Full Description
Electronic Health Record (EHR) systems today provide increasing levels of clinical decision support and are the fulcrum for change for value-based healthcare delivery. Billions of dollars of government and insurer payments are dependent on evidence-based workflow design and quality report. In this context, quality measurement is no longer a retrospective exercise, but an essential prospective process embedded in clinical operations. Population health tools in the EHR enhance the efficiency and effectiveness of interventions thus improving the quality of care at lower cost. Population health methods are effective in ensuring that the right patient receives the right care at the right time.
This book provides a clear framework for design, implementation, and monitoring of innovative population health tools to accelerate measurable improvements in care delivery. Key benefits for readers include conceptual framework, team approach, and technical insights that result in improved patient care, improved performance on quality measures and increased revenue from quality performance incentives and risk-based contracts. This is also a practice guide to the healthcare professionals many roles who are eager to build or improve population health programs with the goal of delivering high quality value-based care.
Contents
List of Tables
List of Figures
Acknowledgements
About the Authors
1 Introduction
PART 1 FUNDAMENTALS
2 Policy: Drivers for Value-Based
3 People
4 Process
5 Technology of Health Registries
6 Measuring the Quadruple Aims
PART 2 EFFECTIVE DELIVERY OF APPLIED POPULATION HEALTH
7 Applied Population Health Technical Foundation
8 Quality Measure Management Systems
9 EHR Population Health Projects
10 The Who: Cohort Management with EHR Registries
11 The What and the When: Building the Feedback Loop
12 Applying Clinical Decision Support
13 Calculating Risk
14 Analytics Dashboards
PART 3 APPLIED POPULATION HEALTH TODAY AND TOMORROW
15 Moving Into the Future With a Learning Health System
16 We've Come So Far . . . Lessons Learned and Call to Action
17 Visioning Population Health of Tomorrow
References
Answer Key
Appendix A. Implementation of CDC Race and Ethnicity Codes (CDCREC)
Appendix B. Population Health White Paper
Appendix C. Job Descriptions for Population Health Team Members
Appendix D. DIY System for Quality Measure Management
Appendix E. Ambulatory Care Health Screening Order
Appendix F. Population Health Project Request
Appendix G. Registry Best Practices
Appendix H. Resources
Applied Population Health: Delivering Value-Based Care with Actionable RegistriesIndex
