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Overview

Through the data validation process, valuable information is gained that can then be used to improve performance around patient care or quality of care metrics.  Improving quality performance may take the form of improving data collection processes, better identifying patients who need additional interventions, or decreasing missed opportunities to provide patients appropriate interventions, among other possibilities. This section includes guidance on leveraging Health IT to improve quality performance including change packages for recommended approaches related to various quality of care measures.

Improving Performance Resources
Empanelment: Defining and Establishing Patient-Provider Relationships
Empanelment: Defining and Establishing Patient-Provider Relationships

Empanelment: Defining and Establishing Patient-Provider Relationships

Empanelment is the basis for population health management and the key to continuity of care. Accepting responsibility for a finite number of patients, instead of the universe of patients seeking care in the practice, allows the provider and care team to focus more directly on the needs of each patient. Inside, find guidance for establishing and maintaining patient panels.

How to get your EHR to Match Reality for UDS Measures on Depression
How to get your EHR to Match Reality for UDS Measures on Depression

How to get your EHR to Match Reality for UDS Measures on Depression

Does your agency’s UDS report accurately reflect the work you do for depression screening and other behavioral health integration activities? Join this webinar to learn strategies and steps your team can use to make the most of the EHR to support improved health outcomes for your patients. Gain insight from a health technology expert and practical tips from an agency who learned to make their EHR a true part of the team to improve UDS depression measures through inputting and analyzing depression screening data from the EHR.

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

Using Health Technology to Improve Performance on Clinical Quality Measures

HealthNet’s successful use of Health IT to move metrics is highlighted in case studies focused on the value of leveraging IT to standardize care and improve patient outcomes. With the assistance of electronic health records and a variety of IT interventions, HealthNet has reduced low birth weights, improved care outcomes for pediatric patients, and significantly increased patient satisfaction.

Guide to Improving Care Processes and Outcomes in Health Centers
Guide to Improving Care Processes and Outcomes in Health Centers

Guide to Improving Care Processes and Outcomes in Health Centers

The quality improvement (QI) approach outlined in this Guide can be used to augment current QI approaches used in your health center, or can serve as a placeholder QI methodology when there isn’t already a robust QI process in place.

It provides a framework and tools for documenting, analyzing, sharing and improving key workflows and information flows that drive performance on high-stakes care performance measures, and related improvement imperatives.

This webpage provides strategies and tools that health centers and their partners can use to enhance care processes and outcomes targeted for improvement, such as hypertension and diabetes control, preventive care, and many others.

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.

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.

Steps for Increasing Colorectal Cancer Screening Rates
Steps for Increasing Colorectal Cancer Screening Rates

Steps for Increasing Colorectal Cancer Screening Rates

The goal of this manual is to offer evidence-based, expert-endorsed recommendations for planning and implementing strategies in CHCs to improve colorectal cancer (CRC) screening rates. It provides step by step instructions for CHC teams to improve CRC screening and outcomes in practice and the appendices in this manual include a number of tested and proven tools.

Undiagnosed Hypertension in the Safety Net
Undiagnosed Hypertension in the Safety Net

Undiagnosed Hypertension in the Safety Net

With the shift to value-based care, managing chronic diseases effectively is critical. Health centers will need to make sure they are treating all patients with elevated blood pressure – including patients with undiagnosed hypertension who are “hiding in plain sight.” 

Data Dictionary Tool and Template
Data Dictionary Tool and Template

Data Dictionary Tool and Template

This Data Dictionary provides a single point of reference for data mapping and interpretation for all of the indicators in your quality reports. Organization of the data definitions in this tool provides a reference for the team of all such definitions that impact reports and alerts in the analytics application.

ONC Interoperability in Action Day
ONC Interoperability in Action Day

ONC Interoperability in Action Day

Join ONC for the inaugural Interoperability in Action Day highlighting many of the successful standards and technology progress advancing the exchange of health information over the past year. 

Clinical Decision Support-enabled Quality Improvement Worksheet (Essential Version)
Clinical Decision Support-enabled Quality Improvement Worksheet (Essential Version)

Clinical Decision Support-enabled Quality Improvement Worksheet (Essential Version)

This worksheet is a key component of the Guide to Improving Care Processes and Outcomes in Health Centers, developed by TMIT Consulting, LLC and the HITEQ Center.

A helpful QI adage is that “systems are perfectly designed to produce the results they deliver.” This truism highlights the importance of understanding current care processes that are driving sub-optimal performance on the targeted measure so they can be refined to deliver better results. The CDS/QI worksheet supports this analysis through a structured, broadly applicable framework for documenting, analyzing, sharing and improving target-focused care activities.

Prioritization Matrix
Prioritization Matrix

Prioritization Matrix

It is sometimes difficult to know what target metric to focus on when beginning a quality improvement project. A prioritization matrix is a management tool that uses a simple framework to compare multiple options side-by-side using standard criteria. This version includes four criteria and can be adapted for your purposes.

Colorectal Cancer Screening Change Package
Colorectal Cancer Screening Change Package

Colorectal Cancer Screening Change Package

Tools and resources pertinent to colorectal cancer screening from authoritative resources on the topic and organized by the change package outline. Some of these approaches and tools were used in the NACHC Improving Data Integrity, Access, and Analysis Project, which focused on applying data-driven strategies to improve colorectal cancer screening.

4 Steps to Sustaining Improvement in Health Care
4 Steps to Sustaining Improvement in Health Care

4 Steps to Sustaining Improvement in Health Care

Progress from Quality Improvement efforts can be undermined by the ease of falling back into the old way of doing things. As such, it is critical to have an intentional, organized approach to sustaining any improvements that have been realized. This article discusses four key steps. 

October 4th HITEQ Highlights Webinar Materials
October 4th HITEQ Highlights Webinar Materials

October 4th HITEQ Highlights Webinar Materials

Improving care delivery is a business and mission imperative for health centers, and the HITEQ Center offers a growing collection of tools and services to support this journey. These slides from our Oct. 4th webinar provide a foundational understanding of the Guide for Improving Care Processes and Outcomes in Health Centers, a web-based resource that provides step-by-step guidance on understanding and improving workflows and information flows that drive performance on key targets such as hypertension control and colorectal cancer screening. Guide centerpieces include worksheets for documenting, analyzing, sharing and improving care processes for such targets.

10/4 HITEQ Highlights – Health IT-Enabled Quality Improvement: A Guide to Improvement
10/4 HITEQ Highlights – Health IT-Enabled Quality Improvement: A Guide to Improvement

10/4 HITEQ Highlights – Health IT-Enabled Quality Improvement: A Guide to Improvement

Improving care delivery is a business and mission imperative for health centers, and the HITEQ Center offers a growing collection of tools and services to support this journey. The foundation for these particular offerings is the "Guide for Improving Care Processes and Outcomes in FQHCs."  This web-based resource provides step-by-step guidance on understanding and improving workflows and information flows that drive performance on key targets such as hypertension control and colorectal cancer screening. Guide centerpieces include worksheets for documenting, analyzing, sharing and improving care processes for such targets.

Strategies and tools in the Guide have been used successfully in various quality improvement (QI) initiatives, and a HITEQ Center focus is spreading this value more quickly and widely among health centers. This introductory training session introduces health centers and their partners to the Guide's proven approaches, worksheets and other health IT-enabled QI tools. Health Centers and their partners can incorporate these approaches into their existing QI activities, or use them as a foundation for putting a solid QI foundation in place. The session empowers attendees with critical 'what to know' and 'what to do' QI information, and concludes by recommending a 'quick-win' exercise wherein attendees use a worksheet in a brief exercise with their teams to document current care processes for a high priority target, and brainstorm potential improvements. Material in the Guide and in the training session provide further details about performing a more robust care process analysis, as well as on prioritizing, implementing, evaluating and sustaining improvements surfaced during the analysis phase.

New Ethical Dilemmas in the Digital Age
New Ethical Dilemmas in the Digital Age

New Ethical Dilemmas in the Digital Age

In 2016, health and human service professionals face a myriad of new ethical dilemmas with little guidance from existing ethical codes that do not address these emerging issues. This webinar will review the current literature regarding new ethical dilemmas related to technology and the internet, and provide guidance and recommendations for health and human service staff.

Million Hearts Hypertension Control Change Package
Million Hearts Hypertension Control Change Package

Million Hearts Hypertension Control Change Package

The Hypertension Control Change Package for Clinicians (HCCP) presents a listing of process improvements that health center settings can implement as they seek optimal hypertension (HTN) control. It is composed of change concepts, change ideas, evidence- or practice-based tools and resources. Change concepts are general notions that are useful in the development of more specific ideas for changes that lead to improvement.

Acknowledgements

This resource collection was compiled by the HITEQ Center staff with guidance from HITEQ Advisory Committee members and collaborators of the HITEQ Center.

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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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