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Current Population Health Management in Health Centers


The Case for Implementing Population Health Management and Addressing the Social Determinants of Health

Year Developed: 2016

Resource Type: Publication.

Primary Audience: Enabling Staff

Language(s): English

Developed by: HITEQ (See other resources developed by this organization).

Resource Summary: This is a 27-slide module on population health management in the Federally Qualified Health Centers (FQHCs). The module provides several examples of current initiatives that support PHM and SDM as well as the use of these concept in supporting health equity in navigating the Affordable Care Act (ACA). This is a 27-slide module on population health management in the Federally Qualified Health Centers (FQHCs). The module provides several examples of current initiatives that support population health management and social determinants of health as well as the use of these concept in supporting health equity in navigating the Affordable Care Act (ACA). The module also serves to specifically outline the rationale of PHM in areas of cost efficiency, quality improvement and patient care including value-based reimbursement and risk contracts, targeting care and resources to improve outcomes, and patient engagement and care management.  

Resource Topic: Health Information Technology (HIT)/Data, Value-Based Health Care Transformation,

Resource Subtopic: Value-Based Payment, Patient Engagement, Population Health, Social Determinants of Health (SDOH).

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $6,625,000 with 0 percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.