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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

Through the data validation process, valuable information is gained that can then be used to improve performance around patient care or quality of care metrics.  Improving quality performance may take the form of improving data collection processes, better identifying patients who need additional interventions, or decreasing missed opportunities to provide patients appropriate interventions, among other possibilities. This section includes guidance on leveraging Health IT to improve quality performance including change packages for recommended approaches related to various quality of care measures.

Improving Performance Resources
Clinical Decision Support-enabled Quality Improvement Worksheet (Essential Version)
HITEQ Center
/ Categories: Health IT Enabled QI, Improving Performance

Clinical Decision Support-enabled Quality Improvement Worksheet (Essential Version)

Essential CDS/QI Worksheet from Jerome A. Osheroff, MD, TMIT Consulting, LLC

This worksheet is a key component of the Guide to Improving Care Processes and Outcomes in Health Centers, developed by TMIT Consulting, LLC and the HITEQ Center.

A helpful QI adage is that “systems are perfectly designed to produce the results they deliver.” This truism highlights the importance of understanding current care processes that are driving sub-optimal performance on the targeted measure (e.g., diabetes control, preventive care, use of expensive tests) so they can be refined to deliver better results. The CDS/QI worksheet supports this analysis through a structured, broadly applicable framework for documenting, analyzing, sharing and improving target-focused care activities.

 

Instructions for using this worksheet

  • Step 1: Document the improvement target and current performance (page 2).
  • Step 2: Think about pertinent information flows and workflows driving performance (page 2) in light of pertinent evidence-based QI and care strategies for the target.
  • Step 3:  After discussion with pertinent stakeholders, document current state information flows and workflows for the target (pages 4-6). Brainstorm potential enhancements to the current state with the QI team, and document these in the pertinent boxes beneath the current state.
  • Step 4: Review all entries (pages 4-6), and summarize them in the overview table (page 3).
  • Step 5: Use this completed worksheet with the QI team to help prioritize and implement high-yield enhancements to current workflows and information flows; consider beginning with those that will yield the greatest benefits with the least effort and resources.
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Tags: quality improvementToolworksheetImproving PerformanceImproving OutcomesHealth IT Enabled QIimplementation toolsWorkflowCDS/ QI

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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.