Primary care

Innovations

Collaborative Health Education and Access Events Offer No-Cost Screenings and Navigation Services To Connect Lesbian, Gay, Bisexual, and Transgender Individuals With Medical Homes Offering Culturally Competent Care 12/19/14

Lesbian Health Initiative of Houston, Inc., creates a gateway to medical homes for lesbian, gay, bisexual, and transgender women and transgender men through a program that combines culturally...

Specially Trained Paramedics Respond to Nonemergency 911 Calls and Proactively Care for Frequent Callers, Reducing Inappropriate Use of Emergency Services 12/19/14

Developed by Christian Hospital and Northwest HealthCare (a two-hospital system that is part of the BJC HealthCare System), Community Health Access Program is a mobile program that...

Home Telemonitoring Does Not Improve Blood Pressure or Glycemic Control in Diabetes Patients 11/06/14

Six family medicine and internal medicine clinics affiliated with the University of Missouri provided diabetes patients who had uncontrolled blood pressure, uncontrolled blood glucose, or both...

Electronic System for Referring Tobacco Users to Quitline and Monitoring Their Progress Increases Physician Referrals and Enhances Access to Cessation Services 11/05/14

In partnership with Dean Health Systems, the State of Wisconsin enhanced its phone-based tobacco quitline by creating an electronic health record–based, or “eReferral,” system that allows...

Physician-Led Clinics Offer Integrated, Coordinated Care to High-Risk Seniors Under Capitated Contracts, Leading to Strong Performance on Quality Metrics, Low Inpatient Use, and High Patient Satisfaction 11/04/14

ChenMed is a physician-led practice serving more than 20,000 Medicare-eligible seniors through 36 centers in six States. ChenMed offers integrated, coordinated care under capitated contracts...

QualityTools

Self-Management Support Resource Library 09/17/14

The Self-Management Support Resource Library was developed to help primary care team members learn about self-management support and develop their self-management support skills in working with chronically ill patients. The Resource Library...

Integrating Primary Care Practices and Community-Based Resources To Manage Obesity: A Bridge-Building Toolkit for Rural Primary Care Practices 09/17/14

The Integrating Primary Care Practices and Community-Based Resources To Manage Obesity toolkit was developed to help primary care practices manage obesity. It provides tools and concepts informed by the real-world experience of six practices in...

Oral Health Risk Assessment Tool 07/08/14

The Oral Health Risk Assessment (OHRA) Tool helps pediatricians and other medical providers understand risk factors, protective factors, and clinical findings related to dental caries in young children.

Accompanying the OHRA Tool is...

Quality Indicators in Epilepsy Treatment Tool 06/26/14

The Quality Indicators in Epilepsy Treatment Tool (QUIET) is designed to help primary care and general neurology clinics benchmark the quality of care for adults with epilepsy. This tool can be useful for assessing the degree to which clinical...

Safety Net Medical Home Initiative: Resources and Tools 06/16/14

This library of publicly available resources and tools can help safety net providers understand and implement the patient-centered medical home (PCMH) model of care. Users can navigate these free resources by type or topic or by the registry of...

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