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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

PRAPARE Workflow Implementation
HITEQ Center
/ 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

PRAPARE Workflow Implementation

NACHC and AAPCHO's Workflow Implementation Guidance for SDoH Collection and Response

When initiating a new data collection initiative, it is important to educate key staff on the importance of collecting data on the social determinants of health and how it fits into the activities that your organization is already doing. This portion of NACHC and AAPCHO's toolkit contains resources to help you think through how to train staff in collecting data on the social determinants of health in a way that fits best in your workflow. 

The toolkit offers:

  • Sample workflow diagrams to collect data on the social determinants of health depending on your desired approach
  • Workflow best practices and lessons learned
  • Data collection techniques: empathic inquiry
  • Staff training curricula from other health centers

Click through the link below to read more!

Resource Links

  • NACHC PRAPARE Workflow ImplementationPublished in 2019, this portion of NACHC's toolkit contains resources to help you think through how to train staff in collecting data on the social determinants of health in a way that fits best in your workflow. 
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Tags: Social Determinants of Health workforce development social determinants data Workflow SDoH social need

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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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