X
Resource Overview

Population Health Management (PHM) is an evolving concept encompassing a suite of emerging technologies to aggregate, analyze and use data to improve clinical and financial outcomes.  PHM tools enable health centers to identify, monitor and target care to patients within a population. Resources in this section provide a conceptual foundation to help health center staff deepen their understanding of PHM and how the social determinants of health can be used to improve outcomes.

PHM and SDH Concepts and Overview Resources
A Roadmap for Implementing Population Health Management
HITEQ Center

A Roadmap for Implementing Population Health Management

The implementation of population health management and social determinants of health in healthcare centers

This is a 22-slide module on the implementation of population health management and social determinants of health in healthcare centers using the framework of the Institute for Healthcare Improvement (IHI) for health equity.

This outline provides a foundation that begins with electronic health records (EHR) and its progression to PHM. A step by step road map to implementation is outlined including adjusting organizational culture, conducting a vendor assessment, population stratification, work processes, patient registries, piloting and measuring implementation, and improvement.

Previous Article Data for Population Health Management
Next Article Current Population Health Management in Health Centers
Print
8455
Intended AudienceHealth Center Leadership, Health Center QI staff; Health Center IT Staff

Documents to download

Please login or register to post comments.

Theme picker

Acknowledgements

This resource collection was cultivated and developed by the HITEQ team with valuable contributions from the National Association of Community Health centers (NACHC) as well as HITEQ's Advisory Committee and many health centers who have graciously shared their experiences with HITEQ.

Looking for something different or have something you think could assist?

HITEQ works to provide top quality resources, but know your needs can be specific. If you are just not finding the right resource or have a highly explicit need then please use the Request a Resource button below so that we can try to better understand your requirements.

If on the other hand you know of a great resource already or have one that you have developed then please get in touch with us by clicking on the Share a Resource button below. We are always on the hunt for tools that can better server Health Centers.

Request a Resource  Share a Resource
Search HITEQ Content
Highlighted Resources & Events

Theme picker

Need Assistance?
Would you like more assistance regarding Population Health Management and Social Determinants of Health strategies or support in using any of the included resource sets?

  Request Support

 

Upcoming Events
The Quadruple Aim
Quadruple Aim

A Conceptual Framework

Improving the U.S. health care system requires four aims: improving the experience of care, improving the health of populations, reducing per capita costs and improving care team well-being. HITEQ Center resources seek to provide content and direction aligned with the goals of the Quadruple Aim

Learn More >