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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

Data Visualization for Value-based care
Data Visualization for Value-based care

Data Visualization for Value-based care

Value-based care focuses on improving patient outcomes while optimizing total cost of care. For health centers seeking to improve their internal processes for value-based care, effective data visualization can play a significant role in understanding, monitoring, and promoting value-based care practices. This resource details how data visualization can be employed to support value-based care and includes suggestions on how to depict measures and trends using data dashboards.

Clinical Quality Measures for Eligible Professionals: 2024 Update
Clinical Quality Measures for Eligible Professionals: 2024 Update

Clinical Quality Measures for Eligible Professionals: 2024 Update

This spreadsheet developed by the HITEQ Center provides a crosswalk of Clinical Quality Measures and their electronic specifications as defined in the 2023 update for Eligible Professionals (Clinicians). Fields include the crosswalk of measures with related information about CMS, NQF, and MIPS ID, and Telehealth Eligibility, as well as inclusion in HRSA BPHC Uniform Data System (UDS) CY2023, Million Hearts, CMS Quality Payment Program (QPP) - Performance Pathway (APP) Measures, Medicare Shared Savings Program (MSSP)/ CMS ACO Shared Savings Program, CMS Core Set (Child Core Set Medicaid / CHIP): HEDIS Specified, CMS Core Set (Adult Core Set Medicaid): HEDIS Specified, Core Quality Measures Collaborative (ACO / Primary Care). Links are included throughout.

Payer Mix Analysis Tool
Payer Mix Analysis Tool

Payer Mix Analysis Tool

This Excel tool helps health centers conduct a strategic review of their health plan contracts - across all product lines including Medicaid, Medicare, and Private/Commercial - to ensure their organization's financial sustainability and capacity to expand services to meet community needs.

Value Based Care Basics Module 3
Value Based Care Basics Module 3

Value Based Care Basics Module 3

The Value Based Care Basics training is a three-module series. All three modules can be completed by health center leaders to gain a working knowledge of value based care and how to successfully implement it at your health center. This third module includes a video and companion resource related to utilizing payer data.

 

Value Based Care Basics Module 2
Value Based Care Basics Module 2

Value Based Care Basics Module 2

The Value Based Care Basics training is a three-module series. All three modules can be completed by health center leaders to gain a working knowledge of value based care and how to successfully implement it at your health center. This second module includes a video and companion resource related to Managed Care data. 

 

Value Based Care Basics Module 1
Value Based Care Basics Module 1

Value Based Care Basics Module 1

The Value Based Care Basics training is a three-module series. All three modules can be completed by health center leaders to gain a working knowledge of value based care and how to successfully implement it at your health center. This first module, including the video and companion checklist, uses the Health Care Payment Learning & Action Network (HCP-LAN) Alternative Payment Model (APM) Framework as its basis.

 

[Video] The Managed Care Data Set
[Video] The Managed Care Data Set

[Video] The Managed Care Data Set

This video module helps health centers to understand how payers use data to evaluate their performance, to learn how to incorporate data into practice to improve value-based payment opportunities, and to prepare with best practices around organizing managed care data.
Managed Care Glossary for Health Centers
Managed Care Glossary for Health Centers

Managed Care Glossary for Health Centers

Glossary of managed care and value based payment terms that may be useful to health centers and health center stakeholders beginning to explore this topic.

Managed Care Data Checklist for FQHCs
Managed Care Data Checklist for FQHCs

Managed Care Data Checklist for FQHCs

This checklist will walk you, the health center, through a series of common considerations for contracts you may receive from payers with a specific focus on contracts that include value-based payment components. This document assists organizations in understanding the necessary data and data-related tools for managing population health within a managed care environment. It is a primer on the types of best-practices that are necessary to maximize care delivery models that are responsive to value-based payment programs. Follow this checklist to further your understanding of these considerations and to help flag any outstanding issues for legal and/or consultant review prior to execution.

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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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