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.

Improving Hypertension Management in Immigrant Communities via EHR-Based Intervention @ New York City Primary Care Practices

Project IMPACT (Implementing Million Hearts for Provider and Community Transformation) examines the effect of a multilevel EHR intervention on hypertension control among patients of New…

Innovators

  • Priscilla M. Lopez, MPH
  • Anna Divney, DrPH
  • Keith Goldfeld, DrPH
  • Jennifer Zanowiak, MA
  • Radhika Gore, PhD
  • Rashi Kumar, MUP
  • Phoebe Laughlin, MS
  • Ronald Sanchez, MPH
  • Susan Beane, MD
  • Chau Trinh-Shevrin, PhD
  • Lorna Thorpe, PhD, MPH
  • Nadia Islam, PhD

Improving Smoking Cessation via Decision Aid

This program at an urban safety net primary care clinic utilized motivational interviewing and a visual, easy-to-understand decision-making aid to promote smoking cessation.

Innovators

  • Sumit D. Agarwal, MD
  • Matthew Kerwin, MD
  • Jacob Meindertsma, MD
  • Andrew Wolf, MD

Creating Value for Communities by Investing in Housing @ LA County Department of Health

In 2012, LA County Department of Health Services addressed homelessness and associated poor health outcomes via a multi-pronged, comprehensive housing program called Housing for Health…

Innovators

  • Reshma Gupta, MD, MSHPM
  • Mark Ghaly, MD, MPH
  • Cheri Todoroff
  • Soma Wali, MD

A Home-Based Palliative Care Program via Virtual Visits @ ProHEALTH Care ACO

ProHEALTH Care, a New York-based ACO, developed a program for high-need patients that employs home nursing visits, telehealth appointments with palliative care physicians, and other…

Innovators

  • Dana Lustbader, MD
  • Mitchell Mudra, MBA
  • Carole Romano
  • Ed Lukoski
  • Andy Chang
  • James Mittelberger
  • Terry Scherr

Diversifying and Enhancing the Primary Care Workforce with On-Demand Clinical Pharmacist eConsults

This pilot program at a community health center utilized pharmacist eConsults to improve quality of care for medication-related problems in primary care practices.

Innovators

  • Marie Smith, Pharm.D, FNAP
  • Erika Vuernick, Pharm.D, CDOE
  • Daren Anderson, MD
  • James Thurston, Pharm.D Candidate

Improving Chronic Opioid Management Safety via Care Pathways @ Valley Medical Center

This program at an urban community hospital utilized implementation of evidence-based opioid therapy best practices including EHR prompts and prescription drug monitoring database integration to…

Innovators

  • Sahana Ingale, MBBS, MHPA
  • Kim Herner, MD
  • Travis Dalton, ARNP
  • Jean Borth, RN, CPHQ
  • Sunny Chacko

Improving Transition Care via EHR Hospital Use Data @ Northwestern Medicine Group Transitional Care Clinic

The Northwestern Medicine Group Transitional Care clinic (NMG-TC) seeks to reduce preventable re-hospitalization by implementing a model of intensive case management and integrated behavioral/medical healthcare…

Innovators

  • Joe Feinglass PhD
  • Celeste A. Mallama PhD MPH
  • Angela Rogers MPH, APN-CNP
  • Caroline Teter PA
  • Courtney Hurt LCSW
  • Christine Schaeffer MD

Integrating Behavioral Health via Behavioral Health Consultant Roles @ Jefferson Health

Jefferson Health implemented a system-wide integrated behavioral health (IBH) program that introduces behavioral health consultants (BHCs) into practices across Jefferson Health in an effort to…

Innovators

  • Christine Arenson, MD
  • Amy Cunningham, PhD, MPH
  • Johnny Stoeckle, MD

Improving Dermatology Appointment Access via Telemedicine @ Massachusetts Community Health Centers

A collaborative of seven Massachusetts community health centers (CHCs) implemented a remote dermatology consult system in order to triage in-person referrals more effectively, improve in-person…

Innovators

  • Ranjani K. Paradise, PhD
  • Toni McGuire, RN, MPH
  • Carla Bettano

Individualized Care Delivery in Primary Care via Integrated Practice Units (IPUs) @ Cambridge Health Alliance Union Square Family Health Center

This intervention sought to adopt integrated practice units (IPUs) into a primary care practice using ‘pod’-based patient care with a multidisciplinary team, disease-oriented patient registries,…

Innovators

  • Nina Jain, MD, MBA, MSc
  • Toyin Okanlawon, MD, MPH
  • Kirsten Meisinger, MD, MHCDS
  • Thomas Feeley, MD