Implementing a Population Health Management Program

Are you planning to concentrate on the management of health issues for populations at your facility? If you already focus on managing the health of your population Are you planning to increase your focus? Whatever your position in the plan for management of the population ensure that you first establish goals in the course of your plan. Each planning event that is focused on improving the care provided at your facility should start with objectives.

I, along with many health professionals that the Triple Aims that is the goal of IHI (Institute to Improve Healthcare) are excellent goals. The goals are to improve the overall health of the population as well as improve the outcomes and experiences of the patient , and decrease the cost per capita of healthcare for your community at the same time.

I would like to improve your bottom line for the healthcare providers. It is possible to do this accomplished simultaneously if you follow the right method, even though the task is extremely challenging. Visit:-

The setting and achievement of goals for the health of the population at the provider site is an area of focus that is relatively new in the field of healthcare. Health departments and epidemiologists have a variety of tools that healthcare providers can utilize or modify. They can also collect and analysing data at a population level , and then implementing methods based on evidence (standardized procedures) which have an impact on the general population. Other fields also use the concept of population-level management to manage their processes or businesses. A lot of these are service-based programs. Recently, I completed a community study of The Salvation Army and an energy supplier.

In the remaining portion of this issue, I’ll discuss two different population level management programs, and outline some of their strategies. Before I get started I want to emphasize that the use of population level management programs can yield a high ROI for healthcare providers. In a recent online conversation conducted by Healthcare Informatics,Robert Fortini, R.N., M.S.N. and chief clinical officer at Bon Secours Medical Group based in Richmond, Virginia, stated that he had seen an ROI of 33% for Bon Secours population level health initiatives. I am convinced that this is attainable for many healthcare providers who have an effective risk management program.

One medical group that is working on the health of the population includes the Hill Physicians Medical Group in the East Bay area of California. It’s a group of 3500 doctors. The group has created virtual teams consisting of social workers, pharmacists and case managers. to assist their doctors. Health management for the population requires a team approach in order to be effective. Hill Physician Medical Group works in the ACO model in conjunction with several of its payors. This model encourages collaboration and eliminates traditional barriers in the delivery of better healthcare. It is as Darryl Cardoza, the CEO of the group, says, “And what the ACO model has enabled us to do is to begin to break down some of those walls, and to help us all work within the same system, and align incentives,” as explained during an interview by Healthcare Informatics.

Cardoza explains that the concept of population health management is very different from the earlier managed health care. As per Cardoza, “It’s not a matter of just preventing people from using certain kinds of resources, but rather, of managing the entirety of their care. And we were doing it by the seat of our pants, because we didn’t have the tools. It was just very, very difficult to use data, to consolidate it and evaluate it and draw meaning from IT; but those tools are available now.” Furthermore, Cardoza states that it is crucial to connect HIT across network of providers so that collaboration is more efficient. Additionally, Hill Physicians Group needs to be a great partner to other healthcare providers within the region as well as local hospitals and with health insurance plans. They are very committed to being a great partner for other providers.

The outcome of their investing in virtual teams with doctors and the connection of their HIT internally and with its partners via Health Information Networks has resulted in an increase in financial returns and better health for patients due to better care delivery.

Another organization which is focusing on the health of the population includes Bon Secours, mentioned above. The Bon Secours group employed 530 doctors. Robert Fortina stated that “The major bulk of our work has been around supporting our medical home project, and that has involved delivery system redesign, more robust use of technology, and then good old-fashioned nursing-based case management using those tools, so the development has been multi-factorial.”

One aspect that is part of Bon Secours population management is community (patient) outreach, which is powered by software developed by Phytel. The software produces around 75,000 contacts per year. The outreach program is based on twenty chronic diseases protocols as well as fifteen prevention strategies. It is a great start to provide better care for their patients, but Fortina anticipates that the time will come when their data will get more accurate and they will be able to do a better at stratifying patients into risk groups. This will allow them to offer healthcare that is more suited to the specific needs of each patient.

As you can observe, Bon Secours Medical Group and Hill Physicians Medical Group are striving to implement an effective health system for the population model that is beneficial to both of the patient as well as the health care providers. Both employ team-based models. The ROI is high for both groups. There are some differences between the two groups , too. Hill Physicians is a much larger organization and is able to use its size to benefit financially. Both use different approaches to care. Hill Physicians uses an ACO model that contracts with different payers. This means that its care strategies are more complicated because the different payers have different requirements within their agreements. Bon Secours bases its population model on the patient-centered medical home, which is a well-established health care system that has been in use for a long time.


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