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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

Nationwide HIV-related Care Interactive Infographics
Nationwide HIV-related Care Interactive Infographics

Nationwide HIV-related Care Interactive Infographics

In the 2022 UDS, United States health centers reported 7,328,565 of their 16,835,841 eligible medical patients (43.53%) were tested for HIV at least once after their 15th birthday and before their 66th birthday.

Resources for Expanding PrEP Services in your Health Center
Resources for Expanding PrEP Services in your Health Center

Resources for Expanding PrEP Services in your Health Center

HITEQ compiled this resource library for health centers, which houses actionable PrEP resources including checklists, pocket guides, and billing guidance. This curated set of resources aims to assist health centers in accessing those resources that directly address current PrEP challenges.
Using Your EHR to Identify Patients Who May Benefit from PrEP at Your Health Center
Using Your EHR to Identify Patients Who May Benefit from PrEP at Your Health Center

Using Your EHR to Identify Patients Who May Benefit from PrEP at Your Health Center

Identifying candidates for PrEP can be challenging but not impossible. The first step to finding the right candidates involves understanding the criteria for PrEP. Not everyone is a great candidate for PrEP or can adhere to the frequent testing and monitoring required of PrEP patients. Some patients are comfortable using condoms and other HIV prevention methods, and providers should respect and affirm their decision.

Implementing Opt-Out HIV Screening in Your Health Center
Implementing Opt-Out HIV Screening in Your Health Center

Implementing Opt-Out HIV Screening in Your Health Center

HIV testing is one of the many ways we can End the HIV Epidemic. HITEQ's latest blogs offers strategies for leveraging your EHR to make HIV screening a breeze at your health center. 

State-level HIV-related Infographics
State-level HIV-related Infographics

State-level HIV-related Infographics

These interactive infographics include HIV Indicators as well as information about underserved populations and patients who may be at increased risk of acquiring HIV, at the state level. Select your state in the upper right to get started. 

TelePrEP for Health Centers
TelePrEP for Health Centers

TelePrEP for Health Centers

This brief presents an overview of how health centers can utilize telehealth for PrEP access, or TelePrEP, for comprehensive care, and includes innovations and resources that health centers can utilize to extend these services to their patient populations.

TelePrEP
TelePrEP

TelePrEP

According to the Rural health Information Hub, the risk of contracting HIV can be greatly reduced through Pre-Exposure Prophylaxis (PrEP), but the medication must be taken every day and patients need follow-up appointments every 3 months. Some patients often don't have access to it due to stigma, distance from the nearest specialist, and a shortage of primary care providers willing to prescribe and monitor PrEP.

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

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.

HITEQ Highlights: Innovative Strategies to Reduce Maternal and Congenital Syphilis
HITEQ Highlights: Innovative Strategies to Reduce Maternal and Congenital Syphilis

HITEQ Highlights: Innovative Strategies to Reduce Maternal and Congenital Syphilis

Please join Dr. Irene Stafford, OB/GYN from the University of Texas Houston Maternal-Fetal Medicine Center in an upcoming presentation focused on using common place EHR technology to increase STI and HIV testing. In her talk, Dr. Stafford will describe recent research demonstrating a decrease in transmission of congenital syphilis by the implementation of routine EHR strategies for best practice alerts. Her work demonstrates thoughtful ways of how the EHR can serve as an educational tool for providers, how information technology can inform practice patterns and improve health outcomes, and describe how best practice alerts can assist in reportable disease management.

Closing the PrEP Care Gap with TelePrEP
Closing the PrEP Care Gap with TelePrEP

Closing the PrEP Care Gap with TelePrEP

In this session, attendees learned from the HITEQ Center and Housing Works about the TelePrEP model. It also showcased the successes and challenges Housing Works faced with regards to their TelePrEP program.


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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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