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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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Resource Overview

Patient portals, health apps, and the other various personal health information technologies provide great opportunities for increasing patient activation and engagment with their health and their ability to successfully navigate their healthcare system. Furthermore, an increasing number of studies are finding positive outcomes related to the use of these patient-centered tools. While these findings are encouraging, it is still important to assess the effectiveness and fit of these new tools and services when using them to engage a Health Center's community. Effective evaluation can help determine whether a tool is good or bad or simply not the right fit for a particular cohort of patients. In order to determine why a tool is successful or not requires an understanding of the technical, social, and clinical factors that may impact the way a patient interacts with the technology.

The evaluation tools within this resource set provide examples of different measurements that can be used to assess the value and effectiveness of electronic patient engagement tools and services.

Evaluation of Engagement and Satisfaction Resources

Sensitive Information and the Electronic Patient Record Sensitive Information and the Electronic Patient Record

Sensitive Information and the Electronic Patient Record

HITEQ Center, June 2023

Molly Rafferty 0 6082

With nearly 100% of community health centers utilizing electronic health records (EHR) to care for patients, focus has pivoted from implementation and new workflow development to enhancement in order to drive value and reflect patient needs and population trends. EHR technology presents potential opportunities and significant constraints. Providers frequently document and share potentially sensitive information in the EHR, such as risk for intimate partner violence (IPV), consistent offers of pre-exposure prophylaxis (PrEP), or patient sexual orientation and gender identity (SOGI). Capturing such information can be immensely helpful in providing care tailored to individuals’ needs, but additionally challenges teams to develop workflows that keep the data private rather than risk harm to patients through improper or unintended disclosure.

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Health IT Optimization for Effective PrEP Services Health IT Optimization for Effective PrEP Services

Health IT Optimization for Effective PrEP Services

HITEQ Center, June 2023

Molly Rafferty 0 5729

Health centers are increasingly interested in embedding oral Pre-Exposure Prophylaxis (PrEP) programs into primary care, which calls for the embedding of PrEP care processes into electronic health record (EHR) systems. Health centers have had success with automation in HIV testing, and are looking to apply automated algorithms, order sets, and templates to the development of PrEP programs. This resource outlines EHR and health information technology (IT) configurations and tools that support PrEP care processes and provides examples of successful implementation from health centers and primary care settings.

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Pre-Exposure Prophylaxis (PrEP), Post-Exposure Prophylaxis (PEP), and Other HIV Prevention Strategies: Billing and Coding Guide Pre-Exposure Prophylaxis (PrEP), Post-Exposure Prophylaxis (PEP), and Other HIV Prevention Strategies: Billing and Coding Guide

Pre-Exposure Prophylaxis (PrEP), Post-Exposure Prophylaxis (PEP), and Other HIV Prevention Strategies: Billing and Coding Guide

Developed by NASTAD, updated in 2023

HITEQ Center 0 16359

The goal of this guide is to provide up-to-date information and best practices for coding, billing, and denial resolution for PrEP and PEP services. Health department staff are encouraged to share this resource with grantees, community partners, and other health care providers billing for HIV prevention services.

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Acknowledgements

This resource collection was cultivated and developed by the HITEQ team with valuable suggestions and contributions from HITEQ Project collaborators.

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