Specialty Care Initiative (SCI) sites and clinics with diabetic retinopathy screening move the needle on access to specialty care. A map shows the reach of these efforts and provides contact information.

A collaboration between CHCF and Kaiser Permanente Community Benefit supports innovative regional and local solutions to improve specialty care access in the health care safety net.

Eight organizations with experience caring for medically complex patients participated in this yearlong collaborative that shared and tested methods for producing better outcomes at lower cost.

Delivering an exceptional patient experience can boost quality, safety, and performance. CHCF is funding eight community clinics to elevate their patient experience. Deadline was January 13.

A program to place corporate professionals nearing retirement with community clinics aims to boost the clinics' financial management, strategic planning, and even IT skills.

For community clinics, financial stability can vary tremendously. This study finds a continuing divide between "have" and "have not" clinics in California.

The business adage "what gets measured gets managed" applies in health care. Two projects focus on measuring and improving the patient experience in community clinics.

Many community clinics are seeking to deliver care more efficiently through strategic restructuring, including mergers or partnerships. This self-assessment workbook and resources guide can help.

Chronic disease management systems can help track multiple chronic conditions. In 2008, six philanthropies launched this initiative to enable community clinics adopt CDMS technology.

Foundations often go it alone in seeking to improve the lives of the people they focus on. But when it comes to helping community clinics transform themselves as part of health reform, CHCF President Mark Smith argues philanthropy should be a team sport.

To spur the adoption of quality improvement methods and the use of electronic data by community clinics and health centers and to improve care for low-income patients with diabetes, CHCF funded this $1.9-million, two-year initiative. An independent evaluation report is available.

Four papers describe design strategies that are enabling safety-net clinics to support best practices in health care interactions, patient flow, and use of new technology as they grow and change. A dedicated website offers more resources.

The aim of this initiative is to improve service delivery and operations among nonprofit primary care clinics in California by supporting the exploration and development of strategic restructuring efforts among interested organizations.

These four issues briefs are tactically oriented and draw from experiences of real community clinics as they adopt electronic health records. The four topics are chart abstraction, clinical documentation, training strategies, and workflow.

Case studies describe the experiences and insights of safety-net provider organizations that have used management and process reengineering methods to provide more comprehensive and cost-efficient care.