Community Cancer Coalition Employs Navigators Who Enhance Access to Free Colonoscopy Screening for Uninsured Rural Patients
A community cancer coalition employs navigators who work with community health centers in rural areas to identify those in need of colorectal cancer screening via colonoscopy and facilitate access to such screening, leading to more referrals and screenings and to more cancers and precancerous polyps being detected and treated.
Electronic Specialist Consultations Reduce Unnecessary Referrals and Wait Times for Specialty Appointments for Uninsured and Underinsured Patients
A public health plan developed a Web-based software platform that enables primary care physicians in federally qualified health centers to consult electronically with "specialist reviewers" before referring the patient to a specialist, leading to fewer unnecessary referrals and shorter wait times for patients who need to see a specialist.
Mental Health Center Provides Integrated Primary Care and Care Coordination to Medicaid Beneficiaries With Severe Mental Illness, Enhancing Access to Services and Improving Outcomes
With support from State funding, a community mental health center provides integrated mental health, primary care, care coordination, and wellness services to Medicaid beneficiaries with severe and persistent mental illness, leading to better chronic disease outcomes.
Formalized, Technology-Enabled Referral Relationships Between Medical Center and Community Clinics Enhance Access and Reduce Inappropriate Emergency Department Visits
A collaborative program leverages information technology to connect ED patients to a medical home and patients receiving care at FQHCs and county health clinics to specialists, leading to enhanced access to care, fewer ED visits, and significant cost savings.
Language Concordant Health Coaches Team with Residents to Help Improve Patients' Self Care Skills, Leading to Better Diabetes Management
Language-concordant health coaches team with residents to improve the self-management skills of patients who have limited English proficiency and health literacy, leading to improvements in the management, documentation, treatment, and clinical outcomes of patients with diabetes.
Health Information Technology Adoption Toolbox
This tool is for health centers as well as other safety net and ambulatory care providers seeking to implement health information technology to improve the overall effectiveness of their institutions.
Safety Net Medical Home Initiative: Resources and Tools
This library of publicly available resources and tools can help safety net providers understand and implement the patient-centered medical home model of care.
Guide To Developing and Managing Overdose Prevention and Take-Home Naloxone Projects
This manual is designed to outline the process of developing and managing an overdose prevention and education program, with or without a take-home naloxone component.
Maximizing Health Care for Colorado’s Underserved
This operational handbook for safety-net medical homes describes the experience of Doctors Care, a community-funded, nonprofit organization that helps underserved children, adults, and families receive the medical attention they need.
Practice Facilitation Handbook: Training Modules for New Facilitators and Their Trainers
The Practice Facilitation Handbook is designed to assist in the training of new practice facilitators as they begin to develop the knowledge and skills needed to support meaningful improvement in primary care practices.