Onboarding Overview

Onboarding new employees is the process by which new employees get acclimated to their new job and ramp up to full capacity within that job. This is typically a multi-pronged approach as new employees have to be oriented to the unique culture of your health center, plus they have to learn the specialized skills, knowledge and behaviors expected to fulfill their particular responsibilities. This is especially challenging for Health IT and Quality staff because they work on their own as well as working collaboratively with staff across the health center in a number of capacities. Their orientation is therefore essential to providing high quality services to the whole health center.

It is important to give new Health IT and Quality employees as much support as possible to ensure that they adjust to their new job and start adding value as quickly as possible. Besides the general best practices of ensuring that all standard first day bases are covered, each specific department should have their own onboarding mechanisms. Listed in this section are two such resources for Health IT and Quality staff, in particular.

Health IT & QI Workforce Development Onboarding

John Snow, Inc. / Tuesday, September 27, 2016

/ Categories: Value Based Payment, Engaging in Value Based Payment Models

The ACO Conundrum

Safety-Net Hospitals in the Era of Accountable Care

Serving a similar disenfranchised population, safety net hospitals can be a natural fit with health centers seeking the improve the health care system. This paper provides a unique perspective from safety net hospitals facing the conundrum of adding value to the health care system with the ACO model while taking losses for reducing inpatient days, emergency room visits, and imaging services. Funded by the Robert Wood Johnson Foundation, this paper drafted by John Snow, Inc. and Bailit Health, discusses the role health centers have played for safety net hospitals navigating accountable care development efforts. The paper highlights efforts from four safety net hospital systems: AltaMed Health Care Services in Los Angeles, CA; Baystate Health in Springfield, MA; Commonwealth Care Alliance in Boston, MA; and Hennepin Health in Minneapolis, MN.

Resource Links

Link to the original ACO Conundrum documentThe following conundrum emerged as a significant challenge: if the promise of ACOs proves successful, the result will be reduced hospital revenues resulting primarily from the reduction of inpatient days, emergency department utilization, and technical fees associated with imaging and outpatient procedures. This prospect leaves hospitals, especially those already operating on low Medicaid reimbursement rates and decreasing Disproportionate Share Hospital (DSH) funds, facing a future where fewer

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Tags: value evidence data health centers research AltaMed Health Care Services-CA Baystate Health-MA Commonwealth Care Alliance-MA Hennepin Health-MN

Related Resources

Acknowledgements

This resource collection was compiled by the HITEQ staff with portions contributed by Chris Espersen, HITEQ Advisory Committee member and Independent Contractor and Past President of Midwest Clinicians Network; Shane McBride, Independent Contractor and Past Vice President of Quality and Clinical Systems at South End Community Health Center; Chris Grasso, Associate Director for Informatics & Data Services- The Fenway Institute; and Ed Phippen, Principal - Phippen Consulting, LLC.

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The 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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