There are many benefits to the PreventionLink program. Here are a few key benefits for participating providers.
- PreventionLink collaborates with other healthcare transformation programs, including but not limited to Maryland Primary Care Programs (MDPCP) and CareFirst Patient-Centered Medical Home (CareFirst PCMH) to improve health outcomes for your patients with or/at risk for diabetes, hypertension, or heart disease.
- Access to a community of practice (CoP) for providers to share best practices and lessons learned. The members of the Community of Practice (CoP) consist of medical practices enrolled in PreventionLink and the PreventionLink community partners. The CoP meets quarterly to share best practices and lessons learned. The specific goals of the CoP are to:
- Raise awareness among local partners of the value of integrating systems to address the prevention and management of diabetes, heart disease, and stroke.
- Advance the work of individual organizations and communities to promote health.
- Support organizations and communities to collaborate regionally to address social determinants of health and advance health equity.
- PreventionLink will serve as a liaison to the Chesapeake Regional Information System for our Patients (CRISP). Providers from your practice will make referrals to self-management programs and receive feedback on participation and adherence through the CRISP bi-directional e-referral system.
- PreventionLink has a unique focus on- early detection of chronic kidney disease, undiagnosed hypertension, self-measurement blood pressure, and will provide technical assistance and support of self-management programs to facilitate sustainability.
- Community Health Workers will work with your patients and providers to assess and address social determinants of health barriers to program participation and adherence.
- PreventionLink will work with your practice to develop care plans, workflows and effectively utilize risk stratification through your Electronic Health Record; implementation of team-based and top of license models of care, small tests of change or PDSA’s (Plan-Do-Study-Act), evidence-based guidelines (i.e. Target BPTM), and change packages (i.e. Chronic Kidney Diseases Change Package).