Community-Based Care Coordination

Adverse Childhood Experiences (ACEs)


    Adverse childhood experiences (ACEs) refers to traumatic events experienced in childhood that impact health over the lifespan. These include physical, emotional and sexual abuse, neglect, and/or family dysfunction. Learn more from the Population Health Guide about Specific ACEs linked to negative health outcomes in adulthood, including: experiencing homelessness, community violence, discrimination, and deportation or migration.

    Mental Health in Rural Communities Toolkit

    The Mental Health in Rural Communities Toolkit compiles evidence-based and promising models and resources to support organizations implementing mental health programs in rural communities across the United States, with a primary focus on adult mental health.

    The modules in the toolkit contain resources and information focused on developing, implementing, evaluating, and sustaining rural mental health programs. There are more resources on general community health strategies available in the Rural Community Health Toolkit.

    Screening for Social Determinants in Primary Care Pediatrics

    While sociologists, educators, and economists have pointed to the role of social factors in health and well being for decades it has only been in recent years there has been increasing awareness of the crucial role that social determinants of health (e.g., education and income), have on health throughout the lifecourse. As described in a recent article about screening for social determinants in primary care pediatrics, health care delivery sites can make a big difference in connecting patients to community services.

    Lake Whatcom Case Example Feb 2018

    Development of an Integrated Program

    Lake Whatcom Residential and Treatment Center (LWC) strives to be a hub of services to its clients and to treat the whole person through primary care integration.  Between 2011 and 2013, LWC participated in Washington State’s Healthy Communities, Washington Healthcare Improvement Network in order to develop a system to manage care for clients with complex medical needs and to strengthen behavioral health agency collaboration with primary care providers.

    Food Lifeline and Sea Mar Community Health Centers, Case example

    About Food Lifeline and Sea Mar Community Health Centers

    Founded in 1979, Food Lifeline is part of the national “Feeding America” network that assists in collecting food that would otherwise go to waste to provide meals to thousands of people across Western Washington. Food Lifeline rescues millions of pounds of this surplus food from farmers, manufacturers, grocery stores, and restaurants and focuses on a long term solution to hunger.

    Transformation Talk 01-29-18 Final (1)

    Did you miss January's Transformation Talk webinar about Practice Transformation Support Hub Resource Portal and Opportunities for ACH Partnership? Dr. Ian Bennet and Maria Courogen talk about the Portal's history and future, features, and how it could help you in your Practice Transformation. Check out the link below to learn more about the Practice Transformation Support Hub and how it can help you with Transformation! 

    QPP Crosswalk 2019 _updated 120318

    QPP Quality Measures Crosswalk for 2019

    The QPP Quality Measures Crosswalk was developed to assist providers with their practice transformation efforts. This tool is a crosswalk of measures and improvement activities shared across the Washington State Medicaid Transformation Project Demonstration, the Health Care Authority (HCA) Apple Health Contract Metrics, and the Medicare Quality Payment Program (QPP).

    Home- and Community-Based Services

    Home- and Community-Based Services (HCBS) are types of person-centered care delivered in the home and community. A variety of health and human services can be provided. HCBS programs address the needs of people with functional limitations who need assistance with everyday activities, like getting dressed or bathing. HCBS are often designed to enable people to stay in their homes, rather than moving to a facility for care.
    HCBS programs generally fall into two categories: health services and human services.