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The Academy: You’ve been accepted!

With Cures Act requirements on the horizon, the

21st Century Cures Academy is your go-to destination for education and resources. EXPLORE THE ACADEMY

 

What is population health?

There’s an effort underway to improve the health of populations, and to understand the causes of chronic illnesses by analyzing large quantities of patient data. It starts at the practice level.

4 steps to population health management

Identify
  • Risk stratification
  • Disease registries
  • Cohorts
  • High utilizers/high costs
  • Open care gaps
Medical team united for population health management.
Assign
  • Empanelment
  • Coordinate care
  • Close care gaps
  • Team-based care
  • Care plan creation
Medical team united for population health management.
Engage
  • Build relationships
  • Educate and activate
  • Collect patient-reported data
  • Ongoing care management
  • Annual wellness visits
Medical team united for population health management.
Measure
  • Baseline metrics
  • Set goals
  • Monitor
  • Assess results
  • Improve
Medical team united for population health management.
Medical team united for population health management.

You have the opportunity to provide better care

“Having quality measures to show providers is a huge advantage. Once you have the data, you can show them what’s happening.”

Brittani Anderson, care coordinator
North Ottawa Community Health System

Embrace the benefits of population health management.