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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
4/17 HITEQ Highlights: Skill Sets for Health Center Security & Privacy Risk Management
4/17 HITEQ Highlights: Skill Sets for Health Center Security & Privacy Risk Management

4/17 HITEQ Highlights: Skill Sets for Health Center Security & Privacy Risk Management

Health Centers are made up of many different levels of IT Security & Privacy expertise, both in terms of staff skills and organizational maturity. This resource will help guide both beginners and more advanced staff and leadership to understanding how to best manage and promote security and privacy risk management at their health center.

5/9 HITEQ Highlights: Using Data for Population Health - Social Determinants and Population Health
5/9 HITEQ Highlights: Using Data for Population Health - Social Determinants and Population Health

5/9 HITEQ Highlights: Using Data for Population Health - Social Determinants and Population Health

The objective of this learning opportunity is to help health centers begin, and make progress along, the path of using social determinants data to address population health using HIT.  This webinar will provide participants with an understanding of population health management and the social determinants of health from a HIT perspective, and their relevance for health centers.  We will present real-world examples of health centers’ successful use of social determinants data to implement population health management and improve quality.  Participants will be introduced to a “Roadmap for Use of Social Determinants Data”, to guide them in the foundational steps of using social determinants data for HIT to drive population health. 

6/13 HITEQ Highlights: Health Center Framework for Effective Electronic Patient Engagement
6/13 HITEQ Highlights: Health Center Framework for Effective Electronic Patient Engagement

6/13 HITEQ Highlights: Health Center Framework for Effective Electronic Patient Engagement

The role of the consumer/patient is experiencing a significant change within healthcare in which the point of diagnoses and care is being increasingly shifted from the classical care provider setting to a more patient-centered model of health services. This shift in perspective and responsibilities is largely being stimulated by a critical mass in personal health information technology innovation and development, including patient portals, health apps, web-enabled medical devices, and personal fitness and health monitors. Health Centers are very aware of the benefits of patient activation and engagement, but at times need assistance in navigating 1) related regulations associated with policies such as Meaningful Use; 2) incorporation of patient engagement tools and strategies into the organizational workflow; 3) evaluation of patient needs, satisfaction, and activation; and 4) current tools and services available for electronic patient engagement. This webinar will cover the Health IT related policies, organizational changes, personal behaviors, and technical drivers that are converging to usher in a new era of patient empowered healthcare.

Dashboarding Social Needs Data: Support Population Health and Advance Equitable Care through Visual Display of Social Determinants of Health
Dashboarding Social Needs Data: Support Population Health and Advance Equitable Care through Visual Display of Social Determinants of Health

Dashboarding Social Needs Data: Support Population Health and Advance Equitable Care through Visual Display of Social Determinants of Health

As health centers work towards providing more patient-centered and equitable care, they are increasingly adopting standardized social needs screening tools, such as PRAPARE and others, to systematically identify the challenges patients face in managing and improving their health, such as food and housing insecurity, transportation barriers, or safety concerns.  This information can be used to make impactful care planning and programmatic changes that lead to improvements in health outcomes, resource utilization, and reimbursement.  Data dashboards help analyze social determinants of health information in visual displays that deepen insights and trigger action towards addressing patient’s social needs, improving population health, and reducing inequities in care.

This webinar provided a foundational overview of social determinants of health dashboard design and presents case studies from health centers leading the way on use of social determinants of health data dashboards to build community partnerships, improve linkages to services outside the four walls of the clinic, and demonstrate the value-based impact of social needs services in improving the health, well-being, and quality of life of communities served.  One health center shared their experience building dashboards and using them in their clinic.

 

Developing a Data Dashboard for PRAPARE Data
Developing a Data Dashboard for PRAPARE Data

Developing a Data Dashboard for PRAPARE Data

Health centers are interested in using social determinants data to manage and improve the health of their patient population and community, and are at different places on the population health management (PHM) and social determinants of health (SDH) adoption curve. The Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences (PRAPARE) is a national effort to help health centers and other providers collect the data needed to better understand and act on their patients’ social determinants of health. In this webinar, the Colorado Community Managed Care Network (CCMCN), a Health Center Controlled Network (HCCN) highlighted a Tableau data dashboard that they have developed to help their health centers make decisions on population health management. They discussed the rationale for developing the tool, challenges and facilitators to integration, and how their health centers benefit from data sharing across Tableau.

FHIR 101: Opportunities to Improve Interoperability across Health Centers
FHIR 101: Opportunities to Improve Interoperability across Health Centers

FHIR 101: Opportunities to Improve Interoperability across Health Centers

Fast Healthcare Interoperability Resources (FHIR) is an HL7® standard for electronic healthcare data exchange. This next generation exchange architecture is advancing interoperability in healthcare. FHIR provides a standard way to express and share information across health centers, providers, and related organizations independent of how local EHRs display or store data. For UDS+ and other information exchange needs, all health centers, PCAs, and HCCNs will want to be familiar with the basics of the HL7 FHIR standard. In this session we will discuss what FHIR is, what it basically does, how it impacts your EHR, and what it might mean to your health center and patients.

Health Center Case Examples in Coding and Documenting Social Risks
Health Center Case Examples in Coding and Documenting Social Risks

Health Center Case Examples in Coding and Documenting Social Risks

Are you capturing information like immigration or refugee status, intimate partner violence, human trafficking, risk of acquiring HIV through sexual contact or substance use disorder, or other information that brings up questions about how to document or code while respecting the patient’s privacy?

This health center learning collaborative series presented health center case examples that explore the privacy and data sharing considerations of EHR documentation of sensitive patient information, such as social history and social risk, and encourage participants to discuss the implications for health centers and their patients. 

Health Center Case Examples in Coding and Documenting Social Risks
Health Center Case Examples in Coding and Documenting Social Risks

Health Center Case Examples in Coding and Documenting Social Risks

Are you capturing information like immigration or refugee status, intimate partner violence, human trafficking, risk of acquiring HIV through sexual contact or substance use disorder, or other information that brings up questions about how to document or code while respecting the patient’s privacy?

This health center learning collaborative series presented health center case examples that explored the privacy and data sharing considerations of EHR documentation of sensitive patient information, such as social history and social risk, and encouraged participants to discuss the implications for health centers and their patients. 

Health Center Case Examples in Coding and Documenting Social Risks
Health Center Case Examples in Coding and Documenting Social Risks

Health Center Case Examples in Coding and Documenting Social Risks

Are you capturing information like immigration or refugee status, intimate partner violence, human trafficking, risk of acquiring HIV through sexual contact or substance use disorder, or other information that brings up questions about how to document or code while respecting the patient’s privacy?

This health center learning collaborative series presented health center case examples that explored the privacy and data sharing considerations of EHR documentation of sensitive patient information, such as social history and social risk, and encouraged participants to discuss the implications for health centers and their patients. 

Health Center Case Examples in Coding and Documenting Social Risks
Health Center Case Examples in Coding and Documenting Social Risks

Health Center Case Examples in Coding and Documenting Social Risks

Are you capturing information like immigration or refugee status, intimate partner violence, human trafficking, risk of acquiring HIV through sexual contact or substance use disorder, or other information that brings up questions about how to document or code while respecting the patient’s privacy?

This health center learning collaborative series presented health center case examples that explored the privacy and data sharing considerations of EHR documentation of sensitive patient information, such as social history and social risk, and encouraged participants to discuss the implications for health centers and their patients. 

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.