The push towards value-based delivery models has resulted in an increasing interest in population health management. The proliferation of digitized data resulting from the adoption of electronic systems represents a potential gold mine of information needed to achieve IHIs triple aim of improved patient care, improved population health, and lower per capita costs.

Population Health Management

Identifies and risk-stratified patient populations based on actionable care gaps to design effective programs. This greatly improves patient health while reducing avoidable expenses. Some important components of population health management are:

• ID/Stratification of patient populations to expose gaps in care.
• Notifying providers of care gaps and providing them with insights to address those gaps while the patient is in the office.
• Gaps in care reveal areas where intervention can prevent costly hospitalizations and unnecessary complications.

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