Population health management (PHM) is a discipline within the healthcare industry that includes collecting and analysing data on segments of your patient population and managing specific diseases within that population.

Benefits of PHM

  • Improve the health outcomes of a group by monitoring and identifying individual patients within that group.
  • Provides a comprehensive clinical picture of the group being monitored.
  • Providers can track, and hopefully improve, clinical outcomes while lowering costs.
  • Configurable risk stratification level.
  • Provides real-time insights to both clinicians and administrators and allow them to identify and address health care gaps within the patient population.

High Level Features of PHM

  • Enables providers to configure the stratification using entities like Demographics, Problems, Medications, BMI, Allergy, Lab results, Smoking History, Family History
  • Allows providers to create as ruleset based on the stratification and could search further on it.
  • Providers could initiate messaging.
  • Providers could setup appointment request.
  • Providers could initiate survey.
  • Providers could initiate campaign.
  • Providers could send appointment reminders.
  • Providers could initiate participatory program like free diabetic health checkup.
  • Provider can initiate health events and patient engagements based on customized rulesets (i.e. weight loss program BMI>25.)