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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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Resource Overview

General cybersecurity guidance would suggest that Health IT breach should not be considered a matter of "If", but rather a matter of "when". How an organization prepares and responds to an episode of breach is just as important as defending itself from breach. Unfortunately, Health Centers are seen as a domain with high potential for data breach and consequently it is critical for Health Center leadership to embrace breach mitigation across their entire organization vs being a matter to be addressed by their Health IT team.

Breach can occur through both internal and external network leaks, through malware such as Ransomware, and through physical means on site. The resources provided below are meant to provide general knowledge about breach mitigation and methods for mitigating against breach incidences.

Breach Mitigation and Response Resources

Data Visualization for Value-based care
Data Visualization for Value-based care

Data Visualization for Value-based care

Value-based care focuses on improving patient outcomes while optimizing total cost of care. For health centers seeking to improve their internal processes for value-based care, effective data visualization can play a significant role in understanding, monitoring, and promoting value-based care practices. This resource details how data visualization can be employed to support value-based care and includes suggestions on how to depict measures and trends using data dashboards.

Clinical Quality Measures for Eligible Professionals: 2024 Update
Clinical Quality Measures for Eligible Professionals: 2024 Update

Clinical Quality Measures for Eligible Professionals: 2024 Update

This spreadsheet developed by the HITEQ Center provides a crosswalk of Clinical Quality Measures and their electronic specifications as defined in the 2023 update for Eligible Professionals (Clinicians). Fields include the crosswalk of measures with related information about CMS, NQF, and MIPS ID, and Telehealth Eligibility, as well as inclusion in HRSA BPHC Uniform Data System (UDS) CY2023, Million Hearts, CMS Quality Payment Program (QPP) - Performance Pathway (APP) Measures, Medicare Shared Savings Program (MSSP)/ CMS ACO Shared Savings Program, CMS Core Set (Child Core Set Medicaid / CHIP): HEDIS Specified, CMS Core Set (Adult Core Set Medicaid): HEDIS Specified, Core Quality Measures Collaborative (ACO / Primary Care). Links are included throughout.

Payer Mix Analysis Tool
Payer Mix Analysis Tool

Payer Mix Analysis Tool

This Excel tool helps health centers conduct a strategic review of their health plan contracts - across all product lines including Medicaid, Medicare, and Private/Commercial - to ensure their organization's financial sustainability and capacity to expand services to meet community needs.

Value Based Care Basics Module 3
Value Based Care Basics Module 3

Value Based Care Basics Module 3

The Value Based Care Basics training is a three-module series. All three modules can be completed by health center leaders to gain a working knowledge of value based care and how to successfully implement it at your health center. This third module includes a video and companion resource related to utilizing payer data.

 

Value Based Care Basics Module 2
Value Based Care Basics Module 2

Value Based Care Basics Module 2

The Value Based Care Basics training is a three-module series. All three modules can be completed by health center leaders to gain a working knowledge of value based care and how to successfully implement it at your health center. This second module includes a video and companion resource related to Managed Care data. 

 

Value Based Care Basics Module 1
Value Based Care Basics Module 1

Value Based Care Basics Module 1

The Value Based Care Basics training is a three-module series. All three modules can be completed by health center leaders to gain a working knowledge of value based care and how to successfully implement it at your health center. This first module, including the video and companion checklist, uses the Health Care Payment Learning & Action Network (HCP-LAN) Alternative Payment Model (APM) Framework as its basis.

 

[Video] The Managed Care Data Set
[Video] The Managed Care Data Set

[Video] The Managed Care Data Set

This video module helps health centers to understand how payers use data to evaluate their performance, to learn how to incorporate data into practice to improve value-based payment opportunities, and to prepare with best practices around organizing managed care data.
Managed Care Glossary for Health Centers
Managed Care Glossary for Health Centers

Managed Care Glossary for Health Centers

Glossary of managed care and value based payment terms that may be useful to health centers and health center stakeholders beginning to explore this topic.

Managed Care Data Checklist for FQHCs
Managed Care Data Checklist for FQHCs

Managed Care Data Checklist for FQHCs

This checklist will walk you, the health center, through a series of common considerations for contracts you may receive from payers with a specific focus on contracts that include value-based payment components. This document assists organizations in understanding the necessary data and data-related tools for managing population health within a managed care environment. It is a primer on the types of best-practices that are necessary to maximize care delivery models that are responsive to value-based payment programs. Follow this checklist to further your understanding of these considerations and to help flag any outstanding issues for legal and/or consultant review prior to execution.

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Acknowledgements

This resource collection was cultivated and developed by the HITEQ team with valuable suggestions and contributions from HITEQ Project collaborators.

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