How Community Care Physicians Can Deliver Effective Population Health Management With Clinical Analytics

Care management has historically focused on the acute space. This focus stems from the availability of inpatient data and the investment made by healthcare systems in analytic resources. Now shared accountability arrangements — such as accountable care organizations (ACOs) — are driving an expansion of scope, which includes a growing need for data regarding the other venues of care along the continuum.

This paradigm shift is bringing population health management into the forefront of new care delivery strategies. Population health management involves applying proactive interventions to defined cohorts of individuals to maintain or improve their health at the lowest necessary cost. This strategy affects the entire continuum — but particularly the primary care space where the effort is centered. Primary care physicians (PCPs) are on the frontlines of population health management, promoting preventive care and managing chronic disease among their populations.

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