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.

Chronic Disease Management via Health Coaches, Wearables, and SMS Integration @ UCLA Health

This intervention trained pre-medical students to serve as health coaches in an integrated SMS-based and wearable-tracker-based 16-week-long chronic disease prevention program in a primary care…

Innovators

  • Daniel Croymans, MD MBA MS
  • Paul Bixenstine, MD

Behavioral Health Integration in Primary Care @ Brigham & Women’s Hospital – South Huntington

Integration of behavioral health capabilities into primary care at a patient-centered medical home

Innovators

  • Stuart Pollack MD
  • Jane Erb MD
  • Janna Levi LICSW
  • Debra Aponte

Teaming in Primary Care @ University of Vermont’s Aesculapius Medical Center

Development of a team-based care process at a small suburban primary care practice

Innovators

  • Alison Landrey MD

Depression Screening @ UCSF

Implementing universal depression screening using PHQ-9 in a primary care setting

Innovators

  • Maki Aoki MD
  • Hannah Rapp
  • Leslie Sheu MD
  • Jennifer Latimer LCSW

Diabetes Management via Team-Based Approach with Pharmacist & Dietitian Support @ Brigham & Women’s Hospital – South Huntington

A team-based, multidisciplinary approach to treating patients with uncontrolled type 2 diabetes

Innovators

  • Stuart Pollack MD
  • Mara Sansevero MS, RD, CDE
  • Kaitlin O’Rourke, PharmD

Diabetes Management via Team-Based Approach with Pharmacist & Dietitian Support @ Brigham & Women’s Hospital – South Huntington

A team-based, multidisciplinary approach to treating patients with uncontrolled type 2 diabetes

Innovators

  • Stuart Pollack MD
  • Mara Sansevero MS, RD, CDE
  • Kaitlin O’Rourke, PharmD

Patient Reported Outcomes in Primary Care @ Mass General

Collection of patient reported outcome measures (PROMs) to assess for unmet social determinants of health among Medicaid patients and to facilitate completion of a Health Risk…

Innovators

  • Blair Fosburgh MD

Medicare Visit Workflows @ Brookside Community Health Center

Development of a team-based workflow for Medicare wellness visits to increase access to the service and bill appropriately while allowing all clinicians to practice at…

Innovators

  • Cynthia So-Armah MD, MPH