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Accessing Data for QI

As adoption of EHRs has increased, so have the concerns about ability to access the data needed to drill down into quality improvement efforts or even reporting requirements. Depending on the type of system being used, data may be cloud based, on a remote server, or on a local server. Further, data may be accessible through preprogrammed, ad hoc, or custom reports, but there may be greater challenges to accessing raw data or data that can be analyzed for quality improvement purposes. Resources in this section address these challenges and provide actionable information for accessing the data needed.

Accessing your Data
Resources for Expanding PrEP Services in your Health Center
Resources for Expanding PrEP Services in your Health Center

Resources for Expanding PrEP Services in your Health Center

HITEQ compiled this resource library for health centers, which houses actionable PrEP resources including checklists, pocket guides, and billing guidance. This curated set of resources aims to assist health centers in accessing those resources that directly address current PrEP challenges.
Nationwide HIV-related Care Interactive Infographics
Nationwide HIV-related Care Interactive Infographics

Nationwide HIV-related Care Interactive Infographics

In the 2020 UDS, United States health centers reported 4,984,733 of their 15,485,847 eligible medical patients (32.2%) were tested for HIV at least once after their 15th birthday and before their 66th birthday..

Using Your EHR to Identify Patients Who May Benefit from PrEP at Your Health Center
Using Your EHR to Identify Patients Who May Benefit from PrEP at Your Health Center

Using Your EHR to Identify Patients Who May Benefit from PrEP at Your Health Center

Identifying candidates for PrEP can be challenging but not impossible. The first step to finding the right candidates involves understanding the criteria for PrEP. Not everyone is a great candidate for PrEP or can adhere to the frequent testing and monitoring required of PrEP patients. Some patients are comfortable using condoms and other HIV prevention methods, and providers should respect and affirm their decision.

Implementing Opt-Out HIV Screening in Your Health Center
Implementing Opt-Out HIV Screening in Your Health Center

Implementing Opt-Out HIV Screening in Your Health Center

HIV testing is one of the many ways we can End the HIV Epidemic. HITEQ's latest blogs offers strategies for leveraging your EHR to make HIV screening a breeze at your health center. 

State-level HIV-related Infographics
State-level HIV-related Infographics

State-level HIV-related Infographics

These interactive infographics include HIV Indicators as well as information about underserved populations and patients who may be at increased risk of acquiring HIV, at the state level. Select your state in the upper right to get started. 

Preparing for CY2020 UDS HIV Reporting
Preparing for CY2020 UDS HIV Reporting

Preparing for CY2020 UDS HIV Reporting

Community health centers have an important role in ending the HIV epidemic. In alignment with that important role, several UDS measures related to HIV screening, treatment, and prevention have been added for CY2020 UDS reporting.
 

FY2020 Primary Care HIV Prevention Reporting
FY2020 Primary Care HIV Prevention Reporting

FY2020 Primary Care HIV Prevention Reporting

To support Primary Care HIV Prevention funded health centers, HITEQ has prepared a crosswalk that maps PCHP tri-annual reporting metrics to UDS measures and/ or fields. This assists health centers in leveraging UDS reporting functionality in their EHRs to inform completion of the tri-annual progress report to HRSA.

TelePrEP for Health Centers
TelePrEP for Health Centers

TelePrEP for Health Centers

This brief presents an overview of how health centers can utilize telehealth for PrEP access, or TelePrEP, for comprehensive care, and includes innovations and resources that health centers can utilize to extend these services to their patient populations.

TelePrEP
TelePrEP

TelePrEP

According to the Rural health Information Hub, the risk of contracting HIV can be greatly reduced through Pre-Exposure Prophylaxis (PrEP), but the medication must be taken every day and patients need follow-up appointments every 3 months. Some patients often don't have access to it due to stigma, distance from the nearest specialist, and a shortage of primary care providers willing to prescribe and monitor PrEP.

Billing and Coding for HIV Prevention: PrEP, Screening, and Linkage to Care
Billing and Coding for HIV Prevention: PrEP, Screening, and Linkage to Care

Billing and Coding for HIV Prevention: PrEP, Screening, and Linkage to Care

As part of the Centers for Disease Control and Prevention (CDC) Capacity Building Assistance (CBA) cooperative agreement, NASTAD released a Billing Coding Guide for HIV Prevention: PrEP, Screening, and Linkage Services. The guide, developed in collaboration with a coding consultant and the HIV Medicine Association, was updated in 2018. It assists health departments and other providers (such as health centers!) to navigate billing and reimbursement for HIV prevention services. 

Improving UDS Clinical Quality Measure Performance: Increasing HIV Prevention in Primary Care
Improving UDS Clinical Quality Measure Performance:  Increasing HIV Prevention in Primary Care

Improving UDS Clinical Quality Measure Performance: Increasing HIV Prevention in Primary Care

Primary care plays a key role in ending the HIV epidemic. The Ending the HIV Epidemic initiative launched across HHS in 2019, setting forth four key strategies also called the “four pillars” of ending the HIV epidemic. Primary care in federally qualified health centers figures centrally into these efforts, evidenced by the addition of several HIV screening and prevention measures and metrics in the Uniform Data System (UDS) reporting. This webinar reviewed the outcomes of the first year of HIV Screening and Prevention reporting on the UDS, highlight opportunities for quality improvement, and discussed funding opportunities.

PrEP Checklist for Providers
PrEP Checklist for Providers

PrEP Checklist for Providers

As health centers integrate PrEP for HIV prevention into their primary care services, it is important to align with the latest guidance and research. The PrEP checklist from UNC School of Medicine's North Carolina HIV Training & Education Center offers step-by-step detailed guidance for providing PrEP. This checklist can be used to inform workflow, EHR, and other health IT updates including order sets and clinical decision support. It can also be used as a reference for providers who are newer to providing PrEP who are prompted or alerted to a patient's potential need for HIV prevention services.

Strategies for Capturing Outside HIV Test Results for Your Health Center
Strategies for Capturing Outside HIV Test Results for Your Health Center

Strategies for Capturing Outside HIV Test Results for Your Health Center

We can only End the HIV Epidemic if we work together, and that includes data sharing. Sharing important information, such as HIV test results, can help ensure optimal care for people at risk for or living with HIV coming to or from different health centers. Check out these strategies and tools to learn some tried and true strategies for data-sharing between health centers. 

Health Information Technology support for HIV Screening and Prevention Services
Health Information Technology support for HIV Screening and Prevention Services

Health Information Technology support for HIV Screening and Prevention Services

In the 2019-2020 contract year, as part of the Ending the HIV Epidemic initiative HITEQ conducted an environmental scan to determine the role of EHRs and health IT in health center capacity and ability to expand HIV screening and prevention. The full report is available for download. 

HITEQ Highlights: Getting Started with a Social Media Strategy for HIV Prevention and Care
HITEQ Highlights: Getting Started with a Social Media Strategy for HIV Prevention and Care

HITEQ Highlights: Getting Started with a Social Media Strategy for HIV Prevention and Care

Join the HITEQ Center for a webinar on how to develop a social media strategy to improve your health center’s HIV prevention and care outreach. Using the POST (People, Objectives, Strategy, Technology) method, attendees learned how to use social media more efficiently to reach your target audiences. We also reviewed social media platforms including Facebook, Instagram, and Twitter, their uses and differences. Attendees received recommendations for social media management and graphic design tools at the end of the discussion. 

Acknowledgements

This resource collection was compiled by the HITEQ Center staff with guidance from HITEQ Advisory Committee members and collaborators of the HITEQ Center.

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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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