Comprehensive Screening, Guideline-Based Treatment, and Self-Management Support Enhanced Access to Asthma Care, Reduced Hospitalizations and Costs
The Urban Health Plan Asthma Relief Street program provides standardized, comprehensive asthma screening, guideline-based treatment, education, and self-management support, leading to more people being diagnosed and treated, fewer hospitalizations, and overall cost savings.
Onsite Care Teams Enhance Access to Medical and Mental Health/Substance Abuse Services for Homeless Individuals
Penobscot Community Health Center provides onsite services at a community health clinic, with psychiatric and medical professionals offering primary care, disease management, mental health, and substance abuse services, along with referrals to additional mental health and other specialty services that may be needed.
Recreation "Prescriptions" Increase Use of Free Community Exercise Programs by Low-Income Patients Who Are Overweight or Obese
Physicians working in underserved areas use preprinted "prescription pads" to increase use of free community recreational activities and resources by overweight and obese patients, with the goal of helping them achieve a more healthy weight.
Clinics and Hospitals Use Trained, Certified Community Members To Screen and Support Primary Care and Postdischarge Patients, Reducing Physician Visits and Costs
Specially trained and certified lay workers known as "Grand-Aides" use illness-specific protocols to ensure that patients receive appropriate treatment in primary care settings and to ease the transition from hospital to home after discharge. The primary care-based program has reduced unnecessary visits and demonstrated the potential to reduce costs. Early data from one hospital program show significant reductions in readmissions.
Weekly Group Program Improves Health-Related Behaviors, Leading to Stable Body Mass Index in Children and Weight Loss in Adults
An inner-city clinic hosts a weekly group program with parents and children that includes an individual medical visit, group education, and time for exercise, leading to improved health-related behaviors, stable body mass index in children, and weight loss in adults who participate frequently.
Asthma Health Disparities Collaborative Coalition Guide
The guide discusses the scientific foundation for the Michigan Asthma Health Disparities Collaborative and provides practical examples, tools, and materials that can be used or adapted in developing partnerships with federally qualified health centers.
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.
Connecting Those at Risk to Care: A Guide to Building a Community "HUB" to Promote a System of Collaboration, Accountability, and Improved Outcomes
This guide is intended to help improve the system by which at-risk individuals within a community are identified and connected to appropriate health care and social services.
Electronic Health Record Selection Toolkit for Community Health Centers
This toolkit describes the differences between commercial and community health centers and identifies the electronic health record system requirements that are unique to community health centers.