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The 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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Onboarding Overview

Onboarding new employees is the process by which new employees get acclimated to their new job and ramp up to full capacity within that job. This is typically a multi-pronged approach as new employees have to be oriented to the unique culture of your health center, plus they have to learn the specialized skills, knowledge and behaviors expected to fulfill their particular responsibilities. This is especially challenging for Health IT and Quality staff because they work on their own as well as working collaboratively with staff across the health center in a number of capacities. Their orientation is therefore essential to providing high quality services to the whole health center.

It is important to give new Health IT and Quality employees as much support as possible to ensure that they adjust to their new job and start adding value as quickly as possible. Besides the general best practices of ensuring that all standard first day bases are covered, each specific department should have their own onboarding mechanisms. Listed in this section are two such resources for Health IT and Quality staff, in particular.

Health IT & QI Workforce Development Onboarding

Benefits and Tools for Onboarding and Orientation of New Staff Members

This document outlines the ways in which effective onboarding and orientation methods will result in shorter learning curves, improved job satisfaction, and improved retention.

Example Detailed Report Instructions

This is an example of instructions for reports can be tailored to the systems, processes, and objectives used by your organization. These detailed instructions allow any employee to start where another employee finished and allow for efficient onboarding of new employees.

New Employee Orientation Evaluation Form

This is an evaluation form to give to a new employee immediately following the orientation program.

Orientation Follow-up Survey

This follow up survey is given to the employee following the first 2-4 months of employment.

Quality Improvement Specialist Monthly Calendar

This calendar is a sample tool to be used internally to promote data reporting consistency and clarity on data/ quality improvement specialist deliverable expectations. The times in parentheses not only allow for scheduling issues, but can help identify opportunities for improvement in reporting efficiency. This was shared by an FQHC, so some aspects may already work for you, but you are encouraged to edit or make your own version for use in your health center.

Sample of a Staff Member’s Dashboard for Required Tasks

Example of a staff member dashboard that is used to ensure effective delivery of assigned tasks.

Staff Orientation to the use of Health Information Technology (HIT) to achieve the Triple Aim - Part I

A custom, health-center focused eLearning module for onboarding and orienting clinical and administrative health center staff to the Triple Aim and their important role in collecting accurate and timely information to support informed decision-making. The first aim – Patient Experience – is addressed in this module with a focus on the many staff a patient interacts with during a visit who impact the patient’s care.

** Please note that viewing issues have been identified when using the Internet Explorer 11 browser. The series is best viewed in either Chrome, Firefox, or IE Edge browsers. The series is best viewed in either Chrome, Firefox, or IE Edge browsers.

Staff Orientation to the use of Health Information Technology (HIT) to achieve the Triple Aim - Part II

A custom, health-center focused eLearning module for onboarding and orienting clinical and administrative health center staff to the Triple Aim and their important role in collecting accurate and timely information to support informed decision-making. The second aim – Population Health – is addressed in this module with a focus on the use of data to improve the health of a population or sub-group of patients.

** Please note that viewing issues have been identified when using the Internet Explorer 11 browser. The series is best viewed in either Chrome, Firefox, or IE Edge browsers.The series is best viewed in either Chrome, Firefox, or IE Edge browsers.

Staff Orientation to the use of Health Information Technology (HIT) to achieve the Triple Aim - Part III

A custom, health-center focused eLearning module for onboarding and orienting clinical and administrative health center staff to the Triple Aim and their important role in collecting accurate and timely information to support informed decision-making. The third aim – Value – is addressed in this module with a focus on using data to achieve the best outcomes for patients while decreasing costs.

** Please note that viewing issues have been identified when using the Internet Explorer 11 browser. The series is best viewed in either Chrome, Firefox, or IE Edge browsers.The series is best viewed in either Chrome, Firefox, or IE Edge browsers.

11/29 HITEQ Highlights - Health IT and QI Workforce Development: Onboarding for Success

Click here to download the transcript of this November 29th HITEQ Highlights webinar and click here to listen to the archived recording.

After a brief introduction to HITEQ and this Resource Set, this webinar will highlight two specific tools for onboarding new staff into your health center with a focus on speeding the onboarding of Health IT and QI staff. The webinar will delve into the two onboarding tools - the Calendar and the Sample of a Staff Member’s Dashboard for Required Tasks, showing how they are meant to be used and how you can customize them for your needs.

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.