Clinical Practice

Patient-Centered Medical Home: A Case Study on Achieving Level 3

  Webinar Slides(PDF) This webinar will examine the NCQA recognition process and the experience of Hudson River Health Care, which has achieved Level 3 Recognition. Speakers: Kathi Brieger, RD, CDE; Vice President, Quality Services, Hudson River Health Care; Peekskill, New York Anna Gard, FNP-BC; Health Disparities Consultant, Association of Clinicians for the Underserved; Glenside, Pennsylvania Webinar: View […]

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Ask & Code: Documenting Homelessness Throughout the Health Care System

PowerPoint Slides(PDF) The health care system is increasingly focusing on the social determinants of health that drive cost, service utilization, and health outcomes. Hospitals, Medicaid-managed care plans, and health providers are particularly interested in the risk factor of housing status, a key element of health. People without homes have higher morbidity and mortality coupled with

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The 2019 Revised Adapted Clinical Guidelines: Medication Management for Patients Experiencing Homelessness Diagnosed with Diabetes

Webinar Slides(PPTX) November is National Diabetes Awareness Month! In preparation of this special month, the National HCH Council is sponsoring a webinar to introduce our recently revised 2019 Adapted Clinical Guidelines – Recommendations for the Care of Patients Experiencing Homelessness Diagnosed with Diabetes. The 2019 updated guidelines were adapted from the American Diabetes Association’s (ADA)

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Adapted Clinical Guidelines: Medication Management for Patients Experiencing Homelessness Diagnosed with Diabetes

Adapted Clinical Guidelines: Recommendations for the Care of Patients Experiencing Homelessness at Risk or Diagnosed with Type 2 Diabetes (Adapted 2019) Our new resource is adapted from the American Diabetes Association’s Standards of Medical Care in Diabetes and will be useful to members of multi-disciplinary care teams working with patients without homes at risk for

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Homeless Outreach: A Pre-Treatment Guide

Webinar Slides(PPTX) An outreach model based on a pretreatment philosophy affords us the opportunity to become both interpreters and bridge-builders. It is critical that we provide clients with real options that can be fully considered, as opposed to pre-programmed choices that don’t respect individuality. Potential treatment and housing opportunities are therefore re-interpreted and reframed so

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Tele-Behavioral Health in Homeless Health Care: Why Is It Hard, and What Can We Do About It?

Webinar Slides(PPTX) Telehealth is a priority in the current administration and many communities are excited about the opportunities that technology brings to serve unreached patients and expand services. Specifically, tele-behavioral health purports to enhance access to vital mental health and substance use treatment, conditions that are overrepresented among patients experiencing homelessness. But it has proven

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Pre-Exposure Prophylaxis (PrEP) for HIV Prevention: Considerations for Individuals Experiencing Homelessness

Despite major advancements in HIV testing, treatment, and prevention, HIV diagnoses in the United States have remained stable since 2013. This fact sheet explores the intersection of HIV and homelessness, focusing on subpopulations with disproportionate rates of infection. It also provides promising practices in prevention and treatment, including recommendations around the initiation of PrEP in

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