Beyond Incentives: The Impact of Health Care Reform on Employer Population Health Management Strategies

Context.— As part of its value-based care initiative, the College of American Pathologists has pursued research to better understand the role pathologists can have in population health. Objectives.— To answer the following questions: (1) what is the impact of population health and population health management on pathologists; (2) what roles are pathologists playing in population health management; (3) is population health something that pathologists in both larger and smaller settings can engage in; (4) are pathologists in a position to analyze laboratory data for population health, and, if so, what are the key information sources those pathologists must access; and (5) what steps can a pathologist take to become involved in population health? Design.— We conducted 10 semistructured interviews with pathologists and other medical laboratory leaders who have been active in population health. These interviews were supplemented with a review of the medical literature. Results.— Pathologists have demonstrated that laboratory data can provide unique value-added contributions to improving the health of populations. These contributions are not limited to pathologists in large, integrated settings. However, pathologists need to be proactive to contribute to health systems' population health efforts and may need to both enhance their own skills and the quality of their data to maximize the value of their contributions. Conclusions.— Although not necessarily a definitive summary of the roles that pathologists are playing in population health, this article identifies some of the promising and innovative activities occurring among pathologists and laboratorians.

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An Employer's Dilemma: Integrating Existing Population Health Management Programs with Evolving Health Care Delivery Models

Population Health Management ◽

10.1089/pop.2011.0010 ◽

2011 ◽

Vol 14 (4) ◽

pp. 157-159

Author(s):

Bruce W. Sherman ◽

Chris Behling

Keyword(s):

Health Care ◽

Population Health ◽

Health Care Delivery ◽

Health Management ◽

Care Delivery ◽

Population Health Management ◽

Delivery Models

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Approaches to population health care: The emerging context!

Australian Journal of Primary Health ◽

10.1071/py05021 ◽

2005 ◽

Vol 11 (2) ◽

pp. 45 ◽

Cited By ~ 1

Author(s):

Peter Harvey

Keyword(s):

Health Care ◽

Community Health ◽

Population Health ◽

Service Management ◽

Health Management ◽

Population Level ◽

Population Based ◽

Social Contexts ◽

Illness Management ◽

The Impact

This paper provides a review of recent developments in population-based approaches to community health and explores the origins of the population health concept and its implications for the operation of health service management. There is a growing perception among health professionals that the key to improving health outcomes will be the implementation of integrated and preventive population-based resource management rather than investment in systems that respond to crises and health problems at the acute end of the service provision spectrum only. That is, we will need increasingly to skew our community health and welfare investments towards preventive care, education, lifestyle change, self-management and environmental improvement if we are to reduce the rate of growth in the incidence of chronic disease and mitigate the impact of these diseases upon the acute health care system. While resources will still need to be devoted to the treatment and management of physical trauma, infectious diseases, inherited illness and chronic conditions, it is suggested we could reduce the rate at which demand for these services is increasing at present by managing our environment and communities better, and through the implementation of more effective early intervention programs across particular population groups. Such approaches are known generally as population health management, as opposed to individual or illness - based health management' or even public health - and suggest that health systems might productively focus in the future on population level causation and not just upon disease-specific problems or illness management after the fact. Population health approaches attempt to broaden our understanding of causation and manage health through an emphasis on the health of whole populations and by building healthy communities rather than seeing "health care" as predominantly about illness management or responses to health crises. The concept also presupposes the existence of cleaner and healthier environments, clean water and food, and the existence of vibrant social contexts in which individuals are able to work for the overall good of communities and, ultimately, of each other.

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Population Health Management during Student Pharmacist Introductory Experiential Education to Expand Clinical Pharmacist Impact

INNOVATIONS in pharmacy ◽

10.24926/iip.v10i4.2231 ◽

2019 ◽

Vol 10 (4) ◽

pp. 9

Author(s):

Macy McConnell ◽

Dan Mobley ◽

Alexander Gidal ◽

Michael Nagy

Keyword(s):

Patient Education ◽

Population Health ◽

Clinical Pharmacist ◽

Patient Monitoring ◽

Health Management ◽

Original Research ◽

Population Health Management ◽

Number Of Patients ◽

The Impact

Objective: To evaluate the impact of incorporating pre-advanced pharmacy practice experience (pre-APPE) student pharmacists into three different population health management (PHM) projects. Methods: The prospective quality improvement projects incorporated three third-year student pharmacists who developed and conducted individual PHM projects over the course of three to seven months. The projects included hypoglycemia screening, hepatitis C virus and human immunodeficiency virus screening, and statin use evaluations for atherosclerotic cardiovascular disease risk reduction. Under the guidance of a clinical pharmacist, students developed project materials, conducted patient chart reviews, and contacted patients to make interventions such as recommendations for therapy, ambulatory patient monitoring, patient education, and arranging provider follow-up. Student impact was evaluated through the number of patients screened, the number of eligible patients contacted, and the total number of interventions or recommendations made. Student time spent was tracked throughout the projects. Results: Out of 244 patients screened, 198 patients met inclusion criteria and 162 patients were contacted or assessed by a student pharmacist. Students made a total of 319 interventions, including patient education (132), patient monitoring (132), pharmacotherapy recommendations (28), and arranging follow-up (27). On average students screened 33 patients per month, and, per patient, required 8.6 minutes for eligibility assessment and approximately 6 minutes for telephone interviews. Conclusion: This report demonstrates that pre-APPE student pharmacists are well-equipped to design and implement PHM projects. Utilization of student pharmacists in similar PHM programs can expand the pharmacist’s impact on patient care in the ambulatory care setting. Article Type: Original Research

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