Teaming in Primary Care @ University of Vermont’s Aesculapius Medical Center

Development of a team-based care process at a small suburban primary care practice

Depression Screening @ UCSF

Implementing universal depression screening using PHQ-9 in a primary care setting

Screening, Brief Intervention, & Referral to Treatment for Social Determinants of Health @ Intermountain Health Care

Intermountain Healthcare created a Social Determinants of Health Committee in order to devise a strategic plan with which to address social determinants of health for…

Diabetes Management via Food as Medicine “Fresh Food Farmacy” in Primary Care @ Geisinger Health System

Fresh Food Farmacy is an organization that works improve the health of diabetic adults by providing them with free, nutritious food in addition to traditional healthcare…

Mental Health Counseling via Telehealth @ Texas A&M University

The Telehealth Counseling Clinic is a telehealth clinic that uses psychology doctoral students from Texas A&M University to provide free virtual therapy to underserved patients…

Diabetes Management via Team-Based Approach with Pharmacist & Dietitian Support @ Brigham & Women’s Hospital – South Huntington

A team-based, multidisciplinary approach to treating patients with uncontrolled type 2 diabetes

Wellness Navigators for Social Determinants of Health @ LA+USC Medical Center

Use of clinic-based Community Health Workers to address social determinants of health

Patient Reported Outcomes in Primary Care @ Mass General

Collection of patient reported outcome measures (PROMs) to assess for unmet social determinants of health among Medicaid patients and to facilitate completion of a Health Risk…

Medicare Visit Workflows @ Brookside Community Health Center

Development of a team-based workflow for Medicare wellness visits to increase access to the service and bill appropriately while allowing all clinicians to practice at…