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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

The Power of Demographic Data
HITEQ Center

The Power of Demographic Data

From the Center for Care Innovations

Demographic data is useful to health centers to help them tailor and focus care more effectively, and to adapt services and delivery to patient and family preferences.  This webinar, presented by Cindy Barr, Operations and Facilities Planner for Capital Link consulting is part of the “Building a Data-Driven Culture” video learning series from the Center for Care Innovations.  Entitled The Power of Demographic Data:  Leveraging Demographic Data to Increase Access in a Data-Driven Culture, this webinar is one of five presenting use cases for analytics.  It was recorded during the Safety Net Analytics Program of 2015 that discusses real-world applications of analytics emerging under new payment models.  Ms. Barr presents the importance of clarifying the role of data, and how to approach collecting data including forming and testing hypotheses about data.  The use cases presented are health-center specific and provide examples of validating and applying UDS data entities.  The discussion includes ways to gather demographic data from patients, how to collect usable data, extracting actionable data and the implications of demographic variation on care and information delivery.

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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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