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Resource Overview

Population Health Management (PHM) is an evolving concept encompassing a suite of emerging technologies to aggregate, analyze and use data to improve clinical and financial outcomes.  PHM tools enable health centers to identify, monitor and target care to patients within a population. Resources in this section provide a conceptual foundation to help health center staff deepen their understanding of PHM and how the social determinants of health can be used to improve outcomes.

PHM and SDH Concepts and Overview Resources

Community Healthcare Association of New York State

New York, NY

HITEQ Center 0 27903

The Community Health Care Association of New York State's (CHCANYS) purpose is to ensure that all New Yorkers, including those who are medically underserved, have continuous access to high quality community-based health care services including a primary care home. To do this, CHCANYS serves as the voice of community health centers as leading providers of primary health care in New York State.

Alabama Primary Health Care Network

Montgomery, AL

HITEQ Center 0 27858

The Alabama Primary Health Care Association (APHCA) was established in 1985 as a non-profit, professional trade association whose mission is to strengthen and expand Alabama’s health center network through leadership, services, and collaboration so that Alabamians have access to improved outcomes through coordinated health care. As part of APHCA, there are 16 CHC members providing care across Alabama.

Central Valley Collaborative (Golden Valley Health Centers)

Merced, CA

Anonym 0 24372

Founded in 1972, Golden Valley Health Centers is dedicated to improving the health of our patients by providing quality, primary health care services to people in the communities we serve regardless of language, financial or cultural barriers. As a private non-profit Federally Qualified Health Center system they operate clinical and dental sites in Merced and Stanislaus counties.

Central Valley Health Network

Sacramento, CA

Anonym 0 23880

Incorporated in 1998, Central Valley Health Network is comprised of 15 Community Health Center corporations designated as Federally Qualified Health Centers (FQHCs). CVHN was established to conduct advocacy at national, state, and local levels on behalf of its Central Valley membership of FQHC’s and their unique patient population specific to the Valley. CVHN’s network is also recognized nationally as one of the largest network of Migrant Health Centers serving rural, farm-working populations and their families.

CHCNet Maine/Maine Primary Care Association

Augusta, ME

Anonym 0 23565

Maine Primary Care Association (MPCA) is a membership organization representing the collective voices of Maine’s Community Health Centers - referred to as Maine’s health care safety net. Founded in 1981, MPCA has provided technical assistance and training, housed relevant programs and services and advocated on behalf of Maine’s safety net and the thousands of patients it serves.

Colorado Community Managed Care Network (CCMCN)

Denver, CO

Anonym 0 22052

Colorado Community Managed Care Network (CCMCN) is comprised of 19 Community Health Centers. CCMCN was founded in 1994 to respond pro-actively to the advent of mandatory Medicaid managed care, and has evolved to a multi-faceted organization focusing on managed and accountable care, health information technology, and clinical quality improvement programming.

Community Care Network of Virginia

Henrico, VA

Anonym 0 16986

Since 1996, Community Care Network of Virginia, Inc. (CCNV), has been a trusted support system, training partner and business process expert for health providers, including Federally Qualified Health Centers (FQHC), private practices, hospitals, managed care organizations, and provider networks. Providing integrated, network-based services and programs to healthcare clients to help them run their businesses better so that they can focus on patient care. This includes the centralized practice management system, help desk, and support infrastructure that we established in 1999.

Community Clinic Consortium of Contra Costa and Solano County

Richmond, CA

Anonym 0 17620

The Community Clinic Consurtium was established in Contra Costa County in 2004, and provides representation and support to 26 non-profit community health center sites and their patients. The Consortium works at the county, state and federal government levels to advocate for funding and policy changes that help health centers meet the diverse health care and social service needs of almost 200,000 patients annually. The Consortium also serves as a local resource for clinic staff, clients and the community.

Community Health Access Network

Newmarket, NH

Anonym 0 14910

The Community Health Access Network (CHAN) is the only Health Center Controlled Network (HCCN) in New Hampshire.  Established in 1995, CHAN has developed and supports an integrated clinical and administrative system infrastructure for its ten Federally Qualified Health Center (FQHC) members which includes 3 Healthcare for the Homeless Programs.

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Acknowledgements

This resource collection was cultivated and developed by the HITEQ team with valuable contributions from the National Association of Community Health centers (NACHC) as well as HITEQ's Advisory Committee and many health centers who have graciously shared their experiences with HITEQ.

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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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