Complimentary from the publisher

Complimentary from the publishers of Population Health News December 2021

"Solving the problem of healthcare data siloing poses many challenges (like ingesting and managing data at massive scale, and securing and governing sensitive patient data). The biggest of these is patient matching: de-duplicating patient records across systems, often with incomplete or inaccurate information. Unifying fragmented or duplicate patient records into a single “source of truth” is a daunting hurdle, requiring specialized engineering expertise and technical infrastructure. Legacy rule-based linking approaches simply do not deliver the accurate, unified patient profiles that are required for breakthrough population-level insights."
- Tisson Mathew, Founder and CEO, Skypoint Cloud

95% of respondents to IMI's 4th Annual Medicaid Health Plan Survey offered targeted programs to address social determinants of health in 2020. Their SDOH programs most frequently targeted the following populations:
• Homeless/housing insecure (79%)
• Pregnant individuals (68%)
• Adults with serious mental illness (63%).

Source: "Medicaid Access & Care in 2020: Results from the Institute for Medicaid Innovation’s 2021 Annual Medicaid Health Plan Survey," the Institute for Medicaid Innovation, November 2021.

CHIME: Technology Tool Types Used to Target Patients for PopHealth Outreach

1. EHR only: used by 31% of respondents
2. Third-party only: used by 7% of respondents
3. Homegrown only: used by 2% of respondents
4. Combination of 2 or more tool types: used by 57% of respondents
5. Not applicable: 3% of respondents

Notes: Survey results from 401 U.S. healthcare organizations, from a report entitled, "Healthcare's Most Wired: National Trends 2021."

Source: The College of Healthcare Information Management Executives (CHIME), November 17, 2021

check out more lists on healthsprocket. "What's on your list?"

Succeeding in Alternative Payments One Health System’s Journey into Population Health

Dr. Scott Nygaard shares his perspectives on Lee Health’s journey into alternative payment models, including ACO development, bundled payments development, and a Medicaid primary care provider service network. He elaborates on the challenges in leveraging data analytics to support population health management and care management in all those alternative payment models, and how his health system has achieved progress.

Check out HealthshareTV, the home for health care videos

Use of Race in Clinical Diagnosis and Decision Making: Overview and Implications
Kaiser Family Foundation, December 9, 2021

Power and Participation: How Community Health Centers Address SDoH
NEJM Catalyst, December 8, 2021

CMS to roll out 'birthing-friendly' hospital tag on Care Compare site
FierceHealthcare, December 8, 2021

Why now is the right time for population health — 5 insights to make a difference
Becker's Hospital Review, December 2, 2021

New numbers suggest nearly 1 in 40 US children affected by autism
The Hill, December 2, 2021

Studying Long COVID to Improve Population Health Efforts
Health IT Analytics, November 30, 2021

Labor shortages impacting care for patients with disabilities. Here's how
FierceHealthcare, November 28, 2021

Obesity rate among emerging adults significantly increased from 1976 to 2018
Healio, November 23, 2021

Survey: Majority of Medicaid managed care plans offered health equity benefits
FierceHealthcare, November 23, 2021

Disparities in telehealth use for rheumatology linked to language, race, age
Healio Rheumatology, November 19, 2021

COVID-19, SDoH, and Opportunities for Preventing Cardiovascular Disease
Journal of the American Heart Association, Decembr 10, 2021

Tackling population health challenges as we build back from the pandemic
BMJ, December 7, 2021

Social Risk Interventions and Health Care Utilization for Pediatric Asthma
JAMA Pediatrics, abstract only, December 6, 2021

Carbon Health Launches Primary Care-Led Metabolic Health Assessment Program
Business Wire, December 2, 2021

A Population Health Assessment in a Community Cancer Center Catchment Area
Cancer Epidemiology, Biomarkers & Prevention, abstract only, December 2, 2021

Primary Care Case Conferences to Mitigate SDoH: A Case Study From One FQHC
The American Journal of Accountable Care, December 2021

From pandemic response to portable population health: A formative evaluation
PLOS ONE, November 30, 2021

Disparities in Social Determinants of Health Amongst People with Disabilities
International Journal of Disability, Development & Education, November 24, 2021

Using a SDoH Summary Measure to Predict General Health Status in the BRFSS
American Journal of Health Promotion, abstract only, November 22, 2021

Dignity Health integrates asthma and COPD data, sees 54% drop in ER visits
Healthcare IT News, November 12, 2021

Quality improvement to improve providers’ goal-setting for chronic disease
Journal of Healthcare Quality Research via ScienceDirect, November 27, 2021

Association of a housing based socioeconomic status measure with diabetic control
Primary Care Diabetes, November 19, 2021

In the most recent Medical Home News Supplement:

PCMH Transformation Using Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey Data
Telehealth's Powerful Advantages under Medicare Advantage Plans
Most Seniors With Dementia Live At Home, Despite Pain, Anxiety, Poor Health
Click here to subscribe to Population Health News, or find out more

Poverty, Racism and the Public Health Crisis in America by Laurie Fickman

New Index Tracks US State Progress on Promoting the Health and Well-Being of Older Populations for the First Time by Stephanie Berger

New Study Suggests Healthcare Provider Biases Can Impact a Patient’s Access to Preventative HIV Drug by Timothy Pierce

Thought Leaders' Corner: Can data help address disparities in the healthcare system?

Industry News with briefs regarding: Tthe New Jersey Hospital Association; Greater Good Health; Fast Pace Health and Rural Health Alliance; The Joint Commission; Clinigence Holdings And Nutex Health; Robin Hood and Part of the Solution; KGI and COPE Health Solutions; InfoBionic, Jeeva Informatics and ParaFlight EMS and Aviation; Wildflower Health and Medical Mutual; Mt. Sinai Health Systems; Clarivate

Catching Up With...Tisson Mathew

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