Quick Finds: Clinical Issues

Issue Brief: Farmworkers and HIV (2024). Resource Type: Publication. Description: There is limited data on the prevalence of HIV among farmworkers. This issue brief provides an overview of current AIDS policy, barriers to screening and testing for HIV/AIDS in farmworker communities, and promising practices to overcome these barriers. More Details...

Human Trafficking and Exploitation: How School-Based Health Center Providers Can Help Keep Students Safe (2024). Resource Type: Archived Webinar. Description: This 60-minute webinar focuses on how school-based health center providers can support students who have experienced human trafficking and sexual exploitation. More Details...

The State of Asian American, Native Hawaiian, and Pacific Islander Health at Community Health Centers Webinar Series (2024). Resource Type: Archived Webinar. Description: Part 1: This session included recommendations to increase access to care, improve health outcomes, and promote health equity for Asian American (AA), Native Hawaiian, and Pacific Islander (NH/PI) patients. Presenters shared findings from AAPCHO's upcoming report, 'The Health of Asian Americans, Native Hawaiians, and Pacific Islanders Served at Health Centers: An Analysis of the 2022 Uniform Data System.'; Part 2: Stories transform data into narratives that can inspire change. In Part 2 of the 'The State of AA and NH/PI Health at Community Health Centers'; webinar series, speakers expanded on the findings of AAPCHO's UDS data analysis to focus on contextualizing the data with case studies from AA&NHPI-serving health centers. Hear from AA&NHPI-serving health centers to learn about their communities, best practices for improving health outcomes, and strategies for addressing health disparities. More Details...

The Health Of Asian Americans, Native Hawaiians, and Pacific Islanders Served at Health Centers: An Analysis of the 2022 Uniform Data System Report (2024). Resource Type: Publication. Description: This report was developed by Association of Asian Pacific Community Health Organizations using the 2022 Uniform Data System data from health centers to examine the current state of health center performance and provides recommendations for how health centers can improve. More Details...

Oral Health and Chronic Disease Management in Older Adults: Promising Practices from Health Centers (2024). Resource Type: Publication. Description: The publication describes the bi-directional relationship between oral health and chronic diseases like diabetes, chronic kidney disease, and dementia, and discusses the impact of oral health conditions on older adults, and provide recommendations for caregivers and providers to improve oral health. More Details...

Oral Health and Chronic Disease Management for Older Adults (2024). Resource Type: Publication. Description: Older adults may experience chronic diseases that have impacts to oral health including diabetes, chronic kidney disease, and cognitive disorders. This publication highlights promising practices from health centers that have implemented programs to support oral health integration to improve chronic disease outcomes. This document was created in partnership with the National Center for Equitable Care for Elders. More Details...

Diabetes Care Management: The Right Way-Part 2 (2024). Resource Type: Archived Webinar. Description: After understanding the roles and responsibilities of health center staff in care management, this session will focus on the tools required to document longitudinal care management activities. The session speakers will review two (2) common electronic health record systems and provide details on how to document care plans and care management activities that meet Patient-Centered Medical Home (PCMH) standards. More Details...

Effects of Uncontrolled Blood Pressure (English/Spanish) (2024). Resource Type: Handout. Description: This short resource explains how uncontrolled high blood pressure can lead to heart attacks, stroke, and other health problems. High blood pressure, or hypertension, is called the silent killer for a reason. Treating high blood pressure can save more than your life. More Details...

HITEQ Highlights: Integrating Patient Self-Monitoring Blood Pressure Within Office-Based Hypertension Management: HITEQ Highlights Webinar (2024). Resource Type: Archived Webinar. Description: This session included topics such as the evidence base for a self-monitoring blood pressure program, best practices in hypertension management through a self-monitoring program, and technology barriers and challenges to remote blood pressure monitoring. More Details...

Advancing Equity: Community Health Workers' Role in Enhancing Breast Cancer Screenings and Linkage to Care (2024). Resource Type: Archived Webinar. Description: Join NNCC to explore breast cancer disparities & their impact on different communities. Discover the crucial role of Community Health Workers (CHWs) in bridging gaps & facilitating screenings & care. Learn practical strategies & best practices to implement CHW programs effectively within your practice. Additionally, find out how engaging community partnerships & collaborations can lead to holistic care solutions. Attending gives you valuable insights, actionable strategies, & real-world advice to enhance your approach to breast cancer screenings & care in your health center. More Details...

Nurturing Mothers: A Two-Part Webinar Series on Breastfeeding Support and Maternal Mental Health (2024). Resource Type: n.a.. Description: In Part Two of this series, experts from Affinia Healthcare led a discussion on delivering sensitive and supportive care and fostering a nurturing environment for breastfeeding mothers. Affinia Healthcare shared their approaches to lactation and breastfeeding education, emphasizing their impact on maternal mental health during the perinatal period. Attendees gained practical guidance on developing and implementing effective breastfeeding support initiatives tailored to the needs of diverse communities, focusing on addressing disparities in breastfeeding rates among populations of color. We also discussed emerging Maternal and Infant health concerns and HRSA’s response and recommendations. More Details...

Nurturing Mothers: A Two-Part Webinar Series on Breastfeeding Support and Maternal Mental Health (2024). Resource Type: n.a.. Description: In Part One of this series, experts from HRSA’s Division of Healthy Starts and Perinatal Services led a discussion touching on the National Maternal Mental Health Hotline and related resources for health center staff and patients. We also heard from Milwaukee’s Choice Neighborhood Initiative and their community-based program, Best Babies Zone, which works to ensure that babies born survive and thrive with the help of their engaged and healthy community. More Details...

Diabetes Care Management: The Right Way-Part 1 (2024). Resource Type: Archived Webinar. Description: This webinar shares how to build a collaborative model where nurse care managers, payer partners, community health workers/providers/patient navigators, or pharmacy staff connect to manage patients with diabetes. The information from this webinar will help health centers build relationships with their patients to have a positive care management and care coordination experience since care management is used to improve patient care, quality, and health outcomes. The Patient-Centered Medical Model sets expectations that healthcare organizations use care management to help patients develop and meet treatment plan goals. More Details...

Social and Structural Impacts on Diabetes and Comorbidities Management for AA and NH/PI Populations Learning Series: Module 3: Culturally Grounded Interventions to Improve Mental and Physical Health (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 3 and was recorded on April 29, 2024. More Details...

Culturally Responsive Oral Health Care for LGBTQIA+ Communities (2024). Resource Type: Archived Webinar. Description: Research suggests that LGBTQIA+ people are more likely to rate their oral health care unfavorably compared to their non-LGBTQIA+ peers. In this webinar we will discuss delivering responsive dental health care for LGBTQIA+ communities, including care for people with HIV. More Details...

BMI Assessment in Well Visits for School-Aged Children and Adolescents (2024). Resource Type: Archived Webinar. Description: The BMI Assessment in Well Visits for School-Aged Children and Adolescent webinar focuses on strategies to increase health centers' integration of Body Mass Index (BMI) assessment during well visits. More Details...

Care Considerations for Children of LGBTQIA+ Families (2024). Resource Type: Archived Webinar. Description: In this webinar, we will explore the significant and growing population of children in LGBTQIA+ families in the United States. With diverse arrangements and dynamics, clinicians must be attuned to understanding the unique histories and experiences of LGBTQIA+ families. The discussion will highlight the challenges faced by children in these families, including social pressures to conform to traditional norms, the impact of cisheterosexism, and the importance of creating a safe and inclusive environment for optimal mental health and well-being. More Details...

Beyond the Ask: Person-Centered Approaches to Addressing Substance Use Disorder in Older Adults (2024). Resource Type: Archived Webinar. Description: This National Center for Equitable Care for Elders webinar focused on disparities in substance use disorder screening and treatment experienced by older adults, which disproportionately increases their risk of physical harm. Participants reviewed age-friendly principles of care that encourage early identification and recovery management in older patients. More Details...

Approaches to Behavioral Health Screening Resource Document (2024). Resource Type: Publication. Description: This Resource Document provides current evidence-based behavior health screening tools and details who can administer them, under what setting, their use with special populations (non-verbal, limited English proficiency), and how to interpret results. This Resource Document is intended to help inform healthcare staff of the utility of behavioral health screenings so that they can become more prevalent and provide early intervention to substance use and mental health needs. More Details...

Rapid Initiation of Antiretroviral Therapy for People with HIV (2024). Resource Type: Publication. Description: Antiretroviral therapy (ART) is recommended for all people with HIV to improve and preserve their health and to reduce transmission of HIV to others. Increasingly, rapid ART starts have become a clinical and public health priority, with the Department of Health and Human Services Panel on Antiretroviral Guidelines for Adults and Adolescents recommending that ART be started as soon as possible after HIV diagnosis. Definitions of what constitutes a rapid start of ART vary; the most stringent is also termed immediate ART and occurs when ART is prescribed on the same day an HIV diagnosis is delivered. This fact sheet reviews the potential benefits and rationale for rapid ART starts, outlines potential pitfalls, and offers practical, evidence-based tips on ART selection for rapid starts. More Details...

Clinical Issues & Health Center Boards: Adolescent Sexual and Reproductive Health Care (2024). Resource Type: n.a.. Description: This short resource discusses Adolescent and Sexual Reproductive Health (ASRH) care and how a health center board can support this service line through governance-level functions. This article is part of a broader series on ASRH; learn more at https://www.nachc.org/quality4teenshealth/. More Details...

Substance Use Guidelines (2024). Resource Type: Toolkit. Description: The National Health Care for the Homeless Council's Substance Use Guidelines are brief substance-specific guidelines intended for use by anyone who is a consumer of services or a service provider working with people experiencing homelessness and people who use drugs. More Details...

Transgender Health & Medical-Legal Partnerships (2024). Resource Type: Publication. Description: In 2018, we published our fact sheet, Transgender Health & Medical-Legal Partnerships. Though the approach to using medical-legal partnerships to meet the needs of transgender and gender diverse (TGD) people remains a core tool for addressing the social determinants of health for this population, the legal and legislative landscape has changed drastically in recent years. In addition to navigating insurance coverage; medical decision-making; legal name and gender marker changes; and discrimination in education, employment, housing/shelter, and public accommodations; TGD people now face stepped-up efforts to restrict their access to health care more broadly, including denial of gender-affirming care, and restrictions on accessing public spaces and speech. There have been more than 500 bills introduced in states targeting TGD people. This follows a trend of increasing anti-trans laws in recent years. Bills banning bathroom use by TGD people; banning participation in youth sports; restricting discussion of sexuality, gender, and identity in public education; threats to take custody of TGD youth from affirming families; and limiting gender-affirming care for youth and adults create a dangerous environment for TGD people in many areas of the United States. Criminalization of TGD lives – and of the actions of their providers and caregivers – brings serious adverse consequences to the health and safety of TGD people. More Details...

Cultural Adaptation of Measures and Tools for Sexual Orientation and Gender Identity (SOGI) Data Collection (2024). Resource Type: Publication. Description: This publication was designed as a companion resource to Ready, Set, Go! Guidelines and Tips for Collecting Patient Data on Sexual Orientation and Gender Identity (SOGI) to explain the importance of SOGI data collection to identify and address the unique needs of sexual and gender minority patient populations, with special consideration for culturally and linguistically diverse patients who are part of LGBTQIA+ communities. This guide will help healthcare staff to identify procedures to translate and adapt SOGI data collection questions and patient education materials for multilingual patient populations accurately and affirmatively, with considerations for Spanish-speaking LGBTQIA+ patients as an example. The recommendations in this publication will assist health teams in planning next actions to implement culturally and linguistically affirming practices that are community informed and integrated throughout the health experiences of multilingual, multiethnic, and racially diverse patients. More Details...

Motivational Interviewing for Smoking Cessation (2024). Resource Type: Archived Webinar. Description: Motivational interviewing, in combination with other behavior change support interventions and strategies, can have a beneficial impact on the reduction of tobacco use. More Details...

Telehealth for LGBTQIA+ Patients (2024). Resource Type: Archived Webinar. Description: In this webinar, Emily Phillips will discuss best practices in telehealth for LGBTQIA+ patients including information on expansion, implementation and quality improvement. Participants will learn strategies aimed at increasing access and engagement for marginalized communities in telehealth programming and ways to ensure continuous quality improvement. More Details...

Achieving Health Equity for Asexual & Aromantic Patients (2024). Resource Type: Archived Webinar. Description: Asexual population health is often overlooked in LGBTQIA+ health and healthcare. Among youth and young adults, however, some studies show that bi+ and asexual people comprise the largest sexual minority sub-populations. This webinar will review common terminology related to asexuality, review asexual health disparities, and discuss how to provide inclusive healthcare to asexual patients. More Details...

Navigating Polypharmacy Management in Older Adults (2024). Resource Type: Archived Webinar. Description: This National Center for Equitable Care for Elders webinar focused on optimizing medication plans for community-dwelling older adults, particularly those living with multiple chronic conditions. Participants reviewed person-centered approaches for shared decision-making in the deprescribing process. More Details...

STIs and Agricultural Workers: What you need to know? (2024). Resource Type: Patient Material. Description: This new resource from NCFH provides information about the impact of sexually transmitted infections on agricultural worker health, shares information about the five main STIs that affect this population and shares tips to have open and healthy conversations with partners and health care providers. More Details...

Las ITS y los trabajadores agricolas: Lo que necesitas saber (2024). Resource Type: Patient Material. Description: Este nuevo recurso de NCFH proporciona información sobre el impacto de las infecciones de transmisión sexual en la salud de los trabajadores agrícolas, comparte información sobre las 5 principales ITS que afectan a esta población y comparte consejos para mantener conversaciones abiertas y saludables con las parejas y los proveedores de atención de salud. More Details...

Health Center Partnerships to Support Nutrition and Physical Activity for Children and Adolescents (2024). Resource Type: Archived Webinar. Description: Early experiences and choices profoundly impact lifelong health. Cultivating healthy habits during childhood and adolescence is crucial to maintaining a healthy lifestyle, promoting physical and cognitive development, enhancing resilience, and reducing the risk of chronic diseases. However, children and adolescents often encounter obstacles in managing their health and lifestyle choices due to environmental factors, educational and social influences, and limited autonomy.NNCC introduces and discusses tools and resources for health care professionals/CHWs working in health center settings and the community. More Details...

Health Center Partnerships to Support Nutrition and Physical Activity for Children and Adolescents (2024). Resource Type: Archived Webinar. Description: Early experiences and choices have a profound impact on lifelong health. It is crucial to cultivate healthy habits during childhood and adolescence in order to maintain a healthy lifestyle, promote physical and cognitive development, enhance resilience, and reduce the risk of chronic diseases. However, children and adolescents often encounter obstacles in managing their health and lifestyle choices due to environmental factors, educational and social influences, and limited autonomy. NNCC introduced and discussed tools and resources for health care professionals/CHWs working in health center settings and the community. More Details...

Evidence-Based Practices Comprehensive Approach to Behavioral Health Care (2024). Resource Type: Archived Webinar. Description: This training reinforces the value of having all employees, from frontline staff to management and executive leadership, receive foundational instruction and training in four areas. Participants will learn to design a core training curriculum incorporating the following skills and practices: - Patient-centered care - Trauma-informed care - Motivational interviewing - De-escalation More Details...

Social and Structural Impacts on Diabetes and Comorbidities Management for AA and NH/PI Populations Learning Series (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 2 and was recorded on March 7, 2024. More Details...

Health Center Safety and Man-Made Threats Resource Packet: Targeted Resources on Health Center Security, Population-Specific Safety Topics, and Cybersecurity (2024). Resource Type: Publication. Description: This BPHCurates packet provides resources describing mitigation, preparedness, response, and recovery strategies for navigating man-made threats directed towards health centers, their staff, and patients. The man-made threats included in this packet are specifically related to health center security, population-specific safety concerns, and cybersecurity. More Details...

LGBTQIA+ Glossary of Terms for Health Care Teams (2024). Resource Type: Publication. Description: Becoming familiar with terms used by lesbian, gay, bisexual, transgender, queer, intersex, asexual, and other sexual and gender minorities (LGBTQIA+) can help you provide patients with the highest quality care. In this glossary, you will find terms relevant to the health care and identities of LGBTQIA+ people. More Details...

STI Testing and Treatment as Part of HIV Prevention (2024). Resource Type: Archived Webinar. Description: Presented by Dr. Kevin Ard, this webinar will present updated recommendations for STI testing and treatment, as well as innovations in the field such as post-exposure Doxycycline and low- threshold testing options for STIs as a part of HIV prevention and care. More Details...

Increasing Equity in Pain Management, Substance Use Disorder Treatment, and Linkages to Care (2024). Resource Type: Publication. Description: The purpose of this Resource Guide is to support health center care teams in providing equitable, compassionate, high-quality care for patients in the contexts of pain management, substance use disorders (SUDs), and meaningful linkages to care. Inside, you will find actionable strategies and resources to help your care team reduce health disparities and advance health equity among minoritized and stigmatized people who, due to historical and structural injustices, are more vulnerable to undertreatment and mistreatment of pain and SUDs. More Details...

Culturally Responsive Depression Screening and Referral for LGBTQIA+ Patients (2024). Resource Type: Archived Webinar. Description: This webinar aims to increase the capacity of health centers to conduct culturally responsive depression and mental health screening and referral for LGBTQIA+ communities. This webinar will support health centers in population needs assessment and management, community needs and resource mapping, and clinical effectiveness of care for LGBTQIA+ patients, with an emphasis on social determinants of health. More Details...

Building Bridges between Healthcare Systems and Community-Based Organizations to Address Health Disparities: The SDOH Academy National Webinar Series (Part 3) (2024). Resource Type: Archived Webinar. Description: This session explored innovative strategies to advance population health and health equity through the power of community partnerships and transformative system delivery. Speakers highlighted unique SDOH challenges faced by special and vulnerable populations and the impact on their access to care and health disparities. Additionally, the webinar showcased strategies and best practices for building and sustaining effective community SDOH partnerships between healthcare systems and local communities. More Details...

Quality Improvement Strategies for LTBI Prevention and Care in A/AA and NH/PI-Serving Health Centers: National Clinical Quality Measurement - January 2024 (2024). Resource Type: Publication. Description: AAPCHO and the Tuberculosis Elimination Alliance held a learning collaborative, funded by the Centers for Disease Control & Prevention and the Health Resources & Services Administration, in April 2023. More Details...

Integrated Mental Health (2024). Resource Type: Archived Webinar. Description: We invite you to join the School-Based Health Alliance (SBHA) for a one-hour webinar on Integrated Mental Health to address care coordination, partnerships, and evidence-based care strategies for school-aged children. More Details...

Culturally Responsive Cervical and Breast Cancer Screenings for LGBTQIA+ Communities (2024). Resource Type: Archived Webinar. Description: This webinar will discuss performing cervical and breast cancer screening exams in a way that is affirming for LGBTQIA+ patients. We will review patient communication, preparation and completion of the exams, and gender affirming clinical documentation. This session will support health centers in population needs assessment and management, community needs and resource mapping, and clinical effectiveness of care within the population health and social determinants of health domain. More Details...

HRSA UDS Sealant FAQ 2023: Udpated for 2023 Reporting (2024). Resource Type: Publication. Description: Find answers to Frequently Asked Questions (FAQ) about the new UDS sealant measure for children between the ages of 6-9 years at risk for dental caries. Developed in consultation with oral health specialists and HRSA staff, the FAQ answers questions asked during NNOHA training and technical assistance sessions and webinars. More Details...

Asian American, Native Hawaiian, and Pacific Islander Survivors of Intimate Partner Violence and Human Trafficking: Health Center Preparedness Before, During, and After Emergencies (2024). Resource Type: Publication. Description: Developed in collaboration with Association of Asian Pacific Community Health Organizations (AAPCHO) and Health Partners on IPV and Exploitation, this educational brief focuses on equipping health centers (HCs) with the necessary tools and knowledge to support Asian Americans (AA) and Native Hawaiians/Pacific Islander (NH/PI) survivors of Intimate Partner Violence (IPV) and Human Trafficking (HT) during natural disasters and public health emergencies (emergencies). Structural barriers, language access, and lack of culturally responsive organizations often leave these survivors vulnerable. More Details...

Incarceration and Homelessness: Reentry Considerations for Health Care Providers: Healing Hands (2024). Resource Type: Publication. Description: For clinics providing healthcare to people experiencing homelessness, understanding the specific challenges associated with reentry is key to offering effective and compassionate care during the reentry period. This care takes the form of understanding systems and processes in order to facilitate access to healthcare, and it also involves being willing to transform organizational structures to include people with experience of incarceration as experts in providing care to others. More Details...

STIs and Agricultural Workers: What You Need to Know?: Trifold (2023). Resource Type: Patient Material. Description: This new resource from NCFH provides information about the impact of sexually transmitted infections on agricultural worker health, shares information about the five main STIs that affect this population and shares tips to have open and healthy conversations with partners and health care providers. More Details...

Las ITS y los trabajadores agricolas: Lo que necesitas saber: Trifold (2023). Resource Type: Patient Material. Description: Este nuevo recurso de NCFH proporciona informacion sobre el impacto de las infecciones de transmision sexual en la salud de los trabajadores agricolas, comparte informacion sobre las 5 principales ITS que afectan a esta poblaciones y comparte consejos para mantener conversaciones abiertas y saludables con las parejas y los proveedores de atencion de salud. More Details...

The Health of Asian Americans, Native Hawaiians, and Pacific Islanders Served at Health Centers: An Analysis of the 2021 Uniform Data System (2023). Resource Type: Publication. Description: This report examines current patient demographics and utilization of health services at health centers serving Asian Americans (AAs) and Native Hawaiians and Pacific Islanders (NH/PIs), and highlights the differences between these centers and the national average of all health centers in the United States. The analyses presented throughout this report are intended to improve understanding of AA and NH/PI patients served by health centers nationwide. More Details...

Why Weight? Diabetes Prevention and Care Learning Collaborative (2023). Resource Type: Publication. Description: The Education Center's Why Weight? Diabetes Prevention and Care Learning Collaborative focused on engaging teams from health centers across the US to undertake practice transformation conducive to diabetes care in LGBTQIA+ communities. Throughout this publication, we briefly describe the structure and objectives of the learning collaborative and highlight promising practices for diabetes prevention with LGBTQIA+ patients. More Details...