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The Quadruple Aim
Quadruple Aim

A Conceptual Framework

Improving the U.S. health care system requires four aims: improving the experience of care, improving the health of populations, reducing per capita costs and improving care team well-being. HITEQ Center resources seek to provide content and direction aligned with the goals of the Quadruple Aim

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Leadership Buy-In Resources Overview

This section of the website provides resources intended to help spur leadership action on to new or improved quality efforts. The tools are intended to be used by leaders, but also by other Health Center staff who are determined to solicit the help of leaders on quality work.

Embarking on, or making significant advancements to quality work requires strong Health Center leadership.  Leaders help define how decisions will be made, provide the resources necessary to analyze data and processes, and develop or guide strategic planning efforts that integrate all the functions of a Health Center.  At the highest level of function, quality is driven by organizational culture, rather than strategy.  Here too, leaders play important roles in helping to define and spread culture change throughout an organization.

Health IT & QI Workforce Leadership Buy-In Resources
Assessing Provider Satisfaction
Assessing Provider Satisfaction

Assessing Provider Satisfaction

Provider satisfaction is of critical importance for health centers to promote safety and workforce stability. A 2013 survey found that dissatisfied physicians were 2-3 times more likely to leave medical practice than their more satisfied colleagues. This may be unsurprising given that another recent study found that physicians spend almost half of their day on the EHR and desk work. Even during the patient visit, 37 percent of the time in the exam room is spent on these tasks. The increase in clerical and documentation burden related to EHR adoption was cited as a contributor to provider dissatisfaction. This resource puts forth several options for assessing provider satisfaction or burden, with a focus on health IT. Results of recent research as to the challenges that providers experience are outlined, and then several possible health IT interventions are profiled.

Building a Data-Driven Culture: Video Learning Series and Case Study
Building a Data-Driven Culture: Video Learning Series and Case Study

Building a Data-Driven Culture: Video Learning Series and Case Study

Healthcare organizations are flooding with data. Health centers have a wealth of data about their patients and their community. It is essential that these organizations  build a strong foundation of people, processes and technology to leverage that data to improve care and better serve the underserved.

Community Referral: Using Social Determinants of Health Data & Technology Tools to Connect with Appropriate Community Resources
Community Referral: Using Social Determinants of Health Data & Technology Tools to Connect with Appropriate Community Resources

Community Referral: Using Social Determinants of Health Data & Technology Tools to Connect with Appropriate Community Resources

The collection of data related to patients' non-medical needs through use of Social Determinant of Health (SDoH) assessment tools, can accelerate systemic population health improvement, as well as engage patients in addressing their social non-medical needs (such as transportation, shelter, or intimate partner violence services) through coordinated access to appropriate services or community-based supports. This case study discusses the process a health center may use to identify and stratify need, and profiles a number of community referral platforms, including Aunt Bertha, Now Pow, and 211 Community Information Exchange, for connecting patients to appropriate community resources.

 

Creating a Plan to Address Provider Satisfaction with Health IT
Creating a Plan to Address Provider Satisfaction with Health IT

Creating a Plan to Address Provider Satisfaction with Health IT

Provider satisfaction is of critical importance for health centers to promote safety and workforce stability. Organizations may be working to reduce burden or increase satisfaction of the provider workforce. This worksheet is intended to assist organizations in operationalizing the information set forth in HITEQ’s Assessing Provider Satisfaction: Designing health IT interventions to improve satisfaction and reduce burden.

Five Minutes of Quality Improvement
Five Minutes of Quality Improvement

Five Minutes of Quality Improvement

This brief presentation provides some ideas for tackling small quality improvement tasks that can generate some quick wins or provide helpful insight when considering larger health IT enabled quality improvement projects. Gather your quality improvement team to review and start with one of these small efforts.

Getting Started on the Quality Journey
Getting Started on the Quality Journey

Getting Started on the Quality Journey

Launching quality work at first can feel like a daunting task – even more so if you do not have the support of leadership in your organization.  Some individuals have successfully launched quality work by following the mantra: “What can I get done by next Tuesday?”  This mantra helps them sidestep inertia, extensive collaboration, and time consuming benchmarking research. Instead, by identifying small steps they can take to improve quality on their own, within the context of their existing job, they can start on the journey quickly. Furthermore, success in these small steps can help with Leadership Buy-In for the importance of Quality work.

Hallmarks of High Performance
Hallmarks of High Performance

Hallmarks of High Performance

This analysis from Capital Link examines the operating models, strategies, and practices of high-performing health centers to better understand the factors that work for and against the co-occurrence of strong clinical performance and financial sustainability.

Making the Business Case for Payment and Delivery Reform
Making the Business Case for Payment and Delivery Reform

Making the Business Case for Payment and Delivery Reform

The document describes a detailed, 10-step process with decision trees and financial models for providers to use when making the case for and considering changes in payment and service delivery.  The document also outlines the kinds of data required in order to submit a sound business case.  This document is also accompanied by a webinar describing it and how to use it.

Motivating Factors for Engaging in Health IT Enabled QI
Motivating Factors for Engaging in Health IT Enabled QI

Motivating Factors for Engaging in Health IT Enabled QI

This white paper explores what is bringing a health center to the world of Health IT Enabled QI and lays out some motivating factors and barriers as well as what skill areas may need further consideration in planning next steps.

Clinical Quality Measures 101-- Readiness for Value Based Care and Patient-Level Data Reporting
Clinical Quality Measures 101-- Readiness for Value Based Care and Patient-Level Data Reporting

Clinical Quality Measures 101-- Readiness for Value Based Care and Patient-Level Data Reporting

As health centers engage with more quality programs through payers, funders, and others there is a pressing need for health center staff to have a foundational understanding of clinical quality measures, quality programs, and how these fit together and fit into the patient care provided in health centers. This learning collaborative is appropriate for health center personnel looking for a simple, foundational understanding of the quality measures and related programs.

Over the course of four structured virtual learning sessions, participants will engage with subject matter experts and their colleagues in peer-to-peer learning and discussion. Topics will include: clinical quality programs and clinical quality measures, the anatomy of a clinical quality measure, assessing data alignment, and how to apply these approaches to the health center setting.

 

Acknowledgements

This resource collection was compiled by the HITEQ staff with portions contributed by Chris Espersen, HITEQ Advisory Committee member and Independent Contractor and Past President of Midwest Clinicians Network; Shane McBride, Independent Contractor and Past Vice President of Quality and Clinical Systems at South End Community Health Center; Chris Grasso, Associate Director for Informatics & Data Services- The Fenway Institute; and Ed Phippen, Principal - Phippen Consulting, LLC.

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