
The goal of the NJPCA Clinical Quality Forum is to share best practices and innovative strategies that directly support quality improvement and compliance at New Jersey’s Community Health Centers. There will be a variety of learning sessions that reinforce the need for providing New Jersey’s communities with high-quality, equitable healthcare.
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event DETAILS:
Thursday, April 24, 2025
9:00 AM – 4:00 PM
The Hilton Garden Inn
(800 US Highway 130 Hamilton, NJ 08690)
Registration and Breakfast opens at 8:15 AM
Agenda:

SESSION DETAILS:
Intimate Partner Violence: Clinical Skills, EHR Tools, and Community Partnerships for Patient Care
Speakers:
Surabhi Kukke, MPH, Health Partners on IPV and Exploitation, Future without Violence
Maddie Lang, MS, Education Coordinator, New Jersey Coalition to End Domestic Violence
Training Description:
This session will provide an overview of the health impacts of intimate partner violence (IPV) and human trafficking (HT) and the importance of the health center as a site for prevention and intervention. The training will focus on ways your health center can systematically facilitate outreach, prevention, universal education, care for patients, and connections to resources while safely documenting IPV and HT within EHR for UDS reporting.
Learning Objectives:
- Name ways to support health and safety outcomes for survivors of violence who access health centers and domestic violence programs (DVPs),
- Describe the landscape of supportive community programs and tools to formalize partnerships and coordinate care between health centers and DVPs.
- Identify the UDS reporting codes that should be used for safely documenting intimate partner violence and human trafficking within EHR
Advancing Non-Medical Drivers of Health Programming – You’ve Screened Your Patients, Now What?
Speaker:
Isaac Kastenbaum, Vice President of Consulting & Training, Primary Care Development Corporation (PCDC)
Training Description:
This presentation will advance attendees’ understanding of the non-medical drivers of health, the factors that contribute nearly 80% of an individual and communities’ health outcomes and status. The session will review best practices for using captured screening data to drive quality improvement, to enhance relationships with local social service agencies, and to thoughtfully investigate and procure vendor solutions for addressing the identified needs. The session will be built on FQHCs’ progress in implementing the PRAPARE and other screening tools.
Learning Objectives:
- Describe best practices for integrating non-medical drivers of health data with clinical quality measures to assess potential health disparities;
- Understand the vendor and public solutions that exist for connecting patients with social services; and
- Make “smart first steps” on developing programing to address their patients/communities’ needs.
A Panel Discussion: Innovative Approaches to Tackling Health-Related Social Factors
Speaker(s):
Anisha Roussel, MD, FAAP, Chief Medical Officer, Osborn Family Health Center
Rita Knause, MD, FACOG, Chief Medical Officer, North Hudson Community Action Corporation
Training Description:
This panel discussion will explore the integration of health-related social factors screening data into clinical workflows. Panelists from diverse health centers will share their experiences, challenges, and successes in utilizing screening tools to address health-related social needs. The session will provide practical insights on the implementation of health-related social factors screening, effective data collection methods, and how to leverage this data for quality improvement initiatives.
Learning Objectives:
- Explore successful strategies and real-world examples of addressing health-related social needs.
- Understand how to integrate Non-Medical Drivers of Health screening into clinical workflows effectively.
- Stay informed about emerging technologies and trends that will impact the future of health-related social needs screening and intervention.
Let’s Give Hypertension Management a Make-over
Speaker:
Debra McGrath, MSN, FNP, President, DPM Healthcare Consulting
Training Description:
Between August 2021 and August 2023, 47.7% of the US population had hypertension. While 50.2% were aware of their condition, only 20.7% achieved controlled blood pressure. In 2020, the Centers for Disease Control and Prevention (CDC) published the “Hypertension Control Change Package,” which outlines modern strategies for addressing hypertension and providing best practices for implementation.
Participants in this session will learn about the key focus areas from the Change Package publication. The session will provide a structured approach to activating interventions that improve hypertension management, reduce cardiovascular risk, and address disparities among the populations served by health centers such as using medication algorithms and single-pill combination medications, addressing therapeutic inertia, incorporating self-measured blood pressure monitoring.
Learning Objectives:
- Evaluate their current approach to managing hypertension compared to a modern approach.
- Identify which components of the change package they can implement in the next 180 days.
- Highlight specific areas that require special attention, such as improving blood pressure accuracy and reducing therapeutic inertia.
The Future in Health Centers: Integration of Oral Health into Whole-Person Care
Speaker:
Irene Hilton, DDS, MPH, Dental Consultant, National Network for Oral Health Access (NNOHA)
Training Description:
Health centers can leverage their ability to provide multiple healthcare disciplines to develop whole person care. For 20 years National Network for Oral Health Access (NNOHA) has conducted national quality improvement collaboratives with health centers across the country to implement integration of oral health care with primary care and behavioral health as a strategy to increase access to care at the individual and population health level. This session will share NNOHA’s published resources for planning and implementing integration projects and describe examples of population-level programs health centers have developed that incorporate oral healthcare.
Learning Objectives:
- Understand why community health centers are optimal locations to implement medical -dental integration programs.
- Explain a systems level framework for planning and implementing integration projects
- Describe the wide variety of population-based integration programs that have been implemented in health centers.
Population Health Approaches to Chronic Kidney Disease (CKD) and Diabetic Retinopathy (DR) in Primary Care: Opportunities to Improve Quality of Care, Reduce Cardiovascular Risk, and Address Health Outcomes
Speaker:
Tamara Hofer, Population Health Partnerships Director, National Kidney Foundation
Training Description:
The National Kidney Foundation (NKF) will share why there is the urgent need for population health strategies in primary care to address gaps in chronic kidney disease (CKD) and diabetic retinopathy (DR) care quality. This session will explore the national and New Jersey-specific burden of these conditions, screening gaps, and disparities in disease burden. NKF will share information to support clinicians and health center staff in improving early detection and management in their patient population, including quality improvement tools demonstrated to improve outcomes for patients with diabetes and hypertension.
Learning Objectives
- Understand the scale and scope of CKD and DR both nationally and across New Jersey.
- Describe the population health impacts of undiagnosed CKD and DR, including risk factors and cardiovascular impacts of CKD.
- Articulate guidelines and best practices for CKD and DR screening for in patients with risk factors
- Articulate quality improvement strategies to improve chronic disease population health outcomes.
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