Integration of a Social Needs Assessment @ Northeast Ohio Medical University’s Student Outreach Free Clinic (SOAR)

This project sought to integrate a cost-effective social needs assessment into Northeast Ohio Medical University’s SOAR Free Clinic.

Improving Care Coordination via Johns Hopkins Community Health Partnership (J-CHiP) @ Johns Hopkins Medicine

Johns Hopkins Community Health Partnership (J-CHiP) is a three-pronged care coordination program with comprehensive community support for a cohort of high-risk patients, enhanced discharge procedures…

Adoption of Social Determinants of Health EHR Tools by Community Health Centers in the Pacific Northwest

This pilot study assessed the feasibility of implementing EHR tools for collecting, reviewing, and acting on patient-reported social determinants of health in three community health…

Direct Scheduling in Primary Care @ Massachusetts General Hospital

Direct scheduling in primary care is a tool that allows patients to book their own appointments online.

Weight Management for Patients with Serious Mental Illness via “Weight Web” Computerized Peer Coaching @ Greater Los Angeles VA Medical Center

A computerized provision of weight management with peer coaching for VA patients with serious mental illness

Improving Colonoscopy Prep & No-Show Rates via Medumo’s Text Message Reminder System @ Brigham & Women’s Hospital

A multidisciplinary team at the BWH Endoscopy Center used Medumo’s text message reminder system to provide patients with a digital colonoscopy prep guide in advance…

Emergency Department Discharges to Medical Home @ Carolinas HealthCare System Anson

Implementation of the Discharge to Medical Home model, a new care delivery model that routes non-urgent ambulatory emergency department (ED) patients to a nearby primary…

Opioid Prescription Guidelines and Monitoring at NewYork-Presbyterian Medical Groups

Physicians created a set of opioid prescription guidelines, reference tools, and provider education opportunities for ambulatory settings across specialties based on analysis of provider prescription…

Improving Colonoscopy Prep & No-Show Rates via Medumo’s Text Message Reminder System @ Brigham & Women’s Hospital

A multidisciplinary team at the BWH Endoscopy Center used Medumo’s text message reminder system to provide patients with a digital colonoscopy prep guide in advance…

eConsults via RubiconMD to support Medicaid Primary Care Providers @ the Community Health Center Network (CHCN)

CHCN engaged RubiconMD to implement their eConsult platform and eConsult specialist network for their primary care providers in an effort to enable more efficient and…