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.

Remote Glucose Monitoring via Computerized Insulin Dosing @ Venice Clinic

A safety net clinic implemented a remote glucose monitoring intervention via computerized algorithms for insulin dose adjustments in order to to help clinicians make dosing…

Innovators

  • S. Joshua Davidson
  • Mayer B. Davidson, M.D.

Improving Dermatology Appointment Access via Telemedicine @ Massachusetts Community Health Centers

A collaborative of seven Massachusetts community health centers (CHCs) implemented a remote dermatology consult system in order to triage in-person referrals more effectively, improve in-person…

Innovators

  • Ranjani K. Paradise, PhD
  • Toni McGuire, RN, MPH
  • Carla Bettano

Reducing Clinician Burden via Team-Based Labs Ordering @ Iora Health

This project aimed to increase efficiency by having health coaches attend office visits with clinicians to document lab orders in the electronic health record during…

Innovators

  • Jeffrey Panzer, MD, MS

Improving Discharge Coordination in Integrated Behavioral Health (IBH) Settings via ‘Health Systems Genogram’ Patient Assessment Tool @ Saint Louis University Family and Community Medicine

This project aimed to improve follow-up care for Integrated Behavioral Health (IBH) patients being discharged from the hospital through Health Systems Genogram, an electronic, provider-facing…

Innovators

  • Jay Brieler, MD
  • Max Zubatsky, 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

Implementing an Interdisciplinary Collaborative Experience in Diabetes Care @ People’s Community Clinic

People’s Community Clinic (PCC) created an interdisciplinary approach to overcome barriers to diabetes self-management by integrating nurses and health educators specialized in diabetes education into…

Innovators

  • Elizabeth Washington, RN

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

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

Project Diabetes Obesity Control (Project DOC) @ University of Texas System

The University of Texas System implemented Project Diabetes Obesity Control (Project DOC), a virtual ecosystem with public and private organizations connected by a core digital…