoctoral clinical psychology residency training program. More Details...

​​Two Types of COVID-19 Tests (2022). Resource Type: Publication. Description: This is a postcard-size resource that outlines the differences and advantages of both the PCR and the At-Home (Antigen) COVID-19 tests. It also includes a guide on what to do when getting a negative or positive result with the At-Home Test. More Details...

Familismo & Fatalismo: How Cultural Beliefs Affect Health Care (2022). Resource Type: Publication. Description: Hispanic/Latinos are the largest non-white group in the United States and have the highest rates of Diabetes as compared to other ethnic groups; this can be related to the lack of healthcare, genetics, obesity rates, insulin resistance, lower economic status, and sociocultural factors. The concept of Familismo & Fatalismo is central in Hispanic/Latino cultural values. If the health care provider does not consider these beliefs, treatment recommendations are likely to be ignored. A proven strategy to overcome these cultural barriers is the implementation of Community Health Workers (CHWs). More Details...

Dos Tipos de Pruebas de COVID-19 (2022). Resource Type: Publication. Description: Este recurso del tamaño de una postal describe las diferencias y ventajas de las pruebas de COVID-19 PCR y caseras (de antígeno). También incluye una guía sobre qué hacer cuando se obtiene un resultado negativo o positivo con la prueba casera. More Details...