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…

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…

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.”

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).

Reduction of Opioid Misuse in Primary Care via the Transforming Opioid Prescribing in Primary Care (TOPCARE) Program @ Boston Medical Center

Nurses provide electronic and in-person monitoring of high-risk primary care patients on long-term opioid prescriptions to ensure appropriate use and efficacy of medication.

TOPS: Telephonic Outreach in the Pulmonary Service @ Boston VA

TOPS utilizes nurse-driven, phone-based outreach to improve transitional care, decrease requirements for in-person follow-up, and decrease readmission among COPD patients.

Nurse Practitioner-Physician Primary Care Teams via “NP Anchor” @ Boston Medical Center

NP-MD primary care teams were created to address clinician burnout and increase patient access in an urban safety-net hospital.

Improving Burnout Rates and Attitudes of Primary Care Physicians via an Educational Program in Mindful Communication @ University of Rochester

The innovators implemented a CME course for primary care physicians to address burnout, incorporating mindfulness meditation, narrative medicine, and appreciative inquiry.

Improving Timely Referrals via implementation of Lower Extremity Amputation Prevention (LEAP) Tool @ Suburban Wound Care Clinic

This program sought to standardize diabetic ulcer assessments and timely referral to vascular/podiatry services.

Palliative Care Mentor Program for Generalists @ USC & CareMore Health System

The University of Southern California (USC) Section of Palliative Medicine and CareMore Health System collaborated to create a ‘train the trainer’ model to improve the…