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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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Accessing Data for QI

As adoption of EHRs has increased, so have the concerns about ability to access the data needed to drill down into quality improvement efforts or even reporting requirements. Depending on the type of system being used, data may be cloud based, on a remote server, or on a local server. Further, data may be accessible through preprogrammed, ad hoc, or custom reports, but there may be greater challenges to accessing raw data or data that can be analyzed for quality improvement purposes. Resources in this section address these challenges and provide actionable information for accessing the data needed.

Accessing your Data
Event date: 3/9/2023 12:00 PM - 1:00 PM Export event
Lessons Learned: Implementing and Expanding Social Needs Screening Programs in Health Centers - Session 3: Level 3: Responding to the Social Needs Screening
Jodie Albert
/ Categories: Population Health

Lessons Learned: Implementing and Expanding Social Needs Screening Programs in Health Centers - Session 3: Level 3: Responding to the Social Needs Screening

HITEQ Learning Collaborative Series

Is your health center currently in the process of considering, implementing, or revamping a social needs screening program within your EHR or health IT system? Join this learning collaborative to learn about health center promising practices and key considerations to support the successful collection, monitoring, and addressing of social needs data. During the series, participants will explore the levels of maturity in the social needs screening implementation process.

 

The levels of maturity include: 

  • Level 1: Coming to Consensus
  • Level 2: Implementing a Social Needs Screening Tool
  • Level 3: Responding to Positive Screens
  • Level 4: Monitoring and Using Data

Participants will gain information on concrete strategies and IT solutions that will help to improve internal systems, such as EHR utilization and care team workflows, and increase their capacity to advance individual and population-level health.  The HITEQ Center has partnered with the Louisiana Primary Care Association to design this series. Louisiana-based health centers will be showcased throughout the series to share their experiences with social needs screening, including successes, challenges, and lessons learned.

Session 3: Level 3 - Responding to the Social Needs Screening
During this session, participants will learn about concrete digital solutions health centers can leverage to document, communicate, respond to, and track positive screens.

Topics: Documenting positive screens (via order sets, Z codes, problem lists, favorites group), Sensitivity with Z codes, Communicating positive screens (internal referrals, telephone encounters, global alerts, castover), Responding to positive screens (internal and external referrals, role of behavioral health or case management department, challenges with community-based referral platforms, tracking referrals), Prioritizing which positive needs to address.

 

 

 

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Tags: Population Healthhealth centersz-codesdocumentationSocial Need Screeningreferrals

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Acknowledgements

This resource collection was compiled by the HITEQ Center staff with guidance from HITEQ Advisory Committee members and collaborators of the HITEQ Center.