[Video] Managed Care Data and Contracting in Practice

Managed Care Data Checklist for FQHCs

Companion Document to Video Module: Payer Data: The Managed Care Data. Prepared by Starling Advisors for the HITEQ Center in July 2022.

Managed Care Data Checklist for FQHCs

Value Based Payment Contract Review Checklist for FQHCs

Checklist for FQHCs reviewing contracts, as a supplement to video module. Developed in 2022.

Value Based Payment Contract Review Checklist for FQHCs

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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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Resource Overview

Population Health Management (PHM) is an evolving concept encompassing a suite of emerging technologies to aggregate, analyze and use data to improve clinical and financial outcomes. PHM tools enable health centers to identify, monitor and target care to patients within a population. Resources in this section provide a conceptual foundation to help health center staff deepen their understanding of PHM and how the social determinants of health can be used to improve outcomes.

PHM and SDH Concepts and Overview Resources

Center of Excellence for Protected Health Information

HITEQ Center / Friday, August 30, 2019

/ Categories: Privacy and Security

Center of Excellence for Protected Health Information

FOCUS: PHI is a SAMHSA-funded source for clear and accurate information about patient privacy and confidentiality

According to the Center of Excellence for Protected Health Information, federal privacy laws and regulations, like the Health Insurance Portability and Accountability Act (HIPAA), the federal substance use disorder privacy law and regulations (including 42 CFR Part 2), and the Family Educational Rights and Privacy Act (FERPA), were put in place to protect the information of patients getting or seeking treatment. These privacy laws govern the sharing of patient information with healthcare providers, family members, schools, and other community organizations.

Clear and accurate information about confidentiality is important to ensure that patient privacy is protected and that privacy laws are not erroneously interpreted to prevent disclosure of patient information. Individuals living with mental illness or substance use disorders may not seek care without guarantees of confidentiality and privacy protections. A recent survey completed by SAMHSA found that concerns about privacy and confidentiality among individuals with behavioral health needs is a primary reason for not receiving treatment. Clarifying privacy protections and promoting communication of patient records is critical for improving patients’ access to care and quality of treatment once in care.

The Center for Excellence for Protected Health information is supported by SAMHSA and includes the following key resources:

Resources and guidance broken down by provider and organization type, as well as for patients and caregivers
Sample templates and forms for Substance Use Disorder Treatment providers, including Sample consent to entity with treating provider relationship and Sample consent to entity without treating provider relationship and with participants
Links to helpful tools like How Does 42 CFR Part 2 Apply to Your SBIRT (Screening, Brief Intervention, and Referral to Treatment) Program?
Links to important briefs like How HIPAA Allows Doctors to Respond to the Opioid Crisis, from the US Department of Health & Human Services Office of Civil Rights

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Tags: substance use disorder HIPAA confidentiality mental health 42 CFR Part 2 Privacy and Security opioid treatment

Resource Links

Acknowledgements

This resource collection was cultivated and developed by the HITEQ team with valuable contributions from the National Association of Community Health centers (NACHC) as well as HITEQ's Advisory Committee and many health centers who have graciously shared their experiences with HITEQ.

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