The Underserved Populations (UP) BPIP – Where Do I Begin?

Underserved Populations (UP) BPIP – Where Do I Begin?

UP BPIP Released 02/01/13

The new UP BPIP was recently released.  If you have not downloaded it yet, go to HHQI and under Education/BPIPs, you will find the Underserved Populations BPIPThis package is a Primary BPIP, which goes more deeply into the topic, and provides more evidence-based tools, resources, and information to assist in the quality improvement process.   The BPIP is formatted for agencies to address Awareness, Assessment, and ongoing development of Actions.  The UP BPIP focuses on 4 key populations:

  • Underserved
  • Dually-Eligible
  • Health Disparate
  • Small Home Health Agencies

I’ve Downloaded UP BPIP – Now What?

This package is a resource and foundation for your agency to begin working on reducing inequalities of healthcare for your communities.   It is NOT intended to be fully implemented with all the best practices or strategies.  Ok – but where to start?

I would recommend printing a copy, placing it in a binder, and tabbing the sections/key areas including Putting it Together:  Tool Guides and Tips section.   Highlight areas and write sticky notes as you read through the sections that directly relate to your agency.

I would also use an electronic copy too!  You will see there are a plethora of hyperlinks within the BPIP to allow you quick and easy access to the tools or resources.  Also by using the electronic table of contents or search features, you can navigate through the package easier and locate specific topics or tools.  In the UP BPIP “How to Use the BPIP” section (page 4) there are even some tips on using electronic sticky notes and highlighter.

Next Step

As a leader or quality improvement specialist, you should read through the entire package to get a sense of what is included, potential agency areas that need a more in depth look, and to see available tools and resources (even if for future endeavors).  Don’t skip the Small Home Health Agency section if you are a medium or even a large agency.  You may find some valuable information that directly applies to your organization.

In addition to the BPIP, there are a lot of additional resources on the web page.  It is worth scheduling time on your calendar in the next few weeks to just look at the resources.  There are some awesome multimedia resources that are easy to use and add great value to your education sessions or team meetings.  Preview the videos and determine which are more meaningful and use 1 or 2 at a time, following up on the next team meeting or education session with another video for reinforcement.

Also check out the Patient Basic Needs educational session that uses Maslow’s Hierarchy of Needs Model.  Patients must meet their basic needs before moving to higher levels such as self-management and disease management.  Information on this topic is in the Leadership section (page 26).  The educational program includes a 30 minute recorded webinar or a PowerPoint (with speaker notes for you to present) for clinicians (nurses, therapists, and social workers), as well as a Post-Test and Answer Key.  The Home Health Aide Track of the BPIP integrates the aides into the interdisciplinary approach to identify the patient’s basic needs.  So you could plan an entire education session for all of your clinicians and all the work is done for you!

Key Points

  • Don’t be overwhelmed with the size  or amount of information in the UP BPIP
  • Use the UP BPIP as resource
  • Tab and mark up the BPIP so you can locate what you need as your progress
  • Remember, the work with the underserved, dually-eligible, and health disparate populations is ongoing work in every QI activity or agency endeavor to reduce the inequality of care
  • Implement only 1 or 2 items at a time, test them, modify them, and reinforce them until integrated into day-to-day care, then add additional action(s)
  • Understand that the healthcare industry is just getting started and that the work to improve equal care is going to be hard, but the rewards are going to affect real patient’s lives


HHQI Assistance

  • Participate in the UP Network Calls to learn and discuss specific issues – download flyer for schedule and topics of calls through March, as well as the call in information
  • Contact HHQI at if you need assistance or have questions with the UP BPIP, tools or resources, or just having trouble getting started – We are here to assist you!

Misty Kevech, RN Project Coordinator


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