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.
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
Expanding Nursing Role via RN “Co-Visit” Model @ Clinica Family Health
A multi-site community health center implemented a care model expanding nurses’ roles in intake, documentation, and care plan communication, working alongside providers in “co-visits.”
Innovators
- Karen Funk, MD, MPP
- Malia Davis MSN, RN, ANP-C, NP
Nurse Billable Visits @ Mary’s Center FQHC
Establishing a protocol and workflow to capture value for the Federally Qualified Health Center by billing for nurse-led education visits
Innovators
- Dara Koppelman, MS, BSN
Opioid Management via Group Visits @ Boston Medical Center
Group visits combining behavioral health therapy and pharmacologic support for patients with substance/opioid use disorder with an emphasis on community support and accountability.
Innovators
- Shari Zakim-Yacouby LICSW
- Tu-Mai Tran MD
- Marielle Baldwin MD MPH
- Huong Tran MD
- Beth Marx MSW, LICSW
- Krystyna Roszczenko, Team Coordinator
Nurse Billable Visits in Primary Care @ Unity Health Care
Unity Health Care incorporated nurse billable visits into its community health center practice in order to increase nurses’ roles in patient care and improve patient…
Innovators
- Janine Resilard, MSN-Ed, RN
Opioid Prescribing Optimization @ Tufts
A program to improve opioid prescribing and management via practice guidelines, EMR modules, and a team-based management approach.
Innovators
- Julie Tishler, MD
- Kristin Huang MD
Screening, Brief Intervention, & Referral to Treatment for Social Determinants of Health @ Intermountain Health Care
Intermountain Healthcare created a Social Determinants of Health Committee in order to devise a strategic plan with which to address social determinants of health for…
Innovators
- Elizabeth Joy, MD MPH FACSM
Opioid Management via Multidisciplinary Committee @ UCSF
A multidisciplinary committee for improving controlled substances prescribing
Innovators
- Irina (Era) Kryzhanovskaya, MD
- Scott Steiger, MD
Hepatitis C Management via Patient Financial Incentives @ Boston Medical Center
A financial incentive program to improve appointment attendance at a safety-net hospital-based primary care HCV treatment program.
Innovators
- Kristen Lee MD
Chronic Disease Management via Health Coaches, Wearables, and SMS Integration @ UCLA Health
This intervention trained pre-medical students to serve as health coaches in an integrated SMS-based and wearable-tracker-based 16-week-long chronic disease prevention program in a primary care…
Innovators
- Daniel Croymans, MD MBA MS
- Paul Bixenstine, MD