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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

Resources for Expanding PrEP Services in your Health Center

Curated PrEP resources for health centers, compliation in 2022.

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HITEQ compiled this resource library for health centers, which houses actionable PrEP resources including checklists, pocket guides, and billing guidance. This curated set of resources aims to assist health centers in accessing those resources that directly address current PrEP challenges.

Using Your EHR to Identify Patients Who May Benefit from PrEP at Your Health Center

Jamal Refuge 0 21707

Identifying candidates for PrEP can be challenging but not impossible. The first step to finding the right candidates involves understanding the criteria for PrEP. Not everyone is a great candidate for PrEP or can adhere to the frequent testing and monitoring required of PrEP patients. Some patients are comfortable using condoms and other HIV prevention methods, and providers should respect and affirm their decision.

TelePrEP for Health Centers

Telehealth Resources and Innovations for HIV Pre-Exposure Prophylaxis (PrEP), June 2020

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This brief presents an overview of how health centers can utilize telehealth for PrEP access, or TelePrEP, for comprehensive care, and includes innovations and resources that health centers can utilize to extend these services to their patient populations.

TelePrEP

Using telehealth to expand access to PrEP

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According to the Rural health Information Hub, the risk of contracting HIV can be greatly reduced through Pre-Exposure Prophylaxis (PrEP), but the medication must be taken every day and patients need follow-up appointments every 3 months. Some patients often don't have access to it due to stigma, distance from the nearest specialist, and a shortage of primary care providers willing to prescribe and monitor PrEP.

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

Developed by NASTAD, updated in 2023

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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.

HITEQ Highlights: Innovative Strategies to Reduce Maternal and Congenital Syphilis

HITEQ Highlights Webinar

Jodie Albert 0 1065

Please join Dr. Irene Stafford, OB/GYN from the University of Texas Houston Maternal-Fetal Medicine Center in a presentation focused on using common place EHR technology to increase STI and HIV testing. In her talk, Dr. Stafford described recent research demonstrating a decrease in transmission of congenital syphilis by the implementation of routine EHR strategies for best practice alerts. Her work demonstrates thoughtful ways of how the EHR can serve as an educational tool for providers, how information technology can inform practice patterns and improve health outcomes, and describe how best practice alerts can assist in reportable disease management.

HITEQ Highlights: PrEP Process Mapping Team Toolkit Demonstration

HITEQ Highlights Webinar

Jodie Albert 0 3132

Is your health center currently in the process of implementing or revamping your pre-exposure prophylaxis (PrEP) workflow? This HITEQ webinar taught participants how to use our PrEP Process Mapping Toolkit, which is designed to support team-based learning, reflection, and action on the use of process mapping as a tool to document PrEP clinical and EHR workflows. Your health center team can follow the steps outlined in the toolkit to develop a process map of an existing or planned PrEP service workflow and to identify opportunities to streamline and improve that workflow.

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

HITEQ Highlights Webinar

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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.

PrEP Checklist for Providers

A checklist from NC HIV Training & Education Center (NCHTEC)

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As health centers integrate PrEP for HIV prevention into their primary care services, it is important to align with the latest guidance and research. The PrEP checklist from UNC School of Medicine's North Carolina HIV Training & Education Center offers step-by-step detailed guidance for providing PrEP. This checklist can be used to inform workflow, EHR, and other health IT updates including order sets and clinical decision support. It can also be used as a reference for providers who are newer to providing PrEP who are prompted or alerted to a patient's potential need for HIV prevention services.

Strategies for Capturing Outside HIV Test Results for Your Health Center

Jamal Refuge 0 12665

We can only End the HIV Epidemic if we work together, and that includes data sharing. Sharing important information, such as HIV test results, can help ensure optimal care for people at risk for or living with HIV coming to or from different health centers. Check out these strategies and tools to learn some tried and true strategies for data-sharing between health centers. 

Health Information Technology support for HIV Screening and Prevention Services

Environmental scan for Ending the HIV Epidemic

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In the 2019-2020 contract year, as part of the Ending the HIV Epidemic initiative HITEQ conducted an environmental scan to determine the role of EHRs and health IT in health center capacity and ability to expand HIV screening and prevention. The full report is available for download. 

HITEQ Highlights: Getting Started with a Social Media Strategy for HIV Prevention and Care

Alyssa Carlisle 0 13627

Join the HITEQ Center for a webinar on how to develop a social media strategy to improve your health center’s HIV prevention and care outreach. Using the POST (People, Objectives, Strategy, Technology) method, attendees learned how to use social media more efficiently to reach your target audiences. We also reviewed social media platforms including Facebook, Instagram, and Twitter, their uses and differences. Attendees received recommendations for social media management and graphic design tools at the end of the discussion. 

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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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