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Process Improvement

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One-e-App: One-Stop Access to Health and Social Service Programs

August 2010

One-e-App is a Web-based system designed to screen and enroll applicants in multiple publicly funded health programs through a single application. It is built on the successful Health-e-App application platform and is uniquely managed by local communities.

Health Care Interpreter Network

July 2010

This network offers interpretation services to patients and providers at eligible public hospitals in California. Trained health care interpreters operate in 16 languages through an automated video/voice call center.

Workflow Redesign: A Model for California Clinics

June 2010

By improving patient flow, community clinics can facilitate better patient access as well as higher provider and patient satisfaction. A project to help over 40 California clinic teams achieve better patient flow is evaluated in this issue brief.

Training Strategies: EHR Deployment Techniques

June 2010

Training clinic staff and providers in the use of an electronic health record (EHR) system provides an opportunity to get the most out of the technology and also improve patient care.

Small Practice eDesign

May 2010

This $1.5 million initiative will develop a prototype community infrastructure and tools to support the adoption, integration, and meaningful use of EHRs for small medical practices and test the model in up to 20 primary care practices in Tulare County.

Toolset for Aggregators Implementing the CHCF Small Practice eDesign Model

May 2010

These tools describe the SPeDesign model and outline the roles and responsibilities of organizations that would like to help small practices adopt and make meaningful use of EHRs and data-driven improvements. Included are assessment tools, FAQ, technical guides, checklists, and a playbook.

Redesigning Specialty Care in Community Clinics: A California Case Study

April 2010

An issue brief reports on the impact, challenges, and lessons learned from a redesign project to expand specialty-care access for patients in a Los Angeles network of community clinics. A second report provides an independent evaluation of the project.

Reinventing Health Care Delivery: Innovation and Improvement Behind the Scenes

September 2009

For this issue brief, leaders at health care innovation organizations nationwide were interviewed to learn more about how the centers operated, the objectives being pursued, and some of the challenges they faced.

Homeward Bound: Nine Patient-Centered Programs Cut Readmissions

September 2009

Nine innovative programs sharply reduce the need for patients to be readmitted to the hospital shortly after being discharged. This report looks at the issues around reducing readmissions and summarizes lessons learned from the case studies.

Strengthening Community Dental Practices in California

August 2009

This project will support and measure clinical productivity and financial viability improvements through practice management consulting to five community dental practices.

Federally Qualified Health Centers and State Health Policy: A Primer for California

July 2009

This issue brief provides an overview of federally qualified health centers and the California policies that affect their operations, as well as a comparison with approaches in other states.

Four Models Bring Specialty Services to the Safety Net: Enhancing Scope of Practice and Referral Efficiency

July 2009

Providing consistent access to specialty care services is difficult for community clinics and other ambulatory settings that serve low-income populations. This research looks at programs created to improve access and overcome barriers to good specialty care. Nine case studies in diverse settings offer insights for others wishing to enhance specialty care access.

Expanding Performance Measurement to Include Patients' Experience of Self-Management Support

July 2009

Self-management support plays a key role in chronic disease management. This study correlated patient experience of provider self-management support with process and clinical outcome measures.

Strategic Restructuring for Community Clinics: Options and Examples

June 2009

Concerned about their long-term survival in the face of an economic slowdown and the state budget crisis, some California community clinics are considering partnerships or mergers. This issue brief explores their options for strategic restructuring.

Spreading Effective and Efficient Diabetes Care in California's Public Hospital Systems (SEED)

May 2009

To spur the adoption of quality improvement methods and the use of electronic data by public hospital systems to improve diabetes care (and ultimately other chronic disease care), CHCF allocated up to $1.2 million for this two-year project.

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