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.

Community-Based Resource Referrals for Cardiovascular Disease Self-Management @ Midwestern Primary Care Clinics

 Primary care clinics (PCC), particularly in underserved areas, play a key role in connecting patients to community-based wellness resources, such as programs to prevent and…

Innovators

  • Emily Abramsohn, MPH

Electronic Medical Record–Based Referrals for Food-Insecure Patients @ Hennepin County Medical Center

From January 1, 2015, to December 31, 2017, Hennepin County Medical Center (HCMC) integrated a referral system into its electronic medical record to connect food…

Innovators

  • Kurt Hager, MS

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

Opioid Prescribing Optimization @ Tufts

A program to improve opioid prescribing and management via practice guidelines, EMR modules, and a team-based management approach.

Innovators

  • Julie Tishler, MD
  • Kristin Huang 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

Diabetes Testing Automation @ Tufts

Automating appropriate point-of-care (POC) hemoglobin A1c testing at primary care visits for patients with diabetes

Innovators

  • Kristin Huang MD