Introduction. Use this page to quickly find all resources from the Clearinghouse database on Clinical Issues.
Background. Clinical Issues resources span a wide variety of clinical topics including behavioral health, diabetes, HIV/AIDS, Oral Health, Research and Data, and Substance Use Disorders.
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Results for: Topic Area = Clinical Issues
Displaying records 601 through 650 of 926.
The Importance of Social Connection for Older Adults During COVID-19 (2020). Resource Type: Archived Webinar . Description: Physical distancing and loss of social supports during the COVID-19 pandemic may result in situations where vulnerable older adults experience emotional distress and poorer health outcomes. This webinar focused on helping participants understand the importance of early identification of ways to identify and support socially isolated and lonely older adults. More Details...
Billing for Telehealth in 2020 & Beyond (2020). Resource Type: Archived Webinar. Description: The practice and delivery of healthcare is changing with an emphasis on improving quality, safety, efficiency, & access to care. Telemedicine can help you achieve these goals! The Arizona Telemedicine Program, Southwest Telehealth Resource Center, Arizona Medical Association, Maricopa County Medical Society and Arizona Medical Group Management Association presented this webinar on the implementation and practice of telemedicine. More Details...
Addressing Intimate Partner Violence and Human Trafficking in the Health Center Setting: HITEQ Highlights Webinar (2020). Resource Type: Archived Webinar. Description: The coronavirus pandemic and consequent stay-at-home orders may increase danger for those at risk for or experiencing intimate partner violence and human trafficking (IPV/HT). Due to COVID-19, many health centers have shifted health encounters to virtual platforms, which offer unique opportunities to provide trauma-informed care and connect in new ways with those who may be experiencing abuse. Yet, telehealth and virtual visits also present health centers with new challenges related to privacy, safety and digital health equity. More Details...
Sexual Health in the time of COVID-19 (2020). Resource Type: Archived Webinar. Description: In this webinar, Dr. Ken Mayer discusses sexual health in the time of COVID-19. Participants learn how to counsel patients on the transmission of the SARS-CoV-2 virus, and how to protect themselves in the context of sexual health. Dr. Mayer will offer strategies for providers to help patients minimize risk of SARS-CoV-2 acquisition while affirming the desire for intimacy, and participants will learn how telehealth technology can be used to provide remote sexual health counseling and screening for STIs. More Details...
Telehealth Taxonomy For FQHC Data Capture (2020). Resource Type: Publication. Description: This guidance document for FQHCs was developed by a Project Team* that included representation by TRCs, NACHC, PCAs and HCCNs. These are what the Project Team considers the “minimum data set” that each individual FQHC should be able to capture with confidence within their data systems. These core data elements were selected within the context of: Potential for impact on quality metrics and reporting, as well as potential for impact on FQHC telehealth reimbursement policies. More Details...
NRTRC Telehealth 101 Online Training (2020). Resource Type: E-Learning. Description: Gain practical knowledge with this comprehensive overview. For those new to telehealth or looking for a refresher, this course will provide information on how to create and/or grow telehealth programs. Tools, tips, and lessons learned will be incorporated into the content of the various components of setting up a telemedicine program. A total of 1.75 CME credit hours is available upon course completion. More Details...
Food Insecurity: The Digital Transformation in Social Determinants of Health (2020). Resource Type: Archived Webinar. Description: The fourth webinar in the Weitzman Institute's Path Forward "The Digital Transformation in Social Determinants of Health" fall series focusing on addressing food insecurity as an important public health issue. The content expert for the webinar is Sarah Carroll; Director of the Center for Care Transformation at AVIA. The following organizations served as panelists for the webinar: Jacob Luria, Co-Founder and CEO, Algorex Health; Catherine Macpherson, Vice President Product Strategy & Development, Chief Nutrition Officer, Moms Meals; and Laura Robbins, Co-Founder and COO, Advocatia Solutions. More Details...
Flu Vaccine Guidance during COVID-19 for providers serving people without homes (2020). Resource Type: Infographic. Description: People experiencing homelessness are uniquely vulnerable to COVID-19 and the Flu and may face additional barriers to receiving vaccinations. A flu vaccine this season can also help reduce the burden on our healthcare systems responding to the COVID-19 pandemic. This infographic describes these key considerations. More Details...
Isolation & Loneliness: The Digital Transformation in Social Determinants of Health (2020). Resource Type: Archived Webinar. Description: The third webinar in the Weitzman Institute\'s Path Forward \"The Digital Transformation in Social Determinants of Health\" fall series focusing on addressing isolation and loneliness as an important public health issue. The content expert for the webinar is Gretchen Alkema, PhD; Vice President of Policy and Communications, The SCAN Foundation. Presenters for the webinar includes: Andrew Parker, Founder & CEO of Papa; Cindy Jordan, Founder & CEO & Christina Myren; Chief Operating Officer of Pyx Health; and Ashwin Patel, Co-Founder & CEO of InquisitHealth. More Details...
Information for Patients About Dental Amalgam Fillings (2020). Resource Type: Publication. Description: Page of FDA website where the FDA recommends patients in some risk factor groups discuss restoration options with their dentist, regarding amalgam fillings that contain mercury. More Details...
Addressing Trauma, Racism, and Bias in Behavioral Health Service Delivery (2020). Resource Type: Archived Webinar. Description: This webinar focuses on trauma, racism and bias. It paints a portrait of the current landscape with health disparity data and a discussion of social determinants. It reviews trauma, with a focus on Adverse Childhood Experiences (ACEs) and their neurobiological impact. Finally, clinical bias is addressed, with a review of challenges and potential solutions. REGISTRATION required to access this free recording. More Details...
Accelerating Use of Self‑measured Blood Pressure Monitoring (SMBP) Through Clinical‑Community Care Models (2020). Resource Type: Publication. Description: The project aimed to increase the use of Self-Measured Blood Pressure Monitoring (SMBP) through the coordinated action of health department leaders, community organizations and clinical providers. More Details...
Influenza Vaccination Technical Assistance Materials for Health Centers Curated by the Flu LEAD (Linkages to End Access Disparities) Team (2020). Resource Type: Publication. Description: The following HRSA document contains technical assistance resources that may be helpful to health centers and other Health Center Program stakeholders interested in supporting clinical and community efforts to increase seasonal influenza vaccination rates. More Details...
Supporting LGBTQIA+ Youth Who Have Experienced Trafficking (2020). Resource Type: Archived Webinar. Description: In partnership with Futures without Violence, this webinar provides strategies for the identification of LGBTQIA+ youth at risk for trafficking. Participants will learn about the health impacts of this experience for LGBTQIA+ youth, and explore research-informed and promising practices for the implementation of trauma-sensitive policies and practices. More Details...
Oral Health Value-Based Care: The Federally Qualified Health Center (FQHC) Story (2020). Resource Type: Publication. Description: NACHC collaborated with the DentaQuest Partnership for Oral Health Advancement to produce this white paper examining the role of FQHCs as facilitators of oral health value-based care. It also outlines various ways that FQHCs are positioned to respond effectively to the COVID-19 epidemic. More Details...
Telehealth for Supportive Housing Providers - CSH Three Part Telehealth Series: Guidance for Providers looking to adapt and are considering Billing for themselves (2020). Resource Type: Publication. Description: In the COVID19 environment technology can be used as a complement to face-to-face services, and also as a service on its own. Technology options can be especially useful for people with depression or suffering from distress, and when there are difficulties in physically meeting with tenants. More Details...
Analysis of UDS Clinical Quality Measure Performance by Health Center Telehealth Use: Updated in Sept. 2020 with CY2019 UDS Data (2020). Resource Type: Publication. Description: A brief study of how health centers who report using telehealth compare to those who do not, using data reported on 2017 UDS. This analysis suggests that the average performance on each clinical quality measure is higher among those health centers who report using telehealth than those who do not use telehealth. The below analysis is based on 2017 Uniform Data System USD reported by health centers both 330 funded and Look Alikes. Performance on Clinical Quality Measures is derived from Tables 6B and 7 with the exception of the Prenatal and Birthweight measures. Telehealth Use is from Question 2 of the UDS’s Other Data Elements form, which asks Did your organization use telehealth in order to provide remote clinical care services [in 2017]? Yes or No. Considerations 1. Names used for the quality measures shown here are colloquial, and do not reflect exact names used in the 2017 UDS Manual. 2. Measures are shown in alphabetical order, not in the same order as the UDS Manual. 3. The Diabetes measure is calculated as Controlled, as opposed to Uncontrolled, as is reported in the UDS. This was done for comparison purposes, so all measures are ‘better’ if higher. Observations Health centers that report using Telehealth, on average, report slightly higher performance on all clinical quality measures than those that report that they do not use telehealth. On average, across all measures, using telehealth is correlated with a 1.18% percentage point higher performance rate per clinical quality measure. A chart showing all measures side-by-side can be seen below. Download the full analysis document at the bottom of the page for details about each measure. More Details...
Dental Leadership Burnout After 5 Months of COVID-19: A Safe Space to Share and Support (2020). Resource Type: Archived Webinar. Description: This webinar provided dental program leadership with coping strategies to deal with burnout and stress. Participants shared their experiences and presenters offered suggestions for handling burnout and various forms of stress, recommends tools and actions to combat burnout and promote selfcare. More Details...
Using AI, Data, and Tech to Move from Screening to Solving for Social Needs: The Digital Transformation in Social Determinants of Health (2020). Resource Type: Archived Webinar. Description: The first of five webinars in the Weitzman Institute\'s Path Forward \"The Digital Transformation in Social Determinants of Health\" fall series focusing on addressing why SDoH matters and innovations in using AI, data, and tech to move from screening to solving for social needs. Panelists for this session include: Dr. Paul Grundy, MD, MPH, FACOEM, FACPM; Chief Transformation Officer, Innovaccer, Margaret Flinter, PhD, APRN, FNP-c, FAAN, FAANP, Senior Vice President and Clinical Director, Community Health Center, Inc., April Joy Damian, PhD, MSc, CHPM, PMP; Associate Director, Weitzman Institute, Nancy Lopez, PhD, Director & Co-founder, Institute for the Study of “Race” & Social Justice, University of New Mexico, and David Kulick, MPH, Co-founder, Adaptation Health More Details...
NNOHA Teledentistry Workflow (2020). Resource Type: Publication. Description: A sample generic workflow provides an example of how oral health care can be delivered through teledentistry. More Details...
Flu LEAD (Linkages to End Access Disparities) Initiative 2020 Information: A Pilot Project to Increase Influenza Vaccination Coverage among HUD-Assisted Residents (2020). Resource Type: Publication. Description: This NCHPH informational page provides an overview, and resources about the Flu LEAD pilot project directed by the U.S Department of Housing and Urban Development (HUD and the Health Resources and Services Administration (HRSA) to increase influenza vaccination coverage among residents of Public Housing Agencies (PHAs). More Details...
GUIDANCE Sliding Coinsurance for CMS/Medicare Care Management Services (2020). Resource Type: Publication. Description: While health centers are required to impose Medicare coinsurance for CMS/Medicare care management services, the coinsurance may be “slid” commensurate with the sliding fee discount program (SFDP) policy of the health center. Federal anti-kickback statutes and beneficiary inducement prohibitions include exceptions allowing health centers to discount coinsurance for patients who are eligible for the health center’s sliding fee discount program without violating Medicare rules. More Details...
Sabor y Salud: Latino and Hispanic Healthy Plate Brochure (2020). Resource Type: Publication. Description: Fresh fruits and vegetables, portion control, and knowledge around nutrition are essential to maintaining a healthy diet. This brochure, created by MHP Salud and Hebni Nutrition Consultants, Inc., was designed to help Hispanic and Latino Communities build nutritious plates with familiar fresh foods. More Details...
Testing for COVID-19 in Homeless Shelters & Encampments: Discussing CDC’s New Health Department Guidance & NHCHC’s Newest Issue Brief (2020). Resource Type: Archived Webinar. Description: As capacity for COVID-19 testing grows in most communities, high-risk settings such as homeless shelters and encampments are increasingly being prioritized for universal testing events. New CDC guidance for health departments outlines factors that local and state agencies can use to further inform specific policies being developed for these venues. A new National HCH Council issue brief provides lessons learned and testing strategies that HCHs in five cities have found to work successfully when conducting universal testing. This webinar summarized these new resources and hosted active discussion. More Details...
Finding Healthy Food: The Effects of ‘Food Deserts’ on Public Housing Residents Living with Diabetes (2020). Resource Type: Publication. Description: This blog post by NCHPH highlights the adverse effects of food deserts, and describes how food deserts can impact diabetic residents living in public housing communities. More Details...
Addressing the Opioid Crisis: Innovative Programs Serving People Experiencing Homelessness: Health center case studies for the Opioid Crisis. (2020). Resource Type: Publication. Description: Health centers are increasingly seeing individuals who are suffering from Opioid Use Disorder (OUD) and other Substance Use Disorders (SUDs), and many of these individuals are also faced with housing instability or are experiencing homelessness. Innovation is being driven at the ground level by providers including health centers, public health departments, harm reduction agencies and supportive housing agencies that are all concerned with the impact of OUD and other SUDs on the health of the people they serve. Essential in any innovative care model are the services needed to ensure people experiencing homelessness have access to evidence-based care, including Medication Assisted Treatment (MAT). More Details...
TelePrEP for Health Centers: Telehealth Resources and Innovations for HIV Pre-Exposure Prophylaxis (PrEP), June 2020 (2020). Resource Type: Publication. Description: Pre-exposure prophylaxis, or PrEP, has long been recognized as an effective treatment in the effort to end the HIV epidemic. Prescribing PrEP should be considered as part comprehensive prevention plan that includes a discussion about adherence to PrEP, condom use, other sexually transmitted infections (STIs), and other risk reduction methods. This HITEQ brief presents an overview of how health centers can utilize telehealth for PrEP access, or TelePrEP, for comprehensive care, and includes innovations and resources that health centers can utilize to extend these services to their patient populations. More Details...
HITEQ Highlights: Shared Care Planning Optimization Using the EHR (2020). Resource Type: Archived Webinar. Description: The HITEQ Center, in collaboration with the National Council for Behavioral Health, hosted a webinar on Shared Care Planning Optimization Using the EHR. The webinar provided an overview on the importance of shared care planning and how we can better optimize the electronic health record to make it the most successful and inclusive of the team. Components of shared care planning and different tools that will help with the creation and accessibility of shared care plans were discussed. More Details...
Diabetes, Heart Disease, and LGBTQIA+ Populations (2020). Resource Type: Archived Webinar. Description: Dr. Alex Gonzalez of Fenway Health and Katherine Overton of the American Heart Association discuss diabetes and heart disease in LGBTQIA+ populations. More Details...
Clinician's Guide to the EPA's Worker Protection Standard (2020). Resource Type: Publication. Description: The EPA’s Worker Protection Standard (WPS) protects agricultural workers from the health risks associated with pesticides. This guide, jointly developed by Farmworker Justice and Migrant Clinicians Network, provides information to clinicians about the WPS, including basic protections, reporting and monitoring requirements, and important considerations for migrant health clinicians. More Details...
The Path Forward: Re-Imagining Primary Care During and Beyond the Pandemic (2020). Resource Type: Archived Webinar. Description: As the nation struggles with the dual pandemics of COVID-19 and racism, the moment is upon us to deeply examine and reshape the primary care delivery system for underserved communities. In this webinar, leadership of the Community Health Center, Inc. and its Weitzman Institute will lay out a road map for the new Path Forward. We invite health center and safety net providers, staff, consumer leaders and others to join the conversation and contribute their expertise, perspective and ideas. More Details...
Informational Guide for Public Housing Residents During COVID-19 – Know the Basics of Seeking Care: Know the Basics of Seeking Care (2020). Resource Type: Publication. Description: This infographic provides general information on how public housing residents can seek care for COVID-19, testing services provided by health centers near public housing agencies and how the Public Charge rule does not apply for these services. More Details...
Informational Guide for Public Housing Residents — COVID-19: Know the Basics (2020). Resource Type: Publication. Description: This infographic provides general information on COVID-19. More Details...
Partnership Opportunities for Health Centers, EnVision Centers, and Public Housing Agencies (2020). Resource Type: Archived Webinar. Description: The recent COVID-19 crisis his highlighted the magnitude of health inequities faced by public housing residents and the need for a coordinated approach in providing health prevention and treatment, as well as the basic goods and services needed to survive, e.g., food, medicine and shelter. More Details...
SMBP Joint Policy Statement 2020 (2020). Resource Type: Publication. Description: Self-measured BP monitoring, the measurement of BP by an individual outside of the office at home, is a validated approach for out-of-office BP measurement. Several national and international hypertension guidelines endorse self-measured BP monitoring. Indications include the diagnosis of white-coat hypertension and masked hypertension and the identification of white-coat effect and masked uncontrolled hypertension. Other indications include confirming the diagnosis of resistant hypertension and detecting morning hypertension. More Details...
Payment and Delivery Reform: Medicaid in the Time of COVID-19 (2020). Resource Type: Publication. Description: NACHC hosted a 3-part virtual peer learning opportunity on “Medicaid in the Time of COVID-19” as a year-end wrap-up to the 2019 Payment and Delivery Reform Summit. More Details...
Accelerating Use of SMBP through Clinical-Community Care Models (2020). Resource Type: Publication. Description: Self-measured blood pressure monitoring (SMBP), the regular measurement of blood pressure by a patient outside the clinical setting, plus additional support, is a proven, cost-effective but underutilized strategy to improve hypertension outcomes. To accelerate SMBP use, the Centers for Disease Control and Prevention (CDC) funded the National Association of Community Health Centers, the YMCA of the USA, and Association of State and Territorial Health Officials to develop cross-sector care models to offer SMBP to patients with hypertension. More Details...
Snapshot: FQHCs and Oral Health (2020). Resource Type: Publication. Description: n.a. More Details...
Cooking in the Colors of the Rainbow: Preventing Diabetes through Healthy Eating (2020). Resource Type: Patient Material. Description: FJ developed a coloring book for farmworker families that promotes health earing as a way to prevent diabetes. The coloring book is available in English, Spanish, Haitian Creole, Mam, and Mixteco. More Details...
Behavioral Health Care for Transgender and Gender-diverse People (2020). Resource Type: Archived Webinar. Description: In this webinar, Dr. Alex Keuroghlian discusses behavioral health care for transgender and gender-diverse people at health centers. This session will contextualize mental health inequities across diagnostic categories within a gender minority stress framework, propose culturally responsive tailoring of evidence-based clinical practices, and offer strategies for building inclusive, affirming, and trauma-informed environments within health centers in order to optimize behavioral health outcomes. More Details...
Secondary Traumatic Stress Identification, Mitigation and Improving Work Satisfaction for Health Center Staff During the COVID-19 Pandemic (2020). Resource Type: Archived Webinar. Description: Webinar hosted by NCHPH. Recording slides and handouts available. More Details...
HITEQ Highlights: Hear from your Peers: Using the EHR for Routine HIV Screening (2020). Resource Type: Archived Webinar. Description: The HITEQ Center, in collaboration with BC3 Technologies, LLC, hosted this webinar that explored key concepts and best practices in utilizing an electronic health record in routine HIV Screening. This webinar sought to motivate and educate the clinical team on how the electronic health record can be used as a tool in the workflow of a primary practice. Aspects of clinical decision support, reminders, and alerts were covered with an emphasis on best practices, challenges, solutions, and lessons learned. More Details...
School Mental Health Planning for the 2020-21 School Year During COVID-19 (2020). Resource Type: Archived Webinar. Description: This webinar was intended to help school, district, and state education and behavioral health leaders plan for the mental health needs of the entire school community (including students, school staff, and families) and implement multi-tiered mental health promotion, prevention and intervention supports and services in the 2020-21 school year. More Details...
The Role of CHWs in Addressing Hypertension (2020). Resource Type: Publication. Description: Community Health Workers (CHWs) are uniquely qualified to support individuals with hypertension. CHW interventions are known to improve health outcomes among individuals diagnosed with hypertension and support at-risk individuals to prevent the development of the condition. The purpose of this guide is to assist health centers and partners in identifying the roles of CHWs in addressing hypertension. More Details...
The Role of CHWs in Addressing Diabetes (2020). Resource Type: Publication. Description: Community Health Worker (CHW) interventions have demonstrated success in improving health outcomes among individuals diagnosed with diabetes. Additionally, CHWs support at-risk individuals to prevent the development of the condition. The purpose of this guide is to assist health centers and partners in identifying the roles of CHWs in addressing diabetes. More Details...
Health Information Technology support for HIV Screening and Prevention Services: Environmental scan for Ending the HIV Epidemic (2020). Resource Type: Publication. Description: In the 2019-2020 contract year, as part of the Ending the HIV Epidemic initiative HITEQ conducted an environmental scan to determine the role of EHRs and health IT in health center capacity and ability to expand HIV screening and prevention. HITEQ reviewed existing data and existing literature, and conducted 15 interviews with health centers and health center partners. The results are structured as a SWOT analysis, outlining strengths and weaknesses internal to health center health IT systems as well as opportunities and threats, factors that are external to health centers. More Details...
Telehealth.HHS.gov website (2020). Resource Type: Other. Description: The Telehealth.HHS.gov website provides information about the latest federal efforts to support and promote telehealth services. It was built by the Health Resources and Services Administration (HRSA), an agency of the U.S. Department of Health and Human Services (HHS). More Details...
PrEP and Informatics (2020). Resource Type: Archived Webinar. Description: In this webinar experts from Fenway Health and HITEQ discuss using data, electronic health records, and informatics to make informed decisions regarding PrEP (pre-exposure prophylaxis) for HIV prevention. The webinar covers both clinical data usage and administrative staff support in using data and informatics for optimizing PrEP in health centers. More Details...
Improving Diabetes Care Quality in Rural Communities (2020). Resource Type: Archived Webinar. Description: This webinar explores the role of telehealth delivery to overcome geographic and financial barriers to providing diabetes monitoring and patient lifestyle education. More Details...
Harm Reduction: Healing Hands (2020). Resource Type: Publication. Description: This edition of Healing Hands from the Health Care for the Homeless Clinicians' Network explores how harm reduction principles apply to various clinical settings and explains why the philosophy is so critically important. More Details...