The Population Health Care Delivery Model presents delivery systems with a framework for developing, piloting, and implementing population health programs across the continuum of care.
ABSTRACT
Objectives: While most payers have been slow to embrace models that would incentivize value-based care delivery, providers have a unique opportunity to take the lead in this endeavor. We examine best practices to develop a Population Health Care Delivery Model (PHCDM) to guide delivery systems as they design and pilot population health programs across the continuum of patient care and to facilitate their coordination with individual clinicians.
Study Design: Systematic review.
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Methods: A systematic review of observational studies and health system case studies was conducted. We examined the effectiveness of population health–oriented programs and specific quality improvement initiatives in improving the health outcomes of patient populations across the continuum of care. Our assessment was primarily focused on the structural and design features of successful programs.
Results: We find that population health improvement is a result of (1) prevention and well care and (2) disease management initiatives that are both patient-centered and population-oriented in structure. We identified differences in care delivery objectives as the severity of disease increases across the patient care continuum. The corresponding PHCDM presents a framework for providers to systematically pilot and evaluate population healthcare programs.
Conclusions: The delivery system–clinician partnership is essential to coordinating evidence-based practices across the care continuum and, as a result, strengthening relationships with payers to further incentivize population healthcare delivery.
Date: August 31, 2018
Source: AJMC