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 Table of Contents  
SHORT REVIEW
Year : 2018  |  Volume : 23  |  Issue : 1  |  Page : 10-12

Population health management is beneficial for all stakeholders


People's College of Medical Sciences and Research Centre, Bhopal, Madhya Pradesh, India

Date of Web Publication3-Apr-2018

Correspondence Address:
Dr. Vijay Thawani
People's College of Medical Sciences and Research Centre, Bhanpur, Bhopal - 462 037, Madhya Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmgims.jmgims_7_18

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  Abstract 


Population health management is the aggregation of patient data from health information technology resources, analytical output of which is used for improving clinical and financial outcomes. The PHM programs use business intelligence tool to monitor and aggregate data and provide a comprehensive clinical picture of each patient. Using such data, providers can track, and improve, clinical outcomes while lowering the costs. Effective PHM benefits all stakeholders – the patients, physicians, health-care organizations, health-care system, and the nation.

Keywords: Benefits, care, health


How to cite this article:
Thawani V. Population health management is beneficial for all stakeholders. J Mahatma Gandhi Inst Med Sci 2018;23:10-2

How to cite this URL:
Thawani V. Population health management is beneficial for all stakeholders. J Mahatma Gandhi Inst Med Sci [serial online] 2018 [cited 2018 Apr 23];23:10-2. Available from: http://www.jmgims.co.in/text.asp?2018/23/1/10/229159



The population health management (phm) brings clinical, financial, and operational data together from across the enterprise and provides actionable analytics for providers to improve efficiency and patient care.[1] The phm provides comprehensive, authoritative strategies for improving the systems and policies that affect health-care quality, access, and outcomes, ultimately improving the health of an entire population.[2]


  The Goals of Population Health Management Top


Financial improvement

To mitigate costs by focusing on appropriate utilization of services to manage and coordinate care efficiently, for example, mitigate costs by effectively managing and preventing chronic diseases.[3]

Clinical proficiency

To identify care gaps, it includes process metrics, such as the delivery of care services, and outcomes metrics, such as assessing the health of the patient population. Possessing and analyzing these data allow providers to identify the greatest needs of the patient population.[3]

Better patient engagement

To prevent disease and maintain wellness, patients are motivated to make healthy choices while out of health-care facility.[3]

The PHM attempts to provide better care while reducing costs. A successful PHM analysis takes data from financial, clinical, and workplace sources and combines them to give providers a practical solution which come in “care gaps.” Gaps in care occur when health-care standards are not met. This can come in the form of a data mismatch due to lack of communication, an overcompensation of treatments, and improper use of electronic health records. When the care gaps are identified through PHM analytics, they can be fixed, saving providers time and money.[4]

About 80% of the factors affecting the health are outside the traditional boundaries of health-care delivery such as health behaviors (tobacco use, sexual activity), social and economic factors (employment, education, income), and physical environment (air quality, water quality). To improve the outcomes, health-care delivery systems must expand their interactions with people in these territories which are now the purview of the public health.[5]


  Moving Population Health Management Forward Top


Hence, long health-care delivery systems have not dealt with the socioeconomic and social determinants of health to the degree that public health systems have. Health-care delivery systems must add public health professionals and epidemiologists to their staff. They need to build the skills to interact with and develop health intervention strategies in concert with law enforcement, social support services in the community, including charitable and religious organizations, job growth and economic development in communities that ensures people can afford care when they need it, adequate affordable housing in the community, healthy options for eating in the community, adequate dental care, primary and secondary education programs that encourage healthy lifestyles, violent crime reduction, and environmental strategies to ensure that communities have clean air and water. Such issues public health professionals have been managing in the progressive reduction of infectious disease in communities.[5]

Employers are beginning to create more robust and potentially effective systems of integrated health management interventions. Such organization-wide activity is known as PHM approach. Best practices are also emerging in this area, and a number of technical developments are helping shape the patterns of response from innovative employers. This initiative is rapidly becoming a critical part of health-care strategy.[6]


  Benefits of Population Health Management Top


The PHM offers effective benefits aimed at patients, health-care institutions, physicians, the system and nation as a whole. These are:[7]

Better health outcomes

PHM aims at improving healthcare quality while reducing costs. For measuring this, year wise admissions in hospitals can be evaluated.

Disease prevention

PHM takes care of patients who are facing chronic diseases involving high costs of treatment. PHM uses effective solutions for managing the care provided by healthcare service providers to them.

Reduction of care gaps

PHM provides ample amenities to physicians and organizations to access patients' needs in real time and generate speedy help. Hospital bills, laboratory and investigation data, health record and prescriptions are taken into consideration to serve the unmet needs of patients. Thus, service delivery gaps can be eradicated positively.

For the patients

Better coordinated care is received by the patients, and thus they enjoy improved health. This is because they are notified of the medication process that is required for managing their disease. Timely care provided to patients ensures that huge costs pertaining to extraneous expensive processes are saved.

For physicians

Physicians get improved information which furthers the curing process, thus resulting in measurably better outcomes. Physicians provide better health services by focusing more on patients' engagements and timely and synchronized care.

For health-care institutions

The organizations are in the profitable side because care gaps are lessened, volume of patients improved, and the care costs quantified.

For the health-care system

The system receives maximum benefits due to enhanced preventative care that helps in avoiding expensive treatment processes which leads to higher service quality.

For the nation

The benefits offered by PHM thus get accumulated in the health of the national population. Reduction in costs, better disease management, and population with better health are the ultimate positive outcomes for a nation.


  Wellness and Population Health Management Advantages Top


  • Implement strategies to improve employees overall wellness, leading to increased productivity
  • Oversee the management of institution-wide wellness programs
  • Recommend ways to motivate and cultivate maximum employee participation
  • Reduce expenses tied to employee benefits and disability
  • Access to top-notch wellness programs.[8]



  Additional Benefits of Population Health Management Top


  • Real-time insights that allow health-care organizations to identify and address care gaps within a patient population
  • Streamlined tracking and management of care for a reduced number of emergency visits
  • Identification of patients whose health can be improved by preventative measures
  • Lower health-care costs for employees of organizations that utilize a PHM program
  • Inclusion of patients not currently treated by a health-care organization.[9]


The PHM programs emphasize treating and managing the care of enrolled persons. Although these cannot address the economic, environmental, and social determinants of health and many health behaviors directly, they are well aware that their enrollees are significantly affected by these factors, especially persons who are at the risk because of poverty and illiteracy. However, PHM programs can provide clinical data, expertise and innovative thinking to community health improvement efforts that attempt to deal with these issues.[10]


  Conclusion Top


Effective PHM benefits all stakeholders – the patients, physicians, health-care organizations, health-care system, and the nation. The patients receive better-coordinated care and enjoy better health. They save the cost for more expensive procedures not required because of timely care. The physicians are better informed, and their patients are more engaged, resulting in improved health outcomes. Physicians more easily satisfy quality measures that focus on engaging patients and providing timely, appropriate, and coordinated care. The health-care organizations are more profitable because gaps in care are filled, patient volume increases, and the cost of delivering care is accurately quantified. The health-care system benefits from increased preventative care, which helps avoid more expensive procedures and leads to higher quality, more efficient, better-coordinated health care. Finally, the nation benefits from reduced health-care costs, better management of diseases, and a generally healthier population.[11] Thus, the advantages of PHM are multifold and world over it is being looked up as the panacea to usher in the higher benefits in healthcare.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Philips Wellcentive. Available from: https://www.wellcentive.com/what-is-population-health-management/. [Last accessed on 2018 Jan 18].  Back to cited text no. 1
    
2.
Spac. Available from: http://www.spacinternational.com/population-health-management.php. [Last accessed on 2018 Jan 20].  Back to cited text no. 2
    
3.
Rouse M. Population Health Management (PHM). Available from: http://www.searchhealthit.techtarget.com/definition/Population-health-management-PHM. [Last accessed on 2018 Jan 18].  Back to cited text no. 3
    
4.
Nguyen KV. How Providers Benefit from Population Health Management. Available from: https://www.prognocis.com/how-providers-benefit-from-population-health-management/. [Last accessed on 2018 Jan 19].  Back to cited text no. 4
    
5.
Health Catalyst. Available from: https://www.healthcatalyst.com/population-health/. [Last accessed on 2018 Jan 19].  Back to cited text no. 5
    
6.
Serxner S, Noeldner SP, Gold D. Best practices for an integrated population health management (PHM) program. Am J Health Promot 2006;205 Suppl:1-10, iii.  Back to cited text no. 6
    
7.
Med Converge. Benefits of Population Health Management. Available from: http://www.medconverge.com/2016/12/20/benefits-of-population-health-management/. [Last accessed on 2018 Jan 19].  Back to cited text no. 7
    
8.
Benefit Advisor Network. Available from: http://www.benefitadvisorsnetwork.com/services/wellness-population-health -management. [Last accessed on 2018 Jan 19].  Back to cited text no. 8
    
9.
Stephenson R. Healthcare Business Intelligence. Benefits of Population Health Management. Available from: http://www.syntrixconsulting.com/blog/benefits-of-population-health-management. [Last accessed on 2018 Jan 19].  Back to cited text no. 9
    
10.
Trocchio J. Community benefit and population health management. Health Prog 2015;96:77-8.  Back to cited text no. 10
    
11.
Athenahealth. Population Health Knowledge Hub. Available from: https://www.athenahealth.com/knowledge-hub/population-health/goals-and-benefits-of-coordinated-care. [Last accessed on 2018 Jan 19].  Back to cited text no. 11
    




 

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  In this article
Abstract
The Goals of Pop...
Moving Populatio...
Benefits of Popu...
Wellness and Pop...
Additional Benef...
Conclusion
References

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