Quick Finds: Value-Based Health Care Transformation

Value Based Payment Contract Review Checklist for FQHCs: Checklist for FQHCs reviewing contracts, as a supplement to video module. Developed in 2022. (2022). Resource Type: Other. Description: The checklist, which can be downloaded below, will walk you through a series of common considerations for contracts you may receive from payers, with a specific focus on contracts that include value-based payment components. More Details...

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

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

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

Trends in Community Health Center Design (2022). Resource Type: Publication. Description: As we develop facilities that strengthen the work of our teams and facilitate improved outcomes for our patients, we are called to not only replicate past successes but to explore new ideas. Before you begin your next capital project, it is helpful to consider how your health center peers are responding to these common challenges. More Details...

Healing-Centered Approaches to Addressing Adolescent Relationship Abuse and Trafficking (2022). Resource Type: Archived Webinar. Description: School-based health providers can play an important role in promoting healthy relationships among adolescents. This webinar, co-hosted by the School-Based Health Alliance and Health Partners on IPV and Exploitation, will offer strategies for talking about relationship abuse and trafficking with adolescent patients in school-based health settings. Presenters will also share ideas for collaborating with community resources and partnering with youth to prevent violence and promote healthy relationships. More Details...

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

Building the Case for Implementing Postgraduate NP Residency and NP/PA Training Programs (2021). Resource Type: Archived Webinar. Description: Join us as we discuss the the drivers and processes of implementing a postgraduate nurse practitioner residency program at your health center, the benefits of implementing a postgraduate residency program, and the residency tracks for Family, Psychiatric/Mental Health, Pediatric, and Adult-Gerontology Nurse Practitioners. We are joined by Charise Corsino, Program Director of the Nurse Practitioner Residency Program, and Nicole Seagriff, Clinical Program Director of the Primary Care Nurse Practitioner Residency Program, from the Community Health Center Inc. More Details...

Successful Practices in Accountable Care Series: Numbers 1-24 (2021). Resource Type: Publication. Description: This publication combines individual documents in the Successful Practices in Accountable Care series, which ran from 2016-2020. The volume includes case studies from successful organizations, as well as discussions of focus areas. More Details...

Fundamentals of Comprehensive Care (2021). Resource Type: Archived Webinar. Description: Join us as we discuss the core concepts of team-based care and introduce elements of team-based care that builds upon these basics to support your teams in advancing their capability to provide satisfying and effective care to complex patient populations. We are joined by Margaret Flinter, Senior Vice President/Clinical Director for Community Health Center, Inc., and both Thomas Bodenheimer, MD, Physician and Founding Director, and Rachel Willard Grace, Director, from the Center for Excellence in Primary Care. More Details...

The Value Transformation Framework: Applied to Diabetes Control in Federally Qualified Health Centers (2021). Resource Type: Publication. Description: Diabetes and pre-diabetes impact more than 114 million Americans. Federally qualified health centers (FQHCs) provide care to some of the most high-risk and underinsured individuals throughout the US, twenty-one percent of whom report being told they have diabetes, compared to 11% of the general adult population. It is widely agreed our health care system requires a transformation to effectively address diabetes and its complications. More Details...

Using American Rescue Plan Act (ARPA) Funds to Build Health Center Value Based Payment (VBP) Capability (2021). Resource Type: Publication. Description: This document provides guidance on ways that FQHCs can utilize American Rescue Plan Act funds to develop and expand their VBP capabilities. Areas of focus for short-term investments include improving data and IT, integrating services, and improving access and health equity. More Details...

Just Breathe (2021). Resource Type: Publication. Description: This collection of wellness and recovery resources has been designed for survivors of domestic violence to track their progress and develop techniques for calming oneself and moving forward in the healing process. More Details...

Approaches to Financing Medical Respite/Recuperative Care Programs (2021). Resource Type: Publication. Description: Also known as recuperative care, medical respite care is short-term care for individuals experiencing homelessness who are too frail to recover from illness or injury on the streets or in shelters but not sick enough to remain in the hospital. This white paper describes trends and opportunities for funding medical respite programs and services and offers methods to expand and scale programs through innovative financing mechanisms and increased flexibility in payment policy. The paper outlines various approaches to finance medical respite programs, offering providers, state and federal Medicaid leadership, policymakers, and managed care organizations (MCOs) specific partnership options to ensure continuity and quality of care for patients with long-term health and housing needs. More Details...

The Path Forward Series Finale (2021). Resource Type: Archived Webinar. Description: The final webinar in the Path Forward \"Moving from Screening to Solving for Social Needs\" series wraps up by highlighting all of the webinars in the series, examining the role of community centers in addressing social determinants of health (SDOH), and ending with a call of action with presenters Margaret Flinter, PHD, APRN; Senior VP and Clinical Director, CHC, Inc., Trishan Panch, MD, MPH; Co-Founder, Wellframe, Co-Director – Applied AI for Healthcare, Harvard TH Chan School of Public Health, President Elect – Harvard TH Chan School of Public Health Alumni Association, and Yvette Highsmith-Francis, MBM; Vice President, Eastern Region, CHC, Inc. More Details...

Ten Strategies for Creating Inclusive Health Care Environments for LGBTQIA+ People (2021) (2021). Resource Type: Publication. Description: Creating welcoming, inclusive, and affirming health care environments is critical for increasing access to care for LGBTQIA+ people. This guide presents ten strategies every health care organization can do to become more affirming and welcoming for LGBTQIA+ patients and staff and sets a foundation for comprehensive organizational change. More Details...

The Path Forward: Collaboration & Resources (2021). Resource Type: Archived Webinar. Description: The fourth of five webinars in the Weitzman Institute\'s Path Forward \"Moving from Screening to Solving for Social Needs\" series focusing on forging partnerships and collaboration among a wide spectrum of stakeholders to address the adverse social determinants of health with presenters Taylor Justice; Co-Founder & President, Unite Us, Sue Birch; Director, Washington State Health Care Authority, and Laura Sankey; Principal, Inspired Perspectives, and Nationally Recognized SDOH Expert. More Details...

Evolving Care Team Models, Strategies to Assess Provider Satisfaction, and Addressing Burnout (2021). Resource Type: Archived Webinar. Description: This Project ECHO Webinar was part of a three-part webinars series on provider burnout and satisfaction during the COVID-19 vaccination rollout. This session addresses the topic of emerging models of team-based care in the COVID and post COVID environment. This COVID-19 ECHO session is a collaboration with HRSA\'s National Health Center Training and Technical Assistance Partners on Team-Based Care. More Details...

Population Management Approach to Reaching Key Populations as they Become Eligible (2021). Resource Type: Archived Webinar. Description: To meet the demand for knowledge on COVID-19 vaccines, CHCI and its Weitzman Institute is moving back to weekly COVID-19 national webinar sessions! More Details...

The Path Forward on Social Determinants of Health: Safety: Advancing Community and Personal Safety (2021). Resource Type: Archived Webinar. Description: The second of five webinars in the Path Forward \"Moving from Screening to Solving for Social Needs\" series focusing on community and personal safety with presenters Tracy Nordstrom; Placemaker and Principal, Verve, Dr. Mariela Alfonzo; Founder& CEO, State of Place, Frode Kjersem; CEO, bSafe USA. 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...

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...

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...

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...

Value-Based Care: A Primer for Outreach and Enabling Services Staff (2020). Resource Type: Publication. Description: This publication outlines community health center traditional payment models and introduces value-based care and incentive payments to community health centers. It examines different incentive-based payment models and compares them to the current fee-for-service model community health centers have traditionally relied upon. More Details...

Making the Value Connection Whitepaper (2020). Resource Type: Publication. Description: Through the generous support of Cedars-Sinai, Capital Link and IHQC designed and piloted the Making the Value Connection (MVC) Program, a learning collaborative that creates resources to support community clinics in incorporating a comprehensive definition of value into their strategic priorities. 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...

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...

PCA Enabling Services Virtual Summit Podcast Series (2020). Resource Type: Other. Description: The first-ever PCA Enabling Services Virtual Summit and podcast series is co-organized and hosted by the Health Center Association of Nebraska (HCAN) in partnership with Health Outreach Partners (HOP). The seven podcast episodes cover a variety of Enabling Services topics, with a focus towards Primary Care Associations. More Details...

Medicare FQHC Updates: Calendar Year 2020 (2020). Resource Type: Publication. Description: Every year the Centers for Medicare and Medicaid Services issues an annual rule, the Physician Fee Schedule Final Rule, which provides details on new policies for Medicare providers. This update provides a summary of the latest changes, including any specific provisions in the CY2020 Physician Fee Schedule directly impacting FQHCs. More Details...

Developing Cross-Sector Partnerships (2020). Resource Type: Publication. Description: This guide provides health center staff with tools and strategies to initiate, develop, and sustain community partnerships to better serve older adult residents of public housing. Content of this publication was developed through a 4-session learning collaborative launched by the SDOH academy with a small cohort of HRSA-funded health centers, HCCNs, and PCAs. More Details...

Digest of Resources for Medical-Legal Partnerships — COVID-19 (2020). Resource Type: Other. Description: A digest of resources to tackle the urgent, overlapping health and legal needs exacerbated by the COVID-19 pandemic. Includes a townhall webinar highlighting remote legal practices, COVID-19-related legal needs such as eviction prevention, and practical advice from New York and Austin MLP programs. 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...

Panel Management in the Age of Value-Based Care: Health Center Case Studies Developed with Chiron Strategy Group, June 2019 (2019). Resource Type: Publication. Description: This downloadable HITEQ resource offers guidance on improving panel management activities, including real-life examples from two health centers of the challenges and successes in managing panels. More Details...

HITEQ Highlights: Developing Community Health Centers Along the Continuum of Pay for Performance (2019). Resource Type: Archived Webinar. Description: This HITEQ Highlights webinar described the continuum of value-based contracting, and suggested steps for health centers to move up the continuum. It also outlined basic elements of infrastructure to perform well in a value-based environment. Presenters from Yakima Valley Farm Workers Clinic presented their experience. More Details...

Improving the Health Outcomes of Both Patients AND Populations (2019). Resource Type: Archived Webinar. Description: This national webinar focuses on empowering health centers to initiate a population health strategy at their organization. More Details...

Managing Your Health Center's Cost of Care (2018). Resource Type: Archived Webinar. Description: This session focused on the factors that influence the cost of care, providing information from new resources – a Capital Link study examining four-year trends across a series of cost-focused ratios and an updated NACHC issue brief providing a methodology for calculating costs. More Details...

Cost Per Visit: Measuring Health Center Performance (2018). Resource Type: Publication. Description: Developed by Capital Link and the National Association of Community Health Centers (NACHC) as an update to NACHC’s original 2003 publication,Cost Per Visit – Measuring Health Center Performance, reviews in detail the process and methodology for calculating the component costs of care with a focus on cost per visit across all service lines — medical, dental, mental health (including substance abuse), and vision services. It also examines methods for reducing health center costs through population health management, global payment methodologies, and tying reimbursements to outcomes. More Details...

Payment Innovation and Health Center Dental Programs: Case Studies from Three States (2018). Resource Type: Publication. Description: As dental care reimbursement follows the trends of healthcare overall towards value-based payment reimbursement, lessons from pioneers in dental payment innovation will inform effective health center strategies that will both strengthen the dental safety network and improve the oral health of the communities they serve. This document outlines interviews from organizations in three states on how health center dental programs are adapting clinical care systems under payment innovation incentives. More Details...

Effective Partnerships Guide: Improving Oral Health for Migrant and Seasonal Head Start Children and their Families (2018). Resource Type: Publication. Description: The purpose of this guide is to create an opportunity for Migrant and Seasonal Head Start (MSHS) programs and health centers to learn more about each other’s programs, share resources, foster new partnerships and strengthen ones already in place. Although the guide focuses primarily on oral health, information about medical health services is included. More Details...

Enabling Services Data Collection Implementation Packet: Enabling Services Accountability Project (2017). Resource Type: Toolkit. Description: This toolkit includes tools and recommendations for how health centers can better capture data on enabling services (ES). This will help health centers provide a better understanding of the role of ES in health care access, utilization and outcomes for Asian Americans, Native Hawaiians, and Pacific Islanders (AA&NHPIs), and useful information to appropriately address these needs. More Details...

Promising Practices Report: Community Outreach and Education Efforts of the Metta Health Center Program Within the Lowell Community Health Center (2017). Resource Type: Publication. Description: This report describes the development of a culturally tailored outreach and health education program through the use of radio and public access TV programming by the Metta Health Center Program in Lowell, MA. The health center has been recognized by the Office of Minority health as an exemplar provider of culturally competent care in meeting and exceeding all the standards set forth in the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health Care. More Details...

HITEQ Health App Decision Tree: A tool developed In collaboration with the Children's Health Fund to help choose appropriate Health Apps (2017). Resource Type: Publication. Description: There are thousands of consumer health applications health apps, which run on smartphones, watches, tablets, and other mobile devices. These Health Apps are available for download for general consumers, patients, and healthcare professionals. Currently, there is no governmental agency that provides certification or guidance on health apps, although there are several projects from organizations such as HL7, the FDA, ONC, and OCR that are working to provide guidance. User discrepancy in terms of the validity and safety of the health apps they choose to use are primarily based on ratings or recommendations. This guide seeks to provide a health app decision tree that can assist medical professionals and consumers in making wise choices when using health apps. There are thousands of consumer health applications health apps, which run on smartphones, watches, tablets, and other mobile devices. These health apps are available for download for general consumers, patients, and healthcare professionals. Currently, there is no governmental agency that provides certification or guidance on health apps, although there are several projects from organizations such as HL7, the FDA, ONC, and OCR that are working to provide guidance. User discrepancy in terms of the validity and safety of the health apps they choose to use are primarily based on ratings or recommendations. This guide seeks to provide a health app decision tree that can assist medical professionals and consumers in making wise choices when using health apps. The Children's Health Fund was made aware of a use case in which a health app that was targeted for use by adults was used for a child and consequently caused a detrimental health issue. Currently there are no certifying bodies for consumer-oriented health apps and consequently many doctors must navigate this domain themselves. This guide seeks to provide a health app decision tree that can assist medical professionals and consumers in making wise choices when using health apps. Download the decision tree below. More Details...

Growing Our Own: Cultivating the Next Generation of Primary Care Physicians in Community Health Centers (2017). Resource Type: Publication. Description: It is critical to advance policies and programs that help community health centers (CHCs) become Educational Health Centers (EHCs)2 and “grow their own” primary care training opportunities. This paper explores several pathways for promoting CHCs as teaching environments - enhanced partnerships between Academic Medical Centers (AMCs) and CHCs (with either the AMC or the CHC as the sponsoring institution3), and CHCs participating in HRSA Teaching Health Center (THC) funding opportunities (with sponsorship either by the CHC alone or by a consortium body) - and posits a spectrum of options and costs associated with each of these pathways to train medical residents. More Details...

ICD-10 Z-Codes for Social Determinants of Health: A quick reference guide for providers and health care leaders (2017). Resource Type: Publication. Description: This resource will equip health center stakeholders with the understanding of how standardized social determinants of health (SDoH) data can be used and which ICD10 z-codes are pertinent as a standardized SDoH data set. This resource describes ways standardized social determinant of health (SDoH) data can be used and provides a quick reference guide to which ICD-10 codes can help document standardized SDoH data.  Download here or below. More Details...

Outreach and Value-Based Care (2017). Resource Type: Publication. Description: HOP’s new resource Outreach & Value-Based Care: Impacting Health Care Delivery and Cost through Integrated Community Health Outreach Programs, describes how health centers can use their outreach teams to enhance value under service delivery models such as Patient Centered Medical Homes (PCMH) and Accountable Care Organizations. It offers examples of how outreach programs can enhance revenues from alternative payment models such as shared savings, pay-for-performance, and PCMH supplemental payments. The resource is a complement to HOP’s Outreach Business Value Toolkit. More Details...

Asian Americans, Native Hawaiians, and Pacific Islander (AA&NHPI)-Serving Health Centers and Medicaid (2017). Resource Type: Publication. Description: This fact sheet outlines the impact of potential cuts to Medicaid on Asian American, Native Hawaiian and Pacific Islanders (AA&NHPIs) and health centers. More Details...

HITEQ-Social-Determinants-Data-Infographic-2017: Coding Social Determinants of Health (SDH) for Optimizing Value (2017). Resource Type: Other. Description: SDH coding is important for clinical management and outcomes reporting for payment reform and value based payment (particularly capitate payment), as well as other policy work. SDH coding begins with care providers, who often may need to understand how these data can be used to benefit not only the patient they are serving but also the broader population served by the organization. More Details...

Coding Social Determinants of Health (SDOH) for Optimizing Value: An Infographic for Providers on the Benefits of Coding for SDH (2017). Resource Type: Publication. Description: The purpose of the infographic is to describe how SDH data would be used for a variety of goals that would have traction with the clinic staff audience who may likely need to modify workflows and behavior in order to collect such data.  The visual case could be used in presentations or hung on a provider break room wall. SDH coding is important for clinical management and outcomes reporting for payment reform and value based payment (particularly capitate payment), as well as other policy work. SDH coding begins with care providers, who often may need to understand how these data can be used to benefit not only the patient they are serving but also the broader population served by the organization. More Details...

Why Collect Standardized Data on Social Determinants of Health?: A slide deck outlining the potential use of ICD10 coding for SDOH. (2017). Resource Type: Publication. Description: This resource will equip health center stakeholders with the motivation, knowledge, and ability needed to collect and use standardized social determinants of health data. This resource describes the importance of collecting Standardized SDOH Data in the context of value based payment.  The resource reviews commonly used codes in ICD-10 that can help document SDOH.  Finally, the slide deck describes useful tools for collecting these data and what’s on the horizon for health centers to strengthen their efforts to move “upstream” in addressing health disparities. Download this slide deck below. More Details...