News and Resources
Case Study: Improving Referrals to Medically Tailored Meals through data sharing integrations
User Story – Norma Garcia A detailed user story to test improving closed loop referrals to community supports (e.g. Medically Tailored Meals/MTM). Petaluma’s use case outlines referral initiation at the…
Improving Care with Data Exchange – Colorectal Cancer Screening
A practice-ready set of user-story artifacts and workflow touchpoints showing how practices can close colorectal cancer screening gaps by leveraging CalAIM and a QHIO—using practical triggers like preventive-care lists, secure…
Small Practices Make Big Gains in Advancing Primary Care.
Primary care practices are the backbone of healthy communities. Yet many small and independent practices, including community health centers, tribal clinics, and rural providers, are operating with limited infrastructure while…
Postpartum Care Community Design Studio: Final Artifacts and Implementation Planning
Connecting for Better Health, in partnership with the PopHealth Learning Center, led a co-design sprint with EPT practices, MCPs, and DHCS to draft common user stories and workflow solutions to…
Turning Data Into Impact: Jennifer Sayles to Lead Panel at 2026 Data Exchange Summit
At the 2026 Data Exchange Summit on March 5 in Sacramento, our CEO and Founder, Jennifer Sayles, will be leading a panel on one of the biggest opportunities in health…
Improving Care with Data Exchange – Childhood Immunizations
The Design Studios for Data Exchange, hosted by EPT Data SME Connecting for Better Health, have helped EPT practices develop workflows, overcome challenges, and develop a more automated data approach…
Practical Tips to Improve Measure Performance for Depression Screening and Follow up Quality Measure
The Design Studios for Data Exchange, hosted by EPT Data SME Connecting for Better Health, have helped EPT practices develop workflows, overcome challenges, and develop a more automated data approach…
Closing care gaps is essential to delivering equitable, proactive, and data-informed care.
This guide is designed to support healthcare teams in strengthening their care gap workflows by offering a curated set of strategies, real-world examples, and tools you can adapt to fit your practice.
Here, you'll find:
- A step-by-step guide to building effective care gap closure processes
- Stories and insights from clinics doing this work
- Resources to help you plan, implement, and sustain improvement
Whether you're just getting started or refining an existing approach, this blueprint is meant to be practical, flexible, and rooted in what works on the ground.