Welcome to our hub for clinical innovation in primary care in Community Health Centers (CHC). This page is dedicated to supporting health centers as they enhance and transform the way care is delivered. Here, you’ll find curated resources, practical tools, and evidence-based strategies focused on improving quality, access, and outcomes. Whether implementing new care models, optimizing workflows, or driving care delivery, you'll find useful resources designed to help health centers lead with confidence and positively impact patients' health outcomes.
New York Health Foundation Comments on Front-of-Package Nutrition Information
On May 16, 2025, the New York Health Foundation submitted supportive comments on the FDA’s proposed mandatory front-of-package “Nutrition Info Box” rule, which would clearly indicate whether a product is “Low,” “Med,” or “High” in saturated fat, sodium, and added sugars. The Foundation emphasized the tool’s potential to reduce diet-related diseases, particularly in priority populations disproportionately affected by poor nutrition. Citing robust evidence from consumer focus groups and experimental studies, they underscored that interpretive front-of-package labels can effectively guide healthier choices. They also recommended prioritizing labeling requirements for products high in these key nutrients to maximize public health impact.
CMS Non‑Emergency Medical Transportation (NEMT) fact sheet for Beneficiaries
This CMS Non‑Emergency Medical Transportation (NEMT) fact sheet clarifies important program detail such as distinctions between emergency and non‑emergency transport, acceptable vehicle types, and driver criteria—helping Medicaid beneficiaries better understand and access this essential benefit.
CMS Non‑Emergency Medical Transportation (NEMT) Booklet for Providers
The NEMT booklet provides a comprehensive overview of Medicaid-covered non-emergency medical transportation for providers, clarifying key definitions, eligible transportation modes, delivery models, and state-specific coverage guidelines. It also outlines common fraud and abuse risks, offering practical prevention strategies to help providers strengthen service coordination and maintain program integrity.
University of California San Francisco Produce Prescription Incentive Technology Directory
The Directory & Incentive Technology Resource is a curated toolkit designed to support organizations and programs enhancing food security through incentive-based strategies. Developed by the Seligman Research Lab at UCSF, the resource offers a structured directory of technology platforms that support incentive programs such as produce prescription, voucher, and incentive-based nutrition interventions. It provides key details on each platform’s functionality, ease of integration, user experience, and evaluation capabilities.
New York State Food Supplier Directory
This interactive map, developed by the NYS Food as Medicine Coalition, links food-as-medicine programs such as produce prescriptions, medically tailored meals, and food boxes with regional suppliers and distributors across New York State. It enables healthcare providers and program administrators to identify and connect with vetted food suppliers by county, ensuring the consistent delivery of nutritious, medically appropriate foods to participants. By facilitating connections between demand and supply, the tool supports the statewide expansion of food-as-medicine initiatives, strengthens partnerships, and improves access to healthy food through Medicaid and community-based programs.
Strengthening Supportive Housing for New Yorkers with Complex Needs
The 2025 report, Strengthening Supportive Housing for New Yorkers with Complex Needs, outlines key strategies to enhance supportive housing services for individuals with significant medical, behavioral health, and social challenges who are served by community health centers. Developed by CSH and funded by the Helmsley Charitable Trust, the report introduces a two-year pilot initiative aimed at improving care coordination, integrating services, and promoting housing stability. Emphasizing cross-sector collaboration, the initiative is designed to inform long-term policy reforms in New York City to more effectively address housing insecurity.
Supporting Tenants to Make Timely Rent Payments
The Corporation for Supportive Housing developed this guide to equip supportive housing staff including service providers and property managers, with practical, compassionate strategies to help tenants meet rent obligations consistently and on time. It emphasizes the importance of early, clear communication during lease signing, the use of multi-channel reminders, and a trauma-informed approach to identifying underlying barriers, whether financial, mental health–related, or logistical through techniques like motivational interviewing. The guide outlines ongoing support strategies such as regular check-ins, budgeting assistance, access to emergency resources, and the use of positive incentives. It also promotes flexible rent due dates aligned with tenants’ income schedules, collaborative responses to extended non-payment, and maintaining dignity and trust throughout the process, even in cases where eviction may be necessary.
More Resources:
- Promising Practices for Food is Medicine Interventions: Summary of Listening Sessions with Health Centers
- Turning Policies into Action: An Overview of Medicaid HRSN Delivery Structures
- Definitions of the Well-Being Portfolio: A Tool for Regional Leaders Ready to Create a Balanced and Impactful Set of Policies, Programs, and Practices to Transform Well-Being
- Hunger on the Rise: New York’s Food Insufficiency Rates Hit New Highs and Exceed Pandemic Levels (2024 Update)
- The Food Pantries' Food Assistance Provider Map
- Social Risk Poster
- PDSA Worksheet Template