Alternate Care site Toolkit

Alternative Care Site (ACS) Toolkit . Th is factsheet d escribes Alternate Care Strategies, Alternate Care Sites (ACS) and Federal Medical Stations (FMS) terminology . This document will address options for preserving an ACS as a warm site and eligible costs available through FEMA Public Assistance This Toolkit was developed to help state, local, tribal and territorial (SLTT) entities to address potential shortages in medical facilities during the 2020 COVID-19 pandemic. It is intended to provide technical assistance to SLTT entities in establishing and operationalizing Alternate Care Sites (ACS) Updated to align with the level of care categories defined in the Federal Healthcare Resilience Task Force Alternate Care Sites (ACS) Toolkit pdf icon external icon: Second Edition, which include Non-Acute Care, Hospital Care, and Acute Care Alternate Care Site (ACS) Toolkit First Edition Product Purpose: This Toolkit was developed to help state, local, tribal and territorial (SLTT) entities to address potential shortages in medical facilities during the 2020 COVID-19 pandemic. It is intended to provide technical assistance to SLTT entities in establishing an

Alternate Care Site Technical Resources ASPR TRACI

Alternate Care Site (ACS) Warm Sites Wraparound services , as defined in the ACS Toolkit, 3. necessary for minimal operational readiness; Minimal level of medical and/or non-medical staffing, if necessary; Site restoration to allow a facility that was/is being used as an ACS to return to normal operations until suc In Illinois, we have adopted the TMTS terminology instead of Alternate Care Site (ACS) as this is a better descriptor. T =Temporary, these are temporary operational facilities. M =Medical, describes the function of the space. T =Treatment, describes the type of service provided. S =Station, emphasizes the interim nature of the care New Alternative Care Site Guidebook Available to Help Respond to the Rising Need for Hospital Beds due to COVID-19 Guidebook Developed by a Joint Task Force Established by the ASHRAE Epidemic Task Force and the U.S. Army Corps of Engineer To address immediate and projected needs from the coronavirus (COVID-19) pandemic, state, local, tribal, and territorial (SLTT) governments may, under certain conditions, be reimbursed through FEMA's Public Assistance (PA) Program for costs associated with keeping Alternate Care Sites (ACS), including temporary and expanded medical facilities, minimally operational when COVID- 19 cases. California Department of Public Health 2 The Government-Authorized Alternate Care Site Operational Tools Manual contains tools that enable healthcare surge planning, management, delivery of care and administrative functions

Considerations for Alternate Care Sites CD

Fraser Health's toolkit outlines key parameters for establishing alternate triage and care centers by providing guidance for selecting a site, organizing personnel, conducting triage and process flow, and discharging patients. The materials are still in draft form, and any triage or care site would need to modify the materials to fit its individual needs Using This Toolkit 6 Chapter I - Introduction and Background 7 templates, and tools derived from Alternate Care Site pilot grant recipients in New York State as well as from state and local governments across the country These best practices, along with input from subject matter experts i Like the other alternate care site concepts developed by USACE, this Medical Tent Camp design serves to compliment the Federal Healthcare Resilience Task Force Alternate Care Site (ACS) Toolkit. The team designed this layout in compliance with the Health and Human Services (HHS) Federal Medical Station (FMS) Concept of Operations and other.

COVID-19 Alternate Care Site Resources ASPR TRACI

CDC: Infection Prevention and Control Considerations for Alternate Care Sites; Federal Healthcare Resilience Task Force Alternate Care Sites Toolkit: Third Edition (PDF, June 30, 2020) CDC: CDC Interim Guidance for General Population Disaster Shelters During the COVID-19 Pandemic (PDF) AHRQ: Reopening Shuttered Facilities Checklis • The Alternate Care Site Toolkit includes options for establishing Alternate Care Sites in hotels or settings with open floor plans. Hotels are the preferred option in most scenarios, given the opportunity for social distancing, patient isolation, and implementation of othe alternative care in emergencies toolkit 4.4 c 4.4.1 aregiver ratios for all forms of care calculating child-to-caregiver r atios 7374 4.4.2 recommended minimum caregiver ratios for residential and family-based care 74 4.5 caregiver training 7

COVID-19: Alternate Care Site Toolkit, Third Edition

  1. health departments, alternate care sites will be established through local emergency management. 12. Local county health departments will play an integral role in the establishment and operation of an alternate care site. 13. Most patients and their families will view alternate care sites
  2. The Alternate Care Site (ACS)/Expanded Treatment Area (ETA) Planning Template [Word 9M] was developed by the New Jersey Department of Health (NJDOH) to assist healthcare facilities and communities with their planning efforts for alternate care in response to medical surge.. This template is scalable in size for the number of beds, medical supplies, equipment and pharmaceuticals and can be.
  3. Alternate Care Site (ACS) Billing Guidance for Indian Health Service and Tribally Owned/Operated Facilities-Division of Fee-for-Service Management Released: August 6, 2020 Last Update: August 6, 2020 This memo outlines general billing information regarding Alternate Care Sites (ACS

Alternate Care Sites Retrofitting Guidanc

alternate care site (ACS) is a broad term for any building or structure that is temporarily converted or newly erected for healthcare use. 1 The Federal Healthcare Resiliency Task Force issued a . toolkit to help state and local governments develop an ACS. This document provides state and local governments developing alternate care sites with. Health care centers/alternate care sites. Additional materials are available to be used when opening special centers to care for the sick and injured when hospitals and clinics are overcrowded. It will be important to include information on how to access alternate care sites in medication center materials and vice versa Office for the Assistant Secretary for Preparedness and Response. Federal healthcare resilience task force alternative care site toolkit, 2 nd ed. Washington, D.C.: Author; 2020: 9-11 ALTERNATE CARE SITES OVERVIEW This document provides unique considerations for state, local, tribal, and territorial (SLTT) entities establishing communications capabilities for Alternate Care Sites (ACS) during a health crisis or other disaster, such as crucial roles and coordination points, recommendations for ensuring the availability o

The following toolkit is designed to support both managers and individuals in effectively implementing and assessing such strategies. Please be sure also to consult the university's guidelines and policy regarding alternative workplace strategies. Prioritizing a human-centered approach throughout this transition will help ensure a successful. Use of alternative care sites during the COVID-19 pandemic in the city of Buenos Aires, Argentina Author links open overlay panel Daniel Ferrante a Alejandro Macchia a b Gabriel Alejo González Villa Monte a Gabriel Battistella a Analia Baum a Paula Zingoni a Patricia Angeleri a Cristián Biscayart a Carolina Walton a Florencia Flax Marcó a. Sites for the southern part of the state are expected to be announced later this week. One alternate care site will be Governor Bacon Health Center, the Department of Health and Social Services ' long-term care facility in Delaware City, said DEMA Director A.J. Schall and Public Health Director Dr. Karyl Rattay Alternative care sites are providing essential capacity to cope with the demands of the Covid-19 pandemic. There are several different approaches, outlined by the Federal Emergency Management Agency (FEMA), and each can be effective depending on the specific needs of a particular location. Early experience with these facilities in the U.S. and. Alternate care sites cannot offer all the services a hospital can but can provide care for independent and semi-ambulatory adult patients. Triage centers, SNFs, congregate living facilities and emergency departments may request transfer to an alternate care site for patients who require medical monitoring, as a substitute for low-acuity.

Additional Alternate Care Site Announced. Smryna - The Delaware Emergency Management Agency (DEMA) and the State Health Operations Center (SHOC) are announcing today the plan for an additional alternate care site (ACS) to support Kent and Sussex Counties In response to the COVID-19 public health emergency, state and local governments, hospitals, and others are developing alternate care sites to expand capacity and provide needed care to patients. This newly published fact sheet provides state and local governments developing alternate care sites with information on how to seek payments through CMS programs - Medicare, Medicaid, [

Alternative Care in Emergencies (ACE) Toolkit; valeflorez; December 6, 2020 December 6, 2020; 0; Author(s): Save the Children ; Downloads: 2; Alternative Care in Emergencies (ACE) Toolkit. Download (676KB) Groups. Resources for Working with Unaccompanied Children; Leave a Reply Cancel reply All Facilities Letter (AFL) Summary. This AFL clarifies the process for requesting staffing resources for healthcare facilities and alternate care sites during COVID-19. This AFL has been updated for clarity and to include a quick reference resource on multi-jurisdictional responses to emergencies and disasters in California The novel coronavirus disease SARS-CoV-2 (COVID-19) outbreak rapidly generated an unprecedented global, national, and state public health crisis with the need to rapidly develop alternate care sites (ACS) to care for COVID-19 patients within an overburdened health care system The Tracking Progress Initiative is an interagency project, co-facilitated by the Better Care Network and Save the Children, to develop a tool to monitor the implementation of the Guidelines for the Alternative Care of Children. The Tracking Progress Tool, launched in November 2017, is a free, web-based, interactive diagnostic and learning tool. care, or if your family abandons you, then the government has a duty to make sure that you receive alternative care that meets your needs. This must provide for your safety, well-being and development, and respect who you are. Any placement must be made in the 'best interests and rights of the child concerned'. Fo

Alternate Care Site Planning and Temporary Medical

Alternate Care Site HVAC Guidebook. HealthCall LIVE | August 14, 2020 Protecting Students with Cleaner Air? Corey Metzger. NEMI. ASHRAE Released an Updated Reopening Guide for Schools and Universities. Taylor & Francis Online. Integrating IAQ control strategies to reduce the risk of asymptomatic SARS CoV-2 infections in classrooms and open plan. Kinship care is a form of alternative care where a child lives with a member of their extended family, an older sibling, or even with family friends. Kinship care is mostly informal and arranged privately, but can be formally arranged by a child welfare authority. Kinship care is then carried out as kinship foster care Publications for professionals working in the field of alternative care. Toolkit for Children and Young People's Participation in Advocacy The Toolkit is intended as a practical resource for those working with children and young people to support their participation in advocacy activities Site of Care (SOC) Optimization is one of the top proven strategies for reducing the cost of specialty biologic medications. A SOC optimization strategy encourages patients to move from higher-cost settings, like big hospitals and institutions, to lower-cost settings, such as physician's in-office infusion suites or stand-alone Infusion Centers

Prepared for AHRQ under Contract No. 290-00-0014-7 by Denver Health. The authors of this report are responsible for its content. Statements in this report should not be construed as endorsement by the Agency for Healthcare Research and Quality or the U.S. Department of Health and Human Services. This document is in the public domain and may be. The Alternative Care program provides many of the same services as the Elderly Waiver program. Alternative Care is for people with low income and assets who are not eligible for Medical Assistance. More details are in the brochure Seniors can get help paying for services to stay in their homes (PDF). Eligibility. To qualify, you must: Be age 65. Alternative Payment Model Design Toolkit Th e Centers for Medicare & Medicaid Services (CMS) through the Center for Medicare and Medicaid and follow multiple care plans, all of which can be challenging for beneficiaries if care is not coordinated. The CEC Mode

Focus of this Toolkit May 5, 2021 I. Clinical & Operational Considerations for Potential COVID-19 Vaccines May 5, 2021 II. Medicaid, CHIP, and BHP Coverage and Reimbursement May 5, 2021 III. Medicaid & CHIP Managed Care December 17, 2020 IV. Medicaid and CHIP SPA Templates, BHP Blueprints, and Streamlined Review Process May 5, 2021 V toolkit is provided in Chapters 4-9, which are each aimed at a key component of the emergency response system: emergency management, public health, behavioral health, emergency medical services (EMS), hos-pitals and acute care facilities, and out-of-hospital and alternate care sites. These chapters provide additiona The Alternative Care in Emergencies Toolkit is designed to facilitate interagency planning and implementation of alternative care and related services for children separated from or unable to live.

AHLA Resources & Toolkit . Member Talking Points; Hotel Owner Considerations AHLA Hotels Supporting Healthcare: COVID-19 Toolkit; Federal & Agency Guidelines. U.S. Army Corp of Engineers Hotel to Healthcare Concept HHS - Alternate Care Site Resources; CDC - Alternative Care Site Considerations; Sample Occupancy Agreement Alternate Contact Number: Is site accessible at all times the child care program is open? n Yes n No Include any information needed to access and enter the site: Emergency Preparedness Toolkit for Child Care Programs, funded by the Los Angeles County Department of Public Health

There is wide recognition of the adverse impacts of institutionalization on developmental outcomes and children's well-being. This has led many countries to undertake efforts to reduce the numbers of children living in institutional care and, whenever possible, to prevent institutionalization in the first place, or to reunite children with their families in line with their obligations under. Alternate Care Sites (ACS) for people experienci ng homelessness so they have a safe place to protect themselves from infection, await test results, and/or recover from the disease. These types of programs closely resemble an existing model of care known as Medical Respite Care, 1 whic alternate care sites (ACS), which can accommodate people experiencing homelessness who need a safe place to await test results, receive treatment , and/or be protected from the risk of COVID -19 infection. Telehealth Toolkit , which contain tools and resources on telehealth best practices The resources on this site are intended for public health and emergency response partners only. Resources for the public can be found on our Public Health Emergency Preparedness and Response (PHEPR) site.. This toolkit was created to help you during a disease outbreak, natural disaster or other public health emergency

Section 1135 Waiver Flexibilities - New Mexico Coronavirus Disease 2019. Department of Health & Human Services. Centers for Medicare & Medicaid Services. 7500 Security Boulevard, Mail Stop S2-26-12. Baltimore, Maryland 21244-1850. March 23, 2020 This chapter presents a discussion and decision-support tool to facilitate the development of indicators and triggers that help guide out-of-hospital care decision making during a disaster. Because integrated planning across the emergency response system is critical for a coordinated response, it is important to first read the introduction to the toolkit and materials relevant to the entire. Welcome to the Emergency Preparedness Rule Toolkit for Ambulatory Surgical Centers (ASCs), assembled by the Wisconsin Department of Health Services' Health Care Preparedness Program, out of the Office of Preparedness and Emergency Health Care in the Division of Public Health Birthing Centers Alternative health care delivery models that are exclusively dedicated to serving the childbirth-related needs of women and their newborns and has no more than 10 beds. A birthing center is a designated site that is away from the mother's usual place of residence in which births are planned to occur following a normal, uncomplicated, and low-risk pregnancy

toolkit to share innovations, resources, and lessons learned from five state teams (AL, IL, SD, VA, and WI) that are working to strengthen the capacity of their FQHCs to deliver SUD care. Introduction . Across states, the primary care safety net provides critical medical and preventive care to patients with acute and chronic needs Home and Alternate Site Care. The Home and Alternate Site Care Section provide a structure for communicating among all ASPEN members who have a shared interest in nutrition support in the home (traditional home, group home, intermediate care facility, or assisted living facility) and alternate site care facilities (skilled nursing facilities, long-term acute care hospitals, or rehabilitation.

New Alternative Care Site Guidebook Available to Help

  1. This chapter presents a discussion and decision-support tool to facilitate the development of indicators and triggers that help guide decision making about behavioral health during a disaster. Because integrated planning across the emergency response system is critical for a coordinated response, it is important to first read the introduction to the toolkit and materials relevant to the entire.
  2. Learn all you can healthcare disease prevention with our available toolkits. Our services offer a downloadable .PDF or you can have it mailed to you
  3. care they deserve. This toolkit is intended to address the needs of individuals served in nursing and other long-term care facilities and other site when lower level of care is needed Community No Exposure Communication with Local Partners alternative social and emotional support, incl. family plan. • Routine care an
  4. issues at care sites. State-Level Government Agencies: • Public Health: State public health agencies typically serve as the lead agency in health and medical emergency functions. They often coordinate staffing and healthcare volunteers, provide basic medical care, and coordinate alternative care sites or closing of shelter sites

Coronavirus (COVID-19) Pandemic: Alternate Care Site (ACS

  1. The AGS/ADGAP COVID-19 Educational Toolkit is a compendium of resources created by AGS and ADGAP members and available to all members. The toolkit includes a variety of teaching tools and resources intended to help providers care for older adults during the COVID-19 pandemic. All educational tools are organized by their intended setting
  2. Infusion Sites of Care. When you've received a prescription for an infusible medication, there are many things to consider when choosing where to receive your treatment. This module describes the four main sites of care that can fulfill your prescription, which are the physician's office, a stand-alone infusion center, the hospital or.
  3. Wound Care Cross Reference (cont.) Brand Category Medline Brand Example Medline Item Code HCPCS * Additional sizes available. 72 MEDLINE Promogran® Prisma Collagen Dressings Puracol® Plus Ag+ MSC8722EP* A6010-A6024 Replicare® Hydrocolloid Exuderm® Satin MSC5444* A6234-A6236 Restore® Wound Cleanse
  4. The COVID-19 pandemic intensified the stresses in many of our lives, and made some people less likely to seek clinical mental health support. This Mental Health Month, the MHS is sharing stories of how members of the military community boost their own mental health and resilience, and emphasizing the value of evidence-based treatments with mental health professionals
  5. Microsoft Toolkit is an official application specially made for the Windows machines, which are free of charge. The latest version of the software can use for the activation of both Windows and Microsoft Office. Nevertheless, it will support you to control, license, and use the Microsoft Office and Microsoft Windows 10 as well

Pandemic Influenza Response and Management Toolkit

Anchor links are hyperlinks that target a specific point or content on a web page. The PE Toolkit enables the use of anchor links to target specific content items. After each Toolkit content item, there is an icon that looks like two chain links. Hovering over the icon will display the tool tip which provides that item's anchor School-based health care support toolkit: National examples of school-based places site coordinators in schools to develop and maintain partnerships An alternative public high school in Greensboro, NC serving a high-risk population of students i Seagate Toolkit for macOS. Get the most out of your storage solution with easy-to-use tools such as Mirror, Sync Plus, Seagate Secure, and RGB and Status LED Management. See your product manual for which Toolkit activities are supported by your drive We have developed this provider toolkit to serve as a central repository for information on clinical guidance, available tools and resources, trainings and more. We currently have a toolkit focused on: Parenting and Pregnant Women with Opioid Use Disorder (OUD) Check back as more resources and toolkits will be added throughout the year The Small Rural Hospital Transition Project supports small rural hospitals nationally by providing on-site technical assistance to assist bridging the gaps between the current health care system and the newly emerging health care delivery and payment system. Population Health Projects. Minnesota Integrated Behavioral Health (IBH) Projec

COVID-19: Resources for Health Care Facilities - NYC Healt

  1. Essentials for Healthy Homes PractitionersSenior Falls Prevention and Coordinated Care Abstract: This Toolkit is intended for executives, managers, designers, program staff, outreach staff, consultants, and contractors dealing with, or considering creating or updating, policies and programs to reduce the frequency and/or severit
  2. alization: Research in Action is an initiative led by researchers Woods Ervin, Mariame Kaba, and Andrea J. Ritchie.The project aims to interrupt and end the growing cri
  3. Moreover, to help with identifying alternative sites suitable for patient care, the American Institute of Architects has released a new design guide from their COVID-19 Task Force, a rapid.
  4. The Collaborative Communities Toolkit is a collection of materials that could help prospective communities in their development and effective collaboration, so that they are adequately prepared to.
  5. The Alternate-Level-of-Care (ALC) and Emergency Room (ER) issue remains a critical challenge for Ontario hospitals. The OHA has been working with the Ministry of Health and Long-Term Care (MOHLTC) and its other system partners to find and develop innovative solutions that address the ER and ALC issue
  6. QUALITY IMPROVEMENT TOOLKIT 1 INTRODUCTION TO QUALITY IMPROVEMENT As health care providers across the country begin the transition from traditional fee-for-service payment models toward alternative, value-based payment models that reward high-quality, cost-effective care, it is imperative to adopt a cul-ture of continuous quality improvement
  7. For emergency and inpatient stroke care only, the term 'patient' is used throughout section. Session refers to the actual virtual healthcare encounter between the clinician and individual. Telestroke refers to virtual emergency care provided between a referring and consulting hospital site for providing emergency care of a patient with a
NRM Gateway: COVID-19

Department of Health - The Official Web Site for The State

Youth in foster care: Primary care providers and vaccination sites may be asked to vaccinate youth in foster care, and youth will arrive with caregivers with the Youth and Parent Consent forms. See the Washington State Department of Children, Youth & Families (DCYF) COVID-19 vaccination guidance for children and youth in care (PDF) for more. Alternate level of care (ALC) refers to a patient who is occupying a bed in a hospital waiting to receive care elsewhere. A designation of ALC can have negative effects on both the patient (for example, through risk of hospital-acquired infections and functional decline while in hospital) and the health care system (for example, through high costs and limiting access to acute services for. MI-Access is Michigan's alternate assessment system and is designed for students who have, or function as if they have, significant cognitive impairments, and whose IEP (Individualized Education Program) Team has determined that General Assessments, even with accommodations, are not appropriate.MI-Access satisfies the federal requirement that all students with disabilities be assessed at the. Materials created to provide clear, factual and actionable information for Californians to help them stay safer from COVID-19, including resources that help Californians understand the importance of wearing a mask when it can protect themselves and their community. Let's Get to Immunity: Ready-to-use resources and tools to educate. care packet: all staff : 4; m. apping triggers and opportunities activity. all staff 5. n. avigating crises wor ksheet. student services . 6 . t. rauma-sensitive assessment and planning checklist. student services 7 . g. uidelines for adopting a multitiered approach to addressing trauma

Toolkits cdc.go

This toolkit was adapted, with permission, from the Virginia Department for the Aging and Virginia Insurance Counseling and Assistance Program (VICAP). This toolkit has been produced by DMAB, Delaware State Health Insurance Assistance Program, with financial assistance in whole or in part by grant number 90SAPG0104-01-00, from the U.S This toolkit provides physical activity counseling resources to help you improve your patients' pain and quality of life. We hope the tools and resources can accelerate efforts to improve the health and well-being of adults with arthritis. It was developed for primary care providers, specialists, physical therapists, physician assistants. This equipment list reflects the minimal equipment needed for any U.S. emergency department that cares for infants, children and adolescents. (Adopted from Guidelines for Care of Children in the Emergency Department, Emergency Medical Services for Children/ Innovation and Improvement Center, https://emscimprovement.center) Equipment/ Supplies: Genera Long-Term Care Facility Toolkit: Preparing for COVID-19 Vaccination at Your Facility CDC toolkit that provides long-term care facility (LTCF) administrators and clinical leadership with information and resources to help build vaccine confidence among health care personnel and residents

COVID-19 Health Workforce Surge Planning Healthforce

GOV.WALES uses cookies which are essential for the site to work. Non-essential cookies are also used to tailor and improve services. By continuing to use this site, you agree to our use of cookies. About cookie UNICEF works in more than 150 countries to protect children from violence, exploitation and abuse. We partner with governments, businesses, civil-society organizations and communities to prevent all forms of violence against children and support survivors, including with mental health and psychosocial services and from hospitals to ambulatory care sites and clinics, there is renewed focus on efforts to advance health equity. Furthermore, there is growing recognition that a commitment to promoting equitable practices is tied to the core work of improving quality and patient safety. Background on IFDHE Toolkit Serie STEWARDSHIP TOOLKIT A guide for practical implementation in adult and pediatric emergency department and urgent care settings . Larissa May, Kabir Yadav, Samuel D. Gaona, Rakesh Mistry, Aubyn Stahmer, Daniella Meeker, Jason Doctor, and Ross Fleischman. Version 4/13/18 . 1 MITIGATE Antimicrobial Stewardship Toolkit Texas Transfer Toolkit Overview The Texas Transfer Toolkit is a digital resource from the Texas Access to Justice Commission (TAJC) to help Texans with ahead and take care of their family. Primary and Alternate Beneficiaries: You must check the box for A, B, or C. Check ONLY ONE box and fill in the blanks in.

Disaster Alternate Care Facilities: Report and Interactive

Alternative Payment Models Under Medicare and Medicaid. CMS is moving toward payment based on quality rather than quantity. Alternative payment models are at the forefront. Alternative payment models, or APMs, reward health care providers for the quality of care they provide, rather than the volume of services they furnish to patients Other implementation resources. The SF7 Toolkit - promotes integrated care across sectors by providing information for healthcare providers and older adults and their caregivers on: delirium, mobility, continence, nutrition, pain, polypharmacy, and social engagement.Click here for the SF7 Toolkit.; The sfCare Forum - promotes a collaborative community where healthcare providers can learn. Primary Care Provider Communications CDPHE's Primary Care Provider Communications Toolkit- In this toolkit, PCPs will find ready-to-use email, text, and social media messages encouraging their patients to get vaccinated or to set up an appointment once they become a COVID-19 vaccine provider Crisis Standards of Care is a seven-volume set: Volume 1 provides an overview; Volume 2 pertains to state and local governments; Volume 3 pertains to emergency medical services; Volume 4 pertains to hospitals and acute care facilities; Volume 5 pertains to out-of-hospital care and alternate care systems; Volume 6 contains a public engagement. About this toolkit Cultural and linguistic competencies are widely recognized as fundamental aspects of quality in health care to diverse population. Due to rapid changes in demographics in California and new requirements, health care providers are constantly presented with new challenges in delivering quality health care to their patients

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