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.

Addiction Care Team (ACT) in an Inpatient Setting @ San Francisco General Hospital

In September 2017, San Francisco General Hospital launched an Addiction Care Team (ACT) program which consisted of an interprofessional inpatient addiction care team embedded in…

Innovators

  • Marlene Martin, MD

Community Partners Improving Access to Buprenorphine @ University of Illinois Mile Square Health Center

 In March 2020, a team at University of Illinois Mile Square Health Center partnered with the Night Ministry, a social services program, to provide improved…

Innovators

  • Paul A. Leo, MD

Telehealth Delivery of Reproductive Health Services for Patients with Opioid Use Disorder @ a Maine Family Planning Clinic

 Between December 2018 and May 2019, a family planning clinic in Maine partnered with community organizations to increase access to reproductive health measures for women…

Innovators

  • Terri-Ann Thompson, PhD

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

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

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

Improving Care Coordination via Johns Hopkins Community Health Partnership (J-CHiP) @ Johns Hopkins Medicine

Johns Hopkins Community Health Partnership (J-CHiP) is a three-pronged care coordination program with comprehensive community support for a cohort of high-risk patients, enhanced discharge procedures…

Weight Management for Patients with Serious Mental Illness via “Weight Web” Computerized Peer Coaching @ Greater Los Angeles VA Medical Center

A computerized provision of weight management with peer coaching for VA patients with serious mental illness

Innovators

  • Alexander Young, MD MSHS

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