Off the Shelf TA

Care Coordination/Integration


Found 59 Results
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Health Policy Matters

Addressing Food Insufficiency for Individuals with Chronic Illness


Addressing Food Insufficiency for Individuals with Chronic Illness Health Policy Matters (HPM) has expert knowledge of Flexible Services for nutrition with a focus on both Medically Tailored Meals (MTM) for high risk members and other cost-effective options for ACO members at low or moderate risk. The goal of this project is to support effective and [...]

July 29, 2020


Advocates for Human Potential, Inc.

Behavioral Health Basics: Person-Centered and Recovery-Oriented Care Strategies Training


Behavioral Health Basics: Person-Centered and Recovery-Oriented Care Strategies Training Time: Each individual topic can be selected as a module from the eleven below and can be presented in a 90 to 120-minute format. Audience: Care coordinators, community health workers, and other direct care staff with limited formal training or education in behavioral health. Location: Instructor [...]

May 10, 2021


Health Policy Matters

Behavioral Health CP Transitions of Care


Behavioral Health CP Transitions of Care Health Policy Matters (HPM) has experience developing best practice approaches to address Transitions of Care for Behavioral Health CPs and ACOs. HPM would provide whatever level of customization the ACO or CP desires, and will give attention to existing processes in both the ACO and the CP organization, in [...]

July 29, 2020


CSI Solutions

Brief Action Planning Online Course


Brief Action Planning Online Course This on-demand, interactive course provides training in Brief Action Planning (BAP) principles and techniques. Core concepts included stepped care for self-management support and motivational interviewing. The practical skills taught are the Ask-Tell-Ask approach and how to use BAP to help people make meaningful, effective action plans. This is a skills-based [...]

May 11, 2021


CSI Solutions

Business Case for Addressing Social Determinants in Primary Care Settings Webinar


Business Case for Addressing Social Determinants in Primary Care Settings Webinar This interactive webinar is focused on helping primary care organizations assess, document, and articulate their business case for addressing the social determinants of health. Participants will be provided working tools to enable a deep exploration of the variables which can drive the business case [...]


Faulkner Consulting Group

Business Process Design and Development


Business Process Design and Development Our experienced Business Process team will conduct an Operational Process Assessment of a targeted program or initiative to evaluate the current business processes vs. best practice protocols tailored to your program. Through this process, we will work with your team members and key stakeholders to develop, update, or adapt policies, [...]


MLPB Advancing Health Through Justice

Care Team Consultation & Legal Education


Care Team Consultation & Legal Education MLPB team members provide legal education and problem-solving insight in two ways. Interdisciplinary Team Meetings: Real-time embedding is a critical capacity-building tool for helping teams to spot peoples’ legal risks, rights, and remedies, and strengthen team-based problem-solving. Rapid-Response Consultations: Telementoring support available to care team members outside of IDTMs [...]

July 29, 2020


Camden Coalition

COACH: Getting out of the “fix-it” framework through meaningful engagement


COACH: Getting out of the “fix-it” framework through meaningful engagement COACH is a framework of techniques and tools designed to engage and empower individuals with complex health and social needs. Care team members will learn behaviors required to build authentic healing relationships, build self-efficacy, and create sustained behavioral change. The COACH training trains up to [...]

May 10, 2021


SMC Partners Logo

Collaborative Care Management Integration


Collaborative Care Management Integration SMC Partners offers program and process design, data management and systems integration services to enable ACOs and Community Partners to connect their systems and create a community-wide view of care management performance metrics. Today many ACOs and CPs rely on faxes and manually maintained spreadsheets to record events such as care [...]

July 29, 2020


Institute for Community Health

Collecting Provider and Staff Feedback on ACO/CP Programming


Collecting Provider and Staff Feedback on ACO/CP Programming Provider and staff input and perspective is key to determining the success of a new initiative and achieving continuous program improvement. However, gathering internal feedback can be challenging and time-consuming, and staff may be hesitant to provide honest input to someone internal to their organization. This technical [...]

May 11, 2021


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