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International Pre Diabetes Center
National Training & Technical
Assistance Center (NTTAC)

Supporting Quality and Safety in Community Health Centers

 WE SUPPORT Community Health Centers (CHCs) To:

1. Screen for and
    Address Social
    Determinants of
    Health (SDoH)

  • By providing Community Health Centers (CHCs) with Trained Community Outreach Navigators (CN) and Technical Assistance;

  • CN build Trust and evaluate for un-met social needs;

  • While supporting peers in their local communities with Chronic Disease Self-Management and Prevention Education

2. Identify the "Best 
    Practices" for
    Addressing SDoH 

  • CHCs serve the poor and underserved communities.

  • CHCs understand the needs of their local communities

  • When supported by trained CN: CHCs are "best suited" for addressing un-met Social Needs.

  • CHCs working with trained Outreach CN: can better screen for and address Social Determinants of Health (SDoH) and is

  • Therefore a "Best Practice" for SDOH

3. Include Data for
    SDoH: to Better
    Inform Patient Care
    Planning

  • Data for SDoH should be collected and shared with multidisciplinary care teams

  • Data for SDoH should be incorporated into a Patient's Care Plan

  • CN can she light on challenges with unmet social needs and should be valued members of multidisciplinary care teams

  • Working in this capacity Outreach CN: close gaps for disparities.

  • By eliminating certain un-met social needs that pose barriers to Care

4. Assess the Need For, and
    Implement Chronic Disease
    Prevention Programs in Local
    Communities 

  • Diabetes Prevention Program

  • Supported by Trained/ Certified CN Coaches

  • Support made possible by collaborating with CHW Apprenticeship Programs

  • Qualified (Accredited) Programs Delivered by Trained Staff:

  • Are Reimbursable by Medicaid, Medicare, and Most Private/Public Insurance Payers

5. Improve Clinical Health
    Outcomes by Implementing,
    Evidence-based Programs
    Delivered by Trained Staff

  • Our CHWs receive a stipend during training.

  • We build required skills upon CHW lived experience resulting in a Program Certification.

  • The Training is funded and available at no cost to qualified participants.

  • The Training Program attracts dedicated CHWs with a sense of purpose and want to give back to their communities.

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  • We are Committed to the Advancement of Community Health Centers and Safety Net Clinics (CHCs): to

  • Improve Health Outcomes and Establish Health Equity; 

  • Build the Infrastructure for Quality and Safety

  • CHCs supported by Community Collaborative and  Collective Impact Framework Approach.

6. We Achieve Goals
    With A Collective
    Impact Framework
    Design

  • In a Collective Impact Framework Approach: Health Systems, Foundations, Community-Based Organizations, Federal Government and Public Health:

  • Work in Partnerships with a Common Goal to improve the overall health and wellbeing of the entire community.

  • Achieving goals together, that could not otherwise be achieved by a single organization.

7. We Focus Primarily
    On Quality and
    Value To Patients

  • Health Systems, Foundations, Federal Government and Key Community-Based Stakeholders: Collaborate for Collective Impact! 

  • The Result: Long Term Financial Support, combined with Synergistic Effects of Shared Resources: to close gaps in health disparities among minority and underserved populations

  • A community working in partnerships to better meet the needs of the community

8. We Support Patient
    Safety As An
    Organizational
    "Built Culture"

  • Working as a One Stop Community Resource Center designed to improve the quality of services and access to health care

  • Our goal is to make Qualified Programs and Trained Staff available in local communities.

  • Many participants who learn to better manage their own chronic disease, often return to the community to provide "peer support" build trust and improve outcomes

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WE SUPPORT THE SUSTAINABILITY OF PROGRAMS BY:

1. Implementing And Sustaining
    The National Standards For
    Clinical Care

  • We increase Access to Training and Resources:

  • For Evidence Based Programs: Chronic Disease Self-Management and Prevention Education Programs

  • Facilitate Compliance/ Adherence to National Standards Of Care

  • Implement "Best Practices" To Engage Patients And Improve Their Clinical Outcomes

2. Ensuring the Higher Rates Of
    Reimbursement For Qualified
    Evidence-Based Programs

  • We provide Community Health Centers with the Training and Technical Assistance to implement National, Evidence-Based Programs in Local Communities.

  • Qualified Programs delivered by Trained Staff:

  • Improve Clinical Outcomes

  • Are reimbursed at higher Rates

  • Are More Sustainable

  • Demonstrates Quality

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3. We Achieve Our
    Goals With
    Collective Impact

  • In our Collective Impact Framework: Health Systems, Foundations, Community-Based Organizations, Federal Government, Public Health: and CHCs' work in Partnerships with a Common Agenda:

  • To improve the overall health and wellbeing of the communities that we serve..

  • Achieving goals together, that could not otherwise be achieved individually.

4. We Focus On The
    Quality Of Care and
    Value To Patients

  • Quality and Value: are Trademarks;

  • That are imbedded in the Organization's Culture.

  • Health Systems, Foundations, Federal Government and Key Community-Based Stakeholders, and CHCs': Collaborate for Collective Impact! 

  • The Result: "Collective Impact!" and desired Goals achieved!

5. All Staff Engage In
    Advancing A
    Culture of Safety

  • Safety is: Do No Harm;

  • And includes: Medication Safety; Safer Blood Pressure and Diabetes Control; Chronic Disease Self-Management and Prevention Education;

  • Including Screening for AIDS/HIV, Depression, Diabetes & Hypertension; 

  • Appropriate Linkages to Care and Services

  • Aligning of culturally sensitive resource to bridge the gaps in patient's need.

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6. Adherence To Standards
    Of Care And Data Guided
    Performance

  • In our Collective Impact Framework: Health Systems, Foundations, Community-Based Organizations, Federal Government, Public Health: and CHCs' work in Partnerships with a Common Agenda:

  • To improve the overall health and wellbeing of the communities that we serve..

  • Achieving goals together, that could not otherwise be achieved individually.

7. Community Health Worker
    Peer Support: To Improve
    Patient Self-Care

  • Many CHWs have cultural and lived experience that can be shared with peers in local communities

  • CHW Peer-Support are trained, trusted members of their community

  • They understand the cultural and language barriers

  • They can play a critical role in linking patients to needed community resources

  • In re-engaging patients with their providers

Learn More About IPDC NTTAC

Welcome!
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