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.

Implementation of Video Visits During COVID-19 @ Weill Cornell Internal Medicine (NYC)

At the height of the COVID-19 pandemic in New York City, researchers at Weill Cornell Internal Medicine Associates (WCIMA) implemented and retrospectively evaluated a video…

Innovators

  • Sanjai Sinha, MD

COVID-19 Telephonic Outreach @ West Oxfordshire General Practice

Between March 26, 2020 and April 3, 2020, general practice (GP) trainees implemented a telephonic outreach intervention targeted to support a rural and vulnerable patient…

Innovators

  • Dr. Emma Ladds, MD

Community-based COVID-19 Test-to-Care Model @ University of California San Francisco

This Test-to-Care Model (T2C) was developed and evaluated by a research team from the University of California San Francisco (UCSF) in conjunction with local community…

Innovators

  • Andrew Kerkhoff, MD, PhD

Value-Based Primary Care during COVID-19 @ Oak Street Health

Oak Street Health, a network of 56 value-based primary care centers serving nearly 80,000 adults on Medicare, developed a remote care program allowing them to…

Innovators

  • Griffin Myers, MD, MBA, FACEP
  • Geoffrey Price, MBA
  • Mike Pykosz, JD

Improving Social Determinants of Health Assessments @ Boston Children’s Hospital Primary Care Network

This project with the Pediatric Physicians’ Organization at Children’s (PPOC) utilized a social  health needs assessment screening tool to improve primary care providers’ capacity to…

Innovators

  • Jane Bittner, MPH, CPH
  • Nicole Pelletier, MPH
  • Emily Trudell Correa, MPH, MS
  • Jonathan Hatoun, MD, MPH, MS
  • Sara Donahue, DrPH
  • Louis Vernacchio, MD, MSc

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

Building Community Linkages to Address SDOH via eConsults @ Public Health System Los Angeles County Department of Health

This project utilized analysis of eConsults from a metropolitan county-level public services agency and its affiliated health centers to a community-based health and social services…

Innovators

  • Tony Kuo, MD, MSHS
  • Noel Barragan, MPH, MBA
  • Amelia DeFosset, MPH
  • Janina Morrison, MD, MPH

Improving Diabetes Care via Medical Assistants and Community Health Workers @ Northern California Community Health Centers

This project at a group of community health centers implemented a new medical assistant and community health worker-led diabetes care management program to study differential…

Innovators

  • Hector P. Rodriguez, MD, MPH
  • Mark W. Friedberg, MD
  • Arturo Vargas-Bustamante, PhD, MA, MPP
  • Xiao Chen, PhD
  • Ana E. Martinez, MPH
  • Dylan H. Roby, PhD

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

Improving Medication-Assisted Treatment for Opioid Use Disorder via Integrated Behavioral Health @ Rural FQHC in Oregon

Masters and doctoral level mental health clinicians are integrated onto primary health care teams to address the biopsychosocial needs of patients in medication assisted treatment…

Innovators

  • Rebecca E. Cantone, MD
  • Nicholas Gideonse, MD
  • Joan Fleishman, PsyD
  • Brian Garvey, MD, MPH