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The purpose of this policy is to define the reasons for patients being terminated from the practice and to describe the termination process. This policy statement can be downloaded and modified for use in other health centers.

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This policy is created to outline the process for the management of difficult patients. This includes those who are perceived to be difficult with respect to recurrent hostile behavior, inappropriate use of __HC services, excessive non-compliance, inappropriate use of controlled substances, or other patterns of behavior that represent excessive lack of respect or responsibility on the part of the patient.

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Clinic policy on patient flow.
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A few sample dental chart review forms/templates. 

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This policy is created to outline the process for the management and eventual discharge from service of difficult patients. This includes those who are perceived to be difficult with respect to recurrent hostile behavior, inappropriate use of FHC services, excessive non-compliance (including financial obligations), inappropriate use of controlled substances, or other patterns of behavior that represent excessive lack of respect or responsibility on the part of the patient.
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To promote the improvement in the quality of the assessment and care of patients, enhance the appropriate utilization of health care services, and to enhance the value of health care services.
The Denver Foundation is a community foundation. Community foundations are endowments - a permanent pool of money contributed by numerous local donors to benefit charitable causes.

To outline procedures for discipline and / or termination of employees.

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To maintain a safe work environment free of controlled substances.

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To delineate the procedures for court appearances by employees.

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To maintain confidentiality of corporate and programmatic information.

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To allow leave time for employees to attend funerals of immediate family members.

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To assure relevance of the plan and ensure that all data is maintained and properly stored and all policies and procedures are followed to maximize recovery in the event of disaster.

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To delineate consistent guidelines for the creation, dissemination, and amendment of policies.

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To guarantee that there is not any wage discrimination based on race, color, sex, religion, national origin, age, disability, pregnancy, sexual orientation, HIV / AIDS status and/or status a veteran or member of the armed services, between staff members who are performing comparable duties
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To safeguard financial resources by authorizing only certain individuals to sign contracts on behalf of the organization.

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MCN's Pesticide Clinical Guidelines and Pesticide Exposure Assessment Form assist in the recognition and management of acute pesticide exposures in primary care settings.

The pesticide guidelines were adapted from guidelines developed by Dr. Dennis H. Penzell, a former medical director of a Community and Migrant Health Center with experience in large-scale pesticide exposure incidents.

The Acute Pesticide Exposure Form was adapted from the data collection on an acute pesticide exposed patient tool developed by Matthew C. Keifer, MD, MPH, Director of the National Farm Medicine Center, appearing in the EPA's Recognition and Management of Pesticide Exposures, 6th Edition, EPA 2013.

These resources were developed with guidance from MCN's Environmental and Occupational Health Advisory Committee - a panel of healthcare professionals and researchers with expertise in pesticides and migrant health.

The following documents are a collection of the best resources available for taking a good occupational health history.

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Bilingual form to screen pregnant women for lead exposure.  Developed by MCN.

Guidelines for health care providers from the Occupational Lead Poisoning Prevention Program, a program in the California Department of Public Health that helps employers, workers, and others prevent lead poisoning in workers.

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Clinicial guidelines dealing with children and lead exposure.  Special emphasis on working with migrant children. 

Binational Immunization Guide

This Guide provides information on Mexico's Immunization Schedule, including number of doses and recommended ages.

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Use the link below to access MCN's Rapid Assessment Tool to help adolescent farmworkers identify agricultural tasks they perform in agriculture and facilitate clinician understanding about the health risks associated with it.  Youth worker images are adapted and reproduced with permission from the National Children Center for Rural and Agricultural Health and Safety. Images copyrighted through Marshfield Clinic, Marshfield, Wisconsin.

If computers and internet access are unavailable where patient care is provided, the worker assessment sheet and clinician information grid are available in PDF.

Lifetime Card for adults. MCN, along with CHEC (Community Health Education Concepts), has developed patient-friendly, low literacy, bi-lingual immunization cards for you to use with your clients. The cards are 5x7, and can be printed from your clinic computers.

Issue Brief Co-Authored by Health Outreach Partners and the Kaiser Family Foundation
Information provided by the Kaiser Commission on Medicaid and the Uninsured

Publication Number: 8249
Publish Date: 2011-10-27

This brief examines how the Affordable Care Act (ACA) may impact immigrant families based on data collected from Outreach/Eligibility Workers in four regions of the country and supported by needs data from several health outreach programs around the country.  You will note that the pivotal role of Community Health Centers (CHCs)  to connect immigrant families to coverage and care is highlighted.  Migrant Health Centers and Homeless Health Centers are specifically cited because of their history of pioneering and strengthening many of the models and strategies that will be needed to connect immigrant families to health coverage and care come 2014.

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EthnoMed contains information about cultural beliefs, medical issues and related topics pertinent to the health care of immigrants to Seattle or the US, many of whom are refugees fleeing war-torn parts of the world. Search the site via culture and clinical topics.

The importance of clinical diagnostic tools and biomonitoring of exposures to pesticides as well the role of clinicians in pesticide reporting and the challenges clinicians face in accurately diagnosing patients exposed to pesticides are described in a presentation by Matthew Keifer, MD, MPH and Amy K. Liebman, MPA. Click on the link for an APHA policy resolution underscoring the need for clinical diagnostic tools and biomomitoring of exposures to pesticides. This policy supports the information outlined by in the presentation.

HEAT ILLNESS CAN BE DEADLY. Every year, thousands of workers become sick from exposure to heat, and some even die. These illnesses and deaths are preventable.

OSHA has now posted a new Heat Illness Web Page that includes educational materials in English and Spanish, including low-literacy fact sheets for workers, worksite and community posters, and a public service announcement from Secretary of Labor Hilda Solis.  The Web page also includes a video from Assistant Secretary Dr. David Michaels (in English with a Spanish transcript).  OSHA will be posting additional materials on the Heat Illness Web page, including a lesson plan that employers can use to train their workers to stay safe in the heat and a heat index Smartphone app.