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Resource Overview
Population Health Management requires aggregating patient data from a number of sources, and conducting analytics and modeling to derive actionable insights that translate to increased patient engagement and improved outcomes.  Resources in this section describe data sources that are available to health centers, how to access and integrate them, and ways to enrich them with patient-provided data through health risk assessments and patient engagement technologies.
Getting and Using PHM and SDH Data
Panel Management in the Age of Value-Based Care

Panel Management in the Age of Value-Based Care

Health Center Case Studies Developed with Chiron Strategy Group, June 2019

Each health center has a system where patients are assigned to specific providers. The group of patients assigned to a provider becomes their panel; the various activities performed to maintain accurate panels and determine how often patients see their provider or care team are encompassed within the term “panel management”. Panel management is an essential function of a health center. When done well, it smooths the scheduling and operations of the health center; when done poorly it creates challenges with productivity, patient continuity, Quality Improvement reporting, and more. Some health centers do not clearly define who is involved, what processes are in place, and what tools and technology are used - all of which create challenges for panel management. Beyond the importance of panel management in internal operations, it is also important to external stakeholders such as NCQA, which includes panel management as a core criteria necessary to be recognized as a Patient-Centered Medical Home. This downloadable resource offers guidance on improving panel management activities, including real-life examples from two health centers of the challenges and successes in managing panels.

Download the resource below!

Previous Article Using Social Determinants of Health Data & New Technology Tools to Connect with Appropriate Community Resources
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Intended AudienceHealth center leadership, data and quality staff

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Acknowledgements

This resource collection was cultivated and developed by the HITEQ team with valuable contributions from the National Association of Community Health centers (NACHC) as well as HITEQ's Advisory Committee and many health centers who have graciously shared their experiences with HITEQ.

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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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