Resource Search Results

Panel Management in the Age of Value-Based Care: Health Center Case Studies Developed with Chiron Strategy Group, June 2019 (2019). Resource Type: Publication. Description: This downloadable HITEQ resource offers guidance on improving panel management activities, including real-life examples from two health centers of the challenges and successes in managing panels. More Details...

HITEQ Highlights: Developing Community Health Centers Along the Continuum of Pay for Performance (2019). Resource Type: Archived Webinar. Description: This HITEQ Highlights webinar described the continuum of value-based contracting, and suggested steps for health centers to move up the continuum. It also outlined basic elements of infrastructure to perform well in a value-based environment. Presenters from Yakima Valley Farm Workers Clinic presented their experience. More Details...

Managing Your Health Center's Cost of Care (2018). Resource Type: Archived Webinar. Description: This session focused on the factors that influence the cost of care, providing information from new resources – a Capital Link study examining four-year trends across a series of cost-focused ratios and an updated NACHC issue brief providing a methodology for calculating costs. More Details...

Payment Innovation and Health Center Dental Programs: Case Studies from Three States (2018). Resource Type: Publication. Description: As dental care reimbursement follows the trends of healthcare overall towards value-based payment reimbursement, lessons from pioneers in dental payment innovation will inform effective health center strategies that will both strengthen the dental safety network and improve the oral health of the communities they serve. This document outlines interviews from organizations in three states on how health center dental programs are adapting clinical care systems under payment innovation incentives. More Details...

Growing Our Own: Cultivating the Next Generation of Primary Care Physicians in Community Health Centers (2017). Resource Type: Publication. Description: It is critical to advance policies and programs that help community health centers (CHCs) become Educational Health Centers (EHCs)2 and “grow their own” primary care training opportunities. This paper explores several pathways for promoting CHCs as teaching environments - enhanced partnerships between Academic Medical Centers (AMCs) and CHCs (with either the AMC or the CHC as the sponsoring institution3), and CHCs participating in HRSA Teaching Health Center (THC) funding opportunities (with sponsorship either by the CHC alone or by a consortium body) - and posits a spectrum of options and costs associated with each of these pathways to train medical residents. More Details...

ICD-10 Z-Codes for Social Determinants of Health: A quick reference guide for providers and health care leaders (2017). Resource Type: Publication. Description: This resource will equip health center stakeholders with the understanding of how standardized social determinants of health (SDoH) data can be used and which ICD10 z-codes are pertinent as a standardized SDoH data set. This resource describes ways standardized social determinant of health (SDoH) data can be used and provides a quick reference guide to which ICD-10 codes can help document standardized SDoH data.  Download here or below. More Details...

ACO 101 (2017). Resource Type: elearning. Description: Accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other health care providers who come together voluntarily to give coordinated high quality care to the patients they serve. A successful ACO puts the patient at the center of all its activities and ensure coordination of care. This 60 minute webinar will provide the basics of what an ACO is and what it is not, what the expectations are of participoants in an ACO, and how success is measured. More Details...

Outreach and Value-Based Care (2017). Resource Type: Publication. Description: HOP’s new resource Outreach & Value-Based Care: Impacting Health Care Delivery and Cost through Integrated Community Health Outreach Programs, describes how health centers can use their outreach teams to enhance value under service delivery models such as Patient Centered Medical Homes (PCMH) and Accountable Care Organizations. It offers examples of how outreach programs can enhance revenues from alternative payment models such as shared savings, pay-for-performance, and PCMH supplemental payments. The resource is a complement to HOP’s Outreach Business Value Toolkit. More Details...

HITEQ-Social-Determinants-Data-Infographic-2017: Coding Social Determinants of Health (SDH) for Optimizing Value (2017). Resource Type: Other. Description: 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...

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...

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...

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...

What MACRA Means for Health Centers: Payment reform and health center impact (2016). Resource Type: Publication. Description: This HITEQ brief outlines Medicare Access and CHIP Reauthorization Act (MACRA) MACRA, what it signals for payment reform, and when it impacts health centers. Medicare Access and CHIP Reauthorization Act (MACRA) establishes the Quality Payment Program through the Merit Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs). Although most health centers are not affected by MACRA, they need to understand its components since MACRA reflects national trends to shift payment from volume- to value-based. This resource identifies several strategies health centers can take to respond to these shifting dynamics, even if MACRA requirements do not directly affect them for now. More Details...

Introduction to Value-Based Payment for Health Centers: What is Value-Based Payment and why are Health Centers Considering Payment Reform? (2016). Resource Type: Publication. Description: This HITEQ brief introduces value-based payment and role of health centers as payment models shift. The brief answers key questions about health centers’ engagement in value-based payment, including health-center specific Alternative Payment Methodology (APM), reasons to engage in payment reform, the shifts in primary care payment going forward, and the transition to value-based payment. Value-based payment is a systematic method of paying for care that rewards the cost-effective improvement of the health and well-being of a population.  Payment reform is changing current volume-based payment system to alternative payment models (APMs) that link payment to outcomes and align financial incentives with providing value. By engaging in value-based payment models, health centers can lay the foundation for financial sustainability, high quality care, and engaged staff. This resource outlines value based payment and payment reform specifically tailored to the health center environment. More Details...

Preparing for Value-Based Care: A Guide for Health Centers (43402). Resource Type: Publication. Description: This publication serves as a primer on value-based care for community health centers, specifically in treating chronic diseases. More Details...