While Population Health Management and Social Determinants of Health are not new subjects, it is an area of growing concern with not enough attention of fully implementing in healthcare facilities and practices. It is truly important to understand how these initiatives affect HIM professionals, CDI specialists, medical coders, medical billers, practice managers, physicians, and other healthcare workers.
Population Health Management (PHM) is defined as, “the aggregation of patient data across multiple health information technology resources, the analysis of that data into a single, actionable patient record, and the actions through which care providers can improve both clinical and financial outcomes.”
The goal of PHM is to improve the health outcomes of a group by monitoring the individual patients within the group. Using data collected from each patient within the group, providers can track and aim to prove clinical outcomes while lowering the cost to do so. This is an area that is vital in the increase of value-based reimbursement and improvements of quality care for patients.
Care management is a critical part of PHM and a developed care management program is key in populations with chronic disease. Care management varies from place to place, but they tend to focus on improving the patient’s self-management, medication management, and all the while reducing the cost of care.
In the end, the overarching goal of PHM is very simple. To improve the quality of care for patients while reducing the costs. It is an area that can create many opportunities for the healthcare professional as experts in patient information.
If you are interested in learning more about Population Health Management (PHM) and Social Determinants of Health (SDoH), join the Social Determinants of Health Webinar on Thursday, April 2nd at 1 pm EST. The webinar will be presented by Emmy Clancy, MHA, CMPE, CPC, CDEO, CPMA, CCS and is worth 3 AAPC and ARHCP approved CEUs. Join here.