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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

Value Based Care Basics Module 2
Molly Rafferty
/ Categories: Value Based Payment, Value Based Payment Basics, Data Demonstrating Health Center Value, Engaging in Value Based Payment Models

Value Based Care Basics Module 2

HITEQ Value Based Care Basics Series, June 2023

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. View Module 1 and 3 in the Resource Links section below. 

View the video to learn about the importance of managed care data in value based payment and population health, including how managed care data can be used and should be put into practice. You will also hear about best practices and applications for managing and using managed care data. 

The companion resource 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. 

Learning Objectives: 

After completing this module, participants will be able to: 

  • Recall the definitions for managed care data categories and sources for each data component
  • Describe how health plans use the limited data they have and the implications on Federally Qualified Health Center (FQHC) care
  • Understand that health plans use different data to approximate providers (i.e. – you, the FQHC) in the same way that FQHCs use Electronic Health Record data to approximate quality, outcomes, etc. 
  • Explain what managed care data is most helpful and important as an FQHC enters value based payment arrangements and how to frame a request and negotiate for access to that data 
  • Discuss how the managed care data fields connect to the Health Care Payment Learning & Action Network (HCP-LAN) Alternative Payment Model (APM) Framework Payment Categories
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Resource Links

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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