Improving Quality and Value

Social Determinants of Health (SDoH) Toolkit

Prepare, Test, and Spread: Experiences Implementing PRAPARE in Iowa

HITEQ Center 0 4757

This toolkit from Iowa is organized around the three stages of SDOH: Prepare, Test and Spread. The key concepts are organized under each of the stages. This toolkit provides existing and
new tools for each of the 21 concepts with guidance related to when an organization may want to use each tool or concept.

SDOH Data Dashboards Module 4: SDOH Dashboard Design - Advanced

HITEQ SDOH Data Dashboards Series

Molly Rafferty 0 468

The Social Determinants of Health Data Dashboards training is a four-module series. Modules range from about 8 minutes to 12 minutes in length. Module four provides advanced-level information on using social determinants of health data and dashboards for facilitating and tracking social needs referrals, conducting predictive analysis with social determinants of health and health outcomes data, and using social determinants of health data to improve reimbursement for addressing social needs.

SDOH Data Dashboards Module 3: SDOH Dashboard Design - Intermediate

HITEQ SDOH Data Dashboards Series

Molly Rafferty 0 479

The Social Determinants of Health Data Dashboards training is a four module series. Modules range from about 8 minutes to 12 minutes in length. Module three provides intermediate level information on collecting social determinants of health data and using data visualization for effective dashboards with stratification of data.

SDOH Data Dashboards Module 1: Introduction to SDOH Dashboard Design

HITEQ SDOH Data Dashboards Series

Molly Rafferty 0 569

The Social Determinants of Health Data Dashboards training is a four module series. Modules range from about 8 minutes to 12 minutes in length. Module one provides an introduction to the role of screening and collecting data on social determinants of health, identifying social determinants of health measures and using data effectively, and assessing organizational data dashboard capability. Subsequent modules provide beginner, intermediate and advanced level considerations and examples for social determinants of health data dashboards. 

Making a Good First Impression: Digital Patient Intake Solutions

How Health Centers can Use Digital Intake Tools to Support Social Determinants of Health Data Collection

Molly Rafferty 0 1502

Now more than ever, health centers know that addressing social determinants of health is key to ensuring patients from underserved and disadvantaged groups receive quality, informed, and comprehensive care. This resource explores how health centers can effectively and safely collect critical patient information, including sensitive information like social need screening, through digital patient intake solutions that rely on paper-free, data-smart registration and EHR integration. Health centers can walk through why adding these solutions to their clinics can engage rather than alienate patients, and how to implement these technologies to screen for social risk and improve the patient experience.

The resource is available in the Documents to Download section below.

Insights from the Field: Key Considerations for Implementing Health Information Exchange

Published August 2021

Molly Rafferty 0 1304

As medical care facilities seek to support patient safety and be responsive to their complete medical needs and histories, health centers also recognize that establishing an infrastructure for data sharing must be a top priority. Better practices for Health Information Exchange (HIE) increase patient wellbeing by giving providers more complete information for clinical decision making, eliminating unnecessary procedures and tests, reducing the burden of paperwork, and lowering costs. In 2020, HITEQ interviewed five groups that implemented clinical data sharing infrastructure in health care settings, including Federally Qualified Health Centers (FQHCs). A set of example use cases were developed from these interviews, and we identified ten themes that may help guide other organizations interested in implementing HIE. Information from 1424 qualified health centers and health center look-alikes from the CY2019 Uniform Data Set also informed the current impact of data sharing, indicating that technology and potential workflows exist to support HIE within FQHCs.

View the key considerations gleaned from this research to identify lessons learned related to establishing HIE within a health center setting. The resource is available in the Documents to Download section below.

Using Bright Futures to Achieve Excellence in Well-Child Care

A BPHC-MCHB Collaboration Webinar

Alyssa Carlisle 0 10378

During this recorded webinar you will learn about the Bright Futures National Center (BFNC) and the revised Bright Futures Guidelines, 4th Edition, from one of its co-editors. During this HRSA-sponsored webinar, a subject matter expert reviewed updates to the Guidelines and new content, including new health promotion themes, visit screening recommendations, anticipatory guidance, and more. She discussed how to efficiently and effectively integrate these new recommendations into your health center’s work and answered questions about the BFNC and Bright Futures Guidelines, 4th Edition.


Note: Recordings of these webinars are no longer available, but slides {and/or transcripts} are available below.

Understanding and Applying SDOH Screening Data to Address Barriers to Health

HRSA Webinar

Amelia Fox 0 1739

The Association of Asian Pacific Community Health Organizations (AAPCHO), Health Outreach Partners, MHP Salud, and National Health Care for the Homeless Council invite health centers to learn strategies to screen special and vulnerable populations for SDOH and build effective practices to begin addressing SDOH through outreach and enabling services.

Topics will include:

  • Identifying enabling service workforce providers for SDOH screening and documentation.
  • Showing the value of enabling service staff and how they can impact clinical decision-making.
  • Demonstrating the impact of analyzing SDOH screening data on increasing capacity to address SDOH.

Texting Strategies for COVID-19: Vaccine, Outstanding Gaps in Care, and Social Determinants of Health

CareMessage & NACHC Webinar

Amelia Fox 0 902

Based upon more than 60M data points from more than 250 community health centers nationally, the CareMessage team and their partner health centers shared an overview of recommendations around outreach to patients around the COVID-19 related use cases, including the COVID-19 vaccine/Delta variant, Million Hearts, cancer screenings, gaps in care and social determinants of health.

Attendees received tailored messaging content, best practices to help organizations implement outreach quickly and easily, and free, limited access to CareMessage's un-integrated COVID-19 texting platform (CMLight).



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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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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