Population Health: A Most Valuable Resource
Implementing an effective population health strategy is priority for many healthcare practices and organizations. There are a lot of moving parts. It usually takes a committed team. And, organizations often look for the latest information available as a guide.
Clinical Health Coach faculty, during our trainings across the country, are frequently asked about best practices and foundational features of population health. How do we identify patients most in need of care management? What tactics and tools do we need to use? How does our technology aid us in our population health process? What are the most effective communication approaches?
One resource has been exceedingly helpful to many organizations is Managing Populations, Maximizing Technology published by the Patient Centered Primary Care Collaborative (PCPCC). Although it was distributed in 2014, its focus upon using data from registries, building team-based care and utilizing community resources were farsighted and valuable. Even a quick review of its lists and case studies can aid in building or strengthening practice population health strategies.
This resource does not focus upon coaching or behavioral change strategies. However, it does emphasize patient engagement and sets the stage for valuable health coaching interventions. It does not go into depth on paying for the transition to value-based care. However, it does create an environment friendly to annual physicals, preventative care and Chronic Care Management (CCM) code utilization – current approaches that can pay the way for coaching, care management and care coordination.
We invite you to review this publication because of its record of helpfulness to others. It can be found at https://www.pcpcc.org/resource/managing-populations-maximizing-technology