PHC Center Objective 1: Increased capacity to deliver quality primary care services in targeted communities.

Definition of a model clinic: Partnership primary healthcare institution that meets at least eight out of 10 of the following criteria of implementing new or changing the existing practices towards evidence-based practices:

1. Counseling – individual advice to patient directed to behavior change, which includes but is not limited to one or more of the following: substance abuse, smoking cessation, stress, domestic violence, diet/nutrition, exercise, family planning, STI/AIDS prevention, chronic disease management, trafficking, and depression.
2. Implementation of evidence-based practices through development or adaptation of clinical practice guidelines.
3. Screening: those evidence-based screening services implemented through the partnership, e.g., breast cancer screening based on CBE procedures, screening for diabetes, blood pressure test for hypertension, cholesterol level, screening for STI, and preventive health examination.
4. Involvement of nurses in direct patient care: provision of care to a patient by a nurse (adult or pediatric) independently (without a physician), which includes at least one of the following activities: history taking, physical examination (checkup, auscultation, palpation), blood pressure/pulse measuring, glucometry, counseling, triage of patients, independent home visits.
5. Involvement of nurses in patient/community education.
6. Patient education materials that were developed through a partnership and are available.
7. Group health education/promotion classes for patients, including disease-specific patient schools.
8. Continuous Quality Improvement activities, which include, but are not limited to, one of the following: patient satisfaction surveys, processes for standard practice reviews, documented patient chart reviews, and collecting process and outcome data on specific health problems on a population basis.
9. Occupational health and infection control protocol and practices implemented or changed towards evidence-based practices.
10. Community outreach activities aimed at encouraging and facilitating community involvement in improving health of community members, which includes but are not limited to one or more of the following: health fairs, media events, patient clubs/support groups, community health boards, engaging NGOs, and implementing school-based programs.

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