Effective population health management is essential for health centers to flourish in a value based environment by applying a comprehensive, community-centered approach to improving the health of populations and patients they serve. The aims are to: (1) support CHCs in identifying and engaging an at-risk target population and applying interventions that upgrade processes of care, strengthen local partnerships, and address social determinants; (2) expand population health management capacity to additional patient or community target populations and additional social determinants of health; (3) enhance the potential for sustainability of the interventions, partnerships and population health capacity; and (4) develop and implement a learning community to share information among grantees and to promote and expand collaboration through information sharing with partners and other audiences. This session will address the strategies, data needs, early process, and outcome improvements in developing and tracking effective population health management in health centers.
Program Manager, Clinical Affairs Division,
Principal Owner and Consultant,
Director, PCA and Network Relations, NACHC, Bethesda, MD,
Director, PCA and Network Relations,