Population health management or PHM means building a holistic approach to enhance patient health outcomes individually by focusing on patients’ complete group. The population health management strategies are created based on patient groups consisting of patients within a predetermined health system, a geographic region, those with a similar disease or ones sharing another defining characteristic. Moving towards evidence-based care and value-based models, population health strategies are preferred by healthcare providers, hospitals, insurance companies, and Accountable Care Organizations (ACO) to enhance the care quality and cost containment. Many health systems leverage population health management tools to apply population health strategies to chronic disease management with comprehensive data aggregation and analytics. The highly advanced population health analytics offer deep insights into the care gaps and help providers to fill those gaps with an actionable treatment plan for a specific patient or the whole group.
OSP has experience in customizing a population health management solution for an INC 5000 health organization combining the clinical and operational population health data to render the ability to draw accurate conclusions and create a holistic population health strategy. Our PHM development experts are well-versed to engineer robust population health management systems to draw a quick and accurate conclusion and make evidence-based decisions for better patient health outcomes. We not only help healthcare providers with advanced care coordination but also help them empower patients to have enhanced patient engagement and participation in their care.
The common bottlenecks which might slow down your business growth
Lack of data management infrastructure to collect, store, monitor, and analyze public health data.
Population health management services failing to maintain required regulatory compliance.
Lack of EHR-integrated PHM data or discrepancies affecting public health informatics.
Time-consuming and manual processes of population health data collection and analysis.
Low patient engagement affects the ample collection of data for multiple stages of diseases.
Lack of interoperability of spotty information sharing affecting the efficiency of population health management solutions.
Next-generation population health informatics development explicitly designed for rapid and effective care coordination.
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.
OSP has worked with Stephen to create a mobile health application offering 'Doctor on Demand'. This mhealth solution is based on the Uber model to enhance the availability of health access in the US.
To have an efficient and fruitful population health management, balancing the solution with prediction and prevention is highly essential. Custom-made population health management software solutions can help identify individuals with high risks of developing chronic conditions as early in the disease’s progression as possible and have the best chance of assisting patients in avoiding long-term health issues that are costly and challenging to treat.Contact US
Population health management helps improve care for patients with chronic and expensive conditions by providing chronic disease management solutions that track and manage their care. Integrated healthcare delivery with chronic disease management that considers a patient’s mental and physical health can significantly enhance health outcomes and ensure these patients are receiving the care they need through PHM management.Contact US
We can program population health management solutions as per your needs that help in managing chronic health diseases with risk stratification. Our customizations to population health management technology help providers to collect data across the population health groups. They are based on their geography, disease, and therapy to identify and address common chronic health issues. The tailored population health management analytics offer real-time insights to identify the care gaps, enhance the quality of health outcomes, and cost-saving.
Public health management is costlier, and healthcare providers always turn to population health management strategies for cost containment. Care coordination is one of the important solutions for cost containment in the public health strategy. Also, helping patients to learn more about their conditions and pushing them positively for medication adherence is possible through a customized population health management. We have experience in working on population health strategies that help in integrated healthcare, care continuity with cost containment.
OSP can build a population health management strategy with the help of smart integrations to the system, such as EHR. The current challenges of population health management data are partial patient records, lack of patient outreach, and incomplete data. We ensure better population health management analysis through the data of a patient collected from their EHR that would offer detailed information about their current health status, core vitals information, and more. Our custom-made population health management tools can offer real-time insights on patients to fill the major care gaps.
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