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Population Health Management

The emergence of new health information technology and a rise in healthcare analytics provide opportunity for insights. Health information management, including population management, uses patient data to drive change. What additional steps can your organization take to manage population health?

UCLA Health CKD Risk Stratification and Management

Care Redesign

Proactively Catching the Declining Patient

A coordinated effort by UCLA leaders to identify a high-cost population with chronic kidney disease and to modify care processes and personnel has led to improved health and reduced utilization.

Time Spent Engaging Directly with 16 Camden RESET Participants or Coordinating Care on Their Behalf

Leadership

“Putting All the Pieces Back”: Lessons from a Health Care–Led Jail Reentry Pilot

The Camden Coalition’s jail-based reentry program illuminated the necessity and challenges of engaging people with complex health and social needs and helping to transform the systems that serve them.

Diagram Illustrating the COPD Care Pathway at Allegheny General Hospital

Care Redesign

End-to-End Care for COPD Patients that Improves Outcomes and Lowers Costs

Allegheny General Hospital created a comprehensive solution for patients with chronic obstructive pulmonary disease (COPD) that led to improved clinical outcomes, reduced hospital admissions and readmissions, and a resultant decrease in the total cost of care.

Top challenges facing chronic disease management care - insufficient time and care coordination

Care Redesign

Care Redesign Survey: To Improve Chronic Disease Care, Change the Payment Model

Many health care organizations are reasonably effective in treating chronic diseases, but they are limited from doing better by fee-for-service payment, which remains the predominant payment model in the United States. This report serves as a snapshot in time, showing the intent of health care providers to be proactive in treating chronic disease, but limitations in their ability to address population health.

Physician Incentives - Importance of the Why - John Jenrette Talk Still

Care Redesign

Physician Incentives: Importance of the Why

When moving health care providers forward in the world of value-based care and population health, everything must start with asking why.

Good Shepherd culturally competent hospice care home visit to the widow of a recently deceased patient

Care Redesign

Strangers No More: Culturally Competent Add-On Programs for Diverse Seniors

Creating specialized culturally competent programs to improve patient satisfaction and address the unique health care needs of older immigrants.

Miller03_pullquote social determinants whole-person

Leadership

How a State Advances Whole-Person Health Care

Pennsylvania addresses social determinants of health by bringing together managed care and social services organizations to expand access to vital resources.

Evolution of Health Care in China - Delivering Public Benefit at Enormous Scale - David Cook talk still

New Marketplace

China’s Health Care: Public Benefit, Enormous Scale

Though demand for health services in China has outpaced the development of management systems to provide those services, China has the goal, the means, and the commitment to change health care.

30-Day Mortality Rates at Non-Teaching and Major Teaching Hospitals 2013-2014 - value-based care at academic medical centers

New Marketplace

What Value-Based Payment Means for Academic Medical Centers

Academic medical centers must become as dedicated to advancing operational and clinical efficiency as they have been to advancing the science of medicine.

Mission Hospital Virtual Sitter - Drawing of the Virtual Bed Zone and Rails

Patient Engagement

Reducing Inpatient Falls and Injury Rates by Integrating New Technology with Workflow Redesign

How Mission Hospital scaled a virtual sitter pilot and reduced unassisted falls by 44% and fall-related injuries by 40%.

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