Our recipes are primers that will help you explore and implement care strategies to benefit your providers, patients, and practice. You can search for the available recipes by keywords, or browse using the filters below.
Reducing Clinician Burden via Team-Based Labs Ordering @ Iora Health
This project aimed to increase efficiency by having health coaches attend office visits with clinicians to document lab orders in the electronic health record during…
Innovators
- Jeffrey Panzer, MD, MS
Improving Discharge Coordination in Integrated Behavioral Health (IBH) Settings via ‘Health Systems Genogram’ Patient Assessment Tool @ Saint Louis University Family and Community Medicine
This project aimed to improve follow-up care for Integrated Behavioral Health (IBH) patients being discharged from the hospital through Health Systems Genogram, an electronic, provider-facing…
Innovators
- Jay Brieler, MD
- Max Zubatsky, PhD
Intensive Primary Care via Patient Aligned Care Teams (PACT) Intensive Management @ the Veteran’s Health Administration
The VA currently offers primary care through patient-centered medical homes, or Patient Aligned Care Teams (PACT) for all enrolled Veterans. Selected demonstration sites augmented the…
Innovators
- Evelyn Chang, MD, MSHS
- Lisa Rubenstein, MD, MSPH
Improving Advance Care Planning via the Life-Sustaining Treatment Decisions Initiative (LSTDI) @ US Department of Veteran Affairs
The VHA aims to improve care for patients with advanced illness and at heightened risk of a life-threatening event by promoting high-quality Goals of Care…
Innovators
- Ellen Fox, MD
- Paul Tompkins
- Mary Beth Foglia, RN, PhD, MA
- Jill Lowery, PsyD
- Virginia Ashby Sharpe, PhD
Employing Community Health Workers (CHWs) to Improve Population Health via the IMPaCT Model @ Penn Center for Community Health Workers
The IMPaCT (Individualized Management of Patient-Centered Targets) model is a standardized, scalable, evidence-based Community Health Worker (CHW) intervention proven to improve chronic disease control, quality…
Innovators
- Shreya Kangovi, MD, MS
- Scott Tornek, MBA
- Olenga Anabui, MBA, MPH
- Jill Feldstein, MPA
- Tamala Carter
Implementing an Interdisciplinary Collaborative Experience in Diabetes Care @ People’s Community Clinic
People’s Community Clinic (PCC) created an interdisciplinary approach to overcome barriers to diabetes self-management by integrating nurses and health educators specialized in diabetes education into…
Innovators
- Elizabeth Washington, RN
Improving Multicultural Depression Screening and Follow-up via Multilingual and Standardized Tools @ Harrisonburg Community Health Center
This quality improvement project aimed to improve depression management by offering both universal screening in several languages and additional tools for treatment decision-making and follow-up…
Innovators
- Diana Jolles, PhD, CNM
- Ann M. Schaeffer, DNP, CNM
Engaging Substance Use Disorder (SUD) Patients in Outpatient Care via Implementation of Recovery Coaches @ Arms Acres
This project aimed to demonstrate the value of adding recovery coaches to the multidisciplinary team at Arms Acres in order to improve transitions of care…
Innovators
- Tamar Wolinsky
- Eric D’Entrone
- Tammy Bender
- Eric Altman
- Damara Gutnick, MD
- Kristin Woodlock, RN
Expanding Nursing Role via RN “Co-Visit” Model @ Clinica Family Health
A multi-site community health center implemented a care model expanding nurses’ roles in intake, documentation, and care plan communication, working alongside providers in “co-visits.”
Innovators
- Karen Funk, MD, MPP
- Malia Davis MSN, RN, ANP-C, NP
Achieving IBD Clinical Trial Recruitment in a Day via Digital Medicine Platform @ Mount Sinai Health System
Digital recruitment of patients for clinical trials is an efficient, effective way to enroll patients more quickly in clinical trials for inflammatory bowel disease (IBD).
Innovators
- Ashish Atreja, MD, MPH