Population Health Management Solutions

Population health management is implementing steps to improve the health of a targeted group of people based on insights derived from their location, race, ethnicity, gender, or demographic data. Population health management software is a digital system that aggregates healthcare data from multiple sources to enable providers and public health experts to use it to improve the medical outcomes of the targeted people. Population health management solutions are used to study the health of many people fitting certain criteria and undertaking steps to improve it.  

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Data aggregation means gathering a vast amount of data and presenting it into a pre-defined summarized format for better and detailed analysis and insights gathering. Every public health system generates tonnes of data through various data sources such as EHR, EMR, and more. Leveraging this public health data for population health management and public health app-building requires advanced data aggregation strategies. For the highly accurate and quick process of population health management analysis, it is essential to aggregate, process, and normalize health and demographic data of patients.    

    We have experience in engineering customized population health management systems for your needs that help to find the key statistics such as gender breakdown, age distribution, illness burden, health status, and care utilization often must be collected from disparate sources. We understand that population data aggregation is tied to data warehousing, and we ensure to build a population health management system as per your requirement that offers better data aggregation. Having a clean, complete, perfectly reconciled, usable, and highly interoperable public health data is essential to deploy for population health analytics. We ensure to help you collect population health data across multiple EHRs and data sources to reliably aggregate data from across the care continuum.

A population health management relies on PHM data that helps to identify the populations and the demands for care, to assess the medical care provided to these populations, and to deliver the best care to the right people. Clinical data and other data such as socioeconomic data, health risk assessment, patient-reported data, and biometric data, and more. Population health management analysis helps to aggregate data from multiple resources that require regular and effective communication. Care organizations can rely on healthcare cloud based population health management that offers best-in-class healthcare analytics to scale patients by risk using collected longitudinal public data, for developing personalized disease management programs and coordinating care delivery.

    OSP has successfully customized a population health management analysis solution for an INC 5000 company in Iowa. We have the experience to build advanced clinical data analytics to define the distinct population segments. We customize population health management in such a way that patients with a chronic disease, patients under the care of a particular set of providers, or any other grouping can be created, monitored, and analyzed using population health analytics. We help population health organizations to stratify risks of patients with high risks for better Healthcare management through coordination. Risk stratification is a clinical exercise to help understand which members have a chronic disease and need better care management. Generating the right measures, trends, graphs, work lists require analytics and robust reporting to enhance the accuracy of care management for enhanced population health informatics.

Data visualization and smart reporting modules help population data to reach the right care decision-maker at the right time and in the right format. Health organizations rely on population health management strategies that use advanced data segmentation and highly interactive data visualization to gather insights about the populations. Many modern data visualization based population health strategies provide a deeper outlook into the complex models for risk stratification at both at a discrete patient level and an aggregate population level. The public health data is also used from EHR systems to visualize disease registries to monitor and track performance metrics.

    OSP can customize population health management tools to your needs that help you highlight the key concepts that ensure that important information is seen and utilized appropriately. Population health companies first focus on identifying the segments in the given population treated by a specific provider. The types of clinical risks drive the population health data segmentation. Even after the population is defined, the size, composition, and disease get modified for the old patients with new patients in the system. Population groups’ dynamic nature requires continuous monitoring and real-time analysis for population health informatics optimum results through visualization. OSP can tailor a system for population health management with interactive dashboards and visualization to make sense of every data inch.

Care management is the method of operating in a well-coordinated way with community partners (hospitals, counselors, pharmacies, and others) to support the complete range of health needs for high-risk patients. A well-made care coordination system for population health management includes identifying the high-risk patients, sharing the data with other healthcare stakeholders, and managing the patient’s use of care to prevent unnecessary services. Once the care gaps are identified, they should be quickly resolved to forestall preventable acute events. For population health management strategies and CDSS, care management and care coordination strategies are integral components.

    We can understand your needs and build a customized population health informatics with integrated healthcare management solutions for better care deliveries. Advanced and integrated population health management tools can improve participation from a broad spectrum of healthcare stakeholders, including patients, healthcare providers, clinics, hospitals. Our team builds solutions that help aggregate, maintain, and make available longitudinal patient health records. With secure communication and automated alerts, care coordination is made full proof of offering qualitative care delivery models for population health management. We understand that for high-cost and high-risk populations suffering from chronic health diseases, personalized care through streamlined care management plays a crucial role. We build our population health management strategy to create and deploy comprehensive care plans for individuals with chronic diseases and other complex needs.

Health literacy is the capability to understand and use healthcare data to make the right care decisions and manage patient’s health. For a population health group of chronic disease patients, health literacy to self-administer their medicine and monitor their blood glucose levels is needed. Healthcare providers can reach key populations through patient outreach and patient engagement. For population health management’s success, connecting with the segmented groups and delivering meaningful, consistent information can produce the quality of consumer experience needed to drive engagement. Patient engagement and education features in a PHM application help boost outcomes by encouraging and tracking care plans’ adherence.

    We have experience in helping health organizations on their population health strategies with customized patient engagement modules. This type of value focuses on improved population health and disease reduction due to improved surveillance/screening, immunizations, and increased patient engagement due to enhanced patient education and access to information. We at OSP can help with tailored population health management solutions with patient engagement for precise targeting and communication channels by reaching key populations and getting them to engage and respond quickly. Connecting with segmented groups of population data and delivering meaningful, consistent health information can provide the quality of consumer experience required to drive engagement.

Healthcare interoperability is one of the biggest challenges faced by digital health systems across the US. The enormous amounts of patient data are yet to be put to use, but it is stuck in data silos. Enhancing the accessibility and interoperability for this data is one of the fundamental needs of population health management. Health information systems must be interoperable to help clinicians and care teams deliver well-informed, coordinated, patient-centered care, especially for population health management. Patient-generated health information and other types of exogenous data are needed to supplement clinical and claim data. We help healthcare provider organizations such as clinics, FQHCs, and hospital management systems to provide good and optimum care with easy access to patient PHM data regardless of the origin of that information, in a format appropriate to their workflow.

We believe Patient-generated population health data from multiple sources must be included in the mix, and patients should participate in the HIPAA compliant information exchange. With modernization in PHM solutions, the care organizations strive to deliver comprehensive, personalized, and timely interventions made possible only through the better interoperability of the population health management solutions. We have experience streamlining the EHR data through simplified interfacing with other care systems, clinical decision support, patient portals for patient engagement, reporting, and enhanced user experience. Our team can engineer custom-build population health management with advanced interoperability to aggregate and analyze data from multiple sources in near-real-time. We can build a custom intuitive platform that uses a flexible data lake model to standardize, store, and report patient population data.


Most chronic diseases cannot be cured but are only managed with medication, diets, and a healthy lifestyle. They cost several billion dollars to the healthcare industry and require continual medical attention, unlike regular diseases that are cured with a finite round of treatments. OSP’s can design population health solutions to consolidate the health information of a large group of people and offer actionable insights to public health experts on the best course of treatment/management.

Since population health management analyzes the health data of many people, it enables doctors to identify individuals at higher risk of disease. Using a population health management platform that we can build enables providers and population health experts to identify people more likely to contract certain diseases and undertake preventive measures. This approach benefits the patients, providers, and payers regarding the cost of care.

OSP can design a custom population health management system to offer valuable and actionable insights into the health situation of a large number of people. This insight enables providers to identify patterns and correlations that cost-effectively highlight the best approach to treatments. Additionally, our population health management solution empowers providers to take a preventive approach to care instead of a reactive one. This goes on to reduce healthcare costs.

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