Advance care planning (ACP) helps ensure patient treatment preferences are documented, regularly updated and respected. This helps make the case that patients are getting what they want at end of life. ACP can start with a conversation and documentation of patient preferences during a Medicare Annual Wellness Visit. This implementation guide breaks down ACP and will help your practice create and refine your processes to support it.
As your community comes together to improve transitions and coordination of care, it is important to evaluate the current situation. Seek perspectives from multiple settings. What is working well? Where could improvements be made? Use our Community Assessment Form to guide your discussion.
Documents community health needs of HCWC’s quad-county region and each of the counties (Clark County, Washington, and Clackamas, Multnomah and Washington counties in Oregon). Community health needs, referred to in this report as priority health issues, were identified through a comprehensive study of population, hospital, Medicaid and community data.
Presents findings from HCWC's community listening sessions to learn what low-income and uninsured residents of the quad-county region (Clackamas, Multnomah, and Washington counties in Oregon and Clark County in Washington) felt were the most important issues affecting health of them, their families and their community. In addition, HCWC solicited ideas about how to address these health needs.
Presents results of HCWC's community themes and strengths assessment, which analyzed findings from health-related community assessment projects in Clackamas, Multnomah, and Washington counties in Oregon and Clark County in Washington.
Presents findings from HCWC's health status assessment, which systematically analyzed quantitative population health-related behavior and outcome data to identify important health issues affecting each of the four counties (Clackamas, Multnomah, and Washington counties in Oregon and Clark County in Washington), as well as the quad-county region.
Presents findings from HCWC’s local community health system and forces of change assessment. The purpose of the assessment was to learn the most important health issues facing the clients of stakeholder organizations and the organizations’ capacity to address those needs as well as collect input about opportunities for and threats to the “local community health system.”
Mobilizing for Action through Planning and Partnerships uses health data and community input to identify the most important community health issues. HCWC uses this modified version of the MAPP model for its assessments.
White paper that describes the foundational aspects of data reporting, lays out a step-by-step process for identifying errors that contribute to report inaccuracy and provides tools to help with the process of validating your own clinical quality reports.
Comagine Health’s research and evaluation team collaborates with academic, government and nonprofit partners to conduct behavioral and physical health studies. Our work focuses on prevention and treatment of substance use disorders, controlled substance prescribing practices, harm reduction interventions, initiatives to promote community health and equity, and development and testing of tools for professionals and patients.