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.

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

Improving Multicultural Depression Screening and Follow-up via Multilingual and Standardized Tools @ Harrisonburg Community Health Center

This quality improvement project aimed to improve depression management by offering both universal screening in several languages and additional tools for treatment decision-making and follow-up…

Innovators

  • Diana Jolles, PhD, CNM
  • Ann M. Schaeffer, DNP, CNM

Adoption of Social Determinants of Health EHR Tools by Community Health Centers in the Pacific Northwest

This pilot study assessed the feasibility of implementing EHR tools for collecting, reviewing, and acting on patient-reported social determinants of health in three community health…

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 using Medication-Assisted Treatment Waivers @ Providence Portland Medical Center

A multidisciplinary effort to increase buprenorphine waiver rates

Innovators

  • Brinton Clark 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

Hypertension-focused Population Health Management @ Tufts

A program to enhance hypertension management at an urban, academic primary care clinic

Innovators

  • Julie Tishler, MD
  • Kristin Huang MD

Diabetes Population Health Management @ Massachusetts General Hospital

Use of population health coordinators to optimize care for patients with diabetes

Innovators

  • Blair Fosburgh MD