Team Based Care

Collaborative Care for Chronic Pain

Report and Recommendations from the Bree Collaborative

Treatment of pain varies widely between systems and clinicians with high financial and human cost. Moving to a collaborative or team-based approach to managing complex pain has been shown to result in better patient outcomes.

However, most approaches to pain management including chronic opioid therapy involved siloed health care providers. This workgroup met from January 2018 to January 2019 and defined minimum standards for:

Opioid Response Network

Providing education and training at a local level for evidence-based practices in the prevention, treatment and recovery of opioid use disorders, the State Targeted Response Technical Assistance Consortium (STR-TA), funded by SAMHSA, is a response from a large coalition of national professional organizations. The Opioid Response Network, ORN, provides local training and education free of charge for specific needs at a community level. 

Six Building Blocks

A Team-Based Approach to Improving Opioid Management in Primary Care

This website introduces the Six Building Blocks, provides tools and resources for improving care, and offers implementation guidance. The Six Building Blocks can help anyone who is interested in improving the care of patients using long-term opioid therapy.


The MeHAF is a widely used measure of behavioral health integration that can be used for initial assessment and to follow changes in levels of integration. It is easy to use and makes sense for a range of clinical settings - both primary care and community mental health.

Fever: The body's way of fighting sickness

The fever materials offer guidance to providers who wish to support health literacy with their clients. Parents are often alarmed when a child presents with pyrexia and the gamut of available resources, from well-intentioned friends or family members to a wide range or media streams, often are misguided and lack evidence-based solutions. We know that when patients understand basic health information, they are more likely to come to appropriate health decisions.

Palliative Care Leadership Centers

Palliative Care Leadership Centers

Fairview Health Services’ Palliative Care Program is designated as one of seven national Palliative Care Leadership Centers (PCLCs) by the Center to Advance Palliative Care (CAPC). These programs host site visits, including training and technical assistance for hospitals and other institutions seeking to start or strengthen their own palliative care programs.

The Center to Advance Palliative Care

The Center to Advance Palliative Care

The CAPC, Center to Advance Palliative Care, site provides health care professionals with the tools, training, and technical assistance necessary to start and sustain successful palliative care programs in hospitals and other community based health care settings. CAPC is a national organization dedicated to increasing the availability of quality palliative care services for people facing serious, complex illness.

End of Life Palliative Education Resource Center

End of Life  Palliative Education Resource Center

The EPERC, End of Life Palliative Education Resource Center, shares educational resource material among the community of health professional educators involved in palliative care education. Its series of fact sheets provide concise, practical, peer-reviewed, and evidence-based summaries on key topics important to clinicians and trainees caring for patients facing life-limiting illnesses. Fast Facts are designed to be easily accessible and clinically relevant monographs on palliative care topics.

Palliative Care Guideline Institute for Clinical Systems Improvement (ICSI)

Palliative Care Guideline Institute for Clinical Systems Improvement (ICSI)

The Palliative Care Guideline Institute for Clinical Systems Improvement (ICSI) guideline assists primary and specialty care providers in identifying and caring for adult patients with a potentially life-limiting, life-threatening or chronic, progressive illness who may benefit from palliative care. It outlines key considerations for creating a plan of care to meet patient, family, and other caregivers’ needs throughout the continuum of care. A palliative care order set is also available.

Population Health for Front-Line Providers: A Data Driven Approach

Population Health for Front-Line Providers: A Data Driven Approach

In the webinar, Population Health for Front-Line Providers: A Data Driven Approach, Jeff Hummel, MD, MPH and Hub coach, Carolyn Brill, CPHIMS, CHP discussed population health management for a provider audience. This data driven approach includes case examples of depression in people with diabetes and efforts to improve their clinical outcomes. This webinar will explore: