- Who We Are
- Clinician Employment
- Publications
- Witness to Witness (W2W)
- Kugel & Zuroweste Health Justice Award
- Your Voice Matters: Photovoice Project
Sample Health Center Mission Statement 1
A sample statement of health center mission and guiding principals.
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- MissionStatement1 ( 134 Kb )
Patient Bill of Rights Spanish
Sample patient bill of rights in Spanish.
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- PtBillofRightsSpanish ( 587 Kb )
Patient Bill of Rights English
Sample patient bill of rights in English.
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- PTBillofRightsEnglish ( 552 Kb )
Quality of Self Management Goal-Setting
Setting goals with patients is an important step in helping them self-manage their own health-related behaviors. Experienced healthcare teams find that following the two basic principles described below helps patients have more early success, and small successes one after the other builds confidence and effective self-management.
High quality goals are patient-centered and behaviorally specific. Developing high quality goals increases the likelihood of early and sustained self-management success. Modeled after one team’s efforts, the rating scale below represents a simple way to assess if the goals we set are behaviorally specific.
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- Goal+setting+quality ( 37 Kb )
Family Planning Concurrent Quality Review Tool
Quality review form for use in family planning programs.
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- FPQualityReview ( 52 Kb )
Patient Satisfaction Form 3
A sample patient satisfaction form that is commercially available, in English and Spanish.
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- PatientSatisfaction3 ( 206 Kb )
Patient Satisfaction Form 2
A more involved 2-page sample form given to patients to evalluate their overall experience at the clinic.
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- PatientSatisfaction2 ( 154 Kb )
Patient Satisfaction Policy Statement
A sample health center policy for assessing patient satisfaction.
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- PatientSatisfactionPolicy ( 24 Kb )
Sample Quality Council Minutes
A sample of one form of quality council minutes that can be adapted for use in other health centers.
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- SampleQualityCouncilMinutes ( 473 Kb )