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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
Population Health Management
HITEQ Center

Population Health Management

Concepts for Health Centers

This is a 4-module PowerPoint presentation is intended as a “backgrounder” for health center staff to introduce the field of population health management. It provides an overview of population health concepts and discusses the role of the social determinants and population health management within the general population. All four modules can be completed by staff to gain a working knowledge of these concepts, implementation directions, creating a cogent and current case for the utility of PHM and SDH, an introduction to data sources and analytics, as well as next steps in the field. The four module topic areas are covered in the links posted below.

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Intended AudienceHealth Center Leadership, Health Center QI staff; Health Center IT Staff

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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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