Resources from Community Clinic Voice

This study from the Patient-Centered Primary Care Collaborative (PCPCC) provides an in-depth understanding of how primary care practices in the United States are transforming their practice to deliver patient-centered care. The study used qualitative research methods to conduct case studies of small primary care practices in the state of Virginia. The research team collected data from practices using in-depth interviews, structured telephone questionnaires, observation, and document review. Team-based care stood out as the most critical method used to successfully transform practices to provide patient-centered care. This article presents 3 team-based care models that were utilized by the practices in this study...

Anjana Pandey of Center for Health Care Strategies shares a new directory of contact information for all designated health homes across New York State, which may be a useful resource as you think about collaborating with other health homes outside your region.

See: http://www.health.ny.gov/health_care/medicaid/program/medicaid_health_homes/hh_contacts.htm#nyc

The U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) has developed an array of new tools to educate consumers and health care providers about the Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security Rules.

OCR offers a series of factsheets, available in eight languages, to inform consumers about their rights under the HIPAA Privacy Rule: http://www.hhs.gov/ocr/privacy/hipaa/understanding/consumers.

The fact sheets compliment a set of seven consumer-facing videos released earlier this year on OCR痴 YouTube channel. An additional video, The HIPAA Security Rule, has been designed for providers in small practices and offers an overview of how to establish basic safeguards to protect patient information and comply with the Security Rule痴 requirements...

The Substance Abuse and Mental Health Services Administration has issued a request for applications to expand substance abuse treatment and HIV services for the target populations including African American, Hispanic/Latina and other racial/ethnic minority women who have substance use or co-occurring substance use and mental disorders and are living with or at risk for HIV/AIDS.

Funding will support up to 35 grants of approximately $520,000 per year for 3 years. Community-based organizations, FQHCs, and FQHC look-a-likes are eligible applicants. Applications due 5/14/13. See more at: http://www.samhsa.gov/grants/2013/ti-13-011.aspx

The 2013 Physician Compensation Report from Medscape reveals physicians' most current salary and earnings trends by medical specialty. The report represents data from nearly 22,000 US physicians on personal income, patient load, time spent per patient, attitudes toward insurers, adoption of ACOs and more. See: http://www.medscape.com/sites/public/physician-comp/2013

The Robert Wood Johnson Foundation is accepting applications for the 2013 Health & Society Scholars program, which provides two years of support to postdoctoral scholars at any stage of their careers to build the nation's capacity for leadership and research that addresses the multiple determinants of population health and contributes to policy change.

Up to twelve scholars will be awarded $80,000 annually for two-year appointments beginning in the fall of 2014. Scholars will be trained to investigate the connections among biological, genetic, behavioral, environmental, economic, and social determinants of health, and will be expected to develop, evaluate, and disseminate knowledge, interventions, and policies that integrate and act on these determinants to improve health.

The application deadline is Sept 20, 2013. See full details at: http://www.rwjf.org/en/grants/calls-for-proposals/2013/rwjf-health---society-scholars-.html

HealthIT.gov published new resources on how to Implement EHRs, which help walk you through the steps of an EHR Implementation:

· Step 1: Assess Your Practice Readiness · Step 2: Plan Your Approach · Step 3: Select or Upgrade to Certified EHR · Step 4: Conduct Training & Implement an EHR System · Step 5: Achieve Meaningful Use · Step 6: Continue Quality Improvement

The six steps outlined provide information for how to complete each step in the EHR Implementation process along with relevant resources and related FAQs. See:
http://www.healthit.gov/providers-professionals/ehr-implementation-steps

The Patient-Centered Primary Care Collaborative (PCPCC) has developed a framework to help fellow medical home supporters and advocates explain the benefits and strategies associated with delivering patient-centered primary care. The graphic is organized according to the five key features of the medical home model: Patient-centered, comprehensive, coordinated, accessible, and committed to quality and safety.

The infographic includes definitions for each of these features, sample strategies used by health professionals, employers, and payers, and their collective impact on the health system. See: http://www.pcpcc.net/resource/infographic-why-medical-home-works

Dr. Kate Colwell, CCI Quality Improvement Consultant, walks through the fundamental steps of turning your data into meaningful graphs and charts in this recording of an April 2013 webinar hosted by Center for Care Innovations. See:
http://vimeo.com/63418211

ABC's of Quality Improvement The Center for Care Innovations (CCI) and the California Improvement Network (CIN) offer a free, one-day workshop on basic quality improvement concepts, May 29 in Oakland

Kendal Charitable Funds is accepting Letters of Intent for innovative projects that enhance the lives of seniors, whether through services, research, and/or developing new understandings and awareness of elder abuse.

Grants of up to $25,000 will be awarded for pilot projects that address at least one non-institutionalized elderly population, with a focus on the identification or prevention of financial, physical, emotional, and/or sexual abuse. Priority will be given to projects with the greatest potential for change and replication. Grants will be awarded for new programs only.

Letters of Intent must be received no later than May 15, 2013...

HHS releases blueprint to advance culturally and linguistically appropriate services in health and health care

New standards will help organizations improve quality of care and reduce health disparities

Health and Human Services (HHS) on 4/24/13 released enhanced National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care – a blueprint to help organizations improve health care quality in serving our nation痴 diverse communities.

The enhanced standards, developed by the HHS Office of Minority Health, are a comprehensive update of the 2000 National CLAS Standards and include the expertise of federal and non-federal partners nationwide, to ensure an even stronger platform for health equity. The enhanced National CLAS standards are grounded in a broad definition of culture one in which health is recognized as being influenced by factors ranging from race and ethnicity to language, spirituality, disability status, sexual orientation, gender identity, and geography.

A key initiative in the department痴 effort to reduce health disparities, the update marks a major milestone in the implementation of the HHS Action Plan to Reduce Racial and Ethnic Health Disparities. As cited in a recent report from the HHS Agency for Healthcare Research and Quality, the burden of insufficient and inequitable care related to racial and ethnic health disparities has been estimated to top $1 trillion...

This updated Tool Kit (2013) was developed partially written and partially compiled by Barbara Demming Lurie of the Integrated Behavioral Health Project (IBHP) and sponsored by the California Mental Health Services Authority痴 (CalMHSA) Statewide Stigma and Discrimination Reduction Initiative.

The comprehensive tool kit (attached below) is interactive and easy to use. It provides a wealth of resources on the basics of what integrated care is, getting started on integration, the client perspective, a menu of collaborative approaches, information sharing, finances, coordinating medication, sample job descriptions, interagency agreements, measurement, screening and evaluation instruments, sample forms, training & resources, collaborative initiatives and California contacts.

Integration of services means a more cohesive service delivery system and better continuity of care. The Patient Protection and Affordable Care Act (ACA, effective January 2014) provides incentives and support for the integration of behavioral, substance use and primary care services for millions of additional persons it makes eligible for health care...

An April 2013 report from Families USA highlights care coordination as an opportunity for health system reform that is based on the needs of patients. It explains what advocates need to know to ensure that their state's care coordination programs stay focused on improving care quality and patient health.

The Affordable Care Act has created many opportunities for states to design and test new models of care delivery and payment that improve health outcomes, improve patientsexperience, and reduce health care spending. These new models include accountable care organizations (ACOs) and Medicaid health homes. A main component of these new models is care coordination programs, which allow providers and other members of the health care system to work together for the benefit of the patient...

This brief prepared by Desert Vista Consulting (DVC) captures the implementation progress and experiences of the eight projects in the first year of the program.

Launched in 2011, the Health Home Innovation Fund (HHIF) supports partnerships among safety net institutions to build patient-ュcentered, integrated systems of care and explores options for payment reform to incentivize and sustain health home implementation. The purpose of the HHIF is to provide flexible funding and technical assistance resources to spread the implementation of health homes for low-ュincome populations and communities of color throughout California.

In partnership with The California Endowment, the Center for Care Innovations (CCI) funded eight collaborative projects for two years to progress toward fully integrated health homes with the following core components, as defined by the Affordable Care Act (ACA):

- Care coordination and health promotion - Comprehensive transitional care from inpatient to other settings - Support for patients and their families - Referral to community and social support services - Use of health information technology to link services - Comprehensive case management.

At the core of the HHIF initiative is the vision and expectation of long-ュterm systems change to improve the health care delivery system for safety net populations...

Thanks Jodi for that clarification.

Just a point of clarification that this FOA does NOT apply to California, as we have a State-Based Exchange. This FOA is only for states with a Federally-Facilitated Exchange (FFE) or a State Partnership model.

The RFP from Covered California to implement the Navigator program in California is anticipated to be released sometime in June 2013.

In conjunction with their free monthly PCHH Lunch & Learn webinar series, CPCA has launched a Voice discussion that will focus on one of the NCQA PCMH recognition standards each month, highlighting resources, case studies, and success stories, and providing a place to ask questions and continue the discussion with your peers.

The opening week of April 15 covers Standard 1: Access & Continuity. Read more.

The next Lunch & Learn webinar on May 16 focuses on PCHH & HRSA Program Requirements.

See the 2013 PCHH Lunch & Learn Schedule

Previous Patient-Centered Health Home Lunch & Learn Sessions now available on-demand!

The Office of the National Coordinator (ONC) has developed training modules around the Stage 2 Meaningful Use (MU) Rule to train Eligible Professional (EPs) and Critical Access Hospitals (CAHs) on how to implement new standards to support:

Transitions of Care Lab Exchange Patient Engagement Public Health Measures.

The five part series of self-paced training courses provide real-world examples and a story-based approach to highlight the interoperability of EHR standards in the above key areas. See: http://www.healthit.gov/providers-professionals/interoperability-training-courses

On 4/426/13 at 11 am PDT, HRSA hosts a webinar on Using EHRs for Health Information Exchange and Interoperability for Safety Net Providers.

And see: The ONC HIE Resource website, which provides a variety of resources about HIE and how it relates to Meaningful Use.

Major donors have changed a lot in what they want and expect from nonprofits, writes Gail Perry in an article on the Top 10 Major Donor Trends for 2013 – along with a strategy to ride each trend productively.

Wary of trusting, donors choose charities based on personal relationships. Boomers are becoming the #1 donor population, and older ladies are THE major donor demographic. Read more.

This document highlights key learnings about innovation that were drawn from a larger evaluation of the Community Health Center Innovation Challenge (CHCIC), a pilot program offered by the Center for Care Innovation (CCI) and Blue Shield of California Foundation. The information in this document (attached below) is based on data collected through surveys, interviews and document reviews from the thirteen grantees in the inaugural cohort.

The first section describes the CHCIC program and provides examples of the projects. The second section shares key learnings about engaging in or supporting health care innovation.

For more information about CCI or the CHCIC program, contact Jane Stafford at jane@careinnovations.org or visit: www.careinnovations.org.