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Overview

Successful use of Health IT enabled Quality Improvement requires a strong organizational foundation. This includes understanding motivating factors as well as barriers, communicating the value of using Health IT to improve quality and outcomes, and building buy in and commitment throughout all levels of the organization. Resources in this section provide ideas and guidance on how to navigate this critical first step.

Successful Practices in Accountable Care: El Rio Community Health Center
NACHC
/ Categories: Value Based Payment, Engaging in Value Based Payment Models

Successful Practices in Accountable Care: El Rio Community Health Center

Best Practices Series #1

El Rio Community Health Center, in Tucson, Arizona, leveraged and enhanced their relationship with local payers, including United Health Care, to support the health center’s population health efforts. El Rio uses complex data analytics provided by United and other payers to help manage existing patients and to stratify new patients by their risk levels and intervene to direct patients to appropriate services in a timely manner and ultimately enhance the patient experience. United Health Care also incentives quality care at El Rio using Health Effectiveness Data and Information Set (HEDIS) and utilization measures such as Emergency Room visits and hospital readmissions.

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Tags: Payers data Population Health accountable care patient stratification patient centered medical home incentive

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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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