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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

Patient-Centered Medical Home Recognition (PCMH)

Patient-Centered Medical Home Recognition (PCMH)

2017 Standards

 

The redesigned PCMH 2017 requirements focus on assessing a practice’s transformation into a medical home and specify goals for improvement. There is a new recognition requirement structure: concepts, competencies, and criteria.

  • Concepts are the foundation on which a practice builds a medical home.
  • Competencies organize the criteria in each concept area.
  • Criteria are the individual structures, functions, and activities that indicate a practice is operating as a medical home.

The levels of recognition, points, and must-pass elements have been eliminated. To achieve recognition under PCMH 2017, health centers must 1) meet all core criteria and 2) earn 25 credits in elective criteria across 5 of 6 concepts. This ensures a minimum set of capabilities and gives practices the flexibility to focus on activities that not only mean the most to their patient population, but are feasible to accomplish with existing resources and the resources of the community.

Read all about it in this issue brief from NCQA, or read the preview of the 2017 changes on their site here.

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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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