When deploying personal health information systems such as patient portals Health Centers will often encounter challenges in effectively engaging their patient population. Understanding where these challenges are originating can at times be difficult to determine. One obvious area of evaluation is in determining whether the system being deployed is appropriately usable for the population.

The Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences (PRAPARE) is a national effort to help health centers and other providers collect the data needed to better understand and act on their patients’ social determinants of health. As providers are increasingly held accountable for reaching population health goals while reducing costs, it is important that they have tools and strategies to identify the upstream socioeconomic drivers of poor outcomes and higher costs. With data on the social determinants of health, health centers and other providers can define and document the increased complexity of their patients, transform care with integrated services and community partnerships to meet the needs of their patients, advocate for change in their communities, and demonstrate the value they bring to patients, communities, and payers.

This webinar was created by i2i Systems, ranked by KLAS as an early leader among population health management technology vendors. The webinar is hosted by Nancy Thompson, Director of Education at i2i Systems, and presenters are Chris Esperson, MSPH, Quality Consultant and Sonia Tucker, QI Director, LaMaestra Community Health Center.

The quality improvement (QI) approach outlined in this Guide can be used to augment current QI approaches used in your health center, or can serve as a placeholder QI methodology when there isn’t already a robust QI process in place.

It provides a framework and tools for documenting, analyzing, sharing and improving key workflows and information flows that drive performance on high-stakes care performance measures, and related improvement imperatives.

This webpage provides strategies and tools that health centers and their partners can use to enhance care processes and outcomes targeted for improvement, such as hypertension and diabetes control, preventive care, and many others.

This HIMSS article published in 2014 discusses opportunities for use of Mobile Health tools for helping people better manage chronic illnesses. The authors identify that "mHealth offers patients a greater sense of connectedness to care providers, improved sense of well-being and increased satisfaction with the care experience."