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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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Data Demonstrating Health Center Value

Making the Business Case for Payment and Delivery Reform

A resource for providers on how to make a business case for reforms in payment and delivery systems and what data sources are required to do so.

Center for Health Care Quality and Payment Reform 0 28333

The document describes a detailed, 10-step process with decision trees and financial models for providers to use when making the case for and considering changes in payment and service delivery.  The document also outlines the kinds of data required in order to submit a sound business case.  This document is also accompanied by a webinar describing it and how to use it.

An Evaluation of the Cost Efficiency of Federally Qualified Health Centers (FQHCs) and FQHC ‘Look-Alikes’ Operating in Michigan

A Review of Recent Research on Health Center Cost of Care

Institute for Health Policy at Michigan State University 0 28289

This research report describes its methodology and findings that Michigan health center Medicaid patients have lower monthly costs compared to Medicaid members who are not health center patients.

Value of Community Health Centers Study

A Review of Recent Research on Health Center Cost of Care

John Snow, Inc 0 29194

This 2014 California study compared state Medicaid (Medi-Cal) utilization of a population of adults served by a health center to those in the population who were not. The study found that health center patients were less likely to have an inpatient stay, hospital readmission, and emergency room visit.

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 25146

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.

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 10275

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.

[Video] The Managed Care Data Set

Developed with Starling Advisors in 2022

HITEQ Center 0 5027
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.

Value Based Care Basics Module 1

HITEQ Value Based Care Basics Series, June 2023

Molly Rafferty 0 3853

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.

 

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Acknowledgements

This resource collection was cultivated and developed by the HITEQ team with valuable contributions from the HITEQ's Advisory Committee and many health centers who have graciously shared their experiences with HITEQ.

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