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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
Using Health Technology to Improve Performance on Clinical Quality Measures
HITEQ Center

Using Health Technology to Improve Performance on Clinical Quality Measures

Experiences of HealthNet of Indianapolis, Winner of HIMSS Davies Community Health Organization Award

According to HealthNet's Case Study for their 2015 HIMSS Davies Award:

HealthNet’s mission is to improve lives with compassionate health care and support services, regardless of ability to pay. The organization was established in 1968 to provide much needed services to central Indiana’s inner-city neighborhoods. Through a network of health, dental, school-based and homeless sites, HealthNet provides care to more than 59,286 patients annually. In 2009, we began our journey to adopt electronic medical records (EMR) to improve patient care, clinical documentation and billing practices after choosing eClinicalWorks as our vendor. Using a phased approach to EMR “Go Lives”, it took almost 2 years to fully implement the EMR at all locations. Upon completion of the Go Live project at medical sites in 2011, HealthNet focused on using the new electronic technology to develop templates and reports and redesign workflows to improve performance on a selected set of clinical quality measures, which had previously been stagnant and far below national averages. After project implementation, improvements on the selected measure sets were dramatic, ranging from 4% improvement on measures that were already being done well, to 181% improvement on the lowest performing measures at baseline.

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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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