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Overview

This section contains resources that help health centers to successfully implement EHRs, including leadership teams needed, workflow adoption, transitioning between EHRs, meaningful use, and patient safety issues.

Implementing EHR
Accessing your Data
Accessing your Data

Accessing your Data

Intended to assist in ensuring full use and understanding of capabilities of current system and assessing the need for additional population health management or data integration tools, this checklist describes the steps health center quality improvement and IT staff can take to ensure they are maximizing the population health management and other capacity of current systems. It Included are questions around the system itself, report generation, training, and resulting data, as well as considerations before and after you contact your vendor.

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.

Creating a Leadership Team for Successful EHR Implementation
Creating a Leadership Team for Successful EHR Implementation

Creating a Leadership Team for Successful EHR Implementation

This resource is intended to aid providers and health IT implementers in identifying a leadership team for a successful EHR implementation.  Selecting the right people for an EHR implementation team is a critical step in a successful implementation. In general, members of the team should be enthusiastic, well-respected and forward thinking. Team members should bring differing perspectives on how the EHR will be used and provide a wide array of skills and knowledge. The size of a practice will determine the size of the implementation team. For smaller practices, one person may be managing several of the areas of responsibility included. 

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.

Developing a Data Dashboard for PRAPARE Data
Developing a Data Dashboard for PRAPARE Data

Developing a Data Dashboard for PRAPARE Data

Health centers are interested in using social determinants data to manage and improve the health of their patient population and community, and are at different places on the population health management (PHM) and social determinants of health (SDH) adoption curve. 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. In this webinar, the Colorado Community Managed Care Network (CCMCN), a Health Center Controlled Network (HCCN) highlighted a Tableau data dashboard that they have developed to help their health centers make decisions on population health management. They discussed the rationale for developing the tool, challenges and facilitators to integration, and how their health centers benefit from data sharing across Tableau.

EHR Implementation Timeline for Health Centers
EHR Implementation Timeline for Health Centers

EHR Implementation Timeline for Health Centers

To ensure successful and smooth implementation or migration of electronic health record (EHR) systems, it is critical for health center staff to carefully plan the process. This timeline document highlights key events and milestones that should take place in the months before, and immediately following, the EHR go-live date.

EHR Optimization Guides
EHR Optimization Guides

EHR Optimization Guides

Million Hearts® EHR Optimization Guides help healthcare professionals leverage their EHR systems to excel in the ABCS. Through helpful step by step instructions, the Guides illustrate how providers can use their EHR products to find, use, and improve data on the Million Hearts® clinical quality measures. Ultimately, these guides facilitate the identification of at-risk patients, helping clinical teams across the country protect their patients from heart attacks, strokes, and other cardiovascular events.

EHR Optimization Series: Part One of Three
EHR Optimization Series: Part One of Three

EHR Optimization Series: Part One of Three

The first of a three-part EHR Optimization series focused on establishing goals and expectations for optimizing EHR utilization and sharing proven strategy/tools for optimizing EHR utilization, including slides and related tools. 

EHR Optimization Series: Part Three of Three
EHR Optimization Series: Part Three of Three

EHR Optimization Series: Part Three of Three

The third of a three-part EHR Optimization series focused on establishing goals and expectations for optimizing EHR utilization and sharing proven strategy/tools for optimizing EHR utilization, including slides and related tools. 

EHR Optimization Series: Part Two of Three
EHR Optimization Series: Part Two of Three

EHR Optimization Series: Part Two of Three

The second of a three-part EHR Optimization series focused on establishing goals and expectations for optimizing EHR utilization and sharing proven strategy/tools for optimizing EHR utilization, including slides and related tools.

Getting a New Workflow and Process Started during COVID-19 Pandemic
Getting a New Workflow and Process Started during COVID-19 Pandemic

Getting a New Workflow and Process Started during COVID-19 Pandemic

Health centers are having to dramatically change approaches to patient care as the COVID-19 public health emergency keeps patients at home and ramps up the demands of telehealth and other remote care modalities. This resource is a quick start guide for health centers making this change. 

Health Center Case Examples in Coding and Documenting Social Risks
Health Center Case Examples in Coding and Documenting Social Risks

Health Center Case Examples in Coding and Documenting Social Risks

Are you capturing information like immigration or refugee status, intimate partner violence, human trafficking, risk of acquiring HIV through sexual contact or substance use disorder, or other information that brings up questions about how to document or code while respecting the patient’s privacy?

This health center learning collaborative series will present health center case examples that explore the privacy and data sharing considerations of EHR documentation of sensitive patient information, such as social history and social risk, and encourage participants to discuss the implications for health centers and their patients. 

Health Center Case Examples in Coding and Documenting Social Risks
Health Center Case Examples in Coding and Documenting Social Risks

Health Center Case Examples in Coding and Documenting Social Risks

Are you capturing information like immigration or refugee status, intimate partner violence, human trafficking, risk of acquiring HIV through sexual contact or substance use disorder, or other information that brings up questions about how to document or code while respecting the patient’s privacy?

This health center learning collaborative series will present health center case examples that explore the privacy and data sharing considerations of EHR documentation of sensitive patient information, such as social history and social risk, and encourage participants to discuss the implications for health centers and their patients. 

Health Center Case Examples in Coding and Documenting Social Risks
Health Center Case Examples in Coding and Documenting Social Risks

Health Center Case Examples in Coding and Documenting Social Risks

Are you capturing information like immigration or refugee status, intimate partner violence, human trafficking, risk of acquiring HIV through sexual contact or substance use disorder, or other information that brings up questions about how to document or code while respecting the patient’s privacy?

This health center learning collaborative series will present health center case examples that explore the privacy and data sharing considerations of EHR documentation of sensitive patient information, such as social history and social risk, and encourage participants to discuss the implications for health centers and their patients. 

Health Center Case Examples in Coding and Documenting Social Risks
Health Center Case Examples in Coding and Documenting Social Risks

Health Center Case Examples in Coding and Documenting Social Risks

Are you capturing information like immigration or refugee status, intimate partner violence, human trafficking, risk of acquiring HIV through sexual contact or substance use disorder, or other information that brings up questions about how to document or code while respecting the patient’s privacy?

This health center learning collaborative series will present health center case examples that explore the privacy and data sharing considerations of EHR documentation of sensitive patient information, such as social history and social risk, and encourage participants to discuss the implications for health centers and their patients. 

Health Center Case Examples in Coding and Documenting Social Risks: Introduction
Health Center Case Examples in Coding and Documenting Social Risks: Introduction

Health Center Case Examples in Coding and Documenting Social Risks: Introduction

Are you capturing information like immigration or refugee status, intimate partner violence, human trafficking, risk of acquiring HIV through sexual contact or substance use disorder, or other information that brings up questions about how to document or code while respecting the patient’s privacy?

This health center learning collaborative series will present health center case examples that explore the privacy and data sharing considerations of EHR documentation of sensitive patient information, such as social history and social risk, and encourage participants to discuss the implications for health centers and their patients. 

Health Center EHR Transition
Health Center EHR Transition

Health Center EHR Transition

The HITEQ Center has a number of EHR transition tools that may be helpful for health centers that are considering a transition from one EHR to another. This resource brings together all these tools for easy access.

Health Center Health IT/ EHR Assessment Tool
Health Center Health IT/ EHR Assessment Tool

Health Center Health IT/ EHR Assessment Tool

HITEQ created this template to assist HCCNs, PCAs, or other organizations in conducting health IT assessments of multiple health centers. 

Making a Good First Impression: Digital Patient Intake Solutions
Making a Good First Impression: Digital Patient Intake Solutions

Making a Good First Impression: Digital Patient Intake Solutions

Now more than ever, health centers know that addressing social determinants of health is key to ensuring patients from underserved and disadvantaged groups receive quality, informed, and comprehensive care. This resource explores how health centers can effectively and safely collect critical patient information, including sensitive information like social need screening, through digital patient intake solutions that rely on paper-free, data-smart registration and EHR integration. Health centers can walk through why adding these solutions to their clinics can engage rather than alienate patients, and how to implement these technologies to screen for social risk and improve the patient experience.

The resource is available in the Documents to Download section below.

Quality Report Inventory
Quality Report Inventory

Quality Report Inventory

This Report Inventory tool is a means to make public all available reports, the schedule for publishing to the organization, and their distribution. 

Remote Scribes, Transcription, Talk-to-Type, and Virtual Assistants
Remote Scribes, Transcription, Talk-to-Type, and Virtual Assistants

Remote Scribes, Transcription, Talk-to-Type, and Virtual Assistants

As administrative responsibilities increase, clinical documentation is often the first task to end up suffering. The EHR has created additional administrative burdens on providers such as the need to perform data entry while trying to engage with the patient during the health care visit. Providers have become frustrated and distracted with the documentation requirements, which further hinder connection and communication with the patient. The American Medical Association (AMA) and other groups note that physician burnout is a systemic problem requiring examination and improvements in the system-of-care delivery. Medical record production technologies may be the key to achieving the goal of creating better and timely medical records, while at the same time increasing cost effectiveness. Studies have shown that the utilization of services like medical scribes or voice recognition strengthened the patient and provider experience and is associated with lower rates of burnout. Furthermore, there is evidence that despite the higher overhead costs, additional documentation services can increase clinician productivity, lower billing errors, and foster work-life balance, retention, and wellness.

The obvious demand has driven innovators to provide a solution, and has manifested in scribing tools and resources with distinct modalities, with varying balances between using human capital and technology. This resource assess the strengths and weaknesses of these tools to provide guidance to health centers.

To Switch or Not to Switch: A Guide for Community Clinics Considering Changing EHRs
To Switch or Not to Switch: A Guide for Community Clinics Considering Changing EHRs

To Switch or Not to Switch: A Guide for Community Clinics Considering Changing EHRs

The purpose of this guide is to help CHC leaders weigh the costs and benefits of remaining with their current EHR system (possibly with enhanced functionality) or switching to a different one. It is intended to be useful to all those participating in decisions about EHR systems, not just to technical experts. The guide offers a step-wise approach to asking important questions, making decisions, and moving forward. The appendices describe the types of products and services that are available to CHCs and that are mentioned throughout the guide.

Utilizing and Integrating Behavioral Health Data into a Health Center’s Primary Care Services
Utilizing and Integrating Behavioral Health Data into a Health Center’s Primary Care Services

Utilizing and Integrating Behavioral Health Data into a Health Center’s Primary Care Services

As more health centers seek to break down siloes that can fragment patient care, collaboration with or integration of behavioral health care has been strengthened, although data integration remains difficult and privacy remains paramount. This brief discusses some of the approaches, successes, and challenges in integrating behavioral health data within primary care services.

Acknowledgements

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

EHR Vendor Profiles
Highlighted resources from the HITEQ CenterProfiles for EHR vendors are provided as a resource to health centers looking for EHR documentation, support services, and peer groups.

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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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