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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-4 System Management
Isabella Hill

2025 SAFER-4 System Management

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

The System Management Guide identifies recommended safety practices associated with the configuration, validation, and maintenance of electronic health record (EHR) hardware, software, and system-to-system application programming interfaces (APIs). This includes the physical environment in which the EHR will operate and the implementation and testing of technically complex components of the clinical information system.

This guide focuses on the management and monitoring protocols, policies, and practices required to enhance the safety of the EHR’s technical components. It is intended to be worked through by a multidisciplinary team representing clinicians, technical staff, administrative specialists, frequent end-users, and any relevant subject matter experts who can provide additional perspectives for enhancing safety through an efficient and effective process.

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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).