Quick Finds: Operations

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

Advancing Team-Based Care: Enhancing the Role of the Medical Assistant and Nurse through Implementation of Care Management to Improve Chronic Conditions (2022). Resource Type: Archived Webinar. Description: Expert faculty outline the differences between case management, care coordination and complex care management to frame up a discussion on strategies to leverage effective models for both in-person and remote services. Expert faculty discuss the role of the medical assistant and the nurse in care management, as well as how standing orders and delegated orders support this work. This session will discuss how telehealth and remote patient monitoring enhancements can support complex care management for patients with chronic conditions. Participants leave this session with the knowledge and tools to begin or enhance implementation of chronic care management by enhancing the role of the medical assistant, nurse and the technology that supports the clinical care. More Details...

Status of State Level Medicaid Benefits for Medical Respite Care (2022). Resource Type: Publication. Description: The Centers for Medicare and Medicaid Services (CMS) is permitting substantial flexibility in programmatic design in state Medicaid waivers to allow transformative initiatives. At the same time, the federal agency is also establishing new guardrails and conditions—balancing that flexibility with new obligations. The programmatic flexibility and substantial investments associated with these approvals will allow states to stabilize coverage, offer new benefits and services, and focus on whole-person care. This issue brief is intended to provide a current snapshot of the state-level Medicaid activity related to medical respite care. More Details...

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

Models of Medical Respite Care (2022). Resource Type: Publication. Description: This document serves as a guide to describe the models of medical respite care programs and types and intensity of clinical, case management, and care coordination services that can be expected within each MRC setting. More Details...

Using Teledentistry to Improve Prenatal Care (2022). Resource Type: Publication. Description: This publication describes how the University of California, Irvine Family Health Center provides synchronous teledentistry services to pregnant patients. More Details...

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

Transgender Legal Issues Panel (2022). Resource Type: Archived Webinar. Description: This talk is from the 2022 Advancing Excellence in Transgender Health Care Conference. More Details...

Engaging Leadership and Organizational Change (2022). Resource Type: Archived Webinar. Description: This talk is from the 2022 Advancing Excellence in Transgender Health Care Conference. More Details...

Eyes on Access: We’ve Decided to Offer Vision Services in Our Health Center, Now What? (2022). Resource Type: Archived Webinar. Description: This webinar hosted by the National Association of Community Health Centers, Prevent Blindness, and the Association of Clinicians for the Underserved, takes a deeper dive into the feasibility of opening an optometry department within a community health center. More Details...

NNOHA Operations Manual: Chapter 3, Financials (2022). Resource Type: Publication. Description: NNOHA's Operations Manuals provides guidance on key topic areas to support health centers run successful dental programs. This chapter on Financials provides an overview of health center financial structures for oral health programs. More Details...

Elements of a Care Plan in Medical Respite Settings (2022). Resource Type: Publication. Description: MRC programs’ size, structure, personnel, and services vary greatly based on their local needs and available resources. Accordingly, this guide is not intended to represent a prescriptive, all encompassing approach to service delivery in MRC settings. Rather, it aims to: 1. Provide a reference-point to assist MRC programs in developing their own care planning tools that are appropriate to their unique contexts and the needs of PEH in their communities. 2. Help partners and stakeholders interested in learning more about MRC to understand the scope and complexity of the services provided within MRC programs. Our team at the National Institute for Medical Respite Care (NIMRC) hopes that this resource will be useful in supporting programs and communities as they strive to offer high-quality care for PEH. More Details...

Mobile Health Care Learning Series: Safety and Security - Addressing External Risk Factors, Safety and Security – Addressing Internal Risk Factors, Models for Mobile Health Billing (2022). Resource Type: Archived Webinar. Description: Mobile health care providers understand the value of meeting patients in their own environment on their own terms. However, this adaptability and flexibility must be supported by policies and procedures that ensure the safety and security of patients and staff in a trauma informed manner. Join us as we explore the mobile health safety and security concerns raised by our community partners and the strategies created to address these concerns and support the physical and mental health needs of patients and staff. More Details...

Developing Screening, Referral, & Service Delivery Workflows for MLPs (2022). Resource Type: Archived Webinar. Description: In this first webinar of the MLP in health centers toolkit series, we revisited our foundation and learned about the evolving health and social needs of health center patients. This time, we took a deeper dive into how PRAPARE is being used to screen for social needs and risk stratification as well as how to build a screenings/referrals/service delivery workflow specific to MLPs. More Details...

Addressing Cognition in Medical Respite (2022). Resource Type: Archived Webinar. Description: Addressing cognitive impairment within medical respite care programs can be challenging. Within the respite setting, identification and accommodating cognitive impairment can be difficult while still focusing on a person’s recovery. This challenge increases when considering and adapting for the different types of cognitive impairment, such as traumatic brain injury or dementia, which require different approaches for care. To help programs address cognitive impairment, the National Institute for Medical Respite Care will be hosting a two-part webinar series on cognition. The first webinar (Overview of Cognition) will provide a general overview of cognition and cognitive impairment related to people experiencing homelessness, and the second webinar (Addressing Dementia) will focus specifically on the identification of and strategies to address dementia within the medical respite setting. More Details...

Telehealth Office Hours: Telehealth Reimbursement (2022). Resource Type: Archived Webinar. Description: NACHC Telehealth Office Hours targets 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...

Business Continuity Planning Interactive Learning Modules (2022). Resource Type: E-Learning. Description: These interactive learning modules are intended to provide community health centers and primary care associations with self-guided learning tools to create and/or improve their business continuity plans and programs. More Details...

Medicaid Redeterminations & the End of the COVID-19 Public Health Emergency: Implications for the HCH Community (2022). Resource Type: Publication. Description: This fact sheet describes how the HCH Community should prepare for Medicaid redeterminations as part of the PHE unwinding. More Details...

Health Center Environmental Scan Kickoff Webinar (2022). Resource Type: Archived Webinar. Description: Throughout the public health emergency, health centers have adapted and evolved to serve their communities amid a confluence of factors. As such, it is becoming crucially important to understand the different strategies and partnerships that have emerged from this crisis. Health centers have an important and essential role in addressing the health-harming social and legal needs of their patients. The National Center for Medical-Legal Partnership (NCMLP) is conducting an environmental scan of health centers with the main goal of establishing, expanding, and sustaining the accessibility and availability of medical-legal partnerships to meet the evolving social needs of patient populations. On September 29, NCMLP staff gave an overview of the data we have so far, why it's so important to complete the scan, and how to actually participate. More Details...

Tool: Screening for Disability Discrimination (2022). Resource Type: Archived Webinar. Description: As part of Tips to Help Health Centers Address Disability & Chronic Disease Discrimination, consultant Katie Hathaway created two brand new screening tools to determine if your patient is experiencing discrimination based on a disability or chronic disease. There is one tool for adults and another for children and young adults (including those attending college). More Details...

Understanding the Current Social Needs of Health Center Patients (2022). Resource Type: Archived Webinar. Description: NCMLP kicked off its annual Health Center Medical-Legal Partnership (MLP) Webinar Series on September 20, 2022. This webinar series, based on the Health Center Toolkit, is designed to provide T/TA for the health center field on the core components of MLP and the advanced application of medical-legal partnership planning, implementation and growth. After almost two and a half years of adjusting services and operations to meet the evolving needs of low-income populations during the ongoing public health emergency, panelists and attendees strengthened their foundational knowledge and understanding of the data on current and emerging social needs for health center patient populations. Attendees heard from the following subject matter experts: • Brad Corallo, KFF • Rosy Weir, AAPCHO • Albert Ayson, Jr., AAPCHO More Details...

Understanding the Current Social Needs of Health Center Patients (2022). Resource Type: Archived Webinar. Description: NCMLP kicked off its annual Health Center Medical-Legal Partnership (MLP) Webinar Series on September 20, 2022. This webinar series, based on the Health Center Toolkit, is designed to provide T/TA for the health center field on the core components of MLP and the advanced application of medical-legal partnership planning, implementation and growth. More Details...

Housing Focused Mobile Outreach for Health Centers (2022). Resource Type: Archived Webinar. Description: n.a. More Details...

Community Health Worker and Care Coordination (2022). Resource Type: Publication. Description: The Midwest Network for Oral Health Integration (MNOHI) partnered with NNOHA to develop this publication which outlines best practices from community health centers that have implemented innovative care coordination strategies for medical and dental integration. More Details...

Serving Veterans in Health Centers: Veterans and the Community Care Network (CCN): A Fact Sheet and Toolkit for FQHCs (2022). Resource Type: Toolkit. Description: This 2-page fact sheet and comprehensive toolkit are designed to orient FQHC Administrators to the enrollment requirements and program benefits of the Community Care Network, administered by the US Veterans Health Administration. More Details...

Webinar: Closing the Loop on the Referral (2022). Resource Type: Archived Webinar. Description: In this HRSA-supported webinar, Siouxland Community Health Center discussed how they joined forces with an HCCN and their civil legal services MLP colleagues to “close the loop on the referral.” The team shared best practices to help other health centers advance their MLP practice beyond screenings and referrals. View the webinar recording to learn how to conduct real-time tracking and analysis of legal needs interventions in the EHR. More Details...

Serving Veterans in Health Centers: A Compendium of Success Stories (2022). Resource Type: Publication. Description: These ten success stories from around country share how health centers are successfully supporting the unique needs of local military veterans. From oral health care and care coordination to housing and outreach to the VA, these stories capture the ingenuity, advocacy and passion of local health centers giving back to Veterans. More Details...

Human Resources (HR) Issue Brief: Employee Freedoms in the Health Center Workplace (2022). Resource Type: Publication. Description: This Issue Brief examines employee freedoms in the health center workplace. It summarizes the relevant legal issues that must be considered when establishing policies relating to employee freedoms in the workplace. More Details...

Abt Conversations: What Does the Future of Community Health Centers Hold? (2022). Resource Type: Podcast. Description: Community health centers provide essential healthcare to people who are uninsured or underinsured. Increasingly, these health centers are offering additional critical services like dental and mental health care, and the question of how we support and enhance these resources is becoming more pressing. More Details...

Teledentistry User's Guide (2022). Resource Type: Publication. Description: Teledentistry is an emerging trend to  help improve access to oral health care, improve the dental care  delivery system, and lower costs. NNOHA has worked with health centers  since Spring 2020 to develop and test a variety of strategies to deliver  dental services via synchronous teledentistry. This User’s Guide gives  an overview of teledentistry, describes its use in health center dental  programs, and includes practical tools for implementing teledentistry. More Details...

CalAIM: Major Components and Current Implementation Status (2022). Resource Type: Archived Webinar. Description: This webinar reviews the major components of the California Advancing and Innovating Medi-Cal (CalAIM) initiatives, including: Enhanced Care Management, Community Supports, Behavioral Health (Criteria to Access Specialty Mental Health and No Wrong Door), and the Population Health Management Strategy and Roadmap. Presenters will provide an overview of the initiatives, timeline, and strategic implications for health centers. This conversation is meant to be a high-level overview of the most impactful initiatives to health centers. More Details...

Primer on Health Center Pharmacy Operations (2022). Resource Type: Publication. Description: The purpose of this resource is to orient new readers to pharmacy operations at health centers with a specific call-out section for the 340B program. Target audiences are health center C-Suite, Board Members, new health center 340B program staff, pharmacy leaders and new health center staff. More Details...

Manufacturer Restrictions on Contract Pharmacies (2022). Resource Type: Publication. Description: This NACHC Brief explains how Gilead’s new “Contract Pharmacy Integrity Initiative” leads to manufacturer restrictions which require health centers and other covered entities to provide claims-level data from contract pharmacies. Merck has recently included Federally Qualified Health Centers (FQHCs) in their contract pharmacy restrictions when previously only hospital covered entities were impacted. Restrictions do not apply to in-house/entity owned pharmacies. More Details...

Ramping Down Operations: Clinic Licensing Considerations (2022). Resource Type: Archived Webinar. Description: In response to COVID-19, under the authority of Executive Order N-35-20, the California Department of Public Health waived specific licensing requirements to ease the administrative burden on Primary Care Clinics. This training session includes updates on the state of clinic licensing in California, and an in-depth look at how to license a site after the expiration of the waiver. More Details...

Impact of COVID-19 On Public Housing Primary Care (PHPC) Health Center Patients and Operations (2022). Resource Type: Publication. Description: This publication by NCHPH highlights findings from a survey distributed to public housing residents assessing the effects that COVID-19 has had on Public Housing Primary Care (PHPC) patients and health center operations. More Details...

The COVID-19 Pandemic and the Health Center Workforce: Challenges and Solutions (2022). Resource Type: Archived Webinar. Description: Despite increasing demand for health care services, health centers indicate a critical shortage of staff necessary to meet that demand. Burnout, stress, depression, etc. have eroded our healthy workforce. This Facebook Live session discussed workforce challenges and how to navigate these challenges to advance well-being. More Details...

Implementing Screening of People with Disabilities and Functional Needs During Disasters (2022). Resource Type: Archived Webinar. Description: This learning collaborative is designed to help health centers work with people with disabilities to create customized emergency preparedness kits and plans. More Details...

Addressing COVID-19’s Impact on Health Centers’ Finance and Operations and Response Planning for Future COVID-19 Outbreaks and Other Emergencies (2022). Resource Type: Archived Webinar. Description: This learning collaborative guides participants through the challenges and solutions for addressing the financial and operational impacts of COVID-19 on health centers serving residents of public housing and other underserved communities, with an emphasis on applied response planning for future emergencies. More Details...

Quick Guide: Conducting Your Health Center’s Needs Assessment (2022). Resource Type: Publication. Description: This guide provides health center staff with an overview of key consderations, tools, and strategies for planning and implementing your needs assessment. More Details...

Establishing an Administrative Fellowship Program: A Practical Toolkit to Support and Develop Future Community Health Center Leaders (2022). Resource Type: Toolkit. Description: This toolkit provides an overview of administrative fellowships, items to consider prior to implementation and practical tools to recruit, train and place Fellows into permanent roles in a health center. Administrative Fellowship programs offer a pipeline for administrative and operations leaders who come from a health systems, health management and advanced administration background. More Details...

Leveraging Federal Recovery Money to Maintain and Expand Health Center Services and Partnerships: Center for Disease Control (CDC) (2022). Resource Type: Publication. Description: States and localities have significant new funding via the CARES Act and the American Rescue Plan Act. This brief is part of a series that will describe in detail the CDC funding sources, the differing processes by which funding becomes available at the state and local level, and the planning and stakeholder input process each funding stream requires before awarding or implementing funds. More Details...

MLP in Health Centers Guide Webinar Series Part 4: The Medical-Public Defender Partnership (2022). Resource Type: Archived Webinar. Description: Since its founding in the early 1990s, the MLP approach has evolved to incorporate criminal legal in addition to civil legal needs. One of the first MLPs focused on criminal legal needs emerged in Rhode Island, where health centers have partnered with the Rhode Island Public Defender’s Office to collaborate around preserving their shared clients’/patients’ health. On June 23, attendees heard from MLP practitioners in Rhode Island discuss a unique medical-public defender partnership. Participants learned the following: 1. The impact of criminal legal involvement on health and well-being 2. The history and evolution of the medical-legal partnership 3. Rhode Island’s approach to bringing together health centers and public defenders to support mutual patient-clients 4. Best practices that empower health centers to advocate for patients with criminal legal involvement The webinar featured the following panelists: James Lawless, Social Services Department Chief, Rhode Island Public Defender Elizabeth Tobin-Tyler, JD, MA, Associate Professor of Health Services, Policy & Practice, Brown University Anthony Thigpen, Community Health Worker, Lifespan’s Transition Clinic Rahul Vanjani, MD, Assistant Professor of Medicine, Brown Medicine More Details...

Rebuilding Systems: Adapting Housing Assessments to Prioritize Health, Equity, and Belonging (2022). Resource Type: Publication. Description: This document is designed to provide a framework communities can use to create equity within their CE process. There is no one tool that can accommodate the unique resources of all communities but applying this guidance will help achieve equity in the process. 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...

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...

Ready, Set, Go! Guidelines and Tips For Collecting Patient Data on Sexual Orientation and Gender Identity (SOGI) – 2022 Update (2022). Resource Type: Publication. Description: This guide was designed to help health centers and other health care organizations successfully collect sexual orientation and gender identity (SOGI) data and document the data into the electronic health record (EHR). For those just beginning the process, this guide can be used from start to finish. If you already have a system, but have encountered challenges and questions, this guide can help you address them. Even if your system is working smoothly, you will find resources and recommendations here that will help you move to the next level of data collection and analysis. More Details...

Advancing MLP in Health Centers Learning Collaborative Part 3 (2022). Resource Type: Archived Webinar. Description: In part three of this session, this learning collaborative allowed health centers and civil legal services staff to connect with peers at different levels of medical-legal partnership (MLP). The provided strategies for implementation and support by addressing the health-harming legal needs of special populations. More Details...

Advancing MLP in Health Centers Learning Collaborative Part 2 (2022). Resource Type: Archived Webinar. Description: In part two of this learning collaborative, health centers and civil legal services staff connected with peers at different levels of medical-legal partnership (MLP) implementation for support with addressing the health-harming legal needs of special populations. More Details...

Advancing MLP in Health Centers Learning Collaborative Part 1 (2022). Resource Type: Archived Webinar. Description: In this session, participants heard from Bethany Hamilton, Co-Director at the National Center for Medical-Legal Partnership on how to identify specific social determinants of health problems that need to be addressed, on different ways to integrate legal services in the health care system as well as determining funding sources. Bethany also explained how MLPs can foster continuous learning and improvement for building a stable, committed, and skilled workforce that meets the needs of the population they serve.  More Details...

NTTAP Webinar: Health Professions Student Training (2022). Resource Type: Archived Webinar. Description: This webinar discussed best practices for health centers to train the next generation as they welcome students back to their clinics. This webinar addressed student training for RN students, how your organization can support capstone projects, and academic partnerships to bolster these efforts. More Details...