Risk Stratification Approach
Population Health Management Action Guide from NACHC
Population Health Management within the Value Transformation Framework encompasses a systematic process of utilizing data on patient populations to target interventions for better health outcomes at lower cost, with a better care experience.
This Action Guide from NACHC focuses on one foundational component of population health management: risk stratification. Risk stratification enables providers to identify the right level of care and services for distinct subgroups of patients. It is the process of assigning a risk status to a patient and then using this information to direct care and improve overall health outcomes.
NACHC lays out a straightforward approach including the following steps:
STEP 1 Compile a list of health center patients
STEP 2 Sort patients by condition
STEP 3 Stratify patients to segment the population into target groups based on the number of conditions per patient
STEP 4 Design care models and target interventions for each risk group
Learn more about what is required for each of these steps and other key concepts, by visiting the Action Guide.