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Resource Overview

Population Health Management requires aggregating patient data from a number of sources, and conducting analytics and modeling to derive actionable insights that translate to increased patient engagement and improved outcomes.  Resources in this section describe data sources that are available to health centers, how to access and integrate them, and ways to enrich them with patient-provided data through health risk assessments and patient engagement technologies.

Getting and Using PHM and SDH Data

Event date: 9/29/2021 3:00 PM - 4:00 PM Export event
PCA/ HCCN Listening Sessions: Success with SDoH Screening during COVID and Beyond

PCA/ HCCN Listening Sessions: Success with SDoH Screening during COVID and Beyond

First of HITEQ PCA/ HCCN Listening Sessions: Emerging Successfully

This was the first of the approximately 5 listening sessions HITEQ is hosting through the end of 2022. The purpose of these listening sessions is to understand the gaps in resources and guidance for health centers in specific areas of focus. HITEQ is bringing HCCNs and PCAs to the table for these in order to get the invaluable perspective of those who work with the health centers each day as well as where HITEQ can share valuable national insight.

This first Listening Session focused on Success with SDoH Screening during COVID and Beyond, including the state of social risk screening in health centers and their EHR/ health IT systems, what health centers are doing with SDoH data, and where the promising practices and potential pitfalls exist.

PCAs and HCCNs who are working on SDoH-specific activities with their health centers, as well as those considering ways to assist their health centers with social risk screening should join for peer sharing. 

Previous Article Population Health Learning Network (PHLN) Toolkit
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Intended AudiencePCA and HCCN Staff; PCA and HCCN Leadership

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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