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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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This set of SAFER Guides can also be found on the HealthIT.gov website which includes further description and documentation. The SAFER Guides consist of nine guides organized into three broad groups. They are provided here on the HITEQ Center knowledgebase as well for easy access to Health Centers. These guides enable healthcare organizations to address EHR safety in a variety of areas. Most organizations will want to start with the Foundational Guides, and proceed from there to address their areas of greatest interest or concern. The guides identify recommended practices to optimize the safety and safe use of EHRs. The interactive PDF versions of the guides can be downloaded and completed locally for self-assessment of an organization’s degree of conformance to the Recommended Practices. The downloaded guides can be filled out, saved, and transmitted between team members.

2025 SAFER-2 Organizational Responsibilities
HITEQ Center

2025 SAFER-2 Organizational Responsibilities

A Resource Developed by the Office of the National Coordinator for Health Information Technology

The Organizational Responsibilities SAFER Guide identifies individual and organizational responsibilities (activities, processes, and tasks) intended to optimize the safety and safe use of EHRs. A key addition to this revised guide relates to the use of Artificial Intelligence (AI)*- enabled systems, or EHRs with enhanced AI features or functions for the administration, diagnosis, treatment, and management of patient care. Such AI-enabled systems have the potential to revolutionize administrative and clinical decision-making, but there are known and unknown risks associated with their use.

This guide, compared to all of the other SAFER Guides, focuses chiefly on human behavior and relationships. In particular, it includes the structures, processes and outcomes that apply to the people who have responsibility for EHR-related patient safety in healthcare organizations.

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Acknowledgements

This resource collection was created by Joan Ash, Hardeep Singh, and Dean Sittig for the Office of the National Coordinator for Health Information Technology (ONC).