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.
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
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
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