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About
UsAbout UsAbout Us
The people behind Community Care — and how we are improving health services in our state
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Our
NetworksOur NetworksOur Networks
A community-based infrastructure to target patients and populations in need
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Quality
Improvement -
Informatics
Center- Informatics Center Overview
- North Carolina Community Health Information Portal
- Provider Portal
- IC Report Site
- Case Management Information System
- Pharmacy Home
- North Carolina Health Information Exchange
- Medication Access and Review Program (MARP)
Informatics Center
Access to data to drive our success
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Population
Management- Care Management
- Behavioral Health Integration
- Project Lazarus
- CCNC Pediatrics (including the CHIPRA Quality Demonstration Grant)
Population Management
Programs to anticipate and address specific patient needs
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Emerging
Initiatives- Beacon Community
- Care Coordination for Children (CC4C)
- CCNC Adult Care Home Workgroup
- Child Health Accountable Care Collaborative
- Clinical Integrity
- Dual-Eligible Initiative
- Medicare Quality Demonstration (646 Waiver)
- Multi-Payer Demonstration
Emerging Initiatives
New demonstrations, pilots and programs
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Patient
Management Tools
Patient Management Tools
Building your own community network
Looking for the Commonwealth "Toolkit" site? Click here.
Learn moreMedicaid Tools and Info
Documents and links on understanding and working with North Carolina's Medicaid program.
Show me the toolsPatient Management Tools
Proven Resources
You selected:
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MLN: Cardiovascular Disease services
22 page pdf. Cardiovascular Disease,risk factors and prevention.
Added September 27, 2012
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Kindergarten physical (approved by NC Dept of Public Instruction and DHHS)- English
Fill out then print or vice versa
Added August 31, 2012
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Kindergarten physical (approved by NC Dept of Public Instruction and DHHS)-Spanish
Fill out then print or vice versa
Added August 31, 2012
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Colorectal cancer: Screening saves lives (CDC/CMS/DHHS)- English & Spanish
Scroll down to For Patients, there is a good 2 page Fact Sheet from CDC/CMS/DHHS about colon cancer screening (PDFs here in English and Spanish)
Added August 31, 2012
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Prostate cancer: Decision guide (CDC) about screening age <75- English
Note that in 9/08 USPSTF recommended NOT to screen if age >75 or life expectancy <10 years. This material is long and involved, but thorough.
Added August 31, 2012
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Prostate cancer: Decision guide (CDC) about screening age <75- Spanish
Note that in 9/08 USPSTF recommended NOT to screen if age >75 or life expectancy <10 years. This material is long and involved, but thorough.
Added August 31, 2012
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Immunizations: Vaccine Info sheets (CDC)- English & Spanish
According to Federal Law all patients/their guardians must receive the Vaccination Information Statement (VIS) describing risks/benefits prior to receiving a vaccine.
Added August 31, 2012
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Immunization Catch Up Schedule (CDC)
CDC vaccination schedules (to use/hang up in office) including catch-up schedules. Site is kept up to date.
Added August 31, 2012
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Weight loss: Adult handouts (EatSmartMoveMore NC)- all English
Links to BMI charts, several low literacy appropriate handouts (Move more for a healthy weight, Eating out, etc), but all English only.
Added August 31, 2012
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Weight loss: Prescription 5-3-2-1 (EatSmartMoveMore NC)- English
Prescription for 5 servings fruit/veg, 3 meals/day, 2 hours or less screen-time, 1 hour or more of activity.
Added August 31, 2012
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Weight loss: Prescription 5-3-2-1 (EatSmartMoveMore NC)- Spanish
Prescription for 5 servings fruit/veg, 3 meals/day, 2 hours or less screen-time, 1 hour or more of activity.
Added August 31, 2012
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Tobacco cessation: 800-QUITNOW one page flier (NC DHHS)- English
One page flyer with 1800-QUITNOW info. More patient education info in English and Spanish can be found at http://www.quitnownc.org/patientedmaterials.asp
Added August 31, 2012
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Immunizations: Adult (CDC/Immunization Action Coalition)- English
Patient handout about appropriate immunizations-- from a 501c3 supported by the CDC. These handouts are less dense than CDC publications. Last updated 4/09, find future updates at http://www.immunize.org/printmaterials/number.asp#p40
Added August 31, 2012
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Immunizations: Adult (CDC/Immunization Action Coalition)- Spanish
Patient handout about appropriate immunizations-- from a 501c3 supported by the CDC. These handouts are less dense than CDC publications. Last updated 4/09, find future updates at http://www.immunize.org/printmaterials/number.asp#p40
Added August 31, 2012
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Immunizations for children and teens (CDC/Immunization Action Coalition) - English
Patient handout about appropriate immunizations-- from a 501c3 supported by the CDC. These handouts are less dense than CDC publications. Last updated 1/10, find future updates at CDC site or http://www.immunize.org/printmaterials/number.asp#p40
Added August 31, 2012
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Immunizations for children and teens (CDC/Immunization Action Coalition) - Spanish
Patient handout about appropriate immunizations-- from a 501c3 supported by the CDC. These handouts are less dense than CDC publications. Last updated 1/10, find future updates at CDC site or http://www.immunize.org/printmaterials/number.asp#p40
Added August 31, 2012
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Diabetes: Eating-Plate Method Comic 7pgs (learningaboutdiabetes.org) - English
Comic book style presentation of the Idaho "Plate method" from http://www.learningaboutdiabetes.org/ Color version at http://www.learningaboutdiabetes.org/downloads/PlateMethodENc.pdf
Added August 31, 2012
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Diabetes: Eating-Plate Method Comic 7pgs (learningaboutdiabetes.org) - Spanish
Comic book style presentation of the Idaho "Plate method" from http://www.learningaboutdiabetes.org/ Color version at http://www.learningaboutdiabetes.org/downloads/PlateMethodENc.pdf
Added August 31, 2012
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Weight loss: find a local program (NC Alliance for Healthy Communities)
Helps you to find weight management programs for your patients by zip code or county.
Added August 31, 2012
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Exercise: Food and Activity Diary (NHLBI)
The PDF prints better, simply a blank diary for patients to fill out. Instructions should be discussed in person prior to use. It is in English only, but only has a few words. http://www.nhlbi.nih.gov/health/public/heart/obesity/lose_wt/diary.htm
Added August 31, 2012
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Exercise: Stay Active and Feel Better! Directed towards Latinos (NHLBI)- Spanish w/some English
Has Spanish and English in same document, geared towards Latino population.
Added August 31, 2012
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Diet/Exercise: How to Read a Nutrition Facts Label (FamilyDoctor)
Printable 2 page B&W resource for the patient; low to medium literacy, practical information
Added August 30, 2012
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Diet/Exercise: How to Read a Nutrition Facts Label (FamilyDoctor) Spanish
Spanish version of printable 2 page B&W resource for the patient; low to medium literacy, practical information
Added August 30, 2012
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Diet: DASH diet (FamilyDoctor) spanish
Printable 2 page B&W - Spanish; patient/ spanish
Added August 30, 2012
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High Blood Pressure (FamilyDoctor)
"Printable 2 page; Medium literacy, minimal pictures, overview of HTN. See also ""Lifestyle Changes to Help Lower Your Blood Pressure"" (http://familydoctor.org/familydoctor/en/diseases-conditions/high-blood-pressure/treatment/lifestyle-changes-to-help-lower-your-blood-pressure.printerview.html) and ""High Blood Pressure Medicines"" (http://familydoctor.org/familydoctor/en/diseases-conditions/high-blood-pressure/treatment/high-blood-pressure-medicines.printerview.html) ALSO IN SPANISH: http://familydoctor.org/familydoctor/es/diseases-conditions/high-blood-pressure.printerview.all.html"
Added August 30, 2012
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Blood Pressure: What is High Blood Pressure? (NIH)Spanish
Spanish-Printable 11 page overview of HTN; for medium-high literacy patients and good CM resource.
Added August 30, 2012
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Blood Pressure: What is High Blood Pressure? (NIH)English
English- Printable 11 page overview of HTN; for medium-high literacy patients and good CM resource.
Added August 30, 2012
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Blood Pressure: Your Guide to Lowering Blood Pressure (NIH)
18-page document, medium literacy, overview of lifestyle interventions and medications for lowering BP; attractive layout; can print individual pages
Added August 30, 2012
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High Blood Pressure: Know the Facts About High Blood Pressure (CDC)
Printable 2-page document, medium literacy. Overview of HTN; if accessed on the web, has additional links to resources
Added August 30, 2012
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Blood Pressure: Tracker wallet card and whole page (AHA)
Printable - includes wallet card; Pt Ed Tool with BP Tracker recording sheet for home BP measurements and how to take them - Low Literacy .
Added August 30, 2012
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High Blood Pressure: Health Risk Calculator (AHA)
Interactive Online tool for Pt Ed - calculates CV Risk - moderate to high literacy; calculates risk for heart attack, stroke, etc. based on patient weight, height, and BP. Many graphics. Takes about 5 minutes. NOTE: Many other pages in this section from the AHA about HTN in general, but they are high literacy.
Added August 30, 2012
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High Blood Pressure (Health Info Translations)
Printable Pt Ed - 3 pg low literacy handout on the basics of HTN. Available in English and many other languages.
Added August 30, 2012
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Blood Pressure, Stroke: Let's Talk About High Blood Pressure and Stroke (AHA)
Printable 2 page B&W; Pt Ed overview. Medium-literacy.
Added August 30, 2012
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Hypertension Interactive Tutorial; should be named "Your Guide to a Healthy Heart"
Printable 6 Page handout as well as an interactive tutorial; Patient ED or can be used by CM if pt doesn't have internet; Interactive online tutorial about blood pressure and HTN, goes through slides and interactive quiz questions. Might be useful for care managers who use computers in patients' homes. Also has a 6-page PDF summary of information (low to medium literacy). IN SPANISH: http://www.nlm.nih.gov/medlineplus/spanish/tutorials/hypertensionspanish/htm/index.htm
Added August 30, 2012
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Heart Health: Your Guide to a Healthy Heart (NIH)
95 Page printable booklet for Pt Education for medium to high literacy - covers heart health for higher-literacy, highly motivated patients. Probably too long to be useful for most patients, but colorful, attractive, on many important topics (diet, exercise, medications, etc.) for HTN patients; Very good lifestyle information that can be printed by only the pages the CM wishes to use
Added August 30, 2012
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Stroke: What are the warning signs of a stroke? (AHA)
Printable 2-page, medium literacy, black-and-white on warning signs of stroke.
Added August 30, 2012
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Heart Attack: What are the warning signs of a heart attack? (AHA) Spanish
Spanish-Printable 2-page, medium literacy, black-and-white on warning signs of heart attack.
Added August 30, 2012
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Heart Attack: What are the warning signs of a heart attack? (AHA)-English
English- Printable 2-page, medium literacy, black-and-white on warning signs of heart attack.
Added August 30, 2012
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Discharge Planning Checklist
Printable 6 Page handout, english only; Medium literacy - may be useful with highly motivated patient interested in Self-management
Added August 30, 2012
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Taking Care of Myself: A Guide for When I Leave the Hospital Spanish
Printable 16 page booklet in Spanish patient/ care manager -Medium literacy; contains many of the same tools we cover with the self-management notebook, i.e. med list, follow-up appointments, numbers to call; may be useful with highly motivated patient interested in Self-management
Added August 30, 2012
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Heart attack: Discharge (NIH) English
Printable 4 page handout in english; medium literacy with general post-MI instructions; includes red flag issues requiring MD or 911
Added August 30, 2012
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Stroke: Discharge Instructions after a Stroke (NIH) Spanish
Printable 5 page handout; Pt Ed - Spanish version; medium literacy but very comprehensive information, including Red Flags for when to call 911 or the MD
Added August 30, 2012
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Flu: ACP Health TiPS Spanish
Spanish 1-page low-mid-literacy patient education PDF
Added August 30, 2012
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Flu: ACP Health TiPS English
English 1-page low-mid-literacy patient education PDF
Added August 30, 2012
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Hypertension: Spice Up Your Life Booklet (National Institutes of Health)
Eight-page booklet on how to reduce salt and sodium intake. In English only.
Added June 28, 2012
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Hypertension: Lowering Blood pressure Through Better Nutrition (CCNC)
Two-page MS Word document recommending strategies to lower blood pressure by eating better.
Added June 28, 2012
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Health Info Translations -- Home Care
Low literacy multi-topic Health Info; patient handouts on home health care-related topics (examples: Home Care After Total Joint Replacement, Preventing Bleeding When You Have a Low Platelet Count). Many of these contain "red flag" lists. Available in English and many other languages
Added May 21, 2012
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High Blood Pressure: Myths about High Blood Pressure (AHA)
Printable 2 page - no PDF; Pt Ed : Medium-higher literacy. One-page web page addressing common "myths" about HTN; useful for patients without literacy problems. Available in several languages, including Spanish
Added May 21, 2012
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Hypertension: How to Control Your Hypertension (Health Science Center of Houston) Spanish
Printable 24 page booklet with detailed diet plan; Low literacy, good patient resource, colorful, attractive SPANISH "comic book" about a the father of a family trying to control his blood pressure.
Added May 21, 2012
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What You Can Do to Prevent Falls
Prepared by Quality Insights of Pennsylvania, the Medicare Quality Improvement Organization for Home Health. Publication number: 8SOW-PA-HHQ07.637. App. 9/07.
Added May 2, 2012
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BMI Chart: Boys and Girls under age 21 (EatSmartMoveMore) - English
Downloadable color BMI charts for Girls age 0-20 and Boys age 0-20-- for office use or to send home with patients. In English only.
Added May 26, 2011
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Weight loss: Children (EatSmartMoveMore NC)- English & Spanish
Pediatric obesity prevention and treatment algorithms -- physician tools for management. -- link checked 4/8/2011 -pw
Added May 26, 2011
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BMI Chart: Adult (EatSmartMoveMore)- English
Downloadable color BMI chart for office use or to send home with patients. In English only. Source site: http://www.eatsmartmovemorenc.com/BMI/BMI.html
Added May 26, 2011
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Preparing for MD visit (CCNC)- English & Spanish
Brochure in English & Spanish reminding people to write down concerns, share info from other doctors, bring medications to their visit, etc.
Added May 26, 2011
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Immunizations for babies 0-1 yr (CDC)- English & Spanish
Patient handout about appropriate immunizations-- new and improved for lower lit populations.
Added May 26, 2011
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Breast cancer prevention (FamilyDoctor.org)- English & Spanish
Given the broad diagnosis of breast cancer there is little BASIC patient education info that is appropriate. Consult with your oncologist about patient education materials for the patient's specific type of cancer.
Added May 26, 2011
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Healthy eating: Cookbook - Spanish
Brought to you by California Department of Public Health. Excellent cookbook. Other resources available at http://www.campeonesdelcambio.net/es/Recursos.php
Added May 25, 2011
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Healthy eating: Cookbook- English
Brought to you by California Department of Public Health. Excellent cookbook- 64 pages (2 pages per sheet, will use 32 pieces of paper). Other resources available at http://www.cachampionsforchange.net/en/Resources.php
Added May 25, 2011
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Diabetes: Preventing limb loss (ADA/ Amputee Coalition of America) - English
Excellent handouts on preventing limb loss. See http://www.amputee-coalition.org/nllic_easyread.asp for links to more resources about limb loss.
Added May 25, 2011
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Women 50-plus: Preventive Care checklist (AHRQ) - English
Great 2 page handout on preventive care- practices can get these for free by ordering them from AHRQ- see here: http://www.ahrq.gov/ppip/pporder.htm
Added May 25, 2011
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Men 50-plus: Preventive Care checklist (AHRQ) - English
Great 2 page handout on preventive care- practices can get these for free by ordering them from AHRQ- see here: http://www.ahrq.gov/ppip/pporder.htm
Added May 25, 2011
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Women 50-plus: Preventive Care checklist (AHRQ) - Spanish
Great 2 page handout on preventive care- practices can get these for free by ordering them from AHRQ- see here: http://www.ahrq.gov/ppip/pporder.htm or Call AHRQ at 1-800-358-9295- link checked
Added May 25, 2011
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Men 50-plus: Preventive Care checklist (AHRQ) - Spanish
Great 2 page handout on preventive care- practices can get these for free by ordering them from AHRQ- see here: http://www.ahrq.gov/ppip/pporder.htm or Call AHRQ at 1-800-358-9295- link checked 4/7/2011-pw
Added May 25, 2011
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Weight loss: What it takes to lose weight (FamilyDoctor.org)- English & Spanish
This is a general overview - Overview, printer-friendly version prints best
Added May 25, 2011
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Food Habits Survey: (FamilyDoctor.org)- English & Spanish
The patient needs to be able to write to fill this out. There is little need to do info, just tracks the patient's current habits. Can be filled out while waiting for MD and shed some light on where healthier choices could be made.
Added May 25, 2011
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Epworth Sleepiness scale (Hartford Inst for Geriatric nursing)
Tool for MD or case manager to use with patient and/or caregiver to assess sleep. Article by: Carole Smyth MSN, APRN, BC, ANP/GNP, Montefiore Medical Center Issue Number 6.2, 2007
Added May 25, 2011
Newest Tools
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Asthma: Asthma Action Plan for Patients (CCNC)
A form-entry PDF for patient asthma plans. Note instructions for installing on a PC.
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Asthma: Asthma Action Plan (CCNC)
Just the action plan form -- need Acrobat Pro to save. Find to complete and print using only Reader...
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Tobacco cessation: Quitline fax referral form (NC DHHS) - Spanish
One page fax form for referring patients to Quitline.
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Tobacco cessation: Quitline fax referral form (NC DHHS) - English
One-page form for referring patients to Quitline via fax.

