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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
Sensitive Information and the Electronic Patient Record

Sensitive Information and the Electronic Patient Record

HITEQ Center, June 2023

With nearly 100% of community health centers utilizing electronic health records (EHR) to care for patients, focus has pivoted from implementation and new workflow development to enhancement in order to drive value and reflect patient needs and population trends. EHR technology presents potential opportunities and significant constraints. Providers frequently document and share potentially sensitive information in the EHR, such as risk for intimate partner violence (IPV), consistent offers of pre-exposure prophylaxis (PrEP), or patient sexual orientation and gender identity (SOGI). Capturing such information can be immensely helpful in providing care tailored to individuals’ needs, but additionally challenges teams to develop workflows that keep the data private rather than risk harm to patients through improper or unintended disclosure.

This brief resource describes the risks and benefits of differing strategies to capture and steward sensitive information while emphasizing privacy and accessibility. These examples are shared to facilitate health center teams in developing workflows that are most appropriate for their settings and patient populations.

Download the resource in the Documents to Download Section below.

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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.