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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

Data Visualization for Value-based care

HITEQ Center, June 2024

Molly Rafferty 0 1763

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

A crosswalk of Clinical Quality Measures for UDS and other reporting from The HITEQ Center

HITEQ Center 0 26222

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

Developed by PCDC in June 2023

HITEQ Center 0 4846

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

HITEQ Value Based Care Basics Series, June 2023

Molly Rafferty 0 4220

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

HITEQ Value Based Care Basics Series, June 2023

Molly Rafferty 0 4133

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

HITEQ Value Based Care Basics Series, June 2023

Molly Rafferty 0 4210

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

Developed with Starling Advisors in 2022

HITEQ Center 0 5475
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 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.

Molly Rafferty 0 10846

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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