X
GO
Resource Overview
There are many tools available and a number of vendors serving the market for PHM technologies, making implementation decisions and planning a challenge for health centers.  Resources in this section provide a framework for PHM vendor selection and a roadmap for PHM and SDH implementation.  Case examples are provided to demonstrate health centers’ experiences implementing PHM and SDH.
Implementation of PHM and SDH Resources

PRAPARE Implementation and Action Toolkit

The Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences (PRAPARE)

HITEQ Center 0 789

The Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences (PRAPARE) is a national effort to help health centers and other providers collect the data needed to better understand and act on their patients’ social determinants of health. As providers are increasingly held accountable for reaching population health goals while reducing costs, it is important that they have tools and strategies to identify the upstream socioeconomic drivers of poor outcomes and higher costs. With data on the social determinants of health, health centers and other providers can define and document the increased complexity of their patients, transform care with integrated services and community partnerships to meet the needs of their patients, advocate for change in their communities, and demonstrate the value they bring to patients, communities, and payers.

Missouri PCA Population Health Management implementation using Azara DRVS

Case Example

HITEQ Center 0 972

The Missouri Quality Improvement Network (MOQuIN) undertook an initiative that aimed to help the state’s health centers adopt, implement, and use Health IT. As part of this initiative, population health management technology was implemented to help MOQuIN and their health centers mine and monitor their data, to identify drivers of performance as well as to test strategies for improvement. This case study describes their implementation experience, selection process and criteria, and lessons learned.  

Implementation and User Experiences with Azara DRVS

Health Care for the Homeless

Azara Healthcare LLC 0 697

This case study presents the PHM implementation story of Health Care for the Homeless (HCH), a Baltimore-based safety net provider.  HCH implemented Azara DRVS, a PHM solution that offers centralized data reporting and analytics for health centers and primary care associations.  Azara DRVS turns EHR data into reports for population health, chronic disease management, care planning, QI, risk and cost monitoring and regulatory compliance and reporting including UDS, Meaningful Use and PCMH.

Demystifying Predictive Analytics

Factsheet on Predictive Analytics for Health Centers

HITEQ Center 0 492

Using predictive analytics in health care is an emerging field, especially for health centers. This tool will provide a brief explanation of the purpose of predictive analytics, the ingredients necessary to apply these methods, and ways that health centers are using this approach to improve results. The objective of this resource is to help health center leadership and staff understand how and when predictive analytics can help them, and to think about how predictive analytics might fit into their data-driven QI program.

Using your EHR for Population Health Management

A Cross-reference Tool

HITEQ Center 0 733

Health centers are interested in managing population health but may not have the budget needed to purchase specialty suites. This tool will guide health centers in leveraging the “built in” functionality of certified EHRs to perform PHM functions by mapping the native PHM functionality available in the common certified EHRs used by health centers.  The aim is to help health centers to understand where to start in implementing PHM using what they already have available to them.

Top Tips for Selecting and Implementing Population Health Management Analytic Systems

From organizations who have recently implemented systems

HITEQ Center 0 737

This document includes tips for selecting and implementing population health management analytic and integrated data systems derived from Primary Care Associations, Health Center Controlled Networks, and health centers who have gone through this experience.

The Value Proposition for Population Health Management for Health Centers

Calculating ROI on your PHM investment

HITEQ Center 0 529

Measuring return on investment (ROI) and the value of population health management is an emerging concern for health centers.  Calculating ROI on HIT investment is complex, and few health centers have experience in this endeavor.  The definition of value varies by type and size of provider, patient population, and other factors, and may be unique to an organization.  This white paper discusses principles and approaches to measure the value proposition for population health management for health centers.  Although few examples exist, we present the results of one health center’s measurement of the value of PHM.

RSS

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.

Looking for something different or have something you think could assist?

HITEQ works to provide top quality resources, but know your needs can be specific. If you are just not finding the right resource or have a highly explicit need then please use the Request a Resource button below so that we can try to better understand your requirements.

If on the other hand you know of a great resource already or have one that you have developed then please get in touch with us by clicking on the Share a Resource button below. We are always on the hunt for tools that can better server Health Centers.

Request a Resource  Share a Resource
Search HITEQ Content
Highlighted Resources & Events
Need Assistance?
Would you like more assistance regarding Population Health Management and Social Determinants of Health strategies or support in using any of the included resource sets?

  Request Support

 

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

Learn More >