Learning from successful Population Health Initiatives

Posted by Health Entrepreneur 08/05/2015

In a previous article, we learned about the basics of Population Health Management. Here, we delve into accountability measures for PHM - does it work? We also review some successful initiatives and learn from them.


To learn about Population Health Management, CLICK HERE!


Measuring the outcomes of PHM- The Litmus test

The effectiveness of any program is measured through its outcomes. An outcome measurement in the form of a dashboard view of risk stratification, prevalent health conditions by population area or the evaluating provider, and practice performance may point towards weak areas that need strengthening and ineffective programs that need further modification. These adaptations would require a trained clinical analyst on board to filter the results by payer, activity center, provider, health condition, and care gaps to measure the outcomes specific care management programs.

The consequences of the PHM program can be measured in 3 ways. They are as follows -

  • Financial outcomes: A successful PHM program attenuates the cost of the health care incurred by a patient. Edging off the cost burden of the patients can be achieved by focusing on prevention and reducing the risk of further complications, through measures as simple as promoting medication adherence.

  • Clinical outcomes: The measurement of clinical outcomes should include both process metrics and outcome metrics. An example of low-cost intervention is medication-reconciliation program.   

  • Engagement outcomes: As prevention of a disease or reduction of its likelihood depends on the selection of choices of the daily activities a patient performs, the participation of patients' in various activities affects the results of PHM. Therefore, their engagement should also be monitored.

If the indicators reveal improved patient outcomes or reduced healthcare expenditure, it means that your PHM program is implemented successfully!


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