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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.

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"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:"

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MCN webinar It’s your right to know! Helping Community Health Workers Promote Chemical Safety on the Job

DATE: May 24, 2017, 1 pm (ET)

SPEAKERS: Juliana Simmons, MSPH, CHES

 

 

Continuing Education Credit

To receive CME* or CNE credit after viewing this webinar, you must:

  • Complete the Participant Evaluation associated with this webinar
  • Send an email with your first and last name stating which webinar you completed to contedu@migrantclinician.org

 

Description

​José Navarro was excited for his new career after landing a job in the poultry industry. After five years on the job, 37 year-old Navarro began coughing up blood. He died soon after when his lungs and kidneys failed. His death triggered a federal investigation raising questions about the health risks associated with the use of toxic chemicals in poultry plants.

Millions of workers are exposed to chemicals everyday on the job. All workers have the right to know about the chemicals they work with and community health workers can be an important source of information and support for workers. This workshop will teach community health workers how to explain what happens when someone is exposed to chemicals and how workers can best protect themselves

 

Learning Objectives

  1. Recognize how workers become exposed to chemicals and illnesses
  2. Describe basic safety practices when working around chemicals
  3. Understand the role of community health workers in identifying and preventing work related illnesses and hazards

 

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under cooperative agreement number U30CS09742, Technical Assistance to Community and Migrant Health Centers and Homeless for $1,094,709.00 with 0% of the total NCA project financed with non-federal sources. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.

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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.

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All Hazards Preparedness for Rural Communities: A guide to help rural agriculture communities prepare for threats to their families, farms and buainesses

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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.

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.

 

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For the first time, the U.S. Preventive Services Task Force has released an e-book version of its Guide to Clinical Preventive Services. The e-book is compatible with many readers, including Kindle, Nook, iBook, and Kobo. The new “Guide to Clinical Preventive Services, 2014” is a comprehensive resource that can help primary care clinicians and patients decide together which preventive services are right for a patient’s needs. It includes all active Task Force evidence-based recommendations since 2004, including 28 new and updated recommendations since the 2012 guide, in a format meant for use at the point of patient care. It also includes information about topics in development, clinical summary tables and additional resources.

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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.

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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.

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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

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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.

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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. 

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This booklet is intended to help Community Health Centers put in place an effective and efficient workers' compensation program.

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Sample clinic policy for equipment cleaning to stop the spread of infection.
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Sample clinic policy stating that the clinic will ensure all chemical exposures are assessed and accurate treatment is given.
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These emergency evacuation procedures and assignments are designed to respond to many potential types of emergencies involving the widespread interruption of normal Center operations and evacuation/assembly of patients and staff, including fire, flood, gas leaks, chemical spills, explosions, major chemical contamination, bomb threats, tornadoes, and other civil defense emergencies.
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Sample policy stating that the clinic will orient all new employees to infection control, employee health and their individual risks.
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Sample policy stating that the clinic will comply with OSHA regulations.
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Sample policy stating the procedure for a fire emergency.
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Sample policy on handwashing for infection control.
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Sample policy for reporting an incident or accident in the clinic.
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Sample policy stating that the clinic will categorize job classifications based on Risk of occupational exposure.
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Sample policy stating that the clinic will ensure that all laundry is properly handled and cleaned thoroughly.
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Sample policy stating that the clinic will maintain a current procedural list where employees are at risk of occupational exposure.
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Sample policy stating that the clinic will follow universal precautions as required by OSHA and provide staff with the necessary Personal Protective Equipment to safely perform job duties.
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Sample policy stating that the clinic will comply with the relevant State Right To Know Program by educating its employees on the impact of chemicals used within the work place.
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Sample policy stating that the clinic will make all employees aware of the work practice controls and ensure compliance with universal precautions.
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Sample policy for proper instrument sterilization.
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A p addressing all unexpected occurrences involving death or serious physical and/or psychological injury (including loss of limb or function) or the risk thereof are responded to, investigated and reported to appropriate entities immediately.
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