Quick Finds: Clinical Issues

The Road to Trauma-Informed Care in Primary Care (2020). Resource Type: Archived Webinar. Description: During this webinar, we heard from the National Council and Zufall Health Center about this program, lessons learned and resources for Health Centers on how to implement a trauma-informed care program on Trauma-Informed Primary Care: Fostering Resilience and Recovery, to educate health care providers on the importance of trauma-informed approaches and to create a change package for implementation of standardized and scalable trauma-informed care practices in the primary care setting. More Details...

Team Care Connections: Conversations about Moral Distress and Moral Injury (2020). Resource Type: Publication. Description: This issue of Team Care Connections examines moral distress and moral injury-- the emotions and bodily changes that occur when there is a disconnect between what a person believes is right and good and what the person is able to do or sees happening. It highlights the experiences of primary care teams and interviews experts to provide suggestions on how to begin discussing moral distress and moral injury, including potential causes and best practices for care teams. More Details...

Looking at PACE....An Opportunity for Community Health Centers (2020). Resource Type: Archived Webinar. Description: Learn more about Program of All-Inclusive Care for the Elderly (PACE) and the benefits of implementing the program at your health center from a mission and financial perspective. PACE programs support the growing population of patients aged 55 and older with chronic conditions while supporting their independent living in the community. More Details...

HITEQ Highlights: Enhancing the EHR for Suicide Prevention (2020). Resource Type: Archived Webinar. Description: This webinar is the second in a series highlighting the intersection between health information technology and behavioral health services. The webinar explored key components to be built into an electronic health record in order to better address suicide prevention in health care. Decision support considerations, documentation and communication enhancements, as well as population health management strategies were discussed. More Details...

Root Cause Analysis Training 3 of 3: Prioritizing Root Causes and Creating Action Steps (2020). Resource Type: Archived Webinar. Description: This webinar focuses on prioritizing root causes, creating action steps, and the importance of using root cause analysis to inform quality improvement. This webinar series was developed to help health centers prepare for the diabetes performance analysis component of their operational site visit. More Details...

Root Cause Analysis Training 2 of 3: The "5 Why's and Fishbone Diagrams" (2020). Resource Type: Archived Webinar. Description: This webinar focuses on the "5 Why's", Fishbone Diagrams, and the importance of these tools to inform quality improvement. This webinar series was developed to help health centers prepare for the diabetes performance analysis component of their operational site visit. More Details...

Root Cause Analysis Training 1 of 3: HRSA's Expectations (2020). Resource Type: Archived Webinar. Description: This webinar focuses on HRSA's expectations and the importance of using root cause analysis to inform quality improvement. This webinar series was developed to help health centers prepare for the diabetes performance analysis component of their operational site visit. More Details...

Primary Care for Underserved Populations: Navigating Policy to Incorporate Occupational Therapy Into Federally Qualified Health Centers (2020). Resource Type: Publication. Description: Occupational therapy services have the potential to help improve the health and functioning of FQHC patients. Using a FQHC serving American Indian/Alaska Native populations as a case example, we describe how occupational therapy is well suited to help meet the needs of medically underserved populations. We then examine options for integrating occupational therapy into this unique primary care setting, discuss related administrative and policy considerations, and propose possible solutions to identified barriers. More Details...

HITEQ Highlights: Using Health IT to Facilitate the Development and Administration of a PrEP Program (2020). Resource Type: Archived Webinar. Description: The HITEQ Center is launching a new webinar series for health centers to learn how their health center peers are using health IT to improve HIV prevention and care. For the first webinar, Using Health IT to Facilitate the Development and Administration of a PrEP Program, Robert Harris from the Community Health Center of Buffalo, Inc. described their whole system approach to develop an IT-supported PrEP program. Robert presented how they developed a viable and sustainable PrEP program maximizing the use of IT resources while minimizing the amount of staff resources needed to administer the program effectively. More Details...

HITEQ Highlights: Updates to the HITEQ UDS Clinical Analysis Dashboards (2020). Resource Type: Archived Webinar. Description: During this HITEQ Highlights webinar, learn about the updated HITEQ Center’s UDS dashboards, available on the HITEQ site for HCCNs, PCAs, and health centers, as well as a nationwide version available to all website visitors. These dashboards show UDS clinical quality measure reporting from calendar year 2018, historical data, and benchmark data from Healthy People 2020 goals. These updated dashboards include a number of new features, to allow users to compare outcomes across various groups to improve the understanding of how certain characteristics correlate with clinical quality outcomes. More Details...

HITEQ Highlights: Documentation Tips when using the Collaborative Care Model for the Treatment of Depression and Anxiety in Primary Care (2020). Resource Type: Archived Webinar. Description: Join the HITEQ Center, in collaboration with the National Council for Behavioral Health, for a webinar on Documentation Tips when using the Collaborative Care Model for the Treatment of Depression and Anxiety in Primary Care. The webinar provided a brief overview and benefits of the collaborative care model as well as information specific to each of the main staff roles. The role-specific nuances of documentation were highlighted, including considerations for tracking data such as clinical activities accomplished with each patient during the month. More Details...

Effective Partnership Guide: Improving Oral Health for MIgrant and Seasonal Head Start Children and their Families (2020). Resource Type: Publication. Description: This collaboration between the National MIgrant and Seasonal Head Start (MSHS) programs (ACF/OHS) and the Health Center Program (HRSA/BPHC) provides an overview of oral health care within Head Start programs in conjunction with health centers. It describes effective ways that MSHS can partner with health centers for dental care and outlines payment models and avenues for partnership. More Details...

Stepping into the Cost of Care Conversation (2020). Resource Type: Archived Webinar. Description: The current state of cost-of-care (CoC) conversations at many clinics leads to frequent misunderstandings and unmet CoC needs, which may ultimately increase the work and costs for both patients and their healthcare providers. More Details...

Lessons Learned in Diabetes Care for Homeless Populations: Best practices from peer collaborative of health centers and supportive housing providers (2020). Resource Type: Publication. Description: This publication summarizes key barriers and promising practices in the field identified by collaborative participants related to diabetes care for individuals experiencing homelessness or formerly homeless in supportive housing. More Details...

Addressing the Opioid Crisis: Federal Funding and Opportunities for Health and Housing Collaboration: Focus on Resources and Partnerships (2020). Resource Type: Publication. Description: There are a variety of state and federal resources available to aide health centers in providing services and housing connections to patients they treat with Opioid and substance use disorders. This brief describes the role of single state authorities (SSAs) who are responsible for managing the publicly funded substance abuse prevention, treatment and recovery system, new federal funding targeting the opioid crisis and opportunities for collaboration in your community. More Details...

Why Homeless Populations Are a High-Risk Group — COVID-19 (2020). Resource Type: Publication. Description: This shareable infographic explains why people experiencing homelessness are especially vulnerable to to the coronavirus pandemic. More Details...

Things to Do During the COVID-19 Crisis if You Have Diabetes (2020). Resource Type: Publication. Description: This fact sheet synthesizes the distinct advice people with diabetes who experience homelessness need to know about the COVID-19 pandemic. More Details...

Coronavirus (COVID-19) Information for Homeless Shelters and Homeless Service Providers (2020). Resource Type: Publication. Description: This infographic is meant for clients experiencing homelessness and the people who serve them to learn more about COVID-19 and measures to prevent its spread. More Details...

Collecting Sexual Orientation and Gender Identity (SO/GI) Data In Electronic Health Records (2020). Resource Type: Archived Webinar. Description: Alex S. Keuroghlian, MD, MPH and Chris Grasso, MPH present the most up-to-date information and strategies for collecting sexual orientation and gender identity information. More Details...

7-Step SMBP Quick Guide: Helping patients achieve and maintain blood pressure goals (2020). Resource Type: Publication. Description: The recent COVID-19 pandemic has led to a rapid increase in the use of telemedicine by many health care organizations, physicians and care teams. Using telemedicine modalities with self-measured blood pressure (SMBP) can help patients with hypertension achieve and maintain blood pressure goals. More Details...

Intersection on Homelessness and Human Trafficking: A Case Study on End Slavery Tennessee (2019). Resource Type: Publication. Description: The purpose of this case study is to provide an example of quality services for individuals with the experience of both homelessness and human trafficking. It is also intended to share signs providers can use to identify a history of trafficking and additional health considerations. More Details...

Supporting Aging in Place Programs: The Role of Community Health Workers (2019). Resource Type: Archived Webinar. Description: This webinar reviewed the common health needs of older adults as they age in place, and explained the value of implementing Community Health Worker-led Aging in Place programs. More Details...

Prevent, Assess, and Respond: A Domestic Violence Toolkit for Health Centers & Domestic Violence Programs (2019). Resource Type: Toolkit. Description: This toolkit can help build a comprehensive and sustainable response to domestic violence and sexual assault (DV/SA) in partnership with DV/SA advocacy programs (social service organizations) to improve how your health center identifies and responds to DV/SA and promotes prevention, and develop proactive partnerships with local DV/SA advocacy programs to address the health needs of patients and connect them to health centers for care. More Details...

HIV Prevention/PrEP at Health Centers: An Overview and Current Best Practices (2019). Resource Type: Archived Webinar. Description: Dr. Kevin Ard and Dr. Jennifer Reske-Nielsen discuss HIV and PrEP in primary care and sexual health clinic settings, and the current state of HIV research and treatment in the United States. More Details...

Enabling Services Case Study: A Focus on Behavioral Health: Wellspace Health, Sacramento, CA (2019). Resource Type: Publication. Description: This publication is part of a series of case studies that highlight innovative models for providing enabling services to help reduce barriers to care and address social determinants of health. This case study features Wellspace Health's (WSH) "Health, Access, Referrals, and Transitions" (HART) program. WSH's HART program utilizes case management services to connect patients to care and to make care transitions to critical clinical and behavioral health services. The HART program provides intensive case management and addresses substance use disorders, suicide prevention, provides street outreach, and respite and recuperative services. More Details...

Recognizing and Responding to Domestic Violence and Human Trafficking in Health Center Settings (2019). Resource Type: n.a.. Description: This webinar provides an overview of the public health issues and the programs provided by two health centers in the United States. More Details...

Recommendations for the Care of Patients Experiencing Homelessness at Risk for or Diagnosed with Type 2 Diabetes: Adapted Clinical Guidelines (2019). Resource Type: Publication. Description: Clinicians providing health care to people experiencing homelessness routinely adapt their practice to foster better outcomes for their patients. This document has been developed to serve as a reference for members of multi-disciplinary care teams including administrators, and students serving people experiencing homelessness and are at risk for, diagnosed with prediabetes or type 2 diabetes. More Details...

Diabetes Self-Management: Education and Support (2019). Resource Type: Archived Webinar. Description: Diabetes self-management education and support (DSMES) is a critical element of care for all people with diabetes. DSMES is the ongoing process of facilitating the knowledge, skills, and ability necessary for diabetes self-care, as well as activities that assist a person in implementing and sustaining the behaviors needed to manage his or her condition on an ongoing basis, beyond or outside of formal self-management training. More Details...

Improving Diabetes Outcomes: Curated Expert Guidance, Tools, and Resources, Updated September 2019 (2019). Resource Type: Toolkit. Description: As of CDC's 2017 National Diabetes Statistics Report, 30.3 million people, or 9.4% of the total U.S. population, have diabetes. Of these 30.3 million, only 23.1 million are diagnosed—while the other estimated 7.2 million are undiagnosed. This illustrates the need for targeted quality improvement and implementation of promising practices to address diabetes and needs of diabetic patients. This toolkit includes curated expert guidance, tools, and resources for enhancing care processes and outcomes for diabetes control, preventive care, and others targets for improvement. More Details...

NNOHA Operations Manual - Quality Chapter (2019). Resource Type: Publication. Description: Health centers strive to deliver quality care that leads to positive patient outcomes. This chapter of the NNOHA Operations Manual will explore quality improvement for oral health programs. More Details...

Integrated Care Models Survey Results: Embedded Dental Providers: Survey Results (2019). Resource Type: Publication. Description: Integration of oral health and primary care practice is a strategy to increase access and improve health outcomes. There is an emergence of a new and alternative model, embedding a dental provider in the medical clinic. This document summarizes the results of the 2019 NNOHA Integrated Models survey and the subsequent focus group findings. More Details...

Policy Options for Improving Dental Coverage for People on Medicare (2019). Resource Type: Publication. Description: The Kaiser Family Foundation just released an “Issue Brief” which identifies several potential approaches for improving dental coverage for Medicare beneficiaries. Included in the options are OPEN’s recommendation to include an extensive dental benefit under Medicare Part B. Also included in the Issue Brief is the work OPEN has been doing to get federal policymakers to expand the types of “medically necessary” dental services that are covered. More Details...

Increasing Access to Healthy Food and Exercise in Public Housing Communities: Examples From Public Housing Primary Care Grantees (2019). Resource Type: Publication. Description: Public housing residents face the challenge of living in communities with poor access to healthy foods and safe places to exercise. Addressing access to healthy food and improving diet and exercise are critical components in improving the health of public housing residents. This report provides examples of Public Housing Primary Care Grantee strategies and programs that have increased access to healthy food, exercise and weight control models for public housing residents. More Details...

Project Highlight: Primecare Community Health, IL (2019). Resource Type: Publication. Description: This summary describes PrimeCare Community Health, Inc.’s expansion efforts in Chicago, IL, highlighting the capital project planning, financing, and estimated community impact of a new $8 million health center capital project. More Details...

Center of Excellence for Protected Health Information: FOCUS: PHI is a SAMHSA-funded source for clear and accurate information about patient privacy and confidentiality (2019). Resource Type: Other. Description: Clear and accurate information about confidentiality is important to ensure that patient privacy is protected and that privacy laws are not erroneously interpreted to prevent disclosure of patient information. Individuals living with mental illness or substance use disorders may not seek care without guarantees of confidentiality and privacy protections. Clarifying privacy protections and promoting communication of patient records is critical for improving patients’ access to care and quality of treatment once in care. The Center for Excellence for Protected Health information is supported by SAMHSA and includes key resources around privacy and confidentiality. More Details...

Pre-Exposure Prophylaxis (PrEP) for HIV Prevention: Considerations for Individuals Experiencing Homelessness (2019). Resource Type: Publication. Description: Despite major advancements in HIV testing, treatment, and prevention, HIV diagnoses in the United States have remained stable since 2013. The introduction of Pre-Exposure Prophylaxis (PrEP) has offered an opportunity to significantly reduce HIV transmission rates, yet those most at risk are not the ones utilizing this method of prevention. This fact sheet explores the intersection of HIV and homelessness, focusing on subpopulations with disproportionate rates of infection. It also provides promising practices in prevention and treatment, including recommendations around the initiation of PrEP in the Health Care for the Homeless setting. More Details...

Diabetes Management and Oral Health among Older Adults Experiencing Homelessness : Promising and Evidence-Based Practices for Health Centers in Diabetes Management and Oral Care (2019). Resource Type: Publication. Description: This publication highlights the diabetes disease burden and gum (periodontal) disease among older adults (50+) who have experienced or are experiencing homelessness and explores promising and evidence-based practices health centers can adopt, aimed at improving overall oral health among this population. More Details...

Diabetes Management and Oral Health Among Older Adults Experiencing Homelessness: Promising and Evidence-Based Practices for Health Centers in Diabetes Management and Oral Care (2019). Resource Type: Archived Webinar. Description: This webinar addressed the burden of diabetes among older adults who have experienced homelessness and the burden of periodontal disease among this population; the role of supportive housing as a key social determinant in improving health outcomes, including connections to quality dental care; and promising and evidence-based practices aimed at improving overall dentition among older adults with diabetes who are homeless or formerly homeless. More Details...

Social Determinants of Health for Public Housing Residents: Diabetes (2019). Resource Type: Publication. Description: Public housing residents are more likely to be affected by community violence and chronic medical conditions such as diabetes. The following issues brief provide descriptions of some of the most critical issues affecting this special population. More Details...

Building and Sustaining a Data Driven Culture: HITEQ Webinar (2019). Resource Type: Archived Webinar. Description: The HITEQ Center conducted a webinar on building and sustaining a data driven culture for Community Health Care Association of New York State. This webinar introduced concepts, tools and examples to help manage data as a strategic asset, align data strategy with organizational strategy, and explored ways to implement a data services function. More Details...

Life of the Party: Making Healthy Choices with Diabetes (2019). Resource Type: Publication. Description: A comic style brochure for agricultural workers that shares information about making healthy food choices with diabetes. More Details...

Medication Adherence in Elderly With Diabetes: Strategies to Improve Outcomes Amidst Challenges in the Geriatric Population (2019). Resource Type: Archived Webinar. Description: This webinar explored the challenges of multiple medications and complex comorbidities, including cognitive impairment. The presenters provided an overall view of improving medication adherence in the population of diabetic older adults, with special consideration given to the management of these patients in the Community Health Center. More Details...

Compliance with 42 CFR Part 2: A Case Study with Community Medical Centers, Inc. (2019). Resource Type: Publication. Description: Health centers are actively expanding the substance use treatment services they offer in the community to address access to care for opioid use disorders, and more broadly to address better screening, referral and timely access to all substance use disorder (SUD) treatment. This case study is an example of how a health center is assessing operations to comply with 42 CFR Part 2, with a particular focus on changes to their health information technology (IT) systems. It includes a 42 CFR Part 2 Regulatory Checklist that health centers may find particularly helpful to review. More Details...

Behavioral Health Staff in Integrated Care Settings: The Vital Role of Collaboration Across Teams: Expand the Impact of Your Care (2019). Resource Type: Archived Webinar. Description: Experts in psychology, psychiatry and nursing will share ways in which they effectively utilize their roles at the top of their license to monitor and support high-risk patients. By examining these various roles, experts will address how you can effectively support integration at your health center to improve outcomes. More Details...

What's New In PrEP and STIs?: Cases from a Sexual Health Clinic (2019). Resource Type: Archived Webinar. Description: Dr. Kevin Ard will use clinical cases to explore recent advances in HIV pre-exposure prophylaxis (PrEP) and sexually-transmitted infection prevention and treatment for LGBTQ people, discussing implications for primary and specialty care. More Details...

Treatment Models for Non-Opioid Substance Use Amongst Populations Experiencing Homelessness: Healing Hands (2019). Resource Type: Publication. Description: This edition of Healing Hands complements a previous issue of Healing Hands, “Non-Opioid Substance Use, Mental Health, and Homelessness,” which contained information about the health impacts and demographic variance of substances that are commonly used by people experiencing homelessness, as well as guidance on confronting and reducing social stigmas about substance use. This issue focuses a lens on treatment by first examining treatment models and pharmacological interventions for substance use disorder, followed by information about additional tools that may assist care providers in providing comprehensive client-centered, trauma-informed physical and mental health care and harm reduction interventions. More Details...

Diabetes Prevention and Management for LGBTQ People (2019). Resource Type: Publication. Description: In this publication, we discuss diabetes risk factors unique to LGBTQ people, and make recommendations for screening and management of diabetes in LGBTQ populations. More Details...

Caring for Sexual Minority Women (2019). Resource Type: Archived Webinar. Description: Dr. Jennifer Potter will discuss healthcare considerations for sexual and gender minority women, with particular emphasis on recent innovations and trauma informed care. This webinar will cover best practices and case scenarios, and will provide a solid foundation for caring for this population. More Details...

Addressing HIV and Sexually Transmitted Infections Among LGBTQ People: A Primer for Health Centers (2019). Resource Type: Publication. Description: Some lesbian, gay, bisexual, transgender, and queer (LGBTQ) people face an increased risk for HIV and sexually transmitted infections (STIs). The increased risk of HIV and STIs in these populations stems from both social and biological factors.Health center clinicians can help address HIV and STIs among LGBTQ people by screening appropriately based on a comprehensive sexual history, providing culturally appropriate safer sex counseling, and offering biomedical prevention strategies, such as vaccinations and pre-exposure prophylaxis for HIV (PrEP). More Details...

HITEQ Highlights: Addressing Childhood Obesity in Health Centers (2019). Resource Type: Archived Webinar. Description: This webinar focused on how to improve child weight screening, nutrition and physical activity counselling, and design appropriate and meaningful interventions according to health center peers. A number of tools that support this quality improvement around addressing child weight and potential for obesity were discussed, including Bright Futures guidance and data validation tools from HITEQ. More Details...