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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
Risk Stratification Approach

Risk Stratification Approach

Population Health Management Action Guide from NACHC

Population Health Management within the Value Transformation Framework encompasses a systematic process of utilizing data on patient populations to target interventions for better health outcomes at lower cost, with a better care experience.

This Action Guide from NACHC focuses on one foundational component of population health management: risk stratification. Risk stratification enables providers to identify the right level of care and services for distinct subgroups of patients. It is the process of assigning a risk status to a patient and then using this information to direct care and improve overall health outcomes. 

NACHC lays out a straightforward approach including the following steps:

          STEP 1 Compile a list of health center patients

          STEP 2 Sort patients by condition

          STEP 3 Stratify patients to segment the population into target groups based on the number of conditions per patient

          STEP 4 Design care models and target interventions for each risk group

Learn more about what is required for each of these steps and other key concepts, by visiting the Action Guide.

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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.