YOU SHOULD BE AWARE OF THE MUST-HAVE CHARACTERISTICS OF A POPULATION HEALTH MANAGEMENT PLATFORM
As the healthcare system intends to create a population in which all individuals can attain their highest level of health, the Population Health Management Platform assists and empowers hospitals and health systems in evolving their capability to comprehend and address the requirements of patients. The change in the healthcare sector from fee-for-service payment models, which still account for a big chunk of revenues, to value-based reimbursements, which put organizations’ profitability at risk if spending exceeds pre-determined parameters, is boosting Population Health Management Platform utilization among healthcare providers. Characteristics of Effective Population Health Management (PHM)
To sustain the transition towards value-based care, healthcare organizations need healthcare professionals to plan for and include high-value, high-risk patients in their supervision. Extensive data mining and patient participation are becoming key cost considerations if organizations do not have a strategic plan and informatics facilities to enable more personalized, precise, and successful interventions. To ensure the effectiveness of Pop Health management platform, the following characteristics should be included:
1.
Claims and clinical findings from across the spectrum
Acquiring as much salient data as possible is the first phase towards sustainable population management. Care providers frequently confront the problem of investigating their patient information from EHRs independently from claims. Evaluating all datasets, pharmacy processes, and laboratory findings are critical for obtaining a complete picture of the patient. 2.
Filtering and standardization of data
After the detailed data has been collected, it should be filtered and standardized to provide precise and reliable recommendations concerning care gaps. When data from multiple platforms are integrated, this provides an Enterprise Master Patient Index, which lessens duplicate patient data. To meet the approved standards and guidelines, the data should be decoded from the diverse data dialects used by companies throughout the spectrum. 3.
Risk Rating
Health organizations must risk-stratify individuals and offer priority lists to care coordinators. Sophisticated Population Health Management technology programs use algorithms to aggregate datasets, patient demographics, and other essential information to evaluate vulnerability and determine where the practitioners can have the most significant influence on outcomes and expense. Healthcare leaders can then identify which individuals will need more intense initiatives or specialized clinical help. 4.
Functional Insights
A Pop Health management platform is developed to serve care managers and practitioners. It must provide interpreted dashboards and a customized interface with intuitive charts and graphs that aid in identifying care gaps at the point of care and enable organizational management to remember excessive resource usage. This knowledge not only aids clinical decision-making but also encourages better workflows.