Our Services

CORE's contraceptive access framework, which is built around three interconnected strategies, ensure contraceptive care is community-centered, built with sustainable practices and systems, and that clinical care is person-centered.

1. Sexual and reproductive health (SRH) training, technical assistance, and coaching 

2. Contraceptive access assessment 

3. Person-centered care and LARC provider training packages

4. Public health nurse consultant services

5. SRH proposal development

6. SRH program planning, development, implementation, and management

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The Core Framework

Community Centered Engagement

CORE prioritizes deep and meaningful community partnerships to ensure reproductive healthcare solutions are locally informed and sustainable. This strategy focuses on:

  • Conducting surveys, focus groups, lived experience panels, and listening sessions to incorporate community voices

  • Partnering with community-based organizations, schools, pharmacies, and faith-based agencies to expand contraceptive access

  • Leveraging data from Maternal Child Health (MCH) Title V Block Grants, Title X, and Community Health Assessments (CHA) to guide community engagement strategies

  • Developing and implementing community engagement and outreach plans

  • Strengthening Medicaid enrollment support and collaboration with pharmacists

  • Exploring expanded roles for Community Health Workers, Health Educators, and Registered Nurses

  • Guarding against sexual and reproductive health misinformation and disinformation

Person Centered Care

CORE promotes person-centered contraceptive counseling and care that is equitable, affirming, and centered on patients' goals and values through provider training, and quality improvement initiatives. Key activities include:

  • Training providers and staff in anti-racism, anti-coercion, and reproductive justice principles. 

  • Fostering gender inclusive and affirming healthcare

  • Implementing standardized reproductive desires screening tools like PATH, OKQ, PCCC, and SINC

  • Enhancing patient counseling techniques to align with QFP 2024 recommendations

  • Utilizing patient experience surveys to refine care delivery

  • Ensuring seamless contraceptive method access to a broad range of methods, including same-day provision and advanced supply options

  • Desiloing STI/HIV and SRH programming

  • Emphasizing patient autonomy in contraceptive method choice (e.g. self-administered DMPA, Plan B as Plan A, patient preference)

CORE supports healthcare providers in clinical capacity building the infrastructure and skills needed to deliver sustainable, efficient and effective contraceptive care. Key actions include:

  • Providing hands-on LARC training

  • Expanding provider competency in provision of contraceptive methods

  • Developing and implementing evidence-based policies, procedures, and workflows

  • Strengthening electronic health record (EHR) templates and privacy, and data collection capabilities

  • Integrating validated clinical performance measures to assess contraceptive care quality

  • Scope of practice and staff role optimization (/RN/MA/CHW/doulas/HE/medical chaperones utilization)

  • Contraceptive train-the-trainer, contraceptive champion, and contraceptive community ambassador training

Organizational & Program Sustainability

CORE assists clinics to align and improve systems and policies with best practices in reproductive health, ensuring the infrastructure supports equitable contraceptive access. CORE is on a mission to bridge the implementation science gap from research and policy to provider-level knowledge. This includes supporting implementation of policy shifts, enhancing provider scope, and navigating reimbursement frameworks. Key focus areas include:

  • Assisting organizations in understanding changes to federal, state, and local funding landscapes

  • Assisting healthcare providers in implementing federal, state, and local reproductive health guidelines and policy

  • Training providers on Medicaid reimbursement improvement strategies, prioritizing access and quality

  • Expanding understanding and utilization of scope of practice for RNs, MAs, CHWs, and Health Educators in contraceptive care spaces

  • Encouraging use of AI in advancing contraceptive access

Ensuring long-term access to high-quality contraceptive care requires financial sustainability and strategic resource management. CORE’s priority concepts include:

  • Identifying funding opportunities to enhance reproductive health funding diversification

  • Supporting clinics in securing discounted rates for contraceptive methods through 340B and discount programs

  • Developing financial strategies to mitigate the impact of Medicaid reimbursement reductions

  • Increasing third-party payer revenue, including Medicaid

  • Improving billing and coding systems to maximize reimbursement and financial sustainability

  • Create a capable and resilient workforce sustainability plan addressing burnout, training pipelines, and retention