Learning to Love your Data

[Video] Managed Care Data and Contracting in Practice

Developed with Starling Advisors in 2022

[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

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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

There are many tools available and a number of vendors serving the market for PHM technologies, making implementation decisions and planning a challenge for health centers. Resources in this section provide a framework for PHM vendor selection and a roadmap for PHM and SDH implementation. Case examples are provided to demonstrate health centers’ experiences implementing PHM and SDH.

Implementation of PHM and SDH Resources

HITEQ Center / Tuesday, October 10, 2017

/ Categories: Population Health, Implementing PHM and SDH, Using Data for PHM and SDH

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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Tags: Guide Population Health Management Data Analytics Population Health Risk Stratification Clinical Care Team-Based Care

Resource Links

Population Health Management: Risk StratificationA Value Transformation Framework Action Guide, published Sept. 2017.

Related Resources

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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