MHA Keystone Center
This resource provides education to patients related to:
U.S. Department of Veteran Affairs
Engaging Healthcare Teams to Eliminate Health Inequities (Video)
Strategies that healthcare systems can use to identify and eliminate health inequities affecting their patients.
Institute for Patient and Family Centered Care (IPFCC)
The purpose of this project is to address gaps in knowledge about PFAC best practices. Specifically, the project aims to:
Society Hospital Medicine (SHM)
Evidence-based bundled intervention for hospitals to use to identify patients at high risk for readmission and guide the discharge plan based on identified needs assessed upon hospital admission; provides the patient a Transitional Record to guide them during the post-acute period.
Cost associated with implementation.
Central Massachusetts Community coalition in Partnership with Healthcentric Advisors
Decision Guide for Referrals to Community Based Organizations – A Tool for patients or a loved one.
Substance Abuse and Mental Health Services Administration (SAMHSA)
This guide equips clinicians with information for treating chronic pain in adults living with a history of substance use. The guide discusses chronic pain management, including treatment with opioids. It also includes information about substance use assessments and referrals. Available at no cost from SAMSHA.
IHI – Institute for Healthcare Improvement
This guide is intended to help health care staff and leaders have trust-building conversations about the COVID-19 vaccine, both at work and at home. Exploring people’s feelings about the vaccine through respectful, trust-building interactions over time offers the potential to increase the uptake of vaccinations. The guide helps health care staff and leaders begin to quickly engage in effective conversations about COVID-19 vaccination, enabling learning in practice and resolving issues that arise from such conversations. The focus is on having rich conversations to listen and learn about reasons and feelings for not getting vaccinated — and then seeking to have a dialogue about questions and concerns so that people can consider COVID-19 vaccination.
National Association of Community Health Centers
This resource contains the set of national core measures as well as a set of optional measures for community priorities. It was informed by research, the experience of existing social risk assessments, and stakeholder engagement. It aligns with national initiatives prioritizing social determinants (e.g., Healthy People 2020), measures proposed under the next stage of Meaningful Use, clinical coding under ICD-10, and health centers’ Uniform Data System (UDS).
NYC Health & Hospitals
This guide features open-source implementation tools which could be customized, and used to support other health system’s efforts to identify, understand, and treat patients with complex needs.
This guide provides step-by-step guidance on:
1) Risk scoring and stratification: using data and analytics to identify patients with complex needs;
2) Segmentation: combining analytics with clinical insight to understand patients with complex needs; and
3) Targeting: tailoring care models to fit needs and behaviors of patients with complex needs.
Society of Hospital Medicine (SHM)
Provide users with concise guidance and tips to help them assess their current state of care regarding glycemic control, gain institutional support, build an effective team, choose metrics to follow, implement proven interventions and continue to assess and improve over time.
Abbott Nutrition Health Institute (ANHI)
Panel of world-renowned experts discuss nutrition guidelines for caring for COVID-19 patients.
National Pressure Injury Advisory Panel (NPIAP)
Info-graphic that provides images and general tips positioning to preventing pressure injury when proning patients in acute respiratory distress (including COVID-19).
