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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

The Office for Civil Right's new HIPAA random audit program is in effect and significantly increases enforcement procedures following breaches, Health Centers need to ensure that their organization is fully complying with HIPAA regulations while at the same time providing systems that meet modern health information sharing and communication requirements that allow for increaseed continuity of care.  

Health Centers will need the right privacy protections for health information, and the necessary documented policies and procedures per HIPAA regulations, as well as documentation of actions taken per the policies of their organization. The resources in this section provide best practices, strategies and templates for better understanding nuances of HIPAA regulations and how they pertain to a Health Center's specific setting.

HIPAA Resources

Sensitive Information and the Electronic Patient Record

HITEQ Center, June 2023

Molly Rafferty 0 6504

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.

Health IT Optimization for Effective PrEP Services

HITEQ Center, June 2023

Molly Rafferty 0 6071

Health centers are increasingly interested in embedding oral Pre-Exposure Prophylaxis (PrEP) programs into primary care, which calls for the embedding of PrEP care processes into electronic health record (EHR) systems. Health centers have had success with automation in HIV testing, and are looking to apply automated algorithms, order sets, and templates to the development of PrEP programs. This resource outlines EHR and health information technology (IT) configurations and tools that support PrEP care processes and provides examples of successful implementation from health centers and primary care settings.

Pre-Exposure Prophylaxis (PrEP), Post-Exposure Prophylaxis (PEP), and Other HIV Prevention Strategies: Billing and Coding Guide

Developed by NASTAD, updated in 2023

HITEQ Center 0 16745

The goal of this guide is to provide up-to-date information and best practices for coding, billing, and denial resolution for PrEP and PEP services. Health department staff are encouraged to share this resource with grantees, community partners, and other health care providers billing for HIV prevention services.

Opportunities and Strategies to Optimize PrEP Uptake in Key Communities

Health HIV Medical Education

Caila Kilson-Kuchtic 0 9022
Activity Description: PrEP continues to be underused by people who could benefit from it, especially those who face health disparities. Of the 1.2 million people in the U.S. who can benefit from taking PrEP, only about 23% have used PrEP. Data on PrEP coverage shows that racial/ethnic minorities, sexual minorities, youth, and women access PrEP at even lower rates. The interactive live webinar will feature perspectives of multiple diverse HIV prevention experts on PrEP uptake among relevant consumer/patient communities, including Black women, same-gender-loving (SGL) Black and Latinx men, and transgender individuals. Presenters will consider both challenges and opportunities for PrEP use among these communities,specific access issues, and strategies and model practices for providers and healthcare teams to address the unique barriers.

Improving UDS Clinical Quality Measure Performance: Increasing HIV Prevention in Primary Care

HITEQ Highlights Webinar

HITEQ Center 0 13847

Primary care plays a key role in ending the HIV epidemic. The Ending the HIV Epidemic initiative launched across HHS in 2019, setting forth four key strategies also called the “four pillars” of ending the HIV epidemic. Primary care in federally qualified health centers figures centrally into these efforts, evidenced by the addition of several HIV screening and prevention measures and metrics in the Uniform Data System (UDS) reporting. This webinar reviewed the outcomes of the first year of HIV Screening and Prevention reporting on the UDS, highlight opportunities for quality improvement, and discussed funding opportunities.

Level Up: Leveraging Your EHR to End the HIV Epidemic

HITEQ Highlights Webinar

Molly Rafferty 0 17999

What if we told you your electronic health record (EHR) was one of the keys to ending the HIV epidemic (EHE)? Your EHR is a powerful tool that can support increases in HIV testing, access to pre-exposure prophylaxis (PrEP) for people at risk for HIV, and so much more! View our HITEQ Highlights webinar on June 8th to learn more about leveraging your EHR through the use of digital tools and innovative strategies!

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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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