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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

HITEQ Highlight Webinar: Measuring Return on Investment for Your Population Health Management Program

HITEQ Highlight Webinar: Measuring Return on Investment for Your Population Health Management Program

There is a great deal of interest among health centers, primary care associations and health center controlled networks of the advantages associated with investing in a Population Health Management (PHM) electronic platform. Measuring specific and quantifiable returns clarifies the benefits and supports a consistent understanding among stakeholders of the value of PHM. During this webinar, we discussed the Michigan HCCN’s experience with putting the components in place to measure the return on investment (ROI) of their PHM support program. The HITEQ Center also introduced a newly developed PHM ROI matrix tool. The PHM ROI Matrix Tool is intended to “walk” an organization through a process of developing the ability to measure benefit in basic, intermediate, or advanced terms.

 

Interested in office hours to ask our presenters further follow-up questions? Please register here for the March 22, 2018 Office Hours.

The 2018 Social Determinants of Health Academy

The 2018 Social Determinants of Health Academy

The Road to Sustainability for SDOH Interventions

Presented by: National Nurse-Led Care Consortium, Corporation for Supportive Housing, Health Outreach Partners and National Association for Community Health Centers

Health Centers are developing a variety of innovative ways to address SDOH. Commonly the greatest challenge to this work is having a sustainable funding stream to take and keep the work at scale. This webinar highlighted funding models and funding mechanisms that could assist in SDOH activities, as well as the partnerships and activities that can assist your health center in sustaining these important activities. The presenters described funding models that support SDOH work and examples of health centers activities that had led to sustainable funding for SDOH activities.

By the end of this session, participants will be able to:

  • Describe the principles of funding models such as Value Based Payments, Alternative Payment models and other examples of funding models that support SDOH activities.
  • Explain how integrated care teams can be developed to prepare for Value Based Payment models.
  • Learn examples of data collection variables and methods that can incorporated in to your health center’s workflow to collect the information your health center needs to engage funders and payment systems.
  • Learn examples of tools and resources that can help your health center build the case for SDOH activities.
HITEQ Highlights Webinar: Using Data to Manage Population Health Under Risk Based Contracts

HITEQ Highlights Webinar: Using Data to Manage Population Health Under Risk Based Contracts

With value-based care, providers are increasingly being asked to take on more accountability, and in some cases financial risk, for cost and quality outcomes for a defined population. This webinar aimed to help health center leadership assess whether they are investing sufficiently in the clinical and administrative infrastructure and analytics to succeed under risk-based payment.  The session addressed three key questions: 1) What data do I need and how do I get it? 2) What do I do with the data once I have it? and 3) How do I apply what I learn from the data to manage quality and costs?  The session featured health centers engaging successfully in risk-based contracts using a robust population health management system.

HITEQ Highlights Webinar: Meaningful Use – Health IT Incentives for 2017 and 2018

HITEQ Highlights Webinar: Meaningful Use – Health IT Incentives for 2017 and 2018

The CMS Medicare EHR incentive program has ended with the 2016 reporting period. Medicare eligible professionals (EPs) are now being directed to report to the Quality Payment Program (QPP), which most health center providers are not eligible for. Similarly, while the Medicaid EHR incentive program is ongoing, the enrollment period has ended. In this complex environment, what are the options for health center providers?

 

This webinar summarized the latest CMS guidelines, and clarified the options and requirements for providers in the 2017 EHR incentive program reporting period and beyond.

How Health IT Works to Support Patient-Centered Medical Home
How Health IT Works to Support Patient-Centered Medical Home

How Health IT Works to Support Patient-Centered Medical Home

The intent of NCQA Patient-Centered Medical Home (PCMH) continues to be recognition of primary care practice models that have achieved a mature level of transformation toward improving population health; improving the experience of care for both patient and provider; and reducing the cost of care through greater efficiencies of integrated patient-centered care coordination.   The redesigned process uniquely positions practices, staff and other key stakeholders to focus more on performance and quality improvement, and alignment with public and private initiatives in health care that reward value-based care.  

During this webinar, we highlighted the NCQA PCMH Core and Elective criteria. We also focused on advanced topics such as the Distinction Modules and eCQMs, and then ended the learning session by taking a deeper dive to discuss the integral role pre-validated health IT plays in practice transformation and physician alignment with public and private payer programs that reward for value-based care.

5/25 HITEQ Highlights: The ABCs of Electronic Dental Records for Health Centers – Integrating and Reporting Dental Information
5/25 HITEQ Highlights: The ABCs of Electronic Dental Records for Health Centers – Integrating and Reporting Dental Information

5/25 HITEQ Highlights: The ABCs of Electronic Dental Records for Health Centers – Integrating and Reporting Dental Information

The webinar reviewed the current state of electronic dental records (EDRs) for health centers, discussed their use and integration with electronic health records, and instructed participants on how to use an EDR to meet various incentive programs and reporting requirements.

3/16 HITEQ Highlights: Value Based Payment Basics and IT Readiness
3/16 HITEQ Highlights: Value Based Payment Basics and IT Readiness

3/16 HITEQ Highlights: Value Based Payment Basics and IT Readiness

Despite changing political forces, health care is likely to continue to transform toward value based payment, which has long held bipartisan support. This webinar will review basic concepts of value based payment and IT-related requirements to engage in these models successfully.  The session will feature how one health center uses health IT to participate in value based payment models. Finally, participants will take a ‘tour’ of the HITEQ Center's Value Based Payment resource set in the context of how these resources can support health center engagement in value based payment models.

Provider Engagement for Health Centers: Turning EHR from A Barrier to Benefit
Provider Engagement for Health Centers: Turning EHR from A Barrier to Benefit

Provider Engagement for Health Centers: Turning EHR from A Barrier to Benefit

This webinar discussed health center provider engagement from the three pillars of executive sponsorship, training and education, and governance throughout the life-cycle management of the electronic health record (EHR) system. The presenter discussed the four phases of EHR lifecycle - EHR selection, EHR implementation, EHR functionality deployment, and EHR optimization. This webinar was a HITEQ/STAR² Center collaboration.

2/21 HITEQ Highlights - Population Health Data Strategies
2/21 HITEQ Highlights - Population Health Data Strategies

2/21 HITEQ Highlights - Population Health Data Strategies

This session will provide an overview of why data monitoring is important and what we mean when we talk about it. Then, participants will discuss considerations prior to taking on data monitoring including data validation, transparency, and committed resources. Finally, the session will share case studies from organizations that are currently engaging in various types of data monitoring, including organizations that are using population health management systems and other software solutions.

1/10 HITEQ Highlights - Health Information Exchange (HIE): Weighing the HIE Decision
1/10 HITEQ Highlights - Health Information Exchange (HIE): Weighing the HIE Decision

1/10 HITEQ Highlights - Health Information Exchange (HIE): Weighing the HIE Decision

Health centers are facing the complex question of whether and how to participate in health information exchange (HIE) given the changing health care environment and legal/financial requirements such as meaningful use. This webinar will seek to provide a balance view from industry leaders to help audiences understand the state of the art in health information exchange, possible benefits, challenges, and aid health centers to consider their particular situationin the context of the national environment.

11/29 HITEQ Highlights - Health IT and QI Workforce Development: Onboarding for Success
11/29 HITEQ Highlights - Health IT and QI Workforce Development: Onboarding for Success

11/29 HITEQ Highlights - Health IT and QI Workforce Development: Onboarding for Success

Click here to download the transcript of this November 29th HITEQ Highlights webinar and click here to listen to the archived recording

After a brief introduction to HITEQ and this Resource Set, this webinar will highlight two specific tools for onboarding new staff into your health center with a focus on speeding the onboarding of Health IT and QI staff. The webinar will delve into the two onboarding tools - the Calendar and the Sample of a Staff Member’s Dashboard for Required Tasks, showing how they are meant to be used and how you can customize them for your needs.

10/4 HITEQ Highlights – Health IT-Enabled Quality Improvement: A Guide to Improvement
10/4 HITEQ Highlights – Health IT-Enabled Quality Improvement: A Guide to Improvement

10/4 HITEQ Highlights – Health IT-Enabled Quality Improvement: A Guide to Improvement

Improving care delivery is a business and mission imperative for health centers, and the HITEQ Center offers a growing collection of tools and services to support this journey. The foundation for these particular offerings is the "Guide for Improving Care Processes and Outcomes in FQHCs."  This web-based resource provides step-by-step guidance on understanding and improving workflows and information flows that drive performance on key targets such as hypertension control and colorectal cancer screening. Guide centerpieces include worksheets for documenting, analyzing, sharing and improving care processes for such targets.

Strategies and tools in the Guide have been used successfully in various quality improvement (QI) initiatives, and a HITEQ Center focus is spreading this value more quickly and widely among health centers. This introductory training session introduces health centers and their partners to the Guide's proven approaches, worksheets and other health IT-enabled QI tools. Health Centers and their partners can incorporate these approaches into their existing QI activities, or use them as a foundation for putting a solid QI foundation in place. The session empowers attendees with critical 'what to know' and 'what to do' QI information, and concludes by recommending a 'quick-win' exercise wherein attendees use a worksheet in a brief exercise with their teams to document current care processes for a high priority target, and brainstorm potential improvements. Material in the Guide and in the training session provide further details about performing a more robust care process analysis, as well as on prioritizing, implementing, evaluating and sustaining improvements surfaced during the analysis phase.

Eligible Professional Attestation Worksheet for Modified Stage 2
Eligible Professional Attestation Worksheet for Modified Stage 2

Eligible Professional Attestation Worksheet for Modified Stage 2

The Eligible Professional (EP) Attestation Worksheet is for EPs in the EHR Incentive Program in 2015, and allows them to log their meaningful use measures on this page to use as a reference when attesting for the Medicare EHR Incentive Program in the CMS system.

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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.