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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

Population Health Learning Network (PHLN) Toolkit
HITEQ Center
/ Categories: Population Health, PH and SDH Concepts, Using Data for PHM and SDH, Improving PHM and SDH Quality

Population Health Learning Network (PHLN) Toolkit

Tools and Resources to Align Population Health Management Strategies Toward Value-Based Care and Payment

This toolkit is a compilation of tools and resources shared over the course of the Center for Care Innovation's Population Health Learning Network (PHLN) which convened 25 safety net primary care organizations over the course of two years to learn, share, build, and refine care models and implement strategies to strengthen and advance their population health management (PHM) efforts. It was designed to improve the health and well-being of more than 1.2 million Californians across this two-year program. The tools and resources that Center for Care Innovations has shared herein are intended to support other safety net clinis with PHM improvement efforts.

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Tags: value-based care Population Health Management value based payment Population Health value based care

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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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