In the second year of the program, PHLN teams have selected projects to focus their efforts. Read about all the projects here. These projects fall in six categories:
Behavioral Health Registries
Axis Community Health realized the need to develop quality metrics around behavioral health so that their behavioral health providers could be more proactive in reaching patients. Learn more by checking out their presentation on the PHLN Bright Spots Webinar.
Diabetes Group Visits
Chapa-De Indian Health started out wondering who would lead the planning process for group visits and how they would be implemented. They recently launched their group visits and have ideas on how to further improve them. Learn more by checking out their presentation on the PHLN Bright Spots Webinar.
At our Safety Net Innovation Network meeting last May, Nonprofit Finance Fund led a workshop on building strong partnerships with community partners. They have developed Partnership Assessment Tool for Health (PATH) tool, which encourages thinking about the types of conversations health care organizations need to have with their community partners.
The Neighborhood Healthcare team has used the tool with their CBO partner, Interfaith Community Services, as a road map for moving beyond daily coordination at the individual patient level. Director of Behavioral Health Operations, Wendi Vierra, shares that the tool is very comprehensive and has helped them identify opportunities for expanding and leveraging services in both organizations.
|Neighborhood Healthcare will…||Interfaith Community Services will…|
Overall, Wendi shares that the tool requires a significant amount of time to complete, considering the level of detail that is reviewed. Teams are recommended to set up ongoing meetings with their CBO partner to finish this tool and determine next steps.
San Ysidro recognizes that raw data is not accessible to all staff and patients.
To better understand their target audience, they have hosted various focus groups to learn more about literacy level amongst patients and how they could better engage staff and patients with their data visuals. Here are some of their key learnings from those focus groups:
Addressing Whole Health through Integrative Care & Alternative Visits
Serve the People offers a range of integrated care, including integrative and alternative healthcare services. Their integrative program includes their naturopathic clinic and yoga therapy. Their team-based interdisciplinary approach is further supported by their Health Scholars Program. The Health Scholars assist in addressing social determinants of health and ensuring the clinic has the support to connect patients to the care they need to maximize their visits.
Serve the People also provides a range of alternative visits, including co-visits (read about it!). At the May 2018 PHLN convening, Serve the People shared about several of their alternative visits. View theirs and other organizations’ alternative visits storyboards.
Native American Health Center (NAHC) uses a patient passport to incentivize patients with diabetes.
NAHC has developed a patient passport, where diabetes patients can track the stations they’ve visited during a visit and receive an incentive for visiting all stations. The Accreditation Association for Ambulatory Health Care and the Indian Health Service have now adopted their passport as an example of a best practice. Check out their passport!