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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

Patient portals, sometimes also referred to as personal health record systems (PHR) are web-based portals commonly attached to electronic health record systems (EHRs). These patient-centered portals provide patients with the ability to login and review health information related to their care. Common patient portal services include ways in which to schedule appointments, send messages to their care providers, review test results and refill prescriptions.

Outside of the benefits to the patient, implementation of patient portals had come to the attention of healthcare providers due to the inclusion of Meaningful Use of objectives centered on the use of patient portals and electronic engagement with patients.  Stage 3 requirements are still being explored and the impact it will have on Health Centers is unknown. Therefore, it is a challenge for small practices and Health Centers to determine how to best derive value from Patient Portals and effectively implement them into their workflow.

The tools and articles posted below are meant to provide examples, templates and strategies that can assist Health Centers in understanding how patient portals can better engage their patients in self-management of their care, and after an initial investment in time and money can decrease the burden on their clinical and administrative staff.

Patient Portal Resources

Office Hours with the Prescription Drug Monitoring Program Training and Technical Assistance Center
Office Hours with the Prescription Drug Monitoring Program Training and Technical Assistance Center

Office Hours with the Prescription Drug Monitoring Program Training and Technical Assistance Center

This interactive session with Prescription Drug Monitoring Program Training and Technical Assistance Center experts introduced the TA Center and its resources, provided  an overview on how to get connected to your state PDMP, and discussed PMDP and EHR integration. Experts were available to answer participant questions and there was an opportunity to request additional PDMP assistance for health centers.

HITEQ Highlights: Launch of Webinar Series on the Role of Health IT with Integrated Behavioral Health Care
HITEQ Highlights: Launch of Webinar Series on the Role of Health IT with Integrated Behavioral Health Care

HITEQ Highlights: Launch of Webinar Series on the Role of Health IT with Integrated Behavioral Health Care

This webinar series will highlight the intersection between health information technology and behavioral health services and considerations. In the first webinar, a joint collaboration between the HITEQ Center and the National Council for Behavioral Health, we introduced the series and the planned topic areas to be covered as well as explore other suggested topics from the participants. 

Telehealth and Mental/Behavioral Health
Telehealth and Mental/Behavioral Health

Telehealth and Mental/Behavioral Health

This webinar focused on a very popular area in which telehealth can help deliver services: Mental/Behavioral Health. Telehealth has been shown to be an effective way in providing mental and behavioral health services and is one of the specialties many public and private payers will reimburse for if technology is utilized. This webinar explained how to integrate telemental/behavioral health into your organization. Get tips and hear stories from clinics who have successfully done so to help you establish your own program.

Building and Sustaining a Data Driven Culture
Building and Sustaining a Data Driven Culture

Building and Sustaining a Data Driven Culture

The HITEQ Center conducted a webinar on building and sustaining a data driven culture for Community Health Care Association of New York State. Too often, analytic initiatives and data capacity building are based on the heroics of a few individuals. In times of high turnover and changing priorities, how can we make data driven decision-making part of a health center’s culture? This webinar introduced concepts, tools and examples to help manage data as a strategic asset, align data strategy with organizational strategy, and explored ways to implement a data services function. Even small agencies with scarce resources can develop the skillset, mindset, and toolset to embed and sustain a data driven culture. 

Using Telehealth to Treat Substance Use Disorder in a CHC Setting
Using Telehealth to Treat Substance Use Disorder in a CHC Setting

Using Telehealth to Treat Substance Use Disorder in a CHC Setting

There is increased interest in how telehealth can be used to address substance use disorders (SUD) as well as funding by governmental agencies to provide such services. However, what type of SUD services can a community health center offer via telehealth? This webinar discussed potential ways in which clinics can integrate these services into their organization and the potential issues they may encounter.

Team as Treatment: Driving Improvement in Diabetes
Team as Treatment: Driving Improvement in Diabetes

Team as Treatment: Driving Improvement in Diabetes

This webinar shared evidence-based models that provide a framework for health centers to optimize the team in primary care. Experts described how utilization of extended team members and technology can reduce gaps in care for prediabetics and diabetics. With a focus on lifestyle and community based projects, this webinar highlighted the strategies and resources to improve the health and behaviors of patients at risk for diabetes and manage uncontrolled diabetes. Through early detection and providing diabetes management through a team-based care, health centers can help patients’ live long, healthy lives.

 

HITEQ Highlights: Developing Community Health Centers Along the Continuum of Pay for Performance
HITEQ Highlights: Developing Community Health Centers Along the Continuum of Pay for Performance

HITEQ Highlights: Developing Community Health Centers Along the Continuum of Pay for Performance

Community health centers are participating in a healthcare marketplace that is gradually moving from volume to value. Because of health centers’ financial and infrastructure limitations, it may not be prudent for them to engage in full risk contracts at this point. This webinar described the continuum of value-based contracting, and suggested steps for health centers to move up the continuum. It also outlined basic elements of infrastructure to perform well in a value-based environment. Presenters from Yakima Valley Farm Workers Clinic presented their experience.  

HITEQ Highlights: Addressing Childhood Obesity in Health Centers
HITEQ Highlights: Addressing Childhood Obesity in Health Centers

HITEQ Highlights: Addressing Childhood Obesity in Health Centers

This webinar focused on how to improve child weight screening, nutrition and physical activity counselling, and design appropriate and meaningful interventions according to health center peers. Discussion and demonstrations of how you may be able to optimize your EHR to encourage accurate and complete collection of required data, and identify children who may need intervention also took place.  A number of tools that support this quality improvement around addressing child weight and potential for obesity were discussed, including Bright Futures guidance and data validation tools from HITEQ.

HITEQ Highlights: Growing and Sustaining a Data Driven Culture
HITEQ Highlights: Growing and Sustaining a Data Driven Culture

HITEQ Highlights: Growing and Sustaining a Data Driven Culture

Building on the HITEQ Center’s previous webinars that introduced an Analytic Capability Assessment, building a roadmap for action and using data governance to maximize the value of data, the third webinar in this series explored how to grow and sustain these efforts. Too often, analytic initiatives and data capacity building are based on the heroics of a few individuals. In times of high turnover and changing priorities, how can we make data driven decision-making part of a health center’s culture? This webinar introduced the Data Strategy Worksheet, a tool developed by the Center for Care Innovation to help align data strategy with organizational strategy, as well as explored ways to implement a Data Services function. Even small agencies with scarce resources can develop the skillset, mindset, and toolset to embed and sustain a data driven culture.

HITEQ Highlights: Using Health Information Technology to Enhance Opioid Use Disorder Treatment
HITEQ Highlights: Using Health Information Technology to Enhance Opioid Use Disorder Treatment

HITEQ Highlights: Using Health Information Technology to Enhance Opioid Use Disorder Treatment

The Health Information Technology, Evaluation, and Quality Center (HITEQ) hosted this webinar on promising and innovative practices for the use of health information technologies (IT) to enhance opioid use disorder (OUD) treatment. The discussion focused on how various health information technology practices and tools, including electronic health records and prescription drug monitoring programs, can be used to enhance OUD services and specifically medication assisted treatment (MAT). The webinar also featured the experiences and practices of health centers which are currently using health IT to enhance OUD services..

HITEQ Highlights: Managing Data as a Strategic Asset: Data Governance Fundamentals
HITEQ Highlights: Managing Data as a Strategic Asset: Data Governance Fundamentals

HITEQ Highlights: Managing Data as a Strategic Asset: Data Governance Fundamentals

As health centers become increasingly more digitized, there is often a feeling of being data rich but information poor. How can healthcare organizations maximize the value of data and build a data-driven culture? The answer lies in data governance. When managed like any other strategic asset – human resources, capital, facilities, or brand – data becomes a differentiator in the pursuit of high value, cost effective health care. In this webinar, the HITEQ Center presented the essentials of good data management processes and introduce the Center for Care Innovation’s Data Governance Handbook, offering ideas for action and tools to improve data quality, increase data literacy, and maximize access to data.

HITEQ Highlights: A Roadmap for Building a Data Driven Culture
HITEQ Highlights: A Roadmap for Building a Data Driven Culture

HITEQ Highlights: A Roadmap for Building a Data Driven Culture

As healthcare becomes more data driven, health centers are aware that they need to build their “organizational muscle” for data analytics, but often may not know where to start. In this webinar the HITEQ Center introduced the Analytics Capability Assessment (ACA), a tool developed by the Center for Care Innovations that allows users to look critically at an organization’s analytics capability across three key domains: people, process, and technology. By determining their level of capability in each of these factors, organizations can develop an individualized roadmap to focus and prioritize capability-building efforts. The tool also helps to demystify some of the jargon that can often alienate non-technical staff. Methods, examples, and tips for deploying the ACA in health center organizations were also shared.

Raven E-Learning Webinar: Chronic Disease Case Management
Raven E-Learning Webinar: Chronic Disease Case Management

Raven E-Learning Webinar: Chronic Disease Case Management

During this e-learning webinar from the Center for Care Innoviations (CCI) learn:
1. How to incorporate remote monitoring into your chronic disease case management efforts.
2. How to effectively engage and activate patients in the achievement of case management goals.
3. How to use community health workers and others to identify and manage high risk chronically ill patients.

HITEQ Highlights: Tools and Tips to Prepare for Patient Centered Medical Home 2017
HITEQ Highlights: Tools and Tips to Prepare for Patient Centered Medical Home 2017

HITEQ Highlights: Tools and Tips to Prepare for Patient Centered Medical Home 2017

In this webinar, the HITEQ Center provided a broad overview of NCQA's Patient Centered Medical Home (PCMH) recognition for 2017, including overall structure, timing, and evidence options that are new to 2017. The new standards focus on continuous practice transformation, flexibility including a new virtual review process, comprehensive integrated care, and increased alignment with existing initiatives. We reviewed what this means for health centers, what is required, and identified tools or processes that health centers can use to support PCMH recognition.

 

Adopting Telemedicine in Practice
Adopting Telemedicine in Practice

Adopting Telemedicine in Practice

AMA's Steps Forward Module discussed the adoption and implementation of telemedicine and telehealth, as well as telemedicine's opportunity to support patient and care team coordination and communication through remote patient monitoring.

Integrating Data between Primary Care and Behavioral Health Services
Integrating Data between Primary Care and Behavioral Health Services

Integrating Data between Primary Care and Behavioral Health Services

Many health centers provide behavioral health services; others work closely with community partners who provide behavioral health services to their patients. One of the biggest challenges for health centers is determining how to integrate data between the two services. The HITEQ Center recently published the resource Utilizing and Integrating Behavioral Health Data into a Health Center’s Primary Care Services. This webinar introduced the Center for Integrated Health Solutions' Standard Framework for Levels of Integrated Healthcare and provided some guidance of how to integrate care regardless of which model of care is being provided. Dr. Rina Ramirez, Chief Medical Officer of Zufall Health, shared her experiences of integrating behavioral health data. Zufall Health which has a traditional Behavioral Health Department, recently started an Integrated Behavioral Health program within primary care, and partners with an external behavioral health organization who focuses on people with Serious Mental Illness.

Webinar: 42 CFR Part 2 Final Rule and Health Center Compliance
Webinar: 42 CFR Part 2 Final Rule and Health Center Compliance

Webinar: 42 CFR Part 2 Final Rule and Health Center Compliance

The HITEQ Center hosted a webinar to learn about the Substance Abuse and Mental Health Services Administration (SAMHSA)’s revised Substance Abuse Confidentiality Regulations for Health Information Exchange Final Rule (referred to as 42 CFR Part 2) and how it may affect your health center. The webinar included information from the Final Rule published on January 3, 2018. Reece Hirsch of Morgan, Lewis & Bockius LLP provided an overview of the critical changes affecting health centers, including common definitions, and how the changes may affect integrated medication-assisted treatment (MAT) and Screening, Brief Intervention, and Referral to Treatment (SBIRT) programs. 

Webinar: Workflow Models and Strategies to Collect Standardized Data on the Social Determinants of Health Using PRAPARE
Webinar: Workflow Models and Strategies to Collect Standardized Data on the Social Determinants of Health Using PRAPARE

Webinar: Workflow Models and Strategies to Collect Standardized Data on the Social Determinants of Health Using PRAPARE

Interested in collecting standardized data on the social determinants of health using PRAPARE but not sure how to incorporate it into your organization’s workflow?  This webinar walked through different strategies and models to collect PRAPARE data, ranging from utilization of clinical staff or non-clinical staff to self-assessment methods to integration with other teams or programs.

HITEQ Highlights Webinar: Developing Effective Data Dashboards

HITEQ Highlights Webinar: Developing Effective Data Dashboards

The best dashboards give health centers actionable information at their fingertips, and use great design practices to focus a user’s attention on the most important information on the page. The HITEQ Center presented tips on how to develop effective data dashboards including designers and users, common pitfalls in dashboard design and how to avoid them, and dashboard software for consideration. The Indiana Quality Improvement Network (a health center controlled network housed within the state’s Primary Care Association) shared their experience in developing custom data dashboards for health centers in Indiana and beyond. Kislaya Kunjan, PhD (Health IT Director at IQIN) demonstrated multiple dashboards developed by their organization, and how much of it is publicly available on their website (www.indianapca.org/dashboard) for the benefit of health centers and affiliated organizations across the US.

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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.