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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
Event date: 12/9/2020 3:00 PM - 4:00 PM Export event
Federal Activities and Approaches to Advance Social Determinants of Health Data Use and Interoperability in Support of Community Health Centers
HITEQ Center
/ Categories: Population Health, PH and SDH Concepts, Relevance of PHM and SDH, Implementing PHM and SDH, Using Data for PHM and SDH, Improving PHM and SDH Quality, Archived

Federal Activities and Approaches to Advance Social Determinants of Health Data Use and Interoperability in Support of Community Health Centers

HITEQ Highlights Webinar

Health centers now report on social determinant of health screening activities and many use the PRAPARE tool for this purpose; for years, however, health centers have focused on the broader health and social needs of the individuals they serve often making referrals to community based organizations and utilizing available enabling services. Today, there is growing interest and awareness on the value and use of interoperable social determinants of health (SDoH) data to support individual, community, and population level health improvement. View this HITEQ Center webinar, where the The Health and Human Services, Office of the National Coordinator for Health IT present on the current state of federal activities and standards based approaches for collecting, sharing, and using SDoH data with a focus on technical and policy considerations. The presentation describes available standards, tools, and initiatives for health center use and input.

Documents to download

Resource Links

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Tags: PRAPARE Social Determinants of Health SDH social determinants data social determinants interoperability HITEQ Highlights SDoH

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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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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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