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EPHC Provider Toolkit

We're here to support your work in the value-based care environment. Our EPHC Provider Toolkit is just one of the many tools available to you as a participant in our Enhanced Personal Health Care programs. To learn more about EPHC and the programs Empire offers, see the EPHC Overview page.

Welcome to EPHC

These onboarding resources will jump start your journey into patient-centered care.

Enhanced Personal Health Care

Program Description for the EPHC Program (effective 01/01/2020)

EPHC Essentials

Program Description for the EPHC Essentials Program (effective 01/01/2019)
Commercial Measure Technical Specifications (effective 01/01/2019)
Medicare Measure Technical Specifications (effective 01/01/2019)
EPHC Essentials Program Overview Training Video (31 minutes)

Live Training Webinars

Learn about the Essentials program, participation expectations and how to register for the Population Health Platform reporting tool.

All available sessions for this year have passed. Check back for a new schedule of sessions in early 2020. In the meantime, please refer to the EPHC Essentials Program Overview .

EPHC Resources

A care plan is a detailed approach to patient care that is customized to a patient's needs, goals, and preferences. In order for care plans to be successful, the patient must be an engaged partner in the care planning process.

Care Coordination Workflow
Care Planning Workflow
Care Plan Playbook
Patient Care Plan Template
Care Management Programs at a Glance

Motivational Interviewing

Motivational Interviewing: A Brief Overview
Self-Assessment Questionnaire
Self-Assessment Scale

In order to have an effective population-based care delivery system, practices will need to access data and analyze their patient population to identify care opportunities and target audiences who may be at higher risk or who need additional support.

Health Care Equity

We've heard all our lives that, to be fair, you should treat everybody the same. The challenge is that not everyone is the same—and these differences can lead to critical disparities in not only how patients access health care, but their health outcomes, as well. MyDiversePatients.com features robust educational resources to help support you in addressing these disparities. You will find:

  • CME learning experiences about disparities, potential contributing factors and opportunities to enhance care
  • Real life stories about the unique challenges patients face
  • Tips and techniques for working with your diverse patient population to promote improvement in health outcomes

Accelerate your journey to becoming your patients’ trusted health care partner by visiting MyDiversePatients.com .

Readmission Reduction

Targeting readmissions will help identify opportunities to ensure patients are getting the right care, at the right time, and in the most cost effective/appropriate health care setting.

Reducing Readmissions Workflow Template
Transitional Care Protocol
Transitional Care Checklist
Transitional Care Plan Template
Transitional Care Agreement
Transitional Care Contact List
Patient Outreach/Post-Discharge Script
Barriers to Care Patient Self-Assessment
Resource Library Template

Providers can reduce the total cost of care by eliminating unnecessary or wasteful services and identifying the most cost-effective health care professional for a given service.

Evidence-Based Guidelines
Patient Options for Skipping the ER
Introduction to Blue Precision
Low Back Pain: An Evidence-Based Diagnostic and Treatment Algorithm and Resources for Primary Care

Collaborative Learning

To help you adopt a patient-centered care model and fulfill participation requirements under Enhanced Personal Health Care, we offer a wide range of learning opportunities that are designed to inform, inspire and support you. All opportunities can be viewed on-demand in our extensive library.

Review the e-catalog of learning opportunities and recordings
11/14/19 - Utilizing Care Compacts - Presentation
11/14/19 - Utilizing Care Compacts - Next Steps
11/14/19 - Utilizing Care Compacts - A Practice Example
9/25/19 - Diabetes Mellitus and Other Metabolic Disorders
9/12/19 - Stages of Change
9/12/19 - Implementing Motivational Interviewing - Presentation
9/12/19 - Implementing Motivational Interviewing - Next Steps
8/8/19 - Influencing Better Health - Presentation
8/8/19 - Influencing Better Health - Next Steps
7/24/19 - Acute Chronic and Status Conditions - Presentation
7/11/19 - Strategies to Improve Adherence and Medication Reconciliation - Presentation
7/11/19 - Strategies to Improve Adherence and Med Rec - Next Steps
6/13/19 - Care Planning - Presentation
6/13/19 - Care Planning - Next Steps
5/22/19 - Opioids and Substance Abuse - Presentation
5/9/19 - Managing Chronic Conditions - Presentation
5/9/19 - Managing Chronic Conditions - Next Steps
4/25/19 - Patient Self-Management Support - Presentation
4/25/19 - Patient Self-Management Support - Next Steps
4/11/19 - Opiod Use Disorder 101 - Presentation
4/11/19 - Opiod Use Disorder 101 - Next Steps
3/27/19 - Med Risk Adjustment: Red Flag HCCs Part 2 - Presentation
2/28/19 - Using eConsult to Improve Access to Specialty Care - Presentation
2/28/19 - Using eConsult to Improve Access to Specialty Care - Next Steps
2/14/19 - Alcohol Use Disorder: Pracrical Tips - Presentation
2/14/19 - Alcohol Use Disorder: Pracrical Tips - Next Steps
1/23/19 - Med Risk Adjustment: Red Flag HCCs Part 1 - Presentation
1/10/19 - Depression and Anxiety Disorders - Presentation
1/10/19 - Depression and Anxiety Disorders - Next Steps
1/10/19 - Depression and Anxiety Disorders: Children - Presentation
The SHARE Approach - Module 1
The SHARE Approach - Module 2
The SHARE Approach - Module 3
The SHARE Approach - Activity 1
The SHARE Approach - Activity 2