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Improving Quality and Value

Social Determinants of Health (SDoH) Toolkit

Prepare, Test, and Spread: Experiences Implementing PRAPARE in Iowa

HITEQ Center 0 4375

This toolkit from Iowa is organized around the three stages of SDOH: Prepare, Test and Spread. The key concepts are organized under each of the stages. This toolkit provides existing and
new tools for each of the 21 concepts with guidance related to when an organization may want to use each tool or concept.

Making a Good First Impression: Digital Patient Intake Solutions

How Health Centers can Use Digital Intake Tools to Support Social Determinants of Health Data Collection

Molly Rafferty 0 996

Now more than ever, health centers know that addressing social determinants of health is key to ensuring patients from underserved and disadvantaged groups receive quality, informed, and comprehensive care. This resource explores how health centers can effectively and safely collect critical patient information, including sensitive information like social need screening, through digital patient intake solutions that rely on paper-free, data-smart registration and EHR integration. Health centers can walk through why adding these solutions to their clinics can engage rather than alienate patients, and how to implement these technologies to screen for social risk and improve the patient experience.

The resource is available in the Documents to Download section below.

Insights from the Field: Key Considerations for Implementing Health Information Exchange

Published August 2021

Molly Rafferty 0 822

As medical care facilities seek to support patient safety and be responsive to their complete medical needs and histories, health centers also recognize that establishing an infrastructure for data sharing must be a top priority. Better practices for Health Information Exchange (HIE) increase patient wellbeing by giving providers more complete information for clinical decision making, eliminating unnecessary procedures and tests, reducing the burden of paperwork, and lowering costs. In 2020, HITEQ interviewed five groups that implemented clinical data sharing infrastructure in health care settings, including Federally Qualified Health Centers (FQHCs). A set of example use cases were developed from these interviews, and we identified ten themes that may help guide other organizations interested in implementing HIE. Information from 1424 qualified health centers and health center look-alikes from the CY2019 Uniform Data Set also informed the current impact of data sharing, indicating that technology and potential workflows exist to support HIE within FQHCs.

View the key considerations gleaned from this research to identify lessons learned related to establishing HIE within a health center setting. The resource is available in the Documents to Download section below.

Using Bright Futures to Achieve Excellence in Well-Child Care

A BPHC-MCHB Collaboration Webinar

Alyssa Carlisle 0 9903

During this recorded webinar you will learn about the Bright Futures National Center (BFNC) and the revised Bright Futures Guidelines, 4th Edition, from one of its co-editors. During this HRSA-sponsored webinar, a subject matter expert reviewed updates to the Guidelines and new content, including new health promotion themes, visit screening recommendations, anticipatory guidance, and more. She discussed how to efficiently and effectively integrate these new recommendations into your health center’s work and answered questions about the BFNC and Bright Futures Guidelines, 4th Edition.

Understanding and Applying SDOH Screening Data to Address Barriers to Health

HRSA Webinar

Amelia Fox 0 1237

The Association of Asian Pacific Community Health Organizations (AAPCHO), Health Outreach Partners, MHP Salud, and National Health Care for the Homeless Council invite health centers to learn strategies to screen special and vulnerable populations for SDOH and build effective practices to begin addressing SDOH through outreach and enabling services.

Topics will include:

  • Identifying enabling service workforce providers for SDOH screening and documentation.
  • Showing the value of enabling service staff and how they can impact clinical decision-making.
  • Demonstrating the impact of analyzing SDOH screening data on increasing capacity to address SDOH.

The Path Forward: Risk (Assessing Vulnerability) and Referrals

Weitzman Institute webinar series

Molly Rafferty 0 4467

Community Health Center Inc. and its Weitzman Institute are excited to announce its new series:

The Path Forward: The Digital Transformation in Social Determinants of Health
Moving from Screening to Solving for Social Needs

While the webinar series will include the latest research, its primary focus will be concrete, actionable solutions that solve for social needs that result from adverse SDoH. It will do this by surfacing innovators and disruptors working in the SDoH/social needs field – specifically, companies that are creating new, evidenced-based products rooted in the efficient use of the latest technology, AI and data.
 

The Path Forward: Food Insecurity

Weitzman Institute Webinar series: The Digital Transformation in Social Determinants of Health

Molly Rafferty 0 5112

Community Health Center Inc. and its Weitzman Institute are excited to announce its new series:

The Path Forward: The Digital Transformation in Social Determinants of Health
Moving from Screening to Solving for Social Needs

While the webinar series includes the latest research, its primary focus is concrete, actionable solutions that solve for social needs that result from adverse SDoH. It does this by surfacing innovators and disruptors working in the SDoH/social needs field – specifically, companies that are creating new, evidenced-based products rooted in the efficient use of the latest technology, AI and data.

Texting Strategies for COVID-19: Vaccine, Outstanding Gaps in Care, and Social Determinants of Health

CareMessage & NACHC Webinar

Amelia Fox 0 235

Based upon more than 60M data points from more than 250 community health centers nationally, the CareMessage team and our partner health centers will share an overview of recommendations around outreach to patients around the COVID-19 related use cases, including the COVID-19 vaccine/Delta variant, Million Hearts, cancer screenings, gaps in care and social determinants of health.

Attendees will receive tailored messaging content, best practices to help organizations implement outreach quickly and easily, and free, limited access to CareMessage's un-integrated COVID-19 texting platform (CMLight).

Team as Treatment: Driving Improvement in Diabetes

Team-Based Care Webinar Series

Alyssa Carlisle 0 8043

This webinar shared evidence-based models that provide a framework for health centers to optimize the team in primary care. Experts described how utilization of extended team members and technology can reduce gaps in care for prediabetics and diabetics. With a focus on lifestyle and community based projects, this webinar highlighted the strategies and resources to improve the health and behaviors of patients at risk for diabetes and manage uncontrolled diabetes. Through early detection and providing diabetes management through a team-based care, health centers can help patients’ live long, healthy lives.

 

Predictive Analytics: An Overview for Community Health Centers

from Capital Link

HITEQ Center 0 3411

Capital Link has published this overview of predictive analytics for community health centers.

Developed and made available by Capital Link and the National Association of Community Health Centers (NACHC), this overview provides health centers with a definition of predictive analytics, its history and development, the data and resources needed to predict a patient’s future behavior, and how health centers can begin utilizing it. It also includes specific examples of organizations that have successfully used predictive analytics. This study was supported by the Health Resources and Services Administration. 

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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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