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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
Value Based Care Basics Module 2
Molly Rafferty
/ Categories: Value Based Payment, Value Based Payment Basics, Data Demonstrating Health Center Value, Engaging in Value Based Payment Models

Value Based Care Basics Module 2

HITEQ Value Based Care Basics Series, June 2023

The Value Based Care Basics training is a three-module series. All three modules can be completed by health center leaders to gain a working knowledge of value based care and how to successfully implement it at your health center. This second module includes a video and companion resource related to Managed Care data. View Module 1 and 3 in the Resource Links section below. 

View the video to learn about the importance of managed care data in value based payment and population health, including how managed care data can be used and should be put into practice. You will also hear about best practices and applications for managing and using managed care data. 

The companion resource assists organizations in understanding the necessary data and data-related tools for managing population health within a managed care environment. It is a primer on the types of best practices that are necessary to maximize care delivery models that are responsive to value based payment programs. 

Learning Objectives: 

After completing this module, participants will be able to: 

  • Recall the definitions for managed care data categories and sources for each data component
  • Describe how health plans use the limited data they have and the implications on Federally Qualified Health Center (FQHC) care
  • Understand that health plans use different data to approximate providers (i.e. – you, the FQHC) in the same way that FQHCs use Electronic Health Record data to approximate quality, outcomes, etc. 
  • Explain what managed care data is most helpful and important as an FQHC enters value based payment arrangements and how to frame a request and negotiate for access to that data 
  • Discuss how the managed care data fields connect to the Health Care Payment Learning & Action Network (HCP-LAN) Alternative Payment Model (APM) Framework Payment Categories
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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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