A population health management program strives to address health needs at all points along the continuum of health and well-being through participation of, engagement with and targeted interventions for the population.

PHM – Defined

DEFINITION: A population health management program strives to address health needs at all points along the continuum of health and well-being through participation of, engagement with and targeted interventions for the population.

GOAL: Maintain or improve the physical and psychosocial well-being of individuals through cost-effective and tailored health solutions.

Population Health Conceptual Framework

PHM Framework: Mainstay Elements

Upfront Analytics:

Case ID and risk stratify for targeted interventions

Interventions:

Multimodal, Consumer Focused, EVB, High Tech to High Touch

Outcomes Focus:

Value from improved quality, care experience and cost savings

PHM – Conceptualized

The Population Health Conceptual Framework identifies the general components and stakeholders of population health. It first depicts the identification, assessment and stratification of program participations. The core of the model includes the continuum of care, as well as patient-centered interventions. The patient (consumer) is central in the model, and is surrounded by various overlapping sources of influence on the management of his or her health. This can include, but is not limited to, organizational interventions, tailored interventions and family and community resources. Operational measures are represented under program outcomes. Finally, the cycle of program improvement based on process learnings and outcomes is prominently depicted by the large curved green arrows.