These Spanish and English cholesterol patient education resources were developed by the University of Texas Health Science Center at Houston and the School of Public Health, El Paso Regional Campus. The artwork was done by Salvador Saenz, a well-known and respected public health educator and artist based in El Paso, TX
copy deeplink Cholesterol Comic Books and Community Health Worker Guide - English and Spanish
Cholesterol Comic Books and Community Health Worker Guide - English and Spanish- CHOLESTEROL NOVELLA fast version_0.pdf (2.99 MB)
- CHOLESTROL PROMOTORA GUIDE fast version_1.pdf (623.95 KB)
- COLESTEROL NOVELA version rapida_0.pdf (2.97 MB)
- COLESTROL GUIA PROMOTORA version rapida_0.pdf (631.83 KB)
copy deeplink Cholesterol Comic Books and Community Health Worker Guides - English and Spanish
Cholesterol Comic Books and Community Health Worker Guides - English and SpanishThese Spanish and English cholesterol patient education resources were developed by the University of Texas Health Science Center at House and the School of Public Health, Ele Paso Regional Campus. The artwork was done by Salvador Saenz, a well-known and respected public health educator and artist based in El Paso, TX.
copy deeplink Hypertension Comic Books and Community Health Worker Guides - English and Spanish
Hypertension Comic Books and Community Health Worker Guides - English and SpanishThese Spanish and English hypertension patient education resources were developed by the University of Texas Health Science Center at Houston and the School of Public Health, Ele Paso Regional Campus. The artwork was done by Salvador Saenz, a well-known and respected public health educator and artist based in El Paso, TX.
- HIPERTENSION GUIA PROMOTORA version rapida.pdf (892.13 KB)
- HIPERTENSION NOVELA version rapida.pdf (2.15 MB)
- HYPERTENSION NOVELLA fast version.pdf (2.07 MB)
- HYPERTENSION PROMOTORA GUIDE fast version_0.pdf (810.49 KB)
- SODIO GUIA PROMOTORA version rapida_0.pdf (607.74 KB)
- SODIO NOVELA version rapida_0.pdf (2.2 MB)
- SODIUM NOVELLA fast version_0.pdf (2.18 MB)
- SODIUM PROMOTORA GUIDE fast version.pdf (598.15 KB)
copy deeplink 2018 Year In Review | Migrant Clinicians Network
2018 Year In Review | Migrant Clinicians NetworkHighlights of MCN's services and programs in action during 2018! View using links below:
- 2018 year in review.pdf (2.25 MB)
- 2018 year in review - Spanish.pdf (2.25 MB)
- Reasonable hope for our times.pdf (94.68 KB)
- W2W intro to witnessing model.pdf (115.72 KB)
- Ideas for Team Meetings.pdf (88.06 KB)
- Questions to Make Visible People.pdf (29.47 KB)
Are you PCMH certified?
Is your health center certified as a Patient-Centered Medical Home?
Health centers that are designated as Patient Centered Medical Homes aim to connect primary care, private practice providers, specialists, hospitals, outreach, and behavioral health, along with relevant community-based organizations, to not only deliver care but to support healthy lifestyles and safe environments for the community. Studies suggest that implementing an effective Patient Centered Medical Home framework will increase patient acceptance and satisfaction while reducing the total costs. In one study, PCMH recognition was associated with 4.9 percent less total Medicare spending per beneficiary. Another study concluded that the longer a practice had been transformed, and the higher the risk of the patient pool in terms of comorbid conditions, the more significant the positive effect of practice transformation, especially in terms of cost savings.
Visit HRSA Accreditation and Patient-Centered Medical Home Recognition Initiative webpage to get started.
Download HITEQ’s PCMH Self-Assessment Tool to gauge your health center’s readiness for meeting the NCQA 2017 PCMH Requirements.
Are your clinic sites that serve special populations like mobile agricultural workers also PCMH certified?
The majority of health centers have achieved PCMH at one or more of their sites. Many health centers, however, have not brought PCMH to the clinics that serve their most vulnerable, and at times most challenging, patients. Yet, these patients, like mobile agricultural workers, may benefit the most from PCMH processes, if the processes are adapted for the barriers the patients may face.
Here are some resources to get you started:
Read “Approaches for Establishing a PCMH for Mobile Patients,” an article from MCN’s in-print quarterly clinical publication, Streamline.
MCN’s PCMH for Mobile Patients webpage, which includes a recent poster presentation.
The Patient-Centered Primary Care Collaborative 2017 evidence report, “The Impact of Primary Care Practice Transformation on Cost, Quality, and Utilization,” found that “the longer a practice had been transformed, and the higher the risk of the patient pool in terms of comorbid conditions, the more significant the positive effect of practice transformation, especially in terms of cost savings.”
Does your health center clearly identify the occupation of your patients including mobile and agricultural worker patients through your intake process?
Patient-centered means knowing who your patient is and what health risks they may encounter. Simple and effective adjustments to intake methods and a health center’s EHR can assure that you understand the special needs of all your patients and that high risk patients such as agricultural workers and their family members are being correctly identified.
Here are some resources to get you started:
Identifying Migratory and Seasonal Agricultural Workers in Your Clinic: MCN’s resource, in English and Spanish, to guide your intake process.
Do you identify the social determinants of health that your agricultural workers face such as chemical exposure, poor housing, mobility?
Through a robust PCMH, a comprehensive care team forms to provide coordinated care for patients. By identifying the social determinants of health among a patient population and for an individual patient, care teams can plot a path to health that makes sense for the patient. In general, agricultural workers face numerous obstacles to a healthy life that your overall patient population may manage to avoid. Agricultural workers may suffer health issues or lose health access because of pesticide exposure, mobility, language and cultural differences, transportation issues, and more.
Here are some resources to get you started on identifying and addressing social determinants for agricultural worker patients:
Read the WHO’s page on social determinants and how to address them at “A Conceptual Framework for Action on the Social Determinants of Health.”
MCN’s Environmental and Occupational Health Screening Questions for Primary Care (available in English and Spanish) is EHR friendly.
Read how one health center used MCN’s Centers of Excellence program to integrate environmental and occupational health into its medical practice.
MCN and Farmworker Justice teamed up to create Clinician Guides for Farmworker Health and Safety Regulations.
Not all agricultural workers face the same social determinants. Read the summary of 2017 research to hear how subgroups of agricultural workers face different barriers: Recent Research on Agricultural Workers’ Social Determinants of Health and Health Outcomes.
National Association of Community Health Centers PRAPARE Implementation and Action Toolkit
Visit the Medical-Legal Partnership’s SDOH Academy.
Does your health center practice comprehensive team-based coordinated care with these social determinants findings in mind?
Read “Behavioral Health Integration: Obstacles & Successes,” an article by the Patient Centered Primary Care Institute on how Yakima Valley Farmworkers Clinic has built its PCMH to meet the unique needs of its largely agricultural worker population, with a strong emphasis on behavioral health and addressing the social determinants of health.
Has your health center established relationships with community-based organizations to further address barriers to care?
Community-based organizations can help mobile agricultural worker patients tackle many health concerns outside of the clinic’s walls.
Consider gathering these types of resources for your area
- Transportation resource
- Food resource
- Legal services?
- Migrant head start?
- Housing Shelter resources
Here are a couple of resources to get you started
Assistance with Transitional Housing
Does your health center have systems in place to serve a patient who intends to leave the service area before care can be completed?
Health Network, MCN’s bridge case management system for mobile patients, was specifically designed to assure continuity of care for patients who will be leaving the service area. Patients with any ongoing health concern may be enrolled. Clinicians enroll patients for free, after which MCN’s Health Network Associates contact the patient to arrange for the continuation of care and records transfer in the patient’s next location, following the patient for as long as that patient is mobile and in need of care.
Health Network and PCMH together can assure better care for mobile patients.
Read how MCN’s Ed Zuroweste, MD, Co-Chief Medical Officer, developed a version of PCMH that worked for mobile patients in his practice.
Here are some additional resources:
Open Access Scheduling for PCMH
Standing Lab Orders for Migrant Patients
Does your health center regularly evaluate your systems to assure program effectiveness?
A comprehensive evaluation of interventions to improve the provision of PCMH for mobile patients should include a systematic review of four areas that are critical to performance improvement.
1. Identifying the social determinants of the patient
- Who are they
- What do they do
- What are their needs
2. Employing comprehensive, team based coordinated Care
- Integration of behavioral health
- Continuity and Follow up
3. Establishing clinical-community relationships
4. Evaluating the value
- Impact
- Quality
- Return on Investment
Here are some evaluation resources to assure your efforts continue to meet the needs of your community while best utilizing the center’s limited finances.
A Guide to Real-World Evaluations of Primary Care Interventions: Some Practical Advice
Measuring Population Health Management Return on Investment from HITEQ Center
Data for Population Health Management from HITEQ Center
- https://www.ncqa.org/Portals/0/Programs/Recognition/PCMH/NCQA1005-1016_PCMH%20Evidence_Web.pdf
- https://www.milbank.org/publications/patient-centered-primary-care-collaborative-publishes-new-evidence-report/
- https://bphc.hrsa.gov/qualityimprovement/clinicalquality/accreditation-pcmh/index.html
- http://hiteqcenter.org/Resources/Health-IT-Enabled-QI/Establishing-the-Foundation-for-HIT-Enabled-QI/pcmh-self-assessment-tool-2017
- http://www.ncfh.org/ag-worker-access-2020.html
- http://www.who.int/social_determinants/en/
- http://apps.who.int/iris/bitstream/handle/10665/44489/9789241500852_eng.pdf;jsessionid=F60E984C6D24FA8E342307B3DAA2AE30?sequence=1
- http://www.nwrpca.org/news/326136/Recent-Research-on-Agricultural-Workers-Social-Determinants-of-Health-and-Health-Outcomes.htm
- http://www.nachc.org/research-and-data/prapare/toolkit/
- http://medical-legalpartnership.org/events/sdoh-academy/
- http://pcpci.org/blog/behavioral-health-integration-obstacles-successes
- https://www.transitionalhousing.org/
- https://www.homelessshelterdirectory.org/
- https://pcmh.ahrq.gov/page/pcmh-evaluation-guide
- http://hiteqcenter.org/Resources/Population-Health/Concepts-and-Overview/measuring-population-health-management-return-on-investment
- http://hiteqcenter.org/Resources/Population-Health/Concepts-and-Overview/data-for-population-health-management
This guide is intended to support new and existing community health center program grantees in the State of California to successfully navigate through their unique and complex environment, particularly in regards to financial and operational processes at both the state and federal levels. Offered for free on the California Primary Care Association Store.
copy deeplink Staff Orientation to the use of Health Information Technology (HIT) to achieve the Triple Aim
Staff Orientation to the use of Health Information Technology (HIT) to achieve the Triple Aim"HITEQ developed a series of eLearning modules for new staff that focus on Health IT and the Triple Aim, but provide a good deal of health center context as well:"
- Staff Orientation to the use of Health Information Technology (HIT) to achieve the Triple Aim - Part I
- Staff Orientation to the use of Health Information Technology (HIT) to achieve the Triple Aim - Part II
- Staff Orientation to the use of Health Information Technology (HIT) to achieve the Triple Aim - Part III
- https://hiteqcenter.org/Resources/HITEQ-Resources/staff-orientation-to-the-use-of-health-information-technology-hit-to-achieve-the-triple-aim-part-i-2
- https://hiteqcenter.org/Resources/HITEQ-Resources/staff-orientation-to-the-use-of-health-information-technology-hit-to-achieve-the-triple-aim-part-ii-3
- https://hiteqcenter.org/Resources/HITEQ-Resources/staff-orientation-to-the-use-of-health-information-technology-hit-to-achieve-the-triple-aim-part-iii-3
copy deeplink 2017 Year In Review | Migrant Clinicians Network
2017 Year In Review | Migrant Clinicians NetworkHighlights of MCN's services and programs in action during 2017! Available in English and Spanish.
- YIR 2017-Eng_0.pdf (518.34 KB)
- YIR 2017-Esp_0.pdf (521.55 KB)
copy deeplink Scholarship: Underserved Occupational Populations Section Resident and Student Scholarship
Scholarship: Underserved Occupational Populations Section Resident and Student ScholarshipApplication Deadline: 04/15/2018 at 5 pm CST
The Underserved Occupational Populations Section of ACOEM is sponsoring one $1,000 scholarship to qualified residents and medical students interested in making significant contributions to the field of underserved occupational medicine.The scholarship was established in honor of Joseph A. Fortuna, MD, FACOEM who founded the Underserved Occupational Populations Section of ACOEM and who was a tireless supporter of underserved workers and their families.
- JAF Memorial Scholarship to AOHC.3.pdf (284.44 KB)
copy deeplink Taking A Pulse: Migrant Clinicians Network 2018 Poll Results
Taking A Pulse: Migrant Clinicians Network 2018 Poll Results
This new poll, taken by Migrant Clinicians Network in January and February 2018, reflected the experiences of clinical staff from 26 states across the country. Respondents came from every corner of the clinic; occupations listed include Physician, Executive Director, Dental Assistant, Outreach Specialist, Therapist, Community Health Worker, Registered Nurse, and 24 other occupations. The poll follows up on MCN’s 2017 poll, in which 63 percent of respondents indicated that immigrant and mobile patients’ attitudes and feelings toward health care access had changed.
- Poll Results February 2018.pdf (92.89 KB)
copy deeplink 2017 Global Report on Internal Displacement
2017 Global Report on Internal Displacement"The Global Report on Internal Displacement presents the latest information on internal displacement worldwide caused by conflict, violence and disasters."
"These materials are designed to be simple and useful in helping physicians and health-care professionals to meet the needs of their patients who may be undocumented or suffering stresses related to close family or community members being undocumented. While there are many toolkits being developed, we hope that these materials might be very easy to use and enable the physician or other health-care professional to address the most immediate needs of such patients."
- What do the Terms in Health Insurance Mean for Patients' Cost of Care Brochure.pdf (535.55 KB)
- Hablemos del seguro de salud y de los costos de servicios de salud para pacientes - Español.pdf (537.19 KB)
- Provider TrainingFinal.pdf (1.37 MB)
- CoC Policy and Monitoring Procedure.docx (18.21 KB)
- CoC Policy and Monitoring Procedure Spanish.docx (19.53 KB)
- Health Insurance Terminology for Pts.pptx (374.65 KB)
- Health Insurance Terminology for Pts Spanish.pptx (349.42 KB)
- Health Insurance Terminology infographic.pptx (280.24 KB)
- Health Insurance Terminology infographic Spanish.pptx (279.48 KB)
An infographic illustrating the cycle of how "typical" health insurance works.
- How Typical Health Insurance Works.pdf (452.58 KB)
copy deeplink 2016 Year In Review | Migrant Clinicians Network
2016 Year In Review | Migrant Clinicians NetworkHighlights of MCN's services and programs in action during 2016! Available in English and Spanish.
- YIR 2016-Eng_0.pdf (593.11 KB)
- YIR 2016-Esp_0.pdf (589.21 KB)
copy deeplink MassCOSH: Addressing Work-related Injuries and Illnesses: A Guide for Primary Care Providers in Massachusetts
MassCOSH: Addressing Work-related Injuries and Illnesses: A Guide for Primary Care Providers in MassachusettsOffers basic screening questions, common occupations and ailments associated with them, as well as recommended treatment. Also includes sample letters from clinicians to employers for restricted work.
copy deeplink Post Disaster Toolkit for Training Clean-up and Reconstruction Laborers
Post Disaster Toolkit for Training Clean-up and Reconstruction LaborersThis resource offers training for community based organizations and workers in the aftermath of natural disasters. It includes educational materials as well as trainer guides and tools.
Blog post from the U.S. Department of Labor highlighting common hazards during hurricane cleanup as well as links to additional readings.
copy deeplink Keeping Food and Water Safe in an Emergency Situation
Keeping Food and Water Safe in an Emergency SituationInformation on keeping food and water safe for consumption and best hygiene practices in the face of disasters.
Offers tips about potential hazards and protective strategies during disaster cleanup.
copy deeplink Medical Management and Patient Advisement After a Disaster
Medical Management and Patient Advisement After a DisasterThis page highlights important tools for clinicians as well as diagnoses to consider when caring for disaster-affected patients.
United for Puerto Rico is an initiative brought forth by the First Lady of Puerto Rico, Beatriz Rosselló, in collaboration with the private sector, with the purpose of providing aid and support to those affected in Puerto Rico by the passage of Hurricane Irma and Hurricane María. 100% of the proceeds will go to helping the victims afteced by these natural disasters in Puerto Rico.
copy deeplink How You Can Help: #SafeCleanUp from Hurricane Harvey
How You Can Help: #SafeCleanUp from Hurricane HarveyThis site includes various helpful links including information on health hazards, mold remediation, respirator use, and related policy information.