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  5. FY25 HCCN Objectives and Sample Activities

FY25 HCCN Objectives and Sample Activities

We created two sample tables for you. The lists are not complete. 

They’ll help as you apply for the Fiscal Year 2025 (FY25) Health Center Controlled Network (HCCN) Cooperative Agreement.

What to do

  1. Propose activities for all HCCN Required and Elective Objectives for the period of performance (August 1, 2025 to July 31, 2028)
  2. Clearly align activities with the objectives

Jump to:

Required objectives

Required Objectives Sample T/TA Activities
1. Data Management and Analytics – Increase the percentage of participating health centers (PHCs) that advance and optimize clinical and operations data to improve clinical quality, health outcomes, and operations. 
  • Using data management and analytics to help use value-based care models.
  • Providing customized data management and analytics support to PHCs, as identified on their individual work plan. 
  • Facilitating workshops on data analysis or data visualization.
  • Developing and using data management governance framework.
  • Supporting coding accuracy and clinical risk-stratification capabilities.

2. Interoperability and Data Sharing – Increase the percentage of PHCs that optimize bidirectional interoperability with health care providers and community-based organizations by:

  • Strengthening care coordination
  • Reducing unnecessary medical testing and data duplication
  • Using more efficient and effective referral and information sharing processes to improve health outcomes and reduce provider burden
     
  • Helping PHCs connect to a Qualified Health Information Network (QHIN) to share data with other healthcare providers.
  • Creating or connecting to QHIN. 
  • Developing, using, and optimizing closed-loop referral systems with other health providers or community-based organizations through an electronic health system.
  • Using Fast Healthcare Interoperability Resources (FHIR) to automate clinical quality and other types of reporting.
     
3. UDS+ Implementation – Increase the percentage of PHCs that submit some or all disaggregated patient level data in their UDS+ reports.
  • Participating in HRSA’s UDS+ readiness activities to support PHCs in submitting high quality UDS+ data. 
  • Using UDS+ readiness assessment results to improve health center data submissions.
  • Collecting and sharing PHC feedback on testing challenges, data/system outcomes, and other issues with EHR vendors.
  • Talking with EHR vendors to identify and address PHC concerns regarding data quality, system/data improvement or enhancements, data requirement changes, etc.
     

Elective objectives

Elective Objectives Sample T/TA Activities
1.  Strengthening value-based care (VBC) –Increase the percentage of PHCs that use data to update operational, financial, and clinical processes in health IT systems to prepare for, deliver, participate in, or update e value-based care that enhances the patient and provider experience, improves health outcomes, and reduces health disparities, including those who are uninsured. 
  • Assessing readiness and barriers to data sharing, management, and analysis. 
  • Teaching and explaining risk adjustment methodologies that payers use.
  • Holding forums with EHR providers (vendors) on optimizing EMR for value-based care clinical practice.
  • Supporting efforts to better understand patient population attribution.
  • Regularly using data analytics to inform and update PHC clinical and operational workflows. 
  • Using data-driven insights to decide how best to manage and report finances.  
  • Using data and patient attribution to prepare for payer contract negotiations.
2. Digital Health Tools – Increase the percentage of PHCs that adopt and expand digital health tools to improve health outcomes. 
  • Training health care workforce and patients to use digital health tools to develop the workforce and improve patient health outcomes. 
  • Monitoring whether digital health tools are effective for PHCs. Include reasons why some may not use or comply. 
  • Developing patient education programs on digital health literacy.
     
3. Strengthening Cybersecurity Support – Increase the percentage of PHCs that develop or implement assessments and advanced techniques to protect against threats to health center data. 
  • Responding to emerging cybersecurity threats by developing manual workflows to support PHCs during an active cybersecurity attack. 
  • Expanding network partnerships to include those with expertise and focus on cybersecurity.
  • Complying with new and existing state cybersecurity regulations.
  • Conducting training on techniques such as:
    1. Multi-factor authentication (MFA)    
    2. Encryption Intrusion detection systems (IDS)
    3. Regular security audits     
    4. Staff training programs on cybersecurity awareness  
    5. Tabletop exercises 
4. Artificial Intelligence (Applicant Choice) – Develop one objective and associated outcome measure that will increase percentage of PHCs that use safe, fair, equitable, and informed artificial intelligence practices to reduce health disparities and improve health outcomes. 
  • Developing an AI-ready workforce and culture.
  • Identifying gaps and unmet needs in health and scientific areas that would benefit from the use of AI.
  • Developing a monitoring system to ensure integrity of patient data.
  • Using transcription services or automated referral systems.
  • Improving AI clinical models.
  • Developing standards on how to use AI across PHCs using the same EHR.
5. Social Risk Factors – (Applicant Choice) Develop one objective and associated outcome measure that will increase the percentage of PHCs that identify social risk factors and develop and implement care coordination plans to address patient needs.
  • Connecting patients with employment training. 
  • Using tools to connect patients with financial help, food pantries, housing, transportation resources, legal, or educational services.
  • Integrating population health screening tools in clinical workflows and managing associated data.
     
   
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