Kaiser Permanente Washington Medical Assistant Santino Telles

Behavioral health integration: Empowered MAs are at the forefront

Kaiser Permanente Washington Medical Assistant Santino Telles describes an initiative that’s improving patients’ lives—while increasing his joy and pride in his work.

Migrant Clinicians Network

Health Network: Helping health centers provide continuity for mobile patients

When you care for patients who move frequently for work or other reasons, “lost to follow-up” is a well-known challenge. Learn about Health Network, a free program of Migrant Clinicians Network that serves as a bridge to potentially life-saving follow-up care for mobile patients.

STOP Colon Cancer: A practical approach to boosting screening rates

Learn how a simple but effective program in more than 22 Federally Qualified Health Centers in Oregon is improving colorectal cancer screening rates among high-risk populations. The program also addresses health disparities, reduces health care costs, and expands meaningful use of electronic health systems.

Improving patient engagement, experience with “Open Communication”

Is improving patient experience a priority for your practice? If so, you’ll want to learn about “Open Communication”—a primary care-based intervention that led to better patient engagement and experience with care at Palo Alto Medical Foundation in Northern California.

Community Health Workers: A Key Link in Integrated Behavioral Health Care

La Familia Medical Center in New Mexico has long integrated behavioral health into primary care. Learn how this federally qualified health center uses community health workers to connect with and support patients who might otherwise fall through the cracks.

Opioids for chronic pain: Getting to a safe place

Most primary care providers know all too well that opioid prescribing for the management of chronic pain has increased dramatically. Learn how one rural Washington clinic developed a pain management program that uses care plans and risk stratification to help keep their patients healthy and safe.

Migrant Clinicians Network: Collaborating for better farmworker care

Caring for agricultural workers brings unique challenges. Learn how Blue Ridge Community Health Services in North Carolina collaborated with Migrant Clinicians Network to provide better care and become a Center for Excellence in Environmental and Occupational Health.

Team nursing: How rethinking the RN role can free up your practice

In part two of this two-part series about St. Luke’s Clinic in eastern Oregon, learn how redesigning the RN role enhanced access for patients and made better use of staff expertise and capabilities.

Referral coordination: From fragmentation to full-circle care

Redefining staff roles and responsibilities can transform your practice. In part one of this two-part story, learn how an exemplary Oregon clinic revamped their specialty referral process to better serve patients and keep their staff happy.

Staying alive: A survival story from the primary care frontline

Foresight Family Physicians, a small private practice in Colorado, embarked on a continuous improvement mission 10 years ago to survive. Read some of the lessons they have learned on their way to becoming a Level 3 certified patient-centered medical home that has embraced team care.
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