Population Health Management White Paper Text

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Healthcare is rapidly shifting to more holistic, patient centered models and customized care plans. Traditional predictive modeling can help get you there, but its just one tool in a very large toolbox. Zeomega has produced an important white paper that offers a detailed look at how evolving clinical analytics embedded in a comprehensive population health management solution can give healthcare organizations the advanced tools they need to deliver truly personalized, cost effective care. Complete the information below to download the next generation predictive analytics in population health management white paper. If one were to google population health management, a less than one second search returns nearly 65 million results. And to say population health management phm is trending within the healthcare industry is a vast understatement.

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With that many search results / that much information, it seems we collectively have a handle on it but do we really? plus, why all the rage? phm is a term used to describe a system of care that focuses on ensuring people receive the right care, from the right providers, in the right place, at the right time. Fundamentally, it shifts the focus of health care away from episodic sick care to continuous and coordinated maintenance of good health. At the same time, the focus is shifted from the traditional model of care for the individual patient to evidence based, high quality and high value care for populations of patient with similar conditions. Without a doubt, the united states must change the way in which healthcare is delivered in order for costs to be manageable and sustainable. However, phm is much more complex than simply treating a large group of patients and in impact advisors’ recent population health management primer , we define and discuss the strategies and elements necessary for successful phm. For example, the importance of data and data analytics to support population health initiatives cannot be over emphasized and we break it down into four major categories: population analytics and reporting population outreach and care management care planning and coordination and patient engagement.

Additionally, there are accompanying it initiatives key to success such as: identification of care gaps through decision support tools risk stratification transparent quality and outcomes measurement telemedicine predictive modeling ambulatory ehr network health information exchange hie read on for more on phm and in depth strategies for success by downloading our recent white paper here. Please enter all requred fields our white paper library gives you access to the latest research, reports, and analysis. Our white papers present in depth and informed perspectives on a broad spectrum of healthcare management issues and topics.

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These seven steps can help you make better financial decisions and set your aco on the path to success. See how many healthcare systems have had success with an incremental approach to taking on new risk contracts for cost and quality. The cms has started three accountable care organization aco programs that physician leaders and healthcare executives need to know about.

These cms programs offer financial rewards in exchange for providers delivering better quality care at a lower price. Acos primary goal is to provide coordinated, high quality care to their medicare patients. So, how do you ensure your patients receive the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors? learn how to assess and plan to become a successful aco.

Although the term population health management phm has become something of a buzzword over the past few years, the concept is often unclearly defined and even less well understood. The advent of shared accountability financial arrangements between delivery systems and purchasers, including accountable care organizations acos , has created significant financial incentives to focus on population health management and measuring and reporting its outcomes. While population health management is complementary to shared accountability, they are not the same thing. Population health management has to do with the organization and management of the healthcare delivery system in a manner that makes it more clinically effective, more cost effective, and safer.

Effective population health management produces an asset that can be marketed to healthcare financing organizations under the rubric of various types of public or commercial shared accountability arrangements. This white paper discusses population health management and the strategies required to create that solid, marketable asset. There is a clear public health role for the federal and state governments to play    in ensuring the health of the overall population of the nation or its several states however, for our purposes let us assume a more limited focus i.e. That population health management means proactive application of strategies and interventions to defined cohorts of individuals across the continuum of healthcare delivery in an effort to maintain and/or improve the health of the individuals within the cohort at the lowest necessary cost. The historic focus of the management of care has been on acute care because of the availability of electronic data and the investment made by hospitals and healthcare systems in analytic resources. Now shared accountability arrangements, including acos, are driving an expansion of scope, which includes a growing appetite for data regarding the other venues of care along the continuum as well as formal financial agreements to share accountability for results as portrayed in figure 1.

figure 1 – care management paradigm shift
the first step in understanding population health management is to understand the anatomy of healthcare delivery, summarized by figure 2.

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