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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

Community Healthcare Association of New York State
Community Healthcare Association of New York State

Community Healthcare Association of New York State

The Community Health Care Association of New York State's (CHCANYS) purpose is to ensure that all New Yorkers, including those who are medically underserved, have continuous access to high quality community-based health care services including a primary care home. To do this, CHCANYS serves as the voice of community health centers as leading providers of primary health care in New York State.

Alabama Primary Health Care Network
Alabama Primary Health Care Network

Alabama Primary Health Care Network

The Alabama Primary Health Care Association (APHCA) was established in 1985 as a non-profit, professional trade association whose mission is to strengthen and expand Alabama’s health center network through leadership, services, and collaboration so that Alabamians have access to improved outcomes through coordinated health care. As part of APHCA, there are 16 CHC members providing care across Alabama.

Central Valley Collaborative (Golden Valley Health Centers)
Central Valley Collaborative (Golden Valley Health Centers)

Central Valley Collaborative (Golden Valley Health Centers)

Founded in 1972, Golden Valley Health Centers is dedicated to improving the health of our patients by providing quality, primary health care services to people in the communities we serve regardless of language, financial or cultural barriers. As a private non-profit Federally Qualified Health Center system they operate clinical and dental sites in Merced and Stanislaus counties.

Central Valley Health Network
Central Valley Health Network

Central Valley Health Network

Incorporated in 1998, Central Valley Health Network is comprised of 15 Community Health Center corporations designated as Federally Qualified Health Centers (FQHCs). CVHN was established to conduct advocacy at national, state, and local levels on behalf of its Central Valley membership of FQHC’s and their unique patient population specific to the Valley. CVHN’s network is also recognized nationally as one of the largest network of Migrant Health Centers serving rural, farm-working populations and their families.

CHCNet Maine/Maine Primary Care Association
CHCNet Maine/Maine Primary Care Association

CHCNet Maine/Maine Primary Care Association

Maine Primary Care Association (MPCA) is a membership organization representing the collective voices of Maine’s Community Health Centers - referred to as Maine’s health care safety net. Founded in 1981, MPCA has provided technical assistance and training, housed relevant programs and services and advocated on behalf of Maine’s safety net and the thousands of patients it serves.

Colorado Community Managed Care Network (CCMCN)
Colorado Community Managed Care Network (CCMCN)

Colorado Community Managed Care Network (CCMCN)

Colorado Community Managed Care Network (CCMCN) is comprised of 19 Community Health Centers. CCMCN was founded in 1994 to respond pro-actively to the advent of mandatory Medicaid managed care, and has evolved to a multi-faceted organization focusing on managed and accountable care, health information technology, and clinical quality improvement programming.

Community Care Network of Virginia
Community Care Network of Virginia

Community Care Network of Virginia

Since 1996, Community Care Network of Virginia, Inc. (CCNV), has been a trusted support system, training partner and business process expert for health providers, including Federally Qualified Health Centers (FQHC), private practices, hospitals, managed care organizations, and provider networks. Providing integrated, network-based services and programs to healthcare clients to help them run their businesses better so that they can focus on patient care. This includes the centralized practice management system, help desk, and support infrastructure that we established in 1999.

Community Clinic Association of Los Angeles County
Community Clinic Association of Los Angeles County

Community Clinic Association of Los Angeles County

The Community Clinic Association of Los Angeles (CCALAC) was founded in 1994, alongside their 62 memebers  they share a common mission to promote community clinics and health centers as providers and advocates for expanding access to quality comprehensive health care for medically underserved people in Los Angeles County.

Community Clinic Consortium of Contra Costa and Solano County
Community Clinic Consortium of Contra Costa and Solano County

Community Clinic Consortium of Contra Costa and Solano County

The Community Clinic Consurtium was established in Contra Costa County in 2004, and provides representation and support to 26 non-profit community health center sites and their patients. The Consortium works at the county, state and federal government levels to advocate for funding and policy changes that help health centers meet the diverse health care and social service needs of almost 200,000 patients annually. The Consortium also serves as a local resource for clinic staff, clients and the community.

Community Health Access Network
Community Health Access Network

Community Health Access Network

The Community Health Access Network (CHAN) is the only Health Center Controlled Network (HCCN) in New Hampshire.  Established in 1995, CHAN has developed and supports an integrated clinical and administrative system infrastructure for its ten Federally Qualified Health Center (FQHC) members which includes 3 Healthcare for the Homeless Programs.

Community Health Best Practices, LLC
Community Health Best Practices, LLC

Community Health Best Practices, LLC

Founded in 2009, Community Health Best Practices, LLC is a nonprofit network comprised of fifteen of the nation’s leading community health centers.  Our Members operate federally qualified health centers (FQHCs) in Oregon, Washington, Arizona, California, Colorado, New Mexico, Texas, Hawaii, Connecticut, New York, Massachusetts, and Puerto Rico, and they provide comprehensive primary care and behavioral health services to all patients regardless of the patients’ ability to pay for such services.

Community Health Center Association of Connecticut (CHCACT)
Community Health Center Association of Connecticut (CHCACT)

Community Health Center Association of Connecticut (CHCACT)

Incorporated in 1989, the Community Health Center Association of Connecticut (CHCACT) is a not-for-profit service organization dedicated to strengthening and supporting the clinical and administrative operations of its 16 member community health centers across Connecticut.

Community Health Center Network
Community Health Center Network

Community Health Center Network

Founded in 1996, Community Health Center Network (CHCN) is committed to excellent, affordable care for underserved communities of the East Bay. We are a non-profit Medi-Cal managed care organization, providing business administrative support for community health centers to focus on what matters most–patients. CHCN was formed to participate more effectively in newly-launched state managed care programs. The formation of CHCN built upon 20 years of collaboration in health policy and advocacy work through the Alameda Health Consortium.

Community Health Centers Alliance
Community Health Centers Alliance

Community Health Centers Alliance

Founded in 1999 by visionary health care leaders, CHCA provides 17 Federally qualified Health Centers (FQHCs) and other healthcare organizations with solutions to advance health information technology adoption including implementation and project management, infrastructure hosting, application training, report development, on-going application support services, and consulting and education for various related initiatives.

Community Health Integrated Partnership, Inc.

Community Health Integrated Partnership, Inc.

CHIP, Inc. was founded in 1997 as the only statewide network of community health centers in the State of Maryland. As a leader and advocate for quality community health care in Maryland, CHIP provides community health centers with the business expertise to achieve the shared goal of quality improvement in the care they deliver.  In doing so, we give these centers access to higher levels of sophisticated health information technology (HIT) and management services than they could achieve and maintain individually.

FQHC Urban Health Network
FQHC Urban Health Network

FQHC Urban Health Network

Founded in 2013 The Federally Qualified Health Center Urban Health Network (FUHN) is an organization of ten Twin Cities FQHCs working in partnership with Minnesota’s Department of Human Services on Medicaid health care reform efforts.  These efforts include FUHN’s participation in a Integrated Health Partnership Accountable Care Organization demonstration project. Through this demonstration project FUHN participant FQHCs hope to further enhance the health care provided to their Medical Assistance patients by coupling our primary care efforts with expanded use of technology.

Georgia Association for Primary Health Care
Georgia Association for Primary Health Care

Georgia Association for Primary Health Care

The Georgia Association for Primary Health Care, Inc. (GAPHC) is a membership organization for all Federally Qualified Health Centers (FQHC) in the state of Georgia. GAPHC was founded in 1977 and is a statewide organization located in the Atlanta Metropolitan Area. GAPHC is quite familiar and knowledgeable about the relevant rules and regulations governing FQHC – Section 330 organizations. GAPHC is very active in the development of various operational models for FQHC organizations and provides direction and leadership for required community development activities that are related to both the development of new start FQHC organizations and operations of existing FQHC organizations.

Hawaii HCCN
Hawaii HCCN

Hawaii HCCN

Founded in 1989, the Hawai‘i Primary Care Association has been working on behalf of vulnerable populations throughout our state, and helping to establish access to primary health care services for everyone. HPCA has developed strong, productive partnerships with providers, health care organizations, lawmakers, policy officials, and public advocates to improve quality and access for nearly 150,000 people. As a part of the Hawaii PCA, the Hawaii HCCN supports 10 network members.

Health Center Connections
Health Center Connections

Health Center Connections

The Kansas Association for the Medically Underserved (KAMU) exists to achieve equitable access to high quality health care for all Kansans. As the Primary Care Association (PCA) for the state of Kansas, KAMU has been supporting and strengthening its member organizations through advocacy, education, and communication since 1989. KAMU represents a diverse group of public and private nonprofit primary care clinics, Federally Qualified Health Centers (FQHCs), local health departments, and rural health clinics, as well as private individuals who have a keen interest in health care for Kansas’ underserved populations. Together, the member clinics are known as the Kansas Safety Net, and they provide medical, dental, and behavioral health care regardless of the ability to pay.

Health Center Network of New York (HealthEfficient)
Health Center Network of New York (HealthEfficient)

Health Center Network of New York (HealthEfficient)

Founded in 2007 by six health centers and the Community Health Care Association of New York State (CHCANYS), HealthEfficient now serves 18 health centers across the eastern U.S. Our data reporting and benchmarking solutions contain demographic and clinical information on nearly 260,000 patients served network-wide. Since 2008, CHCANYS has offered super-user and end-user training to health centers who use eClinicalWorks, helping staff master the skills they need to get more work done, faster—and focus more on patient care. If new to eClinicalWorks, they can help health centers train their staff on the system right from implementation.

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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.