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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
ICD-10 Z Codes for Social Determinants of Health

ICD-10 Z Codes for Social Determinants of Health

A quick reference guide, updated Dec. 2021

This resource describes ways standardized social determinant of health (SDoH) data can be used and provides a quick reference guide to which ICD-10 Z codes can help document social needs information, resulting in more standardized SDoH data. 

 

Documents to download

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Intended AudienceProviders and Healthcare Leaders

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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