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.
Improving Advance Care Planning via the Life-Sustaining Treatment Decisions Initiative (LSTDI) @ US Department of Veteran Affairs
The VHA aims to improve care for patients with advanced illness and at heightened risk of a life-threatening event by promoting high-quality Goals of Care…
Innovators
- Ellen Fox, MD
- Paul Tompkins
- Mary Beth Foglia, RN, PhD, MA
- Jill Lowery, PsyD
- Virginia Ashby Sharpe, 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
Engaging Substance Use Disorder (SUD) Patients in Outpatient Care via Implementation of Recovery Coaches @ Arms Acres
This project aimed to demonstrate the value of adding recovery coaches to the multidisciplinary team at Arms Acres in order to improve transitions of care…
Innovators
- Tamar Wolinsky
- Eric D’Entrone
- Tammy Bender
- Eric Altman
- Damara Gutnick, MD
- Kristin Woodlock, RN
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
TOPS: Telephonic Outreach in the Pulmonary Service @ Boston VA
TOPS utilizes nurse-driven, phone-based outreach to improve transitional care, decrease requirements for in-person follow-up, and decrease readmission among COPD patients.
Innovators
- Sohera N. Syeda, MD
- Ronald Goldstein, MD
- Emily Jansen, MPH
- Catherine Lafferty, MPH
- Claire Murphy, RN
- Kristine Sears, RN, RRT
- Emma Trucks, MPH
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 Burnout Rates and Attitudes of Primary Care Physicians via an Educational Program in Mindful Communication @ University of Rochester
The innovators implemented a CME course for primary care physicians to address burnout, incorporating mindfulness meditation, narrative medicine, and appreciative inquiry.
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