The pMD Blog

Welcome to the
pMD Blog...

where we cover interesting and relevant news, insights, events, and more related to the health care industry and pMD. Most importantly, this blog is a fun, engaging way to learn about developments in an ever-changing field that is heavily influenced by technology.

Making the Most of Your Data with Population Health Management

With health care shifting from volume-based to value-based care, there is heightened focus on patient outcomes and providing quality patient care. Since the HITECH Act passed in 2009, there has been an increase in incentives for providers to participate in quality programs, such as Meaningful Use. These incentives, and penalties, show no sign of slowing down anytime soon. One initiative we’ve been hearing a lot more of lately is PHM, or Population Health Management. Like most buzzwords in health care, there’s a lot of excitement around the possibility of implementing a successful PHM program, but what does that look like in practice? First, it’s important to understand what PHM is, the challenges around PHM, and some steps we can take to move us in the right direction.

So what is Population Health Management? PHM seeks to improve the clinical and financial outcomes of a group, or population, by using patient data from multiple health care resources and analyzing that data into a single patient record. In short, PHM seeks to help chronically ill patients get better, while also decreasing the amount of money spent on patient care. In order to successfully implement a PHM program, it’s important to define your population. Typically, population health focuses on identifying the sickest patients and usually those with chronic conditions. Sadly, these sick patients shouldn’t be hard to find: as of 2012, 117 million people, about half of all adults, had one or more chronic health conditions. 25% of adults had two or more chronic health conditions.

While there are certainly enough chronically ill patients for health care organizations to target through a health management program, PHM does not come without challenges. For one, interoperability in health IT has its limitations. Many EHR systems do not communicate with one another, so if a patient is admitted to a hospital that uses one EHR system, and then that patient sees their primary care physician who uses another system, that patient record becomes fragmented. In other words, we rarely see the same intelligence tools (EHRs, PMs, etc.) used across multiple organizations. And when data across different systems is collected, how can we transform these inputs into one streamlined output? Additionally, while we certainly have a large pool of patients to select for PHM programs, patient compliance is often outside of the control of a provider or health care organization.

Even with the above challenges, PHM is not futile and are things we can do to steer us in the right direction. Care coordination, a huge focus here at pMD, allows physicians to coordinate care across multiple organizations, leading to improved transparency into that patient’s health care journey. A great example of this is the AIM program in Anchorage, Alaska. In addition to connecting care communities, interoperability must become a reality if PHM is to succeed. Interoperability refers to the ability for different health systems (EMRs, practice management systems etc) to exchange and share information. Lastly, getting patient involvement and buy-in is tremendously important when we talk about improving outcomes in PHM. Medication compliance, engaging in online patient portals and patient education are all ways medical professionals can encourage their patients to become involved in their health outcomes.

The shift from fee-for-service to value-based care is certainly a refreshing change, and one in which pMD is prepared to help. pMD encourages communities of physicians to communicate through our secure messaging platform to ensure continuity of care from hospital to PCP. Improving outcomes for patients has obvious benefits for all health care stakeholders. As a matter of fact, improving prevention and disease management for chronic illnesses, such as diabetes and heart disease, could save the US over $1 trillion by 2023! While value-based care is still a work in progress, programs like PHM are moving us in the right direction.
5G ACA Account Management accurate coding ACI adoption Advancing Care Information Advice AHCA AHRQ AI Alternative Payment Model Amazon S3 Android API Apple appointment reminders Artificial Intelligence arts Audit Award Bay Area BCRA Benefits Best Place to Work Best Practices Big Data Billing Billing & Collections Billing Service Billing Services bootcamp BPCI BPTW Bundled Payment Model Bundled Payments Business relationships Care Communities care coordination Care Navigation Care Team Career Fair CDC Charge Capture Charge Capture App Charge Capture Software Charge Capture Solution Charge Capture Statistics Charge codes Charge Lag Charge Reconciliation CHIP CIO Claims Clinical Communication clinical data Clinical Data Registry Clinically integrated network Cloud CMS cms regulations Coding Collaboration Communication Company Culture Conferences Connected Health Record contact practice Coronavirus COVID COVID-19 COVID19 Cross-functional culture custom reports Customer Interaction customer relations customer service customer success customer support Customers Cyber Security cybersecurity Developer DHHS Diagnosis codes Dialysis discharge instructions Doctor EHR elderly Electronic Charge Capture Eligibility EMR Encryption End-to-End Platform epidemic Expansion FDA FHIR Flu fundamentals gamification Gen Z GI GI Outlook Goals group messaging Health Care Health Care Technology Health Care Web Health Care. Health Care IT health data Health Information Exchange Health Record Healthcare Healthcare Data healthcare interface healthcare interface integration healthcare software HIE HIPAA HIPAA Compliance hipaa compliant communication hipaa compliant communication platform HIPAA-Compliant Hiring HL7 Holidays Home dialysis Home Health Hospital Census Hospital Communication humanity IA ICD-10 ICD-11 Immunizations Implementation Improvement Activities in-app calling inclusive software incorrect billing increase revenue injury rehabilitation innacurate coding Instant capture Integration interface interoperability iOS iOS 8 iOS7 iPad iPhone iPhone 6 IT Lead Generation length of stay LGBTQIA Long Term Care LTC Machine learning MACRA Medaxiom Medical Billers Medical Billing Medical Billing & Collections medical billing denials and solutions Medical claims Medical Coding medical coding accuracy medical coding quality Medical Errors medical practice revenue Medical Record Medical Software Medicare Mental Health Mentorship Messaging Messaging with Patients MGMA MIPS MIPS Registry mobile Mobile App Mobile Charge Capture Mobile EHR Mobile Health Mobile Messaging Mobile Payments Mobile security Mobile Software Mobile Technology Mobile telehealth Modern Healthcare Native App natural language processing Network new feature new features news NIH nlp OCM onboarding Oncology Care Model operations opioid crisis Pandemic Parenting Partnership partnerships Patient Patient access Patient Adherence Patient App Patient Care Patient Chat Patient chat routers Patient Communication patient data Patient Engagement patient experience patient experience cycle Patient Generated Health Data Patient Handoff Software Patient Information Patient Messaging patient outcomes Patient payments patient portal Patient Record Patient Safety Patient satisfaction Patient Simulators patient support Patient Visits Patient-Centric PCP Performance bonus PHI Phishing Scams Physician Physician burnout pmd pMD Pro pMD Team population health Population Health Management Post-COVID PQRS Practice Management Pregnancy Press Release Product Development Productivity products Promoting Interoperability Protected Health Information QCDR QPP Quality Data quality reporting Quality Scoring Ransomware RCM Recruiting Recruitment Reimbursement remote jobs Remote Work Reporting reports Residents Responsibility revenue cycle management ROI Rural communities Ryuk Sales Secure Communication Secure Data Secure Messaging Secure Messaging Video Secure Text Messaging Secure Video Secure Video Chat Security Audit self care seniors sexual orientation and gender identity SF Biz Times SMB SNF SNOMED-CT SOC 2 software vendor SOGI Spear Phishing Specialty Care success support TCM TDM Team Team culture Teamwork technology telehealth telehealth reporting Telemedicine telemedicine in long term care Telemedicine skilled nursing facilities Teletherapy Text Messaging texting Thanksgiving Therapeutic Drug Monitoring time-based billing training transgender Travel Upgrades UX Design VA vaccination records vaccinations Vaccine Value-based care Video Calling Video chat video communication video conferencing Virtual Care Virtual Visit voice calling voice memos WannaCry Wearable Device wearing many hats Web App wellness wfh Wireless Work From Home Work Life Balance Workflow optimization Workplace Culture