Data standards initiatives and the Uniform Data Set (UDS) Modernization initiative aim to reduce reporting burden through easing data exchange, improve data quality, and better measure services and outcomes. In the coming years, health centers will be expected to use FHIR, a data standard that is becoming more common, to submit UDS+ along with other information (such as public health reporting). Experts involved in preparation for UDS+ and similar initiatives with CMS will join to share their experiences and reflect on what health centers should be aware of as they prepare for the future of UDS and other reporting

When clinical teams have information on patients' social risks (adverse social determinants of health), they can make care plan adjustments to account for those risks, e.g., by prescribing lower-cost medications. Come hear about a team that worked with stakeholders from primary care community health centers to develop a set of EHR-based tools intended to support making such adjustments in care for patients with hypertension and / or diabetes. This talk will describe the tool development process, results from pilot testing the tools in three clinic sites, and how the tools were revised in response to pilot process learnings.

Addressing patients’ social determinants of health via community resource referrals has historically primarily been the domain of social workers and information and referral specialists; however, community resource referral technology platforms have more recently entered the market. The process surrounding these community resource referrals and the role of technologies within it has not been fully accounted for just yet. Based on focus groups with  healthcare providers, and community organization staff and volunteers from 3 cities in Metropolitan Detroit, the process of community resource referral will be described. Findings reveal a deeply "sociotechnical" process (involving interwoven social and technology-based elements). The detailed sociotechnical process revealed will be discussed, along with the implications for those currently implementing community resource referrals. The importance of knowledge and skills, personal relationships, interorganizational networks, and data sources such as service directories in the referral process will be discussed.

Join the HITEQ Center to discuss approaches to balance patient confidentiality, sensitive situations, vulnerable populations, and meeting the provisions in CURES act and information blocking. How should health centers best prepare themselves and their staff to meet the information blocking provisions and better serve our patient population?

Patient engagement through electronic health apps are one solution to the need for timely and ongoing patient support. Join us to discuss a program to support mental health through an integrated behavioral health model using a mental health app at Cambridge Health Alliance. The session discussed how apps can address gaps in mental health care, the lessons learned in effective implementation of use of a mental health app in a safety-net clinic, and provide a rubric for evaluating health apps for your patients and use in your mental health service.

Data standards initiatives and the Uniform Data Set (UDS) Modernization initiative aim to reduce reporting burden through easing data exchange, improve data quality, and better measure services and outcomes. In the coming years, health centers will be expected to use FHIR, a data standard that is becoming more common, to submit UDS+ along with other information (such as public health reporting). Experts involved in preparation for UDS+ and similar initiatives with CMS will join to share their experiences and reflect on what health centers should be aware of as they prepare for the future of UDS and other reporting

When clinical teams have information on patients' social risks (adverse social determinants of health), they can make care plan adjustments to account for those risks, e.g., by prescribing lower-cost medications. Come hear about a team that worked with stakeholders from primary care community health centers to develop a set of EHR-based tools intended to support making such adjustments in care for patients with hypertension and / or diabetes. This talk will describe the tool development process, results from pilot testing the tools in three clinic sites, and how the tools were revised in response to pilot process learnings.

Addressing patients’ social determinants of health via community resource referrals has historically primarily been the domain of social workers and information and referral specialists; however, community resource referral technology platforms have more recently entered the market. The process surrounding these community resource referrals and the role of technologies within it has not been fully accounted for just yet. Based on focus groups with  healthcare providers, and community organization staff and volunteers from 3 cities in Metropolitan Detroit, the process of community resource referral will be described. Findings reveal a deeply "sociotechnical" process (involving interwoven social and technology-based elements). The detailed sociotechnical process revealed will be discussed, along with the implications for those currently implementing community resource referrals. The importance of knowledge and skills, personal relationships, interorganizational networks, and data sources such as service directories in the referral process will be discussed.

Join the HITEQ Center to discuss approaches to balance patient confidentiality, sensitive situations, vulnerable populations, and meeting the provisions in CURES act and information blocking. How should health centers best prepare themselves and their staff to meet the information blocking provisions and better serve our patient population?

Patient engagement through electronic health apps are one solution to the need for timely and ongoing patient support. Join us to discuss a program to support mental health through an integrated behavioral health model using a mental health app at Cambridge Health Alliance. The session discussed how apps can address gaps in mental health care, the lessons learned in effective implementation of use of a mental health app in a safety-net clinic, and provide a rubric for evaluating health apps for your patients and use in your mental health service.

Data standards initiatives and the Uniform Data Set (UDS) Modernization initiative aim to reduce reporting burden through easing data exchange, improve data quality, and better measure services and outcomes. In the coming years, health centers will be expected to use FHIR, a data standard that is becoming more common, to submit UDS+ along with other information (such as public health reporting). Experts involved in preparation for UDS+ and similar initiatives with CMS will join to share their experiences and reflect on what health centers should be aware of as they prepare for the future of UDS and other reporting

When clinical teams have information on patients' social risks (adverse social determinants of health), they can make care plan adjustments to account for those risks, e.g., by prescribing lower-cost medications. Come hear about a team that worked with stakeholders from primary care community health centers to develop a set of EHR-based tools intended to support making such adjustments in care for patients with hypertension and / or diabetes. This talk will describe the tool development process, results from pilot testing the tools in three clinic sites, and how the tools were revised in response to pilot process learnings.

Addressing patients’ social determinants of health via community resource referrals has historically primarily been the domain of social workers and information and referral specialists; however, community resource referral technology platforms have more recently entered the market. The process surrounding these community resource referrals and the role of technologies within it has not been fully accounted for just yet. Based on focus groups with  healthcare providers, and community organization staff and volunteers from 3 cities in Metropolitan Detroit, the process of community resource referral will be described. Findings reveal a deeply "sociotechnical" process (involving interwoven social and technology-based elements). The detailed sociotechnical process revealed will be discussed, along with the implications for those currently implementing community resource referrals. The importance of knowledge and skills, personal relationships, interorganizational networks, and data sources such as service directories in the referral process will be discussed.

Join the HITEQ Center to discuss approaches to balance patient confidentiality, sensitive situations, vulnerable populations, and meeting the provisions in CURES act and information blocking. How should health centers best prepare themselves and their staff to meet the information blocking provisions and better serve our patient population?

Patient engagement through electronic health apps are one solution to the need for timely and ongoing patient support. Join us to discuss a program to support mental health through an integrated behavioral health model using a mental health app at Cambridge Health Alliance. The session discussed how apps can address gaps in mental health care, the lessons learned in effective implementation of use of a mental health app in a safety-net clinic, and provide a rubric for evaluating health apps for your patients and use in your mental health service.