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Identifying Systems Barriers to Improved Outcomes

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Health Centers can reduce their liability for lawsuits by ensuring they are eligible for coverage by the Federal Tort Claims Act (FTCA), which offers protection akin to medical malpractice insurance to federally-funded Migrant and Community Health Centers. Since Health Centers are required to refer patients to medically-necessary specialty care services that are not within their capacity to provide, it is important to be consider the Health Center’s coverage and potential exposure in the event that problems arise connected to the referral.

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In order to meet the needs of special populations such as migrant farmworkers, Health Centers often use non-traditional delivery methods to provide health care. For example, services may be provided at locations other than their own bricks-and-mortar location that are more convenient for patients. Health Centers can reduce their liability for lawsuits from incidents arising while their employees are working off-site by ensuring they are eligible for coverage by the Federal Tort Claims Act (FTCA), which offers protection akin to medical malpractice insurance to federally-funded Migrant and Community Health Centers.

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In recognition of the importance of behavioral health as a component of quality health care delivery, HRSA requires health centers to provide these services to their patient population. These are services that are difficult for many MHCs to provide onsite so they must be contracted to outside providers. Behavioral health services may include, but are not limited to, counseling for mental health issues (e.g., depression, anxiety) and substance abuse (e.g., alcohol, recreational drugs). Health centers need to be aware of the special requirements imposed by HIPAA on medical records generated by the provision of behavioral health services, and consider the impact on FTCA coverage of referring patients to outside and/or off-site providers.

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As part of their enabling services for farmworkers, Health Centers may provide transportation to and from appointments. In the event of an incident arising from providing this service, Health Centers can implement certain policies and practices to reduce their risk of liability.

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Unlike providers of many other federally-funded services and benefits, Health Centers are permitted to serve undocumented patients, and are not required to ask about a patient’s immigration status. Migrant Health Centers need to ensure that their policies protect patient privacy while complying with applicable laws on collection and disclosure of patient information.

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Includes process and questionnaire
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Chart Review Form for quality assurance
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Chart review for individual providers.
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Behavioral Health Peer Review Quality Improvement Audit

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The purpose of the Peer Review policy is to ensure the delivery of appropriate, high quality clinical care to every patient.

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Includes documentation needed and process for chart audits.
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Includes the documentation needed and process for chart audits.
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Includes management, procedures, and comlpiance.
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Includes procedures and documentation.
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Purpose and instructions along with the actual incident report form.

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To promote the improvement in the quality of the assessment and care of patients, enhance the appropriate utilization of health care services, and to enhance the value of health care services.
A HRSA publication that looks at the basic elements of a Continuous Quality Improvement with a specific focus on HIV care.
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Matthew Keifer, MD, MPH, a board certified occupational medicine specialist and internationally renowned researcher regarding pesticides and worker health, overviews the importance of recognizing and managing pesticide exposure.  To obtain free CME* credit, please complete this evaluation at the end of the webinar http://www.migrantclinician.org/national_webinar_eval. Sponsored by AgriSafe Network, Migrant Clinicians Network and the National Farm Medicine Center.

*Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.

The Alliance of Nurses for Healthy Environments (ANHE) is a network of nurses from around the country (and world) who are acting on the notion that our environment and health are inextricably connected. We are a group of nurses from all walks of our profession – hospital-based, public health, school-based, academics, and advanced practice, to name a few.   

We are helping to integrate environmental health into nursing education, greening our many workplaces, incorporating environmental exposure questions into our patient histories, providing anticipatory guidance to pregnant women and parents about environmental risks to children, implementing research that addresses environmental health questions, and advocating for environmental health in our workplaces and governmental institutions.

Three newsletters the NHSC has developed for each of its primary member segments -- Clinicians in Service, Scholars in School, and NHSC sites.

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The Association of Clinicians for the Underserved (ACU) has partnered with over 220 leading healthcare associations to form the National Healthcare Career Network (NHCN). The network gives employers a better way to immediately connect with a wide array of health professionals, including physicians, nurse practitioners, physician assistants, and mental health workers.

ACU Career Center Benefits

  • Post your job to the ACU Career Center and have your posting distributed to other job boards in the NHCN.
  • Use the Network Wizard to see how your job will be distributed throughout the Network.
  • Have your job viewed not only job seekers that posted their resume to the ACU Career Center but also job seekers that posted their resume on other sites throughout the Network.
  • Get access to over 50,000 searchable Network resumes with your active job posting.

Global Health Pathway includes online training in global health, Global Health Open Access Lecture Library, Tanzania Education Exchange, In-person Global Health Course, Community Activities, and Resident Training.

This webcast discusses the design, development and use of photonovelas as an effective tool for HIV/AIDS education in rural latino communiites.

Therapies that integrate mind and body, seek health as well as cure, and incorporate a patient's beliefs and values are increasingly popular among consumers. Not to mention, they are supported by strong biologic and outcomes evidence. But for many physicians, this “new age” medicine has been an understandable cause for suspicion.

Now, some rigorous scientists, featured in these videoclips, are conducting groundbreaking studies of the mind-body connection. They are uncovering how and to what extent psychosocial states and events significantly influence physical phenomena like pain and wound healing.

The Community Clinic Voice (the Voice) is a free, online community for Community Health Centers and other safety net health care professionals and partners to network, share information and exchange ideas. It provides one convenient, easy to navigate center to access news, resources, and colleagues. Voice members are clinic CEOs, Medical Directors, clinicians and allied health providers, CFOs, fundraisers, CIOs, operations and administrative staff, and more. There is no cost to join or use the Voice, and it is open to anyone concerned with community health. No commercial or marketing activity is permitted.

The Clinical and Translational Science Collaborative (CTSC) KL2, a post-doctoral training program with an emphasis on multidisciplinary clinical and translational research. Qualified candidates are being offered an opportunity to apply to an innovative career development program whose purpose is to train clinician investigators.  The CTSC KL2 is designed to train the nation’s future leaders in clinical and translational research, and is part of the NIH Roadmap aimed at “re-engineering the clinical research enterprise.”

The California Department of Public Health’s Occupational Lead Poisoning Prevention Program is pleased to announce a new online course - Overview of Adult/Occupational Lead Poisoning in California.  Based on the latest health information about lead poisoning, this course:
 
    • Describes the problem of adult lead poisoning
    • Uses a case to illustrate issues and challenges in diagnosing lead poisoning in adult patients
    • Offers guidelines for providing state-of-the-art clinical management of adult lead poisoning
    • Provides an overview of the medical responsibilities under OSHA Lead Standards
 
CME Credit: 1.0 AMA PRA Category 1 Credit