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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
Molly Rafferty
/ 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, Video Library

How People, Process, and Technology Factor Into Social Needs Screening

Instructional video, created March 2022

 

In this video, viewers will learn how People, Process and Technology should factor into a health center's social needs screening workflow.

 

Documents to download

  • Transcript(.pdf, 28.08 KB) - 693 download(s)

    March 2022

Resource Links

Previous Article Health Center Case Examples in Coding and Documenting Social Risks: Introduction
Next Article Strategies for Securing Buy-In for Implementing a Social Needs Screening Program
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Tags: EHR PRAPARE Social Determinants of Health electronic health record social determinants data social determinants EHR Tips SDoH social need screening Social Need Screening social need data Social Needs Screening Tool Social Needs Screening Social Needs Screening Badge

Related Resources

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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