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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

PrEP Process Map Example
PrEP Process Map Example

PrEP Process Map Example

This resource is an example of a Pre-Exposure Prophylaxis (PrEP) Process Map. Process maps can be used to document health center workflows.
 

The HITEQ Center Podcast
The HITEQ Center Podcast

The HITEQ Center Podcast

HITEQ is highlighting stories of leveraging the EHR, health IT, digital health tools, and other virtual care supports for health center recovery and stabilization during the COVID-19 pandemic and thereafter in this series of podcasts. We are lifting up stories that demonstrate the promise of digital and health IT tools to address the timely needs of health centers and their patients, emphasizing those that support high value, equitable care for all health center patients and that reduce provider burden.

[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.
[Video] FQHC Value Based Payment Basics
[Video] FQHC Value Based Payment Basics

[Video] FQHC Value Based Payment Basics

In this 25 minute video we cover the basic mechanics of how FQHCs are paid, the prospective payment system, and how it is evolving over time. We also review the spectrum of value-based payment arrangements using the HCP-LAN framework as a guide. We also discuss the capacity needed to be successful in each of those payment categories. Patient attribution process, including why that data is so critical in value-based payment arrangements, and what questions to ask payer partners about attribution processes are also reviewed. Lastly, a real value-based payment arrangement and related considerations are reviewed.

Diabetes Health Center Data Validation Tool
Diabetes Health Center Data Validation Tool

Diabetes Health Center Data Validation Tool

Excel-based Data Validation Tool for health centers to validate their 2021 UDS clinical quality measure reporting of Diabetes Control (HbA1C > 9%) measure on Table 7. Video and written instructions are provided. 

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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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