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Health IT Enabled QI Resource Sets

SDOH Data Dashboards Module 1: Introduction to SDOH Dashboard Design

HITEQ SDOH Data Dashboards Series

Molly Rafferty 0 864

The Social Determinants of Health Data Dashboards training is a four module series. Modules range from about 8 minutes to 12 minutes in length. Module one provides an introduction to the role of screening and collecting data on social determinants of health, identifying social determinants of health measures and using data effectively, and assessing organizational data dashboard capability. Subsequent modules provide beginner, intermediate and advanced level considerations and examples for social determinants of health data dashboards. 

Promising Practices in Virtual Integrated Behavioral Health Care

Lessons from Community Health Centers during COVID-19; February 2021

HITEQ Center 0 5130

With the rapid shift to telehealth services propelled by the COVID-19 pandemic, many community health centers had to rapidly transition to a mechanism of care delivery previously unknown and unfamiliar. Within a matter of days and weeks, health centers creatively found ways to transform workflows and approaches to care delivery to continue to provide care even if the patient was physically distant. This resource highlights promising practices in virtual integrated behavioral health care identified from community health centers. 

Social Determinants of Health (SDoH) Toolkit

Prepare, Test, and Spread: Experiences Implementing PRAPARE in Iowa

HITEQ Center 0 4854

This toolkit from Iowa is organized around the three stages of SDOH: Prepare, Test and Spread. The key concepts are organized under each of the stages. This toolkit provides existing and
new tools for each of the 21 concepts with guidance related to when an organization may want to use each tool or concept.

Remote Scribes, Transcription, Talk-to-Type, and Virtual Assistants

Tools for Decreasing Documentation Burden in the EHR; Developed October 2019

HITEQ Center 0 7710

As administrative responsibilities increase, clinical documentation is often the first task to end up suffering. The EHR has created additional administrative burdens on providers such as the need to perform data entry while trying to engage with the patient during the health care visit. Providers have become frustrated and distracted with the documentation requirements, which further hinder connection and communication with the patient. The American Medical Association (AMA) and other groups note that physician burnout is a systemic problem requiring examination and improvements in the system-of-care delivery. Medical record production technologies may be the key to achieving the goal of creating better and timely medical records, while at the same time increasing cost effectiveness. Studies have shown that the utilization of services like medical scribes or voice recognition strengthened the patient and provider experience and is associated with lower rates of burnout. Furthermore, there is evidence that despite the higher overhead costs, additional documentation services can increase clinician productivity, lower billing errors, and foster work-life balance, retention, and wellness.

The obvious demand has driven innovators to provide a solution, and has manifested in scribing tools and resources with distinct modalities, with varying balances between using human capital and technology. This resource assess the strengths and weaknesses of these tools to provide guidance to health centers.

EHR-Related Resources for 330 and RWHAP Dually Funded Health Centers

Resources curated from TargetHIV.org and other sites in October 2019

HITEQ Center 0 2543

Health centers funded by the Ryan White HIV/AIDS Program (RWHAP) must submit the Ryan White Services Report (RSR) annually and often main-tain separate databases from their EHR to do so. This document summarizes resources related to integrating RWHAP data reporting requirements into EHRs, including specific vendors, as well as those related to improving HIV service delivery using technology.

Improving Diabetes Outcomes

Curated Expert Guidance, Tools, and Resources, Updated September 2019

HITEQ Center 0 47315

As of CDC's 2017 National Diabetes Statistics Report, 30.3 million people, or 9.4% of the total U.S. population, have diabetes. Of these 30.3 million, only 23.1 million are diagnosed—while the other estimated 7.2 million are undiagnosed. Additionally, more than 1 in 3 adults or 84.1 million people in the U.S. have prediabetes, including nearly half of people age 65 and older. According to 2018 UDS data, an estimated 15.1% of Federally Qualified Health Center patients nationwide have diabetes, an increase over recent years. Of these approx. 2.4 million plus patients living with diabetes, approximately 33% have uncontrolled diabetes, with HbA1c equal to or above 9% or have had no test in the year. This has remained relatively stable since 2016. These statistics bring forth the need for improvement in the care of diabetes; several resources and research outcomes are profiled here with specific takeaways for health centers.

Health Center Data Validation Tool

Tool to Validate Adult BMI UDS Clinical Measure Reporting from EHR

HITEQ Center 0 22301

This Excel-based tool is designed to support validation of EHR reporting for the Adult BMI clinical measure by comparing results from EHR to results from chart reviews or examination of underlying data. This assists in identifying specific data elements that are not being captured appropriately, either as a result of workflow or EHR report logic, and thereby effecting compliance rates. 

Acknowledgements

This resource collection was cultivated and developed by the HITEQ team with valuable contributions from Chris Espersen, Espersen & Associates and Past President of Midwest Clinicians Network, Dan Tutuer, former head of Colorado's HCCN, and Dr. Jerome Osheroff, TMIT Consulting, LLC, as well as HITEQ's Advisory Committee and many health centers who have graciously shared their experiences with HITEQ.

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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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