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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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Overview

Data monitoring, from the highest level down to the patient level is critical to identifying trends, gaining insights, and communicating transparently with staff and stakeholders. Data monitoring approaches such as dashboarding are used to display data in a simple and intuitive way, allowing a snapshot of performance on selected measures to see changes or areas for improvement. Business intelligence systems such as population health management analytics allows for the monitoring of the health of a whole patient population, stratified by various characteristics, thereby supporting care planning, resource allocation, and training opportunities. Resources in this section include tools to begin dashboarding, considerations for taking the next step with population health management and guidance on how to navigate the many factors of any data monitoring approach.

Monitoring and Communicating with Data
Strategies for Supporting Health Center Patients Experiencing Food Insecurity
HITEQ Center
/ Categories: Population Health, PH and SDH Concepts, Implementing PHM and SDH, Using Data for PHM and SDH, Value Based Payment

Strategies for Supporting Health Center Patients Experiencing Food Insecurity

Published in May 2021, Updated June 2021

Food insecurity has doubled since the onset of the COVID-19 pandemic in March 2020, and has tripled among families with children. Not having enough access to food is a key contributor to negative health outcomes for adults and children alike, and it is important now more than ever for health centers to identify and support patients who are experiencing food insecurity.
This resource is designed to support health center efforts to identify and assist patients who are experiencing food insecurity. It outlines key considerations around integrating social determinants of health (SDoH)-related screening and intervention into the electronic health record (EHR) workflow, highlights standardized screening tools and data elements to monitor the prevalence of food insecurity among patients, and describes several strategies to meet food-related needs. 

 

The downloadable guide, available in the Documents to Download section below, is split into the following sections, each of which draws on foundational work from health centers and national partners: 

  • Integrate your screening strategy into your EHR workflow-- several case studies are included
  • Select a standardized tool to identify food insecurity-- several tools with their related EHR integration and workflow considerations are outlined
  • Monitoring food insecurity among patients-- tips about coding and dashboarding are provided
  • Connecting patients to available resources

 

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Tags: Social Determinants of HealthSDHvalue based careSDoHcommunity resourcesscreeningfood insecurity
Intended AudienceHealth Center Clinicians, Health Center Staff

Documents to download

Related Resources

Acknowledgements

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