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.

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

Medical Scribes in Primary Care at Brigham & Women’s Hospital – South Huntington

A 6-month pilot of medical scribes as documentation partners in primary care

Innovators

  • Erika Pabo MD MBA

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 Evidence-Based Statin Guideline Implementation via Practice Coaches & Risk Stratification @ North Carolina Independent Practices

This project at community-based primary care clinics utilized a health data registry identifying patients at higher risk of cardiovascular disease-related complications to improve statin therapy…

Innovators

  • Samuel Cykert, MD
  • Justin Trogdon, PhD
  • Darren DeWalt, MD, MPH
  • Michael Pignone, MD, MPH
  • Bryan Weiner, PhD

Improving Specialty Care via Electronic Referral System @ Brigham & Women’s Hospital

This project at an academic medical center utilized an electronic specialty referral system integrated into the EHR to improve physician satisfaction with the referral process,…

Innovators

  • Michael L. Barnett, MD
  • Ateev Mehrotra, MD, MPH
  • Joseph P. Frolkis, MD, PhD
  • Melissa Spinks, MBA
  • Casey Steiger, BS
  • Brandon Hehir, MBA
  • Jeffrey O. Greenberg, MD, MBA

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 Antibiotic Stewardship via Nurse Phone Triage @ Stanford Health Care

A multidisciplinary team at Stanford Health Care created a nurse telephone triage protocol to improve guideline-concordant prescription of appropriate antibiotics for uncomplicated cystitis to help…

Innovators

  • Lori Guelman, FNP
  • Kelly Sanderson, FNP
  • Marcie Levine, MD
  • Mark Ramirez

Team-Based Care @ Bellin Health

The care team at Bellin Health Center holds weekly interdisciplinary meetings for discussion of high-risk patients in order to alleviate health worker burnout and to…

Innovators

  • James Jerzak, MD
  • Kathy Kerscher

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

Preventing Readmission via Discharge Readiness Assessments @ Magnet Hospitals

33 magnet-designated hospitals integrated the use of structured nurse assessments of patient readiness for discharge into medical surgical unit discharge practices in an effort to…

Innovators

  • James Bang, PhD
  • Danielle Siclovan, MSN, RN
  • Sarah Bahr, MSN, RN
  • Morris Hamilton, PhD
  • Susan Nuccio, MSN, RN
  • Ronda G. Hughes, PhD, RN
  • Olga Yakusheva, PhD
  • Kathleen L. Bobay, PhD, RN, NEA-BC
  • Linda Costa, PhD, RN, NEA-BC
  • Marianne E. Weiss, DNSc, RN