We have the resources to help you identify segments of the patient population most in need, so you can enhance care, improve outcomes, and minimize costs.
$3T
The amount spent per year on healthcare in the United States — of this, 5% of the population spends roughly half.
4 steps to population health management
Identify
- Risk stratification
- Disease registries
- Cohorts
- High utilizers/high costs
- Open care gaps
Assign
- Empanelment
- Coordinate care
- Close care gaps
- Team-based care
- Care plan creation
Engage
- Build relationships
- Educate and activate
- Collect patient-reported data
- Ongoing care management
- Annual wellness visits
Measure
- Baseline metrics
- Set goals
- Monitor
- Assess results
- Improve
We understand the challenges you face
“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
