Implementation Guide: Adults with Preventive Care Needs

This implementation guide provides step-by-step strategies to increase breast, cervical, and colorectal cancer screening through evidence-based workflows, patient outreach, care coordination, social needs support, and continuous quality improvement.

Implementation Guide: Behavioral Health Conditions

This implementation guide provides step-by-step strategies to strengthen integrated behavioral health care, depression screening and follow-up, measurement-based care, suicide risk response, patient engagement, and continuous quality improvement.

Implementation Guide: Children

This implementation guide provides step-by-step strategies to improve well-child care, childhood and adolescent immunizations, pediatric behavioral health, family engagement, care coordination, and equitable outcomes for children and adolescents.

Implementation Guide: Pregnant People

This PHMI implementation guide provides step-by-step guidance to help Community Health Centers and primary care practices strengthen population health management for pregnant and postpartum people.

Implementation Guide: Adults Living with Chronic Conditions

This implementation guide provides step-by-step strategies to improve hypertension and diabetes care through population health management, care team redesign, patient outreach, behavioral health integration, social needs support, and continuous quality improvement.

Implementation Guide: Empanelment

The Empanelment Guide provides step-by-step guidance to help Community Health Centers and other primary care practices implement and sustain empanelment—the assignment or attribution of individual patients to primary care providers and care teams while considering patient and family preferences.

Implementation Guide: Data Quality and Reporting

The Data Quality and Reporting Guide provides step-by-step guidance to help Community Health Centers and other primary care practices build a reliable foundation for performance measurement, population health management, quality improvement, value-based care, and health equity.

Maximizing Technology for Population Health Management

This session explored how health information technology (HIT) can support goals, clinical outcomes, and sustainable improvement. The session covered how to assess opportunities to better use current tools, consider how HIT can strengthen plan-do-study-act (PDSA) cycles and implementation plans, and discussed how AI may support efficiency beyond the office visit.