Applied population health : delivering value-based care with actionable registries / Barbara Berkovich and Amy M. Sitapati.

"A Productivity Press book."

Includes bibliographical references (pages 195-201) and index.

List of Tables List of Figures Acknowledgements About the Authors 1 Introduction PART 1 FUNDAMENTALS 2 Policy: Drivers for Value-Based3 People 4 Process 5 Technology of Health Registries6 Measuring the Quadruple Aims PART 2 EFFECTIVE DELIVERY OF APPLIED POPULATION HEALTH 7 Applied Population Health Technical Foundation 8 Quality Measure Management Systems 9 EHR Population Health Projects10 The Who: Cohort Management with EHR Registries 11 The What and the When: Building the Feedback Loop 12 Applying Clinical Decision Support 13 Calculating Risk 14 Analytics DashboardsPART 3 APPLIED POPULATION HEALTH TODAY AND TOMORROW15 Moving Into the Future With a Learning Health System 16 We've Come So Far . . . Lessons Learned and Call to Action 17 Visioning Population Health of Tomorrow References Answer Key Appendix A. Implementation of CDC Race and Ethnicity Codes (CDCREC) Appendix B. Population Health White Paper Appendix C. Job Descriptions for Population Health Team Members Appendix D. DIY System for Quality Measure Management Appendix E. Ambulatory Care Health Screening OrderAppendix F. Population Health Project Request Appendix G. Registry Best Practices Appendix H. Resources Applied Population Health: Delivering Value-Based Care with Actionable RegistriesIndex

"Electronic Health Record (EHR) systems today provide increasing levels of clinical decision support and are the fulcrum for change for value-based healthcare delivery. Billions of dollars of government and insurer payments are dependent on evidence-based workflow design and quality report. In this context, quality measurement is no longer a retrospective exercise, but an essential prospective process embedded in clinical operations. Population health tools in the EHR enhance the efficiency and effectiveness of interventions thus improving the quality of care at lower cost. Population health methods are effective in ensuring that the right patient receives the right care at the right time. This book provides a clear framework for design, implementation, and monitoring of innovative population health tools to accelerate measurable improvements in care delivery. Key benefits for readers include conceptual framework, team approach, and technical insights that result in improved patient care, improved performance on quality measures and increased revenue from quality performance incentives and risk-based contracts. This is also a practice guide to the healthcare professionals many roles who are eager to build or improve population health programs with the goal of delivering high quality value-based care"--