As healthcare moves from volume to value, payment models and delivery systems will need to change their focus from the individual patient to a population orientation. This will move our economic model from that of a "sick system" to a system of care focused on prevention, boosting patient engagement, and reducing medical expenditures. This new focus will shift traditional financial accountability from the payer model to provider directed models.
Population Health: An Implementation Guide to Improve Outcomes and Lower Costs covers not only the rationale for this transition, but also outlines successful practice models that are built to thrive in these new market dynamics. Besides the philosophical and the cultural aspects of these new models, it details the implementation and strategic initiatives required to succeed in today’s value- and population-oriented healthcare environment.
Describing what population health is, the book explains why it represents an opportunity for healthcare delivery systems, public health agencies, community-based organizations, and other entities to work together to improve health outcomes in the communities they serve.
The book clarifies how the new models will impact healthcare providers, how to manage populations, and how to handle the risk factors involved. It details new delivery models, such as primary care and medical neighborhoods, and outlines the value proposition of screening and prevention in assigned populations.
Table of Contents
What is Population Health?
Why Population Health Now?
The Care Continuum
Patient Centered Medical Home and Its Brethren: New Care Delivery Models
Kathleen M. Ferket
THE VALUE PROPOSITION FOR PREVENTION AND SCREENING
David J. Ballard, MD, MPSH, PhD, Briget da Graca, JD, MS, Neil Fleming, PhD, and Cliff Fullerton, MD, MSc
Big Data Enables Population Health
Managed Care and Payer Models
Physician Compensation Models
Technology and Decision Support
Population Health, Healthcare Disparities & Policy
Edward M. Rafalski
Adventist Health Network Begins Transition from Volume to Value
One ACO's Journey to Comprehensive - Connected - Continuous Care
Cliff Fullerton, MD, MS; Jean Sullivan, MBA; Briget da Graca, JD, MS
Launching Population Health Program in 12 Months
Marty Manning and Dr. Gary Wainer
An Interprofessional Approach to Improving Care Coordination: The Transition Clinic at Rush University Medical Center
Vidya Chakravarthy, M.S. , Regina McClenton, RN, Christopher M. Nolan, MPA, Robyn L. Golden, LCSW, Anthony J. Perry, MD
Cigna Collaborative Care
Peter W. McCauley Sr., MD, CPE , Richard D. Salmon, MD, PhD., Harriet Wallsh, RN
Patient-Centered Medical Home (PCMH)
The Future of Healthcare Delivery
Dr. George Mayzell is the senior chief medical officer and chief clinical integration officer for Adventist Midwest Health. He joined the organization in January 2013, after serving as CEO of Health Choice and Senior Vice President of Methodist Le Bonheur Healthcare in Memphis, Tennessee.
Dr. Mayzell has more than 30 years of experience in medicine and is a board certified internist and geriatrician. He received his medical degree from the University of Medicine and Dentistry of New Jersey and his MBA from Jacksonville University.
He previously served as senior medical director of managed care for the University of Florida and Shands Hospital. He spent more than 10 years with Blue Cross Blue Shield of Florida, working as regional medical director for care and quality and corporate managing medical director for pharmacy and care. Additionally, he has more than 10 years of practice experience.
Mayzell has co-authored two books, Leveraging Lean in Healthcare and Physician Alignment: Constructing Viable Roadmaps for the Future.