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
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
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
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
Reduction of Opioid Misuse in Primary Care via the Transforming Opioid Prescribing in Primary Care (TOPCARE) Program @ Boston Medical Center
Nurses provide electronic and in-person monitoring of high-risk primary care patients on long-term opioid prescriptions to ensure appropriate use and efficacy of medication.
Innovators
- Jane Liebschutz, MD MPH
- Christopher Shanahan, MD, MPH
- Ronald Goldstein, MD
Nurse Practitioner-Physician Primary Care Teams via “NP Anchor” @ Boston Medical Center
NP-MD primary care teams were created to address clinician burnout and increase patient access in an urban safety-net hospital.
Innovators
- Joanna D’Afflitti, MD, MPH
- Melissa Jacobs, NP-C, MSN
Improving Timely Referrals via implementation of Lower Extremity Amputation Prevention (LEAP) Tool @ Suburban Wound Care Clinic
This program sought to standardize diabetic ulcer assessments and timely referral to vascular/podiatry services.
Innovators
- Azam Tayyebi DNP
Palliative Care Mentor Program for Generalists @ USC & CareMore Health System
The University of Southern California (USC) Section of Palliative Medicine and CareMore Health System collaborated to create a ‘train the trainer’ model to improve the…
Innovators
- Michael Hochman MD, MPH
- Sachin H. Jain MD MBA
- Caryn van Zyl MD
- Archita Sood MD
Palliative Care Mentor Program for Generalists @ USC & CareMore Health System
The University of Southern California (USC) Section of Palliative Medicine and CareMore Health System collaborated to create a ‘train the trainer’ model to improve the…
Innovators
- Michael Hochman MD, MPH
- Sachin H. Jain MD MBA
- Caryn van Zyl MD
- Archita Sood MD