Resource Search Results

The Value Proposition for Population Health Management for Health Centers: Calculating ROI on your PHM investment (2017). Resource Type: Publication. Description: Measuring return on investment ROI and the value of population health management is an emerging concern for health centers.  Calculating ROI on HIT investment is complex, and few health centers have experience in this endeavor.  The definition of value varies by type and size of provider, patient population, and other factors, and may be unique to an organization.  This white paper discusses principles and approaches to measure the value proposition for population health management for health centers.  Although few examples exist, we present the results of one health center’s measurement of the value of PHM. Measuring return on investment ROI and the value of population health management is an emerging concern for health centers.  Calculating ROI on HIT investment is complex, and few health centers have experience in this endeavor.  The definition of value varies by type and size of provider, patient population, and other factors, and may be unique to an organization.  This white paper discusses principles and approaches to measure the value proposition for population health management for health centers.  Although few examples exist, we present the results of one health center’s measurement of the value of PHM. Download the white paper below. More Details...

Results of Population Health Analytics/ Data Integration Survey: PCA/ HCCN Experiences Assessing and/ or Implementing Systems (2017). Resource Type: Publication. Description: HITEQ conducted an anonymous survey of population health analytic and data integration system needs and impressions among PCA/HCCNs in late 2016 and early 2017. The results of that survey, intended to help those looking to adopt similar systems, are laid out within. This includes ratings of key functionalities, discussion of most important features, and comments from those who have assessed and/ or implemented these tools. HITEQ conducted an anonymous survey of population health analytic and data integration system needs and impressions among Primary Care Associations and Health Center Controlled Networks in late 2016 and early 2017. The results of that survey, intended to help those looking to adopt similar systems, are laid out within. This includes ratings of key functionalities, discussion of most important features, and comments from those who have assessed and/ or implemented these tools. This piece reflects the aggregated responses of the 26 responding organizations that chose to participate through a call for responses to PCAs/ HCCNs. Responses are anonymous, are shared as they were provided with minimal editing, and reflect the views and experiences of the respondent(s) only. If you have experiences to add, please respond to the survey or email us! The survey results include: Number of respondents reviewing each system Ratings on selected functions Comments provided related to selected functions Data storage and management for each system Access to raw data downloads Features most important when assessing/ selecting a system Other priorities Reasons for making selection, vendor specific Reasons for making selection, general Three main lessons you’d like to pass on as a result of this experience General Comments Consider using this tool to help guide your thinking as to what questions you might ask vendors as well as what features you may want to see demonstrated if you are considering selecting a system of this type. The HITEQ Center does not endorse any systems or vendors, and has not validated any of the responses provided. More Details...

Demystifying Predictive Analytics: Factsheet on Predictive Analytics for Health Centers (2017). Resource Type: Publication. Description: Using predictive analytics in health care is an emerging field, especially for health centers. This tool will provide a brief explanation of the purpose of predictive analytics, the ingredients necessary to apply these methods, and ways that health centers are using this approach to improve results. The objective of this resource is to help health center leadership and staff understand how and when predictive analytics can help them, and to think about how predictive analytics might fit into their data-driven QI program. This one-page brief outlines the basics of this complex topic. We define predictive analytics and describe how health centers are adopting this innovation. Sources and uses of data for making predictions are discussed, and specific applications of predictive analytics are described.  Specific health center examples are offered to illustrate the potential of predictive analytics for health centers. More Details...

Coding Social Determinants of Health (SDOH) for Optimizing Value: An Infographic for Providers on the Benefits of Coding for SDH (2017). Resource Type: Publication. Description: The purpose of the infographic is to describe how SDH data would be used for a variety of goals that would have traction with the clinic staff audience who may likely need to modify workflows and behavior in order to collect such data.  The visual case could be used in presentations or hung on a provider break room wall. SDH coding is important for clinical management and outcomes reporting for payment reform and value based payment (particularly capitate payment), as well as other policy work. SDH coding begins with care providers, who often may need to understand how these data can be used to benefit not only the patient they are serving but also the broader population served by the organization. More Details...

Health IT Privacy & Security Skill Sets: The Importance of Information Security for all Health Center Staff (2017). Resource Type: Publication. Description: Since 2010, the healthcare industry has seen a remarkable increase in the use of technology in the administration and delivery in healthcare. This has led to a mass migration of data from paper charts and isolated systems to Electronic Medical Records EMRs and interconnected systems that transmit patient health and financial information across trusted and untrusted networks. More Details...

Storytelling Guide (2017). Resource Type: Other. Description: Storytelling helps share experiences of homelessness, and highlights the services that helped while facing homelessness and transitioning into housing. Sharing these experiences can demonstrate that homelessness can happen to anyone based on a health need, job loss, natural disaster, or domestic violence situation. People experiencing homelessness developed this guide as a tool to be used by others experiencing homelessness. More Details...

Using your EHR for Population Health Management: A Cross-reference Tool (2017). Resource Type: Publication. Description: Health centers are interested in implementing population health management (PHM), but often lack the resources to purchase specialized PHM software suites to implement in conjunction with their EHR. We assessed the functionality of certified EHRs to assist health centers in utilizing native EHR capabilities to perform PHM functions. More Details...

Why Collect Standardized Data on Social Determinants of Health?: A slide deck outlining the potential use of ICD10 coding for SDOH. (2017). Resource Type: Publication. Description: This resource will equip health center stakeholders with the motivation, knowledge, and ability needed to collect and use standardized social determinants of health data. This resource describes the importance of collecting Standardized SDOH Data in the context of value based payment.  The resource reviews commonly used codes in ICD-10 that can help document SDOH.  Finally, the slide deck describes useful tools for collecting these data and what’s on the horizon for health centers to strengthen their efforts to move “upstream” in addressing health disparities. Download this slide deck below. More Details...

Breach Protection Overview Presentation for Health Centers: A HITEQ Privacy & Security Resource (2017). Resource Type: Publication. Description: Data breaches in healthcare are consistently high in terms of volume, frequency, impact, and cost. High-level breaches are increasingly occurring in a more targeted manner toward health centers. This presentation provides Health Center leadership and trainers with a template to use to build out their own organization-specific presentation on breach. Data breaches in healthcare are consistently high in terms of volume, frequency, impact, and cost. High-level breaches are increasingly occurring in a more targeted manner toward health centers. This presentation provides Health Center leadership and trainers with a template to use to build out their own organization-specific presentation on breach. This presentation template covers the following agenda: Quick Start Healthcare Privacy & Security Healthcare Privacy & Security Policies and Legislation Implications for Breach Management and Mitigation Strategies Questions and discussion More Details...

Virtual Training- Webinar Series, contains archived webinars on Trauma Informed Care, Motivational Interviewing, Colorectal Cancer Screenings, Trauma and Youth, Fostering Trauma-Informed Leadership Skills for Consumers, UDS Secondary Data Analysis (2017). Resource Type: Archived Webinar. Description: This series contains archived webinars on Trauma-Informed Care, Motivational Interviewing, Colorectal Cancer Screenings, Trauma and Youth, Fostering Trauma-Informed Leadership Skills for Consumers, and UDS Secondary Data Analysis. More Details...

Prioritization Matrix: A framework for selecting QI activities or project (2017). Resource Type: Publication. Description: It is sometimes difficult to know what target metric to focus on when beginning a quality improvement project. A prioritization matrix is a management tool that uses a simple framework to compare multiple options side-by-side using standard criteria. This version includes four criteria and can be adapted for your purposes. What is it and how can it help me? It is sometimes difficult to know where to start when approaching several opportunities to improve care process that emerge from a quality improvement project. A prioritization matrix is a management tool that uses a simple framework to compare multiple options side-by-side using standard criteria.   Download one of the prioritization matrix tools below. One is for selecting a target for a QI Project (e.g., hypertension control, colorectal cancer screening, immunizations, etc.) The other is for selecting among potential improvements identified. These are word documents that you can further edit for your own purposes.   Prioritization Matrix for Selecting Target for QI Project Using the Guide to Improving Care Processes and Outcomes in Health Centers or beginning another QI project, a number of potential targets will be identified (e.g., hypertension control, diabetes control, colorectal cancer screening, no show rate, etc.) List those potential enhancements in the Opportunities to improve target performance column in this matrix. Rate each possible target according to the scale provided. You can also leave a column blank if you don’t find it relevant, just be sure to leave it blank for all options. When rating External requirement consider whether this target metric is related to required reporting, such as UDS, or even more that one reporting requirement? If yes, rate it a 3, otherwise, rate as a 2 for something that is desired or is tangentially related, or a 1 if it is not required for external reporting. When rating Cost consider how substantial the financial investment would be for addressing the target being considered? If the financial investment is relatively low, then rate it a 3. Rate a 2 if a moderate financial investment would be required, and rate a 1 if the activity would require a substantial financial investment, (i.e., the cost is high). When rating Difficulty, you may consider whether you currently have the staff, referral relationships, or other key components that are critical to addressing that target. For example, if you do not have an OB/GYN or someone appropriate to conduct pap tests on staff, and you don’t have an existing referral relationship with a provider who completes pap tests in your community, then targeting cervical cancer screening for improvement would be difficult. When rating Impact, consider how large of an impact addressing the target could have. For example, are there a large number of patients with the condition or in need of the screening? Is current performance particularly low such that a change could result in significant improvement? Once all potential enhancements are listed and ratings are in each column, add all columns together to identify the items that are likely to have the biggest greatest impact with the most efficiency. Those potential enhancements that have the highest score (=external requirement + cost + difficulty + impact) may be the best enhancements to try first.   Prioritization Matrix for Selecting Improvement to Test Using the Guide to Improving Care Processes and Outcomes in Health Centers or beginning another QI project, a number of potential targets will be identified (e.g., hypertension control, diabetes control, colorectal cancer screening, no show rate, etc.) List those potential enhancements in the Opportunities to improve target performance column in this matrix. Rate each possible target according to the scale provided. You can also leave a column blank if you don’t find it relevant, just be sure to leave it blank for all options. When rating External requirement consider whether this target metric is related to required reporting, such as UDS, or even more that one reporting requirement? If yes, rate it a 3, otherwise, rate as a 2 for something that is desired or is tangentially related, or a 1 if it is not required for external reporting. When rating Cost consider how substantial the financial investment would be for addressing the target being considered? If the financial investment is relatively low, then rate it a 3. Rate a 2 if a moderate financial investment would be required, and rate a 1 if the activity would require a substantial financial investment, (i.e., the cost is high). When rating Difficulty, you may consider whether you currently have the staff, referral relationships, or other key components that are critical to addressing that target. For example, if you do not have an OB/GYN or someone appropriate to conduct pap tests on staff, and you don’t have an existing referral relationship with a provider who completes pap tests in your community, then targeting cervical cancer screening for improvement would be difficult. When rating Impact, consider how large of an impact addressing the target could have. For example, are there a large number of patients with the condition or in need of the screening? Is current performance particularly low such that a change could result in significant improvement? Once all potential enhancements are listed and ratings are in each column, add all columns together to identify the items that are likely to have the biggest greatest impact with the most efficiency. Those potential enhancements that have the highest score (=external requirement + cost + difficulty + impact) may be the best enhancements to try first. More Details...

Health IT enabled Quality Improvement Project Charter: The first step in a QI project. (2017). Resource Type: Publication. Description:  A Project Charter serves as a reference of authority for the future of the project. Creating a Project Charter and getting sign off from all participants gives all involved the authority to begin the work outlined therein. The task of developing the Project Charter builds understanding, consensus, and clarity about purpose, expectations, roles and responsibilities, and communications. Why develop a Quality Improvement Project Charter? Formalizes authority to dedicate resources (such as staff time) to the QI project Defines the purpose and expectations for the QI project Identifies key stakeholders to engage in QI project Clarifies roles and responsibilities of the QI Lead and QI Team members Assures commitment and support for QI project from leadership and QI Team members Provides a sustainable framework for any QI Project A Project Charter serves as a reference of authority for the future of the project. Creating a Project Charter and getting sign off from all participants gives all involved the authority to begin the work outlined therein. The task of developing the Project Charter builds understanding, consensus, and clarity about purpose, expectations, roles and responsibilities, and communications. Download the Project Charter (Word document) below to use with your QI team. It is important that this be completed with your QI team and leadership. Also, be sure to be as specific as possible when completing your QI charter, as this will be your reference for all things related to your project.  For example, rather than say you will hold monthly meetings, be specific that meetings will be the third Wednesday of the month at 9am. Another example, for the communication plan, be specific as to exactly who needs to be communicated with at what frequency, and through what channels. More Details...

Examples of Technical Assistance Provided by Primary Care Associations and Health Center Controlled Networks: How HCCN’s and PCA’s can be helpful to Quality staff at a Health Center (2017). Resource Type: Publication. Description: Examples of Technical Assistance Provided by Primary Care Associations and Health Center Controlled Networks This document showcases Primary Care Associations (PCAs) and Health Center Controlled Networks (HCCNs) for five states, highlighting their work in Quality and Health IT.  These are examples of the types of assistance any health center may find from their own PCA and HCCN. HRSA provides funding to PCAs and HCCNs to provide state and regional resources to assist health centers. More Details...

Staffing Models, Program Elements, and Performance Expectations: A HITEQ Center Resource (2017). Resource Type: Publication. Description: The following document describes Quality and HIT staffing models for a low, middle, and high resourced health centers.  These models are intended to be both normative (e.g., How does my middle resource health center compare? Do I have all of these positions covered?) and aspirational (e.g., What benefits could we get if we move to the next level?).  The following document describes Quality and HIT staffing models for a low, middle, and high resourced health centers.  These models are intended to be both normative (e.g., How does my middle resource health center compare? Do I have all of these positions covered?) and aspirational (e.g., What benefits could we get if we move to the next level?).  Each model includes: Descriptions of staff Critical quality program elements at each stage How incentive payments could be allocated, and Performance expectations.  The model includes factors to consider when moving between stages and a staff position glossary to help define the different positions. As anyone who has worked in health centers knows, health centers are highly variable.  For this reason, this document is meant to help executives and quality staff think more deeply about their quality program.  It is not intended to be a literal guide. More Details...

Understanding And Combating Stigma: A Toolkit For Improving Care And Support For People Affected By HBV (2017). Resource Type: Toolkit. Description: This toolkit is written for health care providers and community health advocates who want to improve the care and support for people affected by HBV. The aim of this toolkit is to support you and anyone you are working with to confront and reduce the stigma associated with HBV, and to promote increased prevention, care and treatment of hepatitis B. Anyone can get HBV. We need to work together to promote understanding and action to combat HBV-related stigma and discrimination to combat this disease. More Details...

Population Health Management, Social Determinants of Health and How These Fit: The relationship between population health management and social determinants of health (2016). Resource Type: Publication. Description: This is a 21-slide module presenting an introduction to the concept of and relationship between population health management and social determinants of health beginning with current definitions, a brief history of along with the evolution of the field. This is a 21-slide module presenting an introduction to the concept of and relationship between population health management and social determinants of health beginning with current definitions, a brief history of along with the evolution of the field. A comprehensive model for the relationship among the social determinants of health and outcomes of population health is also included. More Details...

Data for Population Health Management: Measuring Population Health & Emerging Directions in Population Health (2016). Resource Type: Publication. Description: This is an 18-slide module describes the role and importance of data to population health management. This is an 18-slide module describes the role and importance of data to population health management. This includes the various sources for data that inform population health management, an introduction to population health analytics; and recommended frameworks for collecting data and measuring impacts and outcomes of population health. The module concludes with a brief discussion of areas of future research and development in population health management. More Details...

Current Population Health Management in Health Centers: The Case for Implementing Population Health Management and Addressing the Social Determinants of Health (2016). Resource Type: Publication. Description: This is a 27-slide module on population health management in the Federally Qualified Health Centers (FQHCs). The module provides several examples of current initiatives that support PHM and SDM as well as the use of these concept in supporting health equity in navigating the Affordable Care Act (ACA). This is a 27-slide module on population health management in the Federally Qualified Health Centers (FQHCs). The module provides several examples of current initiatives that support population health management and social determinants of health as well as the use of these concept in supporting health equity in navigating the Affordable Care Act (ACA). The module also serves to specifically outline the rationale of PHM in areas of cost efficiency, quality improvement and patient care including value-based reimbursement and risk contracts, targeting care and resources to improve outcomes, and patient engagement and care management.   More Details...

A Roadmap for Implementing Population Health Management: The implementation of population health management and social determinants of health in healthcare centers (2016). Resource Type: Publication. Description: This is a 22-slide module on the implementation of population health management and social determinants of health in healthcare centers using the framework of the Institute for Healthcare Improvement (IHI) for health equity. This is a 22-slide module on the implementation of population health management and social determinants of health in healthcare centers using the framework of the Institute for Healthcare Improvement (IHI) for health equity. This outline provides a foundation that begins with electronic health records (EHR) and its progression to PHM. A step by step road map to implementation is outlined including adjusting organizational culture, conducting a vendor assessment, population stratification, work processes, patient registries, piloting and measuring implementation, and improvement. More Details...

Understanding EHRs, Analytics, Data Warehouses and HIE Repositories: A HITEQ Center-Developed White Paper (2016). Resource Type: Publication. Description: The goal of this paper is to clarify the roles of several health care data technologies that are often confusing to people, including Electronic Health Record (EHR) Databases, Analytic Systems and Data Warehouses, and Health Information Exchange (HIE) Data Repositories. Health Centers entering the realms of Data-driven Performance Measurement and Quality Improvement may find themselves mired in a bewildering assortment of tools, products and terminologies. There are multiple ways in which Health Centers use information, and for better or worse, multiple technologies designed to most efficiently meet their needs. One of the leading sources of confusion emanates from the oft-used term “data aggregation”. We aggregate data because we want to improve our insights into the data and thereby make better and more timely decisions. Data aggregation, put simply, is the assembly of electronic information from multiple sources for these purposes. More Details...