Category: Resource

This style guide, developed by the National Center on Disability and Journalism, covers almost 200 words and terms commonly used when referring to disability.

CMS OMH has complied Federal resources on the 2019 Novel Coronavirus (COVID-19) to assist partners who with with the most vulnerable – such as older adults, those with underlying medical conditions, racial and ethnic minorities, rural communities, and people with disabilities.

This toolkit offers information for providers ready to learn how to support diverse family caregivers. It contains topline information on what providers need to know to help them build a more welcoming, supportive practice.

INTERACT (Interventions to Reduce Acute Care Transfers) is a quality improvement program that focuses on the management of acute change in resident condition. It includes clinical and educational tools and strategies for use in everyday practice in long-term care centers.

INTERACT is designed to improve the early identification, assessment, documentation, and communication about changes in the status of residents. The goal of INTERACT is to improve care and reduce the frequency of potentially avoidable transfers to the acute hospital.

Website requires login.

This educational guide is intended to foster the development of primary care practice teams to enhance care for vulnerable patients who are at risk of CKD or who have CKD and are at risk of progression of disease or complications. This guide addresses three aspects of care: identification of CKD; treatment and monitoring progression; and delivering patient-centered care. It is meant to inform readers about disparities in the care of patients with CKD, present potential actions that may improve care and suggest other available resources that may be used by primary care practice teams in caring for vulnerable patients.

Hospital based care transition model that coordinates the patient’s discharge plan throughout the hospitalization and then provides a post-acute discharge guide and follow-up telephone calls.

A resource for people with physical disabilities that helps them understand their rights for access to the same medical services as everyone else.

Interactive mapping tool to identify health disparities between subgroups of Medicare beneficiaries. The tool presents health-related measures from Medicare claims by sex, age, dual eligibility for Medicare and Medicaid, race and ethnicity, and state and county.

Effective communication is critical to ensuring understanding, empowering patients, and providing high quality care. A language access plan can help ensure that an organization provides high quality and appropriate language services. This guide identifies ways that providers can assess their programs and develop language access plans to ensure persons with limited English proficiency have meaningful access to their programs.

The Disparities Impact Statement, developed by the CMS Office of Minority Health, helps organizations to identify, prioritize, and take action on health disparities. The tool walks users through a four-step process to identify and address disparities:

Step 1: Identify vulnerable populations and their disparities
Step 2: Set SMART aims (Specific, Measurable, Attainable, Relevant, Time-based)
Step 3: Develop an Action Plan
Step 4: Monitor, improve and disseminate

The Disparities Impact Statement includes fillable worksheets for each step that can be saved and edited. The CMS Office of Minority Health offers free assistance from their Health Equity Technical Assistance Team if needed.

Get an overview of key issues related to readmissions for racially and ethnically diverse Medicare beneficiaries, as well as useful resources for hospital leaders to take action to address readmission.

This guide equips clinicians with information for treating chronic pain in adults living with a history of substance use. The guide discusses chronic pain management, including treatment with opioids. It also includes information about substance use assessments and referrals. Available at no cost from SAMSHA.

Order from SAMHSA directly, no cost. PDF available online.

Available at no cost from SAMSHA. EBP for MAT in general medical settings for patients with OUD (includes assessment tools, guidelines, etc.) Collect data on success rates using various MAT through transitions of care, treatment in single settings, etc.