Clinical Issues

Clinical Issues

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These are interesting times for Community Health Centers. Both opportunities and challenges present themselves in health care reform, expansion of health centers and a shrinking primary care workforce. The current Quality Agenda for health centers is one of growth and integration. The patient centered medical home (PCMH), community partnerships, and Accountable Care Organizations (ACOs) have emerged as important strategies in how the nation's health centers deliver and maintain excellent primary care for underserved populations. Electronic Health Records and "going paperless" strengthen the ability of health centers to increase capacity and improve performance consistent with the Institute of Medicine's (IOM) quality standards of timeliness, efficiency, equality, safety, effectiveness and patient-centeredness.

New News – What's new in Clinical Affairs.


Clinical Leadership Development Training - Click here to explore NACHC's roadmap of opportunities. 

Clinical WorkforceAttracting, retaining and supporting a capable workforce is of the highest importance for health centers.  NACHC provides information on recruitment, growth and innovation as well as resources specifically for Medical Directors new to their position in the clinical workforce.


Clinical Quality – Here are tools, information and resources on key and timely issues for health centers, including

Before you explore these pages, we invite you to view our video series, HIV and Related Issues:  Engaging Patients and Communities.  This series of 4 short videos highlights health centers as an integral part of our nation’s response to the critical issues of HIV, hepatitis C, and sexual health.  Addressing these issues, often through active partnerships, is essential in a true Patient Centered Medical Home and in fully engaging our patients, families, and communities.  Special thanks go to patients and staff at Mary's Center in Washington, DC for allowing us to film onsite.


HIV and Hepatitis C in Health Centers  Dr. A. Seiji Hayashi, Chief Medical Officer of the Bureau of Primary Health Care describes  the importance of these issues to health centers and how health centers are in a position to help address the country's HIV crisis and emerging Hepatitis C crisis.



Routine HIV Screening in Health Centers  Karen McCraw, Chief Program Officer of Family First Health describes how her health center integrated effective, routine HIV screening into daily operations of its Patient Centered Medical Home.



Community Partnerships  Partnering with other organizational resources helps leverage a health center's ability to provide patients with all needed services.  Hear from Jacqueline Leifer, Senior Partner at Feldesman Tucker Leifer Fidell LLP and Brian Toomey, Chief Executive Officer of Piedmont Health Services about why such linkages are so important and how you can make them work.



Importance of Sexual Health in Primary Care  Dr. Harvey Makadon, Director of the National LGBT Health Education Center explains why routinely discussing and documenting sexual health is so important and describes how the dynamics of such discussions should proceed.


Contact Caryn Bernstein with questions, suggestions or corrections.




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