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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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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

Annual UDS Clinical Measure Data Dashboard

Excel Tool for Data Monitoring

This Excel file dashboard was shared by an existing health center and is used to depict performance on UDS measures over time. It was recently updated 2018 reporting requirements and clinical measures.

Download the Excel file below, and follow these steps to get started:

  • Begin by updating information as necessary. For example:
    • If measures have changed or you would like to track a slightly different measure, then reflect that change in the numerator and denominator description on the relevant clinical measure's tab
    • Update column headers on each clinical measures tab with the dates you will be monitoring, as needed
      • i.e., monthly, quarterly, etc.
    • Remove extra rows as necessary
      • i.e., if your organization has three sites, then you would leave Goal, Clinics A through C, and Organization, and delete the other rows.  Alternatively, you can use them for other stratifications (care teams, different subpopulations of patients, etc.) and you would just change the labels
  • Pull data for patients seen in the last 12 months or some other predetermined time period (which is key to ensure that data each month will be comparable) in accordance with the appropriate definitions for each measure, by site and for the whole organization.
  • Plug the data into the each clinical measure tab of Excel file
  • Add data in subsequent time periods as desired
  • Then check the Charts tab of this Excel file for your monitoring charts!

This can be used to communicate with staff or monitor performance on UDS measures, and can be tweaked to use for other measures. There is also a tab with some real world advice on creating and using basic data monitoring dashboards included on the first tab.

Download the dashboard tool below!

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Intended AudienceHealth Centers Staff, Quality Improvement Staff

Documents to download

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.