Population Health Management. We offer a variety of services to you through our Population Health Management program which includes Case Management. Case management is available to all plan members who need assistance with coordinating health care services and/or accessing resources. Registered nurses, pharmacists and social workers, referred to as Care Managers, assist members with needs spanning behavioral services and the medical community. If you are facing a serious illness or medical condition, then Case Management may be right for you. Case Management Services General Case Management and disease specific case management programs are available. The goals of these services are:
Population Health Management. All Participating practices must engage in the Clinical Practice Improvement Activities to support Population Health Management as outlined below. Participants which selected a Practice Transformation Objective other than Population Health Management in 2017 may continue to pursue that objective (e.g. telehealth adoption) but are required to realign their objective as an activity which corresponds with improving performance on one or more of their population health objectives.
Population Health Management. An approach to maintain and improve physical and psychosocial well-being and address health disparities through cost-effective, person-centered health solutions that address members' health needs in multiple settings at all points along the continuum of care. Post-Stabilization Care Services – As defined in OAC rule 5160-26-01, covered services related to an emergency medical condition that a treating provider views as medically necessary after an emergency medical condition has been stabilized in order to maintain the stabilized condition, or under the circumstances described in 42 CFR 422.113 to improve or resolve the member's condition.
Population Health Management. 2.5.2.1. The ICDS Plan is required to develop a model of care that broadly defines the way services will be delivered by the ICDS Plan, and includes requirements specified in Sections 2.5.2 and 2.5.3 of this Contract.
Population Health Management. A. Data Aggregation and Analysis
Population Health Management. 2.5.2.1. The ICDS Plan shall abide by the care delivery model described within this Contract and is not required to submit a model of care to CMS or ODM unless otherwise requested.
Population Health Management. 6.5.1 Contractor’s Care Model shall include strategies for supporting Members at various levels of risk; for example, those Members identified as low risk, medium or rising risk, high risk, and very high risk of experiencing complex health conditions. Within 90 days of the beginning of each Performance Year, Contractor shall use best practices and predictive modeling tools to conduct comprehensive screening and risk stratification to predict all Attributed Members’ risk (if possible, including tools that address needs of specific sub-populations and risk related to social determinants of health). Contractor shall provide information about screening and risk stratification tools and results to DVHA upon request.
Population Health Management. An approach to maintain and improve physical and psychosocial well- being and address health disparities through cost-effective, person-centered health solutions that address members' health needs in multiple settings at all points along the continuum of care. Post-Stabilization Care Services – As defined in OAC rule 5160-26-01, covered services related to an emergency medical condition that a treating provider views as medically necessary after an emergency medical condition has been stabilized in order to maintain the stabilized condition, or under the circumstances described in 42 CFR 422.113 to improve or resolve the member's condition. Prepaid Inpatient Health Plan (PIHP) – As defined in 42 CFR 438.2, a PIHP is an entity that 1) provides services to enrollees under contract with the State, and on the basis of capitation payments, or other payment arrangements that do not use State plan payment rates; 2) provides, arranges for, or otherwise has responsibility for the provision of any inpatient hospital or institutional services for its enrollees; and
Population Health Management. This 18-slide module describes the role and importance of data to PHM, including the various sources for data that inform PHM, as well as an introduction to population health analytics. Frameworks for collecting data and measuring impacts and outcomes are included. THE VALUE PROPOSITION FOR POPULATION HEALTH MANAGEMENT FOR HEALTH CENTERS Measuring return on investment (ROI) and the value of PHM investment is complex as the definition of value varies. This white paper discusses principles and approaches to measure the value proposition for PHM for health centers. DEMYSTIFYING PREDICTIVE ANALYTICS This one-page brief outlines the basics of this complex topic. We define predictive analytics and describe how health centers are adopting this innovation. Sources and uses of data for making predictions are discussed, and specific applications of predictive analytics are described. Specific health center examples are offered to illustrate the potential of predictive analytics for health centers. TOP TIPS FOR SELECTING AND IMPLEMENTING POPULATION HEALTH MANAGEMENT ANALYTIC SYSTEMS This document includes tips for selecting and implementing population health management analytic and integrated data systems derived from others who have recently implemented tools and systems. PRIVACY AND SECURITY Find the following on XXXXXXxxxxx.xxx, under Resources> Privacy & Security: HEALTH IT PRIVACY & SECURITY SKILL SETS THE IMPORTANCE OF INFORMATION SECURITY FOR ALL HEALTH CENTER STAFF Health Centers need to invest in and devise a concrete roadmap and systems development and maintenance lifecycle that is transparent and supported by all levels of staff including clinicial, front and back office, privacy and security staff, and the board of directors. This guide reviews strategies and tools that support these goals.
Population Health Management. The paradigm shift to alternative payment models and value-based care requires a sharper focus by providers on better health and health care outcomes, which, in turn, requires greater alignment among providers in order to efficiently coordinate care, manage the total cost of care, and improve population health. The System will offer patients seamless coordination across the continuum of care, from primary care to post-acute skilled nursing and home health care. Drawing upon experience gained through participation in government and commercial alternative payment models, the System will utilize more effectively the Parties’ population health capabilities and facilitate their joint participation in accountable care organizations and other innovative payment and health care delivery arrangements. A greater number of patients will benefit from the Parties’ use of data analytics derived from a combined pool to treat more effectively community health threats like substance use disorder, obesity, and diabetes. The Parties believe that the Combination will catalyze their population health initiatives for the benefit of patients and is the most effective vehicle for achieving alignment of operations, coordination of services, and efficiency in health care delivery.
