Programs
Improving Clinical Care
Program Resources

Asthma

Audience Item Description
Physicians/Health Educator/Patient's Family/School Asthma Action Plans for Schools and Families (PDF) Form for patient's school and family to be aware of symptoms and treatment in the event of an asthma attack (also Spanish version)
Physicians/Health Educator/Patient Home Environmental Checklist and Action Steps (DOC) Checklist that covers allergens and irritants, which are commonly found in homes and action steps for reducing exposure
Physicians CAPHI Allergy Testing Guide (PDF) California Asthma Public Health Initiative (CAPHI) summary of allergy testing guidelines
Physicians CAPHI Asthma Management Guideline (PDF) CAPHI 2-page summary of guidelines from the NAEPP's Expert Panel Report
Physicians CAPHI Asthma Management Flowsheet (DOC) CAPHI asthma visit flow sheet
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COPD

Audience Item Description
Physicians/ Clinical Staff/Managers COPD Action Plan for Patients (PDF) Patient Self-management action plan from Boehringer-Ingelheim (NCQA DM Program Certified)
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Depression

Audience Item Description
Physicians/ Clinical Staff/Managers Patient Health Questionnaire PHQ-9 for Depression (PDF) A nine-question survey for initial depression diagnosis
Physicians/ Clinical Staff/Managers Two-Question Depression Screener (DOC) A two-question screener for depression and substance abuse
Clinicians Depression & Drug/Alcohol Abuse Pocket-Sized Documentation Guidelines (DOC) KP-Riverside pocket-sized tool outlining documentation guidelines for Depression and Drug/Alcohol Abuse
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Diabetes

Audience Item Description
Office Staff/Physicians Exam Room Sign (PPT) Exam room sign: "If you have Diabetes, please take off your shoes...." (English/Spanish)
Physicians/health Educator/Patient A1C Patient Education Handout (DOC) Patient education handout: "Do you know your A1C number?"
Physicians/Health Educator/Patient Diabetes Action Plan (English) (DOC) 1-pg action plan to be completed by patient for goal-setting and self-management education with clinician
Physicians/Health Educator/Patient Diabetes Action Plan (Spanish) (DOC) 1-pg action plan to be completed by patient for goal-setting and self-management education with clinician
Physicians/Patient Basic Diabetes Care Guidelines (PDF) Basic guidelines for diabetes care from the California Diabetes Program
Physicians Diabetes Flow Sheet (DOC) Diabetes flow sheet visit form from the California Diabetes Program
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Patient Self-Management Support

Audience Item Description
Clinicians/Case Managers Video: Techniques for Effective Patient Self-Management (WEB) A short training video, produced by the California HealthCare Foundation and William Polonsky, PhD or UCSD, on principles of motivational interviewing, a technique clinicians can use to help patients adopt healthy behaviors
Clinician/Patient Patient Action Plan (DOC) CMS' Action plan tool to guide patients as they select one or two concrete activities to adopt healthier behaviors.
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General Resources

Audience Item Description
Clinicians/Managers HCC Coding Blog (WEB) Regularly updated blog on all things related to Medicare Advantage risk adjustment. Author: Matt Yuill, MD, CPC - Founder of SearchICD9.com (another great tool!) and Chief Medical Information Officer of HCC Administrators, Inc. based in Los Angeles
Physicians & Office Staff Video: Team Meetings in a Clinical Environment (WEB) 10-minute video produced by CHCF and the California Improvement Network shows how regularly scheduled clinical team meetings can make a difference in team effectiveness, care delivery and provides tips on getting the most from these group interactions
Physician Group Leaders Disease Registry Products Profile & Pricing Info (PDF) Profile of features and pricing for popular disease registry products used by physician groups in the region
All Improving Chronic Illness Care (WEB) Improving Chronic Illness Care program (ICIC) Resource Library offers a range of resources and teaching tools designed for leading and managing improvement efforts within a variety of settings
All Institute for Healthcare Improvement (WEB) Institute for Healthcare Improvement (IHI) is a distinguished independent health improvement organization featuring a variety of topics, including tools, literature, and changes that you can implement and measure to help speed improvement in your organization
All Institute for Clinical Systems Improvement (WEB) Institute for Clinical Systems Improvement (ICSI) is an independent organization that helps its members provide evidence-based health care services to people in Minnesota and surrounding states
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