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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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Leadership Buy-In Resources Overview

This section of the website provides resources intended to help spur leadership action on to new or improved quality efforts. The tools are intended to be used by leaders, but also by other Health Center staff who are determined to solicit the help of leaders on quality work.

Embarking on, or making significant advancements to quality work requires strong Health Center leadership.  Leaders help define how decisions will be made, provide the resources necessary to analyze data and processes, and develop or guide strategic planning efforts that integrate all the functions of a Health Center.  At the highest level of function, quality is driven by organizational culture, rather than strategy.  Here too, leaders play important roles in helping to define and spread culture change throughout an organization.

Health IT & QI Workforce Leadership Buy-In Resources
Bright Spots in HIV Screening
Bright Spots in HIV Screening

Bright Spots in HIV Screening

Since 2020, health centers have reported the HIV Screening clinical quality measure on the UDS. HITEQ hosted discussions with health centers in fall of 2021 to find out how they have made progress on this clinical quality measure and gleaned tips from these participants which can be found within.
Health IT Optimization for Effective PrEP Services
Health IT Optimization for Effective PrEP Services

Health IT Optimization for Effective PrEP Services

Health centers are increasingly interested in embedding oral Pre-Exposure Prophylaxis (PrEP) programs into primary care, which calls for the embedding of PrEP care processes into electronic health record (EHR) systems. Health centers have had success with automation in HIV testing, and are looking to apply automated algorithms, order sets, and templates to the development of PrEP programs. This resource outlines EHR and health information technology (IT) configurations and tools that support PrEP care processes and provides examples of successful implementation from health centers and primary care settings.

Implementing Opt-Out HIV Screening in Your Health Center
Implementing Opt-Out HIV Screening in Your Health Center

Implementing Opt-Out HIV Screening in Your Health Center

HIV testing is one of the many ways we can End the HIV Epidemic. HITEQ's latest blogs offers strategies for leveraging your EHR to make HIV screening a breeze at your health center. 

Nationwide HIV-related Care Interactive Infographics
Nationwide HIV-related Care Interactive Infographics

Nationwide HIV-related Care Interactive Infographics

In the 2022 UDS, United States health centers reported 7,328,565 of their 16,835,841 eligible medical patients (43.53%) were tested for HIV at least once after their 15th birthday and before their 66th birthday.

Pre-Exposure Prophylaxis (PrEP), Post-Exposure Prophylaxis (PEP), and Other HIV Prevention Strategies: Billing and Coding Guide
Pre-Exposure Prophylaxis (PrEP), Post-Exposure Prophylaxis (PEP), and Other HIV Prevention Strategies: Billing and Coding Guide

Pre-Exposure Prophylaxis (PrEP), Post-Exposure Prophylaxis (PEP), and Other HIV Prevention Strategies: Billing and Coding Guide

The goal of this guide is to provide up-to-date information and best practices for coding, billing, and denial resolution for PrEP and PEP services. Health department staff are encouraged to share this resource with grantees, community partners, and other health care providers billing for HIV prevention services.

Resources for Expanding PrEP Services in your Health Center
Resources for Expanding PrEP Services in your Health Center

Resources for Expanding PrEP Services in your Health Center

HITEQ compiled this resource library for health centers, which houses actionable PrEP resources including checklists, pocket guides, and billing guidance. This curated set of resources aims to assist health centers in accessing those resources that directly address current PrEP challenges.
Sensitive Information and the Electronic Patient Record
Sensitive Information and the Electronic Patient Record

Sensitive Information and the Electronic Patient Record

With nearly 100% of community health centers utilizing electronic health records (EHR) to care for patients, focus has pivoted from implementation and new workflow development to enhancement in order to drive value and reflect patient needs and population trends. EHR technology presents potential opportunities and significant constraints. Providers frequently document and share potentially sensitive information in the EHR, such as risk for intimate partner violence (IPV), consistent offers of pre-exposure prophylaxis (PrEP), or patient sexual orientation and gender identity (SOGI). Capturing such information can be immensely helpful in providing care tailored to individuals’ needs, but additionally challenges teams to develop workflows that keep the data private rather than risk harm to patients through improper or unintended disclosure.

State-level HIV-related Infographics
State-level HIV-related Infographics

State-level HIV-related Infographics

These interactive infographics include HIV Indicators as well as information about underserved populations and patients who may be at increased risk of acquiring HIV, at the state level. Select your state in the upper right to get started. 

TelePrEP
TelePrEP

TelePrEP

According to the Rural health Information Hub, the risk of contracting HIV can be greatly reduced through Pre-Exposure Prophylaxis (PrEP), but the medication must be taken every day and patients need follow-up appointments every 3 months. Some patients often don't have access to it due to stigma, distance from the nearest specialist, and a shortage of primary care providers willing to prescribe and monitor PrEP.

TelePrEP for Health Centers
TelePrEP for Health Centers

TelePrEP for Health Centers

This brief presents an overview of how health centers can utilize telehealth for PrEP access, or TelePrEP, for comprehensive care, and includes innovations and resources that health centers can utilize to extend these services to their patient populations.

Acknowledgements

This resource collection was compiled by the HITEQ staff with portions contributed by Chris Espersen, HITEQ Advisory Committee member and Independent Contractor and Past President of Midwest Clinicians Network; Shane McBride, Independent Contractor and Past Vice President of Quality and Clinical Systems at South End Community Health Center; Chris Grasso, Associate Director for Informatics & Data Services- The Fenway Institute; and Ed Phippen, Principal - Phippen Consulting, LLC.

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