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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

  • Rationale
  • Challenges
  • Approach

Mobile health (mHealth) tools have the potential to play a pivotal role in fostering a sense of greater patient engagement within underserved populations. By facilitating patient use of mHealth applications in collaboration with electronic health record (EHR) and personal health record (PHR) systems there is an opportunity to empower individuals to take a more active role toward managing their health conditions.

The proliferation of consumer mobile health applications and devices is creating new opprotunities for engaging patients in their care and leaves little doubt as to the impact that these tools will have on the way that people manage their health, health information, and health communications with their care providers, family and friends. This shift to increased self-management of health by consumers will change a patient’s relationship with their doctor and the way healthcare is practiced.
The current laws and standards in place to ensure patient’s privacy and health information security will need further review to determine whether mobile health technologies create unique situations that are not yet addressed. This poses many challenges for health centers as to how best to support patient use of these tools and ways in which to incorporate them into their own clincial support systems.

Mobile health characterizes a shift in the point of care for the patient. The point of care has classically been located at the hospital or clinic. Mobile health is beginning to shift this model so that the point of care is more frequently a matter of where the person happens to be located at that time, consequently providing opportunities for more timely care. It is also important to note that these tools help to increase the accessibility of Healthcare to populations where direct access to Healthcare professionals is limited and so health management is more frequently left in the hands of the consumer.

The tools provide in this resource cover a range of different mobile health tools, strategies, and guidelines for consideration as Health Centers seek to leverage these technologies to better engage and activate their patients.

Mobile Health Resources

Learning to Love your Data
Learning to Love your Data

Learning to Love your Data

This webinar series was hosted to support various roles who work with data in health centers to provide best practices and promote equity through data collection and analysis. Participants will leave with a better understanding of how to meaningfully use data to improve their health center.

HITEQ Highlights: Enabling a Cyber-Resilient Health Center
HITEQ Highlights: Enabling a Cyber-Resilient Health Center

HITEQ Highlights: Enabling a Cyber-Resilient Health Center

In this HITEQ Highlight, we aim to strengthen Health Centers' capacity to build their cyber-resiliency. We will cover risk management tools, methods for guarding against cybersecurity assaults, operationalizing cybersecurity to mitigate risks, and breach mitigation tactics. Participants will focus on safeguarding data across the entire enterprise and examine approaches to implementing cybersecurity infrastructure through risk management frameworks and strategic risk assessment. This session includes a case study of the Family Health Center of Worcester's Ransomware Incident presented by CEO Louis Brady.

FHIR 101: Opportunities to Improve Interoperability across Health Centers
FHIR 101: Opportunities to Improve Interoperability across Health Centers

FHIR 101: Opportunities to Improve Interoperability across Health Centers

Fast Healthcare Interoperability Resources (FHIR) is an HL7® standard for electronic healthcare data exchange. This next generation exchange architecture is advancing interoperability in healthcare. FHIR provides a standard way to express and share information across health centers, providers, and related organizations independent of how local EHRs display or store data. For UDS+ and other information exchange needs, all health centers, PCAs, and HCCNs will want to be familiar with the basics of the HL7 FHIR standard. In this session we will discuss what FHIR is, what it basically does, how it impacts your EHR, and what it might mean to your health center and 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 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 presented 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 presented health center case examples that explored the privacy and data sharing considerations of EHR documentation of sensitive patient information, such as social history and social risk, and encouraged 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 presented health center case examples that explored the privacy and data sharing considerations of EHR documentation of sensitive patient information, such as social history and social risk, and encouraged 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 presented health center case examples that explored the privacy and data sharing considerations of EHR documentation of sensitive patient information, such as social history and social risk, and encouraged participants to discuss the implications for health centers and their patients. 

Dashboarding Social Needs Data: Support Population Health and Advance Equitable Care through Visual Display of Social Determinants of Health
Dashboarding Social Needs Data: Support Population Health and Advance Equitable Care through Visual Display of Social Determinants of Health

Dashboarding Social Needs Data: Support Population Health and Advance Equitable Care through Visual Display of Social Determinants of Health

As health centers work towards providing more patient-centered and equitable care, they are increasingly adopting standardized social needs screening tools, such as PRAPARE and others, to systematically identify the challenges patients face in managing and improving their health, such as food and housing insecurity, transportation barriers, or safety concerns.  This information can be used to make impactful care planning and programmatic changes that lead to improvements in health outcomes, resource utilization, and reimbursement.  Data dashboards help analyze social determinants of health information in visual displays that deepen insights and trigger action towards addressing patient’s social needs, improving population health, and reducing inequities in care.

This webinar provided a foundational overview of social determinants of health dashboard design and presents case studies from health centers leading the way on use of social determinants of health data dashboards to build community partnerships, improve linkages to services outside the four walls of the clinic, and demonstrate the value-based impact of social needs services in improving the health, well-being, and quality of life of communities served.  One health center shared their experience building dashboards and using them in their clinic.

 

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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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