Resources

Virtual Sessions

Program Wrap Up

CCI hosts the final call for the Moving Clinics Upstream program where participants reflect on the program and lessons learned and discuss sustainability.

Presentation Showcase

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CCI hosts a virtual presentation showcase featuring the work that 10 Los Angeles Clinics have been doing over the past 18 months to address food insecurity and transportation in their community and create social change at scale.

CBO Panel Discussion

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CCI hosts a panel discussion to learn from three community-based organizations working to address food insecurity in Los Angeles.

SDOH Workflow Gallery & Project Presentation Working Session

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CCI hosts a working session for MCU teams. During the session MCU teams review each other’s screening and referral workflows and work on their Project Presentations.

Food Security Lunchtime Chat

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CCI hosts a panel discussion featuring three LA-based clinic sites. Panelists discuss their current food security efforts and how they have pivoted to offer care during COVID-19

Virtual Summer Picnic

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CCI hosts a fun virtual picnic where teams reconnected and celebrated their progress thus far.

May Virtual Check In

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All 10 teams provided brief project updates and questions for the cohort during this virtual session.

Transportation Share Out Session

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This virtual session highlighted the progress of the six organizations working in transportation.

Food Insecurity Share Out Session

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This virtual session highlighted the progress of the six organizations working in food insecurity.

Design Methods Recap & What's Next Post-Session #1

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This optional office hours led by Human-Centered Design mentor, Jill Rees, reviews the three design methods from the In-Person Session. Teams had a chance to ask questions.

Moving Clinics Upstream Kickoff Webinar

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This kickoff webinar shares an overview of the program expectations and activities.

In-Person Learning Sessions

In-Person Session #2

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This one-day session convened all program teams and staff for additional project feedback and inspiration for Phase 2.

In-Person Session #1

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This one-day session convened all program teams and staff.

Resources from the Field

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Social Needs Resources

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There are 23 Resources Available.

Social Needs Project Case Studies Boosting Teamwork Around Social Needs Screening at Asian Health Services Asian Health Services saw an opportunity to expand its PRAPARE work and improve its response to the needs surfaced through screenings.

Social Needs Project Case Studies Building a Collaboration with West County Health Centers to Address School Absenteeism West County Health Centers aimed to combine school absenteeism data with the health center’s clinical data to identify ways the health center and school district could collaborate to reduce school absenteeism and support families’ health and education goals.

Social Needs Project Case Studies Cultivating Community Partnerships to Address Patient Employment Needs Petaluma Health Center worked to strengthen their PRAPARE implementation and foster strategic partnerships to develop job training and employment services for under- or unemployed patients.

Social Needs Project Case Studies Developing a Whole-Person Case Management Program for People Exiting the Criminal Justice System St. John’s refined their RISE (Re-entry Integrated Services, Engagement & Empowerment) program, which provides intensive health and social needs case management to individuals with chronic health conditions transitioning from jail or prison back into the community.

Social Needs Project Case Studies Expanding Access to Healthy Food at LifeLong Medical Care LifeLong Medical Care used the ROOTS grant to pilot a food insecurity screening and referral intervention in one primary care clinic with the goal of eventually expanding systemwide.

Social Needs Project Case Studies Incorporating Community Partners Into an Integrated Social and Behavioral Health Model to Address Food Insecurity and Housing LAC+USC improved food and housing insecurity risk screening, documentation, and workflows in an effort to expand beyond the clinic walls and connect the work on a community level.

Social Needs Project Case Studies Screening Youth for Food Insecurity at Northeast Valley Health Corporation NEVHC focused on screening and referring for food insecurity, a top social risk for its patient population, in patients 12 through 17 years of age at two of its clinical sites.

Lessons & Resources from ROOTS Program ROOTS Program Informational Webinar The Center for Care Innovations (CCI) hosted an informational webinar about the Roles Out Of Traditional Systems (ROOTS) Program. This webinar offers detailed information about the program offerings and application process.

Lessons & Resources from ROOTS Program ROOTS Program Kickoff This webinar kicked off the beginning of the ROOTS program on September 14, 2017 and provides an overview of the program activities and expectations for participants.

Lessons & Resources from ROOTS Program Advice for Tackling the Social Determinants of Health in Your Clinic Our seven ROOTS participant teams share advice for tackling upstream challenges, whether you’re just starting out or expanding this work.

Lessons & Resources from ROOTS Program Early Lessons Learned from the ROOTS Program On this webinar, the CCI team shared a summary of early lessons learned gathered from teams through various program activities, including in-person sessions, team coaching calls and evaluation activities.

Lessons & Resources from ROOTS Program ROOTS Convening #1: Addressing Social Needs from the Perspective of Health Centers Our ROOTS 2017 grantees came together on October 5, 2017 to learn about the goals of the ROOTS program and learning community. Project teams also had the opportunity to share about their proposed projects and receive feedback from peers and faculty.

Lessons & Resources from ROOTS Program ROOTS Convening #2: A Deep Dive into Partnerships and Change Management Our ROOTS teams came together for the second program convening on March 8, 2018 to learn more about building partnerships and change management. Througout the day, we heard from three different organizations: Health Leads, Collaborative Consulting and Nonprofit Finance Fund, who shared tools, tips and examples of work they’ve done in the topic areas.

Lessons & Resources from ROOTS Program ROOTS Convening #3: Wrap Up & Reflection Our ROOTS teams came together for the final program convening on August 23, 2018 to share and reflect on the past year of the ROOTS program. We spent the day sharing and learning from each other through talk story, in addition to hearing stories of how SDOH efforts have impacted patients and staff, and how to continue sustaining and funding such efforts moving forward.

Capacity-Building Resources Closing the Loop on Referrals On this webinar, we heard from Sara Bader and Rishi Manchanda from HealthBegins discuss the key components involved in closing the loop on clinic referrals.

Capacity-Building Resources Empathic Inquiry in Clinic Settings Carol Bernstein of Elevation Health Partners talks about how to use empathic inquiry within the medical clinic setting.

Capacity-Building Resources The Many Ways Safety Net Clinics Finance Social Programs The Social Interventions Research & Evaluation Network (SIREN) at UCSF hosted a webinar on strategies safety net clinics use to finance social needs initiatives.

Capacity-Building Resources Using Data to Drive SDOH Priorities: Lessons Learned from Cincinnati Children’s Hospital Dr. Andrew Beck of Cincinnati Children’s Hospital talks about how his organization uses data to identify and prioritize key social determinants of health (SDOH) to improve child health outcomes.

Capacity-Building Resources Optimizing the Flow of Information and Work for Social Needs Sara Badar and Dr. Rishi Manchanda from HealthBegins share ideas and strategies for optimizing the flow of social needs information and work in a clinical setting. They describe how to map your current information and workflows and how to identify opportunities for work and information flow improvement. Using Hayward Wellness as a case study, they describe how they improved the flow of information and work in order to integrate food insecurity screening.

Staff Perspectives on SDOH Returning to our ROOTS: The Role of Clinics in Addressing the Social Determinants of Health How did we pick the name for our new social determinants program? Value-Based Senior Program Manager Megan O’Brien discusses its origins in the early days of the community health movement.

Staff Perspectives on SDOH Shifting Perspectives: From ‘Tackling Social Determinants of Health’ to ‘Tackling Institutionalized Racism’ Senior Program Coordinator, Diana Nguyen, shares her perspective on the mind shift that needs to be done as organizations look to solve social needs issues.

Staff Perspectives on SDOH Learning to Talk-Story CCI President and Senior Director on the ROOTS Program, Veenu Aulakh, shares the importance of listening and talking-stories, as shown from a site visit to Kokua Kalihi Valley Health Center in Hawai'i.

Staff Perspectives on SDOH Reflections from a Decade of Listening Value-Based Senior Program Manager Megan O’Brien discusses her takeaways from working at the Berkeley Free Clinic and her visit to Kokua Kalihi Valley.

Resources

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In-Person Learning Sessions

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