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.
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
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
Enhanced Hepatitis C Virus Cure Rates via the ProvenCare Model @ Geisinger Health System
This program aimed to improve hepatitis C virus cure rates among patients in central Pennsylvania through close follow-up by a multidisciplinary team composed of physicians,…
Innovators
- Thomas H. Lee, MD, MSc
- Sara Gaines, PharmD, BCPS
- Sandeep Khurana, MBBS
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
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
Treating Opioid & Alcohol Use Disorders (OAUD) via Collaborative Care @ Venice Family Clinic FQHC
A randomized control trial examined the impact of a collaborative care intervention in primary care patients with opioid and alcohol use disorders (OAUD) vs. primary…
Innovators
- Katherine E. Watkins, MD, MSHS
- Harold Alan Pincus, MD
- Praise O. Iyiewuare, MPH
- Keith Heinzerling, MD
- Kirsten Becker, MS
- Colleen M. McCullough, MPA
- Sarah B. Hunter, PhD
- Karen Chan Osilla, PhD
- Claude Setodji, PhD
- Mimi Lind, LCSW
- Karen Lamp, MD
- Allison J. Ober, PhD
Reducing Clinician Burden via Team-Based Labs Ordering @ Iora Health
This project aimed to increase efficiency by having health coaches attend office visits with clinicians to document lab orders in the electronic health record during…
Innovators
- Jeffrey Panzer, MD, MS
Intensive Primary Care via Patient Aligned Care Teams (PACT) Intensive Management @ the Veteran’s Health Administration
The VA currently offers primary care through patient-centered medical homes, or Patient Aligned Care Teams (PACT) for all enrolled Veterans. Selected demonstration sites augmented the…
Innovators
- Evelyn Chang, MD, MSHS
- Lisa Rubenstein, MD, MSPH