This guide was developed by the NORC Walsh Center for Rural Health Analysis in collaboration with the National Rural Health Association (NRHA) and Western New York Public Health Alliance (WNYPHA) to address the challenges facing migrant and seasonal workers in the event of an emergency.
All Hazards Preparedness for Rural Communities: A guide to help rural agriculture communities prepare for threats to their families, farms and buainesses
MOU Example 1: This MOU template meets basic program standards for HRSA requirements for FQHC funding.
MOU Example 2: This MOU template meets basic program standards for HRSA requirements, and also shows the possibility for infusing the health center mission into the language of an MOU, embracing the spirit as well as the law of the arrangement.
The Farmworker Health Network (FHN) is comprised of six National Cooperative Agreements in migrant health funded through the US Department of Health and Human Services (HHS) to provide training and technical assistance to current and potential Migrant Health Center Programs. The FHN is committed to supporting the development of leadership within Community and Migrant Health Centers and increasing access to care for the farmworker population. In the "Key Resources for Migrant Health" document, each of the FHN members provides key resources which highlight best practices and field-tested models in migrant health.
1. New Tobacco Measure: (combining two previous measures)
MEASURE: Patients age 18 and older (1) screened for tobacco use AND (2) received cessation counseling intervention or medication if identified as a tobacco user one or more times in the measurement year or prior year
2. New HIV cases with timely follow-up:
MEASURE: Patients whose first ever HIV diagnosis was made by health center staff between October 1 and September 30 and who were seen for follow up within 90 days of that first ever diagnosis
3. PATIENTS SCREENED FOR DEPRESSION AND FOLLOWED UP AS APPROPRIATE
MEASURE: Patients aged 12 and over who were (1) screened for depression with a standardized tool and (2) had a follow-up plan documented if patients were considered depressed
Much of the medical home model is predicated on a relatively stable population that can access regular care at a single network of providers. So how can this model effectively transfer to a mobile population? This crosswalk is meant to assist centers to incorporate the needs of migrating patients into their PCMH. Each of the six standards are listed with the factors required for NCQA recognition. Recommendations for addressing the factors in migrating patients are included, along with resources available through MCN. Meaningful Use and Core Measure content is noted as it is also present.
Clinicians can use this form to collect information from patients about their prior use of non-traditional or alternative care providers and medications.
Health centers can also adapt the form and/or incorporate into their EHR.
PCMH Standard 2 Element B: Clinical Data, Factor 9: List of prescription medications with date of update for 80% of patients.
PCMH Standard 3 Element D: Medication Management, Factor 3: Provides information about new prescriptions to more than 80% of patients.
PCMH Standard 5 Element B: Referral Tracking and Follow-up, Factor 5: Asks patients about self-referrals and requests specialist reports.
This is the first of several resources MCN is developing to aid health centers in addressing the unique healthcare needs of migrant patients within the Patient Centered Medical Home. In addition, MCN is developing tools and resources health centers can utilize as they seek PCMH recognition.
Open Access means that patients can get same-day appointments for acute care needs and rapid access to routine care needs. This resource describes what Open Access looks like for migrant patients.
NCQA Standard 1: Enhance Access and Continuity; Element A: Access During Office Hours
Family Psychosocial Screening also assesses a number of other risk factors for developmental and behavior problems. These include frequent household moves, single parenting, three or more children in the home, less than a high school education, and unemployment. Four or more such risk factors including mental health problems and an authoritarian parenting style (observed when parents use commands excessively or are negative and less than responsive to child initiated interests) is associated with a substantial drop in children's intelligence and subsequent school achievement . In such cases, children should also be referred for early stimulation programs such as Head Start or a quality day care or preschool program.
PCMH Standard 2, Element C: Comprehensive Health Assessment, Factor 2: Practice conducts and documents a health assessment including family, social, cultural characteristics.
Much of the medical home model is predicated on a relatively stable population that can access regular care at a single network of providers. So how can this model effectively transfer to a mobile population? One of the key elements needed is a more expansive vision of a medical home beyond a single geographic location. This session will explore strategies to create a patient centered medical home for patients on the move. The presentation includes an update and overview of MCN’s Health Network to manage critical health care issues such as infectious disease, Cancer, Diabetes and Pre-natal patient navigations. The content highlights innovative promising practices in the creation of patient centered medical homes for migrant patients.
Link to Table 7 from HRSA's UDS reporting manual regarding health outcomes and disparities measures.
Link to some introductory training on quality improvement provided by HRSA and developed by the Morehouse School of Medicine, available as pre-recorded auid and video modules in Real Player software format that cover: defining quality, what to do to improve quality, measuring improvement, and strategies to make quality better.
Module developed by Duke Univeristy and Medical Center Department of Family Medicine which includes essential discussion and tools to assist providers and teams in their quest for QI.The purpose of the module is to help you understand and apply principles and practices of Quality Improvement (QI). It covers: Measures of quality, Models of QI and The differences between QI and research.
Watch the Get Ready campaign’s video that teaches the importance of emergency preparedness through a story about an ant and grasshopper. Share this video with friends and family to help them prepare for all kinds of disasters, hazards and other public health threats.
The Get Ready Video launch is part of a nationwide effort to encourage Americans to participate in Get Ready Day, an annual observance that takes place on the third Tuesday of September and coincides with National Preparedness Month.