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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

Conducting an SRA in accordance with HIPAA policy is a complex task, especially for small to medium providers such as community health centers. The HIPAA Security Rule mandates security standards to safeguard electronic Protected Health Information (ePHI) maintained by electronic health record (EHR) technology, with detailed attention to how ePHI is stored, accessed, transmitted, and audited. This rule is different from the HIPAA Privacy Rule, which requires safeguards to protect the privacy of PHI and sets limits and conditions on it use and disclosure. Meaningful Use supports the HIPAA Security Rule. In order to successfully attest to Meaningful Use, providers must conduct a security risk assessment (SRA), implement updates as needed, and correctly identify security deficiencies. By conducting an SRA regularly, providers can identify and document potential threats and vulnerabilities related to data security, and develop a plan of action to mitigate them.

Security vulnerabilities must be addressed before the SRA can be considered complete. Providers must document the process and steps taken to mitigate risks in three main areas: administration, physical environment, and technical hardware and software. The following set of resources provide education, strategies and tools for conducting SRA.

Security Risk Analysis Resources

Community Healthcare Association of New York State

New York, NY

HITEQ Center 0 28583

The Community Health Care Association of New York State's (CHCANYS) purpose is to ensure that all New Yorkers, including those who are medically underserved, have continuous access to high quality community-based health care services including a primary care home. To do this, CHCANYS serves as the voice of community health centers as leading providers of primary health care in New York State.

Alabama Primary Health Care Network

Montgomery, AL

HITEQ Center 0 36124

The Alabama Primary Health Care Association (APHCA) was established in 1985 as a non-profit, professional trade association whose mission is to strengthen and expand Alabama’s health center network through leadership, services, and collaboration so that Alabamians have access to improved outcomes through coordinated health care. As part of APHCA, there are 16 CHC members providing care across Alabama.

Alliance for Rural Community Health

Ukiah, CA

Anonym 0 26946

Alliance for Rural Community Health (ARCH) was founded in 1998 by community health center organizations in Mendocino County. The group came together to seek collaborative ways of addressing community health care issues in a cost-effective and efficient manner and are committed to work together to facilitate resource development, concentrate and strengthen advocacy efforts, and share resources.

Alliance of Chicago Community Health Services

Chicago, IL

Anonym 0 29387

AllianceChicago HIT was founded in 1997, since they have been expanding and innovating to meet the diverse and ever-evolving health care needs of vulnerable populations, while proactively responding to the changing health care climate. At the core of AllianceChicago’s health information technology (HIT) solutions is the electronic health record (EHR), GE Centricity™. Having developed customized content, implementation approaches and workflow insights they help support the comprehensive multidisciplinary care delivered by their network of 34 community health centers. Building from this core, AllianceChicago assists health centers in evaluating and implementing other HIT applications and tools to extend functionality and improve efficiency.

Boston HealthNet

Boston, MA

Anonym 0 27044

Boston Health Net was established in 1995. Founded by Boston Medical Center it is a network affiliation of the medical center, Boston University School of Medicine, and 14 community health centers. Boston HealthNet is an integrated health care delivery system whose partners provide outreach, prevention, primary care and specialty care, and dental services at sites located throughout Boston and in nearby communities.

Central Valley Collaborative (Golden Valley Health Centers)

Merced, CA

Anonym 0 25135

Founded in 1972, Golden Valley Health Centers is dedicated to improving the health of our patients by providing quality, primary health care services to people in the communities we serve regardless of language, financial or cultural barriers. As a private non-profit Federally Qualified Health Center system they operate clinical and dental sites in Merced and Stanislaus counties.

Central Valley Health Network

Sacramento, CA

Anonym 0 24918

Incorporated in 1998, Central Valley Health Network is comprised of 15 Community Health Center corporations designated as Federally Qualified Health Centers (FQHCs). CVHN was established to conduct advocacy at national, state, and local levels on behalf of its Central Valley membership of FQHC’s and their unique patient population specific to the Valley. CVHN’s network is also recognized nationally as one of the largest network of Migrant Health Centers serving rural, farm-working populations and their families.

CHCNet Maine/Maine Primary Care Association

Augusta, ME

Anonym 0 24035

Maine Primary Care Association (MPCA) is a membership organization representing the collective voices of Maine’s Community Health Centers - referred to as Maine’s health care safety net. Founded in 1981, MPCA has provided technical assistance and training, housed relevant programs and services and advocated on behalf of Maine’s safety net and the thousands of patients it serves.

Colorado Community Managed Care Network (CCMCN)

Denver, CO

Anonym 0 24164

Colorado Community Managed Care Network (CCMCN) is comprised of 19 Community Health Centers. CCMCN was founded in 1994 to respond pro-actively to the advent of mandatory Medicaid managed care, and has evolved to a multi-faceted organization focusing on managed and accountable care, health information technology, and clinical quality improvement programming.

Community Care Network of Virginia

Henrico, VA

Anonym 0 19250

Since 1996, Community Care Network of Virginia, Inc. (CCNV), has been a trusted support system, training partner and business process expert for health providers, including Federally Qualified Health Centers (FQHC), private practices, hospitals, managed care organizations, and provider networks. Providing integrated, network-based services and programs to healthcare clients to help them run their businesses better so that they can focus on patient care. This includes the centralized practice management system, help desk, and support infrastructure that we established in 1999.

Community Clinic Consortium of Contra Costa and Solano County

Richmond, CA

Anonym 0 18196

The Community Clinic Consurtium was established in Contra Costa County in 2004, and provides representation and support to 26 non-profit community health center sites and their patients. The Consortium works at the county, state and federal government levels to advocate for funding and policy changes that help health centers meet the diverse health care and social service needs of almost 200,000 patients annually. The Consortium also serves as a local resource for clinic staff, clients and the community.

Community Health Access Network

Newmarket, NH

Anonym 0 15036

The Community Health Access Network (CHAN) is the only Health Center Controlled Network (HCCN) in New Hampshire.  Established in 1995, CHAN has developed and supports an integrated clinical and administrative system infrastructure for its ten Federally Qualified Health Center (FQHC) members which includes 3 Healthcare for the Homeless Programs.

Community Health Best Practices, LLC

Santa Fe, NM

Anonym 0 11991

Founded in 2009, Community Health Best Practices, LLC is a nonprofit network comprised of fifteen of the nation’s leading community health centers.  Our Members operate federally qualified health centers (FQHCs) in Oregon, Washington, Arizona, California, Colorado, New Mexico, Texas, Hawaii, Connecticut, New York, Massachusetts, and Puerto Rico, and they provide comprehensive primary care and behavioral health services to all patients regardless of the patients’ ability to pay for such services.

Community Health Center Network

San Leandro, CA

Anonym 0 13069

Founded in 1996, Community Health Center Network (CHCN) is committed to excellent, affordable care for underserved communities of the East Bay. We are a non-profit Medi-Cal managed care organization, providing business administrative support for community health centers to focus on what matters most–patients. CHCN was formed to participate more effectively in newly-launched state managed care programs. The formation of CHCN built upon 20 years of collaboration in health policy and advocacy work through the Alameda Health Consortium.

Community Health Centers Alliance

Saint Petersburg, FL

Anonym 0 12425

Founded in 1999 by visionary health care leaders, CHCA provides 17 Federally qualified Health Centers (FQHCs) and other healthcare organizations with solutions to advance health information technology adoption including implementation and project management, infrastructure hosting, application training, report development, on-going application support services, and consulting and education for various related initiatives.

Community Health Integrated Partnership, Inc.

Glen Burnie, MD

Anonym 0 9788

CHIP, Inc. was founded in 1997 as the only statewide network of community health centers in the State of Maryland. As a leader and advocate for quality community health care in Maryland, CHIP provides community health centers with the business expertise to achieve the shared goal of quality improvement in the care they deliver.  In doing so, we give these centers access to higher levels of sophisticated health information technology (HIT) and management services than they could achieve and maintain individually.

FQHC Urban Health Network

Clearwater, MN

Anonym 0 9978

Founded in 2013 The Federally Qualified Health Center Urban Health Network (FUHN) is an organization of ten Twin Cities FQHCs working in partnership with Minnesota’s Department of Human Services on Medicaid health care reform efforts.  These efforts include FUHN’s participation in a Integrated Health Partnership Accountable Care Organization demonstration project. Through this demonstration project FUHN participant FQHCs hope to further enhance the health care provided to their Medical Assistance patients by coupling our primary care efforts with expanded use of technology.

Georgia Association for Primary Health Care

Decatur, GA

Anonym 0 10367

The Georgia Association for Primary Health Care, Inc. (GAPHC) is a membership organization for all Federally Qualified Health Centers (FQHC) in the state of Georgia. GAPHC was founded in 1977 and is a statewide organization located in the Atlanta Metropolitan Area. GAPHC is quite familiar and knowledgeable about the relevant rules and regulations governing FQHC – Section 330 organizations. GAPHC is very active in the development of various operational models for FQHC organizations and provides direction and leadership for required community development activities that are related to both the development of new start FQHC organizations and operations of existing FQHC organizations.

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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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