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Redwood Community Health Coalition (RCHC)’s 4-Point Evidence-Based Care (EBC) program framework includes four areas where RCHC and member health centers collaborate to improve population health outcomes. The EBC program framework advances practice transformation through collective leadership and the implementation of evidence-based care. The EBC programs seeks to improve care and outcomes through shared clinical guidelines, greater standardization of the electronic health record and use of clinical decision support tools, sharing of best practices, and population health and quality improvement support.
RCHC’s 4-Point Evidence Based Care Programs:
- Shared Clinical Guidelines and Protocols – Agreed to by RCHC Medical Directors for each member health center.
- Clinical Decision Support and Analytics – Recalls, Alerts, Order Sets, Templates, Standard Reports.
- Shared Best Practices – Peer Network meetings and RCHC documented Promising Practices.
- Population Health and QI Support – Provider/Staff Education and Technical Assistance
ADDITIONAL RESOURCES AND COMPANION DOCUMENTS:
Clinical Guidelines
Cardiovascular Health (PHASE, Hypertension and Diabetes)
- RCHC PHASE Algorithm (updated 9/2017)
- RCHC Hypertension Management Guideline (updated 6/2016)
- RCHC Diabetes Titration Algorithm (updated 6/1/2017)
- RCHC Diabetes Management Guideline (updated 4/2018)
Cervical Cancer Screening
- Cervical Cancer Screening Guideline (updated 10/2016)
Gastronenterology (Colon Cancer Screening, Cirrhosis Management and Hepatitis C)
- End Stage Liver Disease (Cirrhosis) Guideline (updated 9/2016)
- Colon Cancer Screening Guideline (updated 10/2016)
- Hepatitis C
Opioid Prescribing (includes Buprenorphine Treatment Guideline)
- RCHC Opioid Prescribing Guideline Detailed (updated 1/2017)
- RCHC Opioid Prescribing Guideline Summary (updated 1/2017)
- ED Opioid Guideline 1 pager Spanish (updated 1/2017)
- ED Opioid Guideline 1 pager English (updated 1/2017)
- RCHC Buprenorphine-Naloxone Treatment Guideline (updated 5/2017)
- RCHC Dental Guidelines on Acute Pain Management (updated 5/2018)
RN Standardized Procedure Templates
Expand for templates
- Standardized Procedure for Blood Pressure Management
- Standardized Procedure for Management of Type 2 Diabetes
- Use of Aspirin for Management of Patients at High Risk for Cardiovascular Events
- Use of Angiotensin-converting-enzyme Inhibitors and Angiotensin Receptor Antagonists for Management of Patients at High Risk for Cardiovascular Events
- Use of Statins for Management of Patients at High Risk for Cardiovascular Events (updated 12/19/17)
Clinical Decision Support
Expand for Clinical Decision Support
Shared Best Practices
Promising Practices:
Promising Practices Poster – Health Center Templates 2017 – Blank
Cervical Cancer Screening
- Cervical Cancer Screening – OLE Health
- Cervical Cancer Screening – Marin Community Clinics
- Increasing Cervical Cancer Screenings through Data Clean-up & PSDA Cycles – West County Health Centers
Child Health
Well Child Visits and Child Immunization Workflows – West County Health Centers
Childhood Immunizations– Petaluma Health Center
Colorectal Cancer Screening
- Colorectal Cancer Screening – Petaluma Health Center
- Colorectal Cancer Screening – Sonoma Valley Community Health Center
Dental Sealants for Children 6-9
- Dental Sealants for Children Ages 6-9 – Petaluma Health Center
Diabetes
- Nurse Case Management for Blood Pressure Control for Diabetics – Coastal Health Alliance
- Diabetes A1C – OLE Health
- Diabetes A1C – Sonoma Valley Community Health Center
- Diabetic Retinal Eye Exam Screenings – Alexander Valley Healthcare
Hypertension
- Hypertension Control – West County Health Centers
- Blood Pressure Measurement Workflow – Alliance Medical Center
- Hypertension Blood Pressure Control– Alexander Valley Healthcare
Quality Improvement and Panel Management
- Quality Watch Checklists – West County Health Centers
- MediCal Members for Outreach – CommuniCare Health Centers
- Pop Health for QI – Marin Community Clinics
- Clinical Team Assistant (CTA) QI Rotations – Santa Rosa Community Health
Social Determinants of Health
- Screening for Social Determinants of Health – Winters Health Care Foundation
- Access Coordinator Role– West County Health Centers
Team Based Care
- Optimizing Care Team Roles for PHASE – Sonoma County Indian Health Project
- Preventive Care Coordinator Position – CommuniCare Health Centers
- Wiki Site – Petaluma Health Center
- Teamlet Model for Improving HTN and HbA1c Levels – Coastal Health Alliance
Technology & Operations
- Better Communication for Better Care (Video Translation Services) – Alliance Medical Center
Tobacco and BMI Screenings
- CDSS for Tobacco Screening – Santa Rosa Community Health
- BMI Screening and Documentation– Petaluma Health Center
- Adult BMI Screening and Follow-Up – Sonoma Valley Community Health Centers