How To Manage Population Health
Management
If it rains every day this week, does that give you enough
information to know what the weather will be in 6 months?
If a ...
Everyone’s focus on Population Health Management (PHM) is
on data, data that represents only a snapshot of someone’s
healt...
A Healthcare IT Vendor will not solve your PHM problem.
HIT Vendors will help you…
• Collect data
• Store data
• Massage d...
The PHM investment is very costly, and the ROI is uncertain.
It is especially costly when the investment must be amortized...
There aren't enough small numbers to meet the many
demands made of them.
The Law of Small Numbers makes PHN efforts insuff...
Does care coordination work?
How can care coordination be effective when the people
whose care needs coordinating are not ...
Is there a really a care continuum under the current PHM
efforts?
Where is the care continuum…
• Continuum of care is a co...
Providers’ PHM tools and initiatives are 1-way and often include:
• Prevention
• Advocacy
• Promotion
• Coordination
• Man...
Over a given year, what does the hospital really know about
the patients who comprise their population and about whose
hea...
For a provider to manage the health of the population it
needs to know the health of its patients across an
uninterrupted ...
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How to Manage Population Health Management

The biggest reason existing population health management efforts will fail to be effective is that providers have no idea of the status of a person's health if the patient is not in the hospital. Providers must create a way for patients to communicate their health for all of the days they are not inpatients.
Published on: Mar 4, 2016
Published in: Healthcare      Health & Medicine      Business      
Source: www.slideshare.net


Transcripts - How to Manage Population Health Management

  • 1. How To Manage Population Health Management
  • 2. If it rains every day this week, does that give you enough information to know what the weather will be in 6 months? If a patient was in the hospital this week, does that give you enough information to know the status of that person’s health in 6 months? Things to Know About Population Health Management A remarkable experience for every patient every time 2
  • 3. Everyone’s focus on Population Health Management (PHM) is on data, data that represents only a snapshot of someone’s health. The focus should be on all of the patients, all of the time… • You cannot manage the health of patients for whom you have no data. • You cannot manage the health of a patient for whom you only have a snapshot of data. • How much data do you have about someone who does not come to the hospital this year? Things to Know About Population Health Management A remarkable experience for every patient every time 3
  • 4. A Healthcare IT Vendor will not solve your PHM problem. HIT Vendors will help you… • Collect data • Store data • Massage data • Evaluate data But… What data do you have for people who are not in the hospital? Things to Know About Population Health Management A remarkable experience for every patient every time 4
  • 5. The PHM investment is very costly, and the ROI is uncertain. It is especially costly when the investment must be amortized against only a small percentage of the your patients using only a snapshot of their data. The smaller the size of the “population” you include, the greater the chance is that you will not be managing anything. “The Law of Small Numbers”…sometimes referred to as the Law of Hasty Generalization, and the Pigeonhole Principle Things to Know About Population Health Management A remarkable experience for every patient every time 5
  • 6. There aren't enough small numbers to meet the many demands made of them. The Law of Small Numbers makes PHN efforts insufficient, ineffective, and inefficient. Can you forecast and manage someone’s health… • Who is not in the hospital • Who was not in the hospital • Who was never a patient The population to be managed is considerably bigger than the population the hospital is trying to manage. Things to Know About Population Health Management A remarkable experience for every person every time on every device 6
  • 7. Does care coordination work? How can care coordination be effective when the people whose care needs coordinating are not in the hospital? • How do you model predictive risk data from a fraction of the patients in your service radius and whose data exists for only a small fraction of the days of the year • How do you manage health when patient stakeholders only yield data when they are in the hospital Things to Know About Population Health Management A remarkable experience for every patient every time 7
  • 8. Is there a really a care continuum under the current PHM efforts? Where is the care continuum… • Continuum of care is a concept involving an integrated system of care that guides and tracks patient over time through a comprehensive array of health services spanning all levels of intensity of care (NIH) • How can a provider guide people over time if they only see them for a brief period of time? • How can a provider know what is going on with patients if the patients have no way of communicating their wellness? Things to Know About Population Health Management A remarkable experience for every patient every time 8
  • 9. Providers’ PHM tools and initiatives are 1-way and often include: • Prevention • Advocacy • Promotion • Coordination • Management • Analytics • HIT • Assessments • Screening What tools do the patients have to communicate their health to the provider? Things to Know About Population Health Management A remarkable experience for every patient every time 9
  • 10. Over a given year, what does the hospital really know about the patients who comprise their population and about whose health they are managing? • Behavioral changes • Adherence to their medication • Overall health • Risk How can a hospital know any of these things when the patient is not in the hospital and has no way to communicate their status? Things to Know About Population Health Management A remarkable experience for every patient every time 10
  • 11. For a provider to manage the health of the population it needs to know the health of its patients across an uninterrupted period. Hospitals should: • Create a 2-way communication vehicle (ACCESS) that allows patients who want to manage their health to input information about their health on a regular basis • Establish automated alarms that report when a patient’s information suggests there could be a health problem • Know when to contact the patient based on input from the patient This same process can also reduce readmissions. Things to Know About Population Health Management A remarkable experience for every patient every time 11

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