# data[].attributes.headline
Sustainability of program, given current reimbursement rates, within a FQHC setting given how intensive and wrap around the case management needs of those who qualify are

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Sustainability of program, given current reimbursement rates, within a FQHC setting given how intensive and wrap around the case management needs of those who qualify are

# data[].attributes.headline
identifying high risk patients in a clinic/provider site

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identifying high risk patients in a clinic/provider site

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How to engage clients who need help but not quite open to engagement?

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How to engage clients who need help but not quite open to engagement?

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Communication between ECM and the physician

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Communication between ECM and the physician

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More details on who can become part of ECM as a CBO

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More details on who can become part of ECM as a CBO

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How do we ensure we do not duplicate efforts if there are multiple ECM providers in our county?

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How do we ensure we do not duplicate efforts if there are multiple ECM providers in our county?

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Health Plans to get into alignment or create a workflow with referral process from clinic to health plan? 

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Health Plans to get into alignment or create a workflow with referral process from clinic to health plan? 

# data[].attributes.headline
Will this be sustainable as an ECM provider?

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Will this be sustainable as an ECM provider?

# data[].attributes.body
What are effective strategies that folks have used to maintain contact with clients that are experiencing housing insecurity ?

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How do we identify good workers to get trained to be ECM providers

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How do we identify good workers to get trained to be ECM providers

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I see ECM referral on a pt chart by the NP. Then no further documentation

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I see ECM referral on a pt chart by the NP. Then no further documentation

# data[].attributes.headline
clarifying roles and responsibilities for identification 

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clarifying roles and responsibilities for identification 

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from chat: I would look at ECM as part of the team. not a failure of primary care

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from chat: I would look at ECM as part of the team. not a failure of primary care

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Having both ECM and CHW within the same system.  Does it work?

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Administrative burden of ECM reporting requirements 

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Administrative burden of ECM reporting requirements 

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thoughts about using the new peds benefit to expand ACEs support more universally, feels like a VERY select small population

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thoughts about using the new peds benefit to expand ACEs support more universally, feels like a VERY select small population