Population Health - Coordination of Care

Population Health - Coordination of Care

Mandated by the Affordable Care Act and driven by the socio-economic imperatives of our time, Population Health is our new frontier.  Those hospitals that are successful in this new daunting journey will be those that have developed a team to coordinate care both within the hospital setting and externally in the joint partnership of the community.

Current literature provides empirical evidence that improving population health requires tailoring care models to the needs of the local community.  A new paradigm is evolving that suggests a team effort of coordination of care within a partnership framework with other key components within a community to include the local health department, the school system, employers, the Chamber of Commerce, nursing homes, other long term facilities, home health agencies, social services, and physician practices to mention a few.

Our hospital needs the community support in this new dawn of being accountable for the health of the population it serves.  Internally we need to design a team to include the medical staff, rehab services, pharmacy, dietician, case managers, transition of care coordinator, patient service navigator, IT, PI, and nursing to list a few.  Externally we need to develop a committee to address healthcare needs along with coordination of care that ensures that the healthcare needs of our community are being cared for in a timely, effective, and efficient manner.

A collaborative effort both internally and externally must address social and economic determinants of health.  Within population health there is the challenge of 30 day readmissions which have a major financial impact and is a quality barometer of the care we provide.

With population health there must be accountability from everyone in the community to include our patients, lifestyles of our population, our school system, our social services, our businesses, and community leadership. 

Our voice and efforts must be recognized by the community we serve which calls for a coordination of care if we are to be sustainable in the new frontier. 

Sincerely,

Dr. Ed Piper

Former President & Chief Executive Officer, 2000-2016

10.26.18
Autumn: a season of excitement and giving thanks
06.22.18
Vacations are good for you. Really.
03.28.18
Health, healing, hope and heart ... the many "H's" in our Hospital
03.14.18
Flu crisis brings out your passion for service
01.30.18
Welcoming the New Year
12.22.17
Your Spirit of Giving shines every day
12.1.17
What are you thankful for?
10.26.17
The Consciousness of Leadership
10.1.17
Safety and Change Management
09.4.17
Provider Engagement and the Future
07.28.17
Accountability as a path to engagement
06.28.17
Personal and professional accountability
05.31.17
Keys to awareness and perceptions
05.3.17
Thank You, High Performers
03.29.17
Communicate your passion to our patients
02.23.17
The OMH Family
01.25.17
New Year's Blessings
12.20.16
We are all ambassadors
12.6.16
Our staff as a strategic resource
09.16.16
Partners in care
08.9.16
A whole new world
07.6.16
Diversity in the healthcare setting
02.3.16
A Call for Clinical Integration
12.2.15
Where we go next
10.27.15
The rising tide of ethical conflict
09.29.15
Our albatross: 30-day readmission rate
05.21.15
A Safe Culture, A Calling from the Heart
02.23.15
Minister to suffering
01.15.15
Greeting the rising sun of the bold new year
12.15.14
Population Health - Coordination of Care
12.15.14
Awaiting a New Dawn
08.4.14
Facing what lies before us
07.7.14
Crossing the Rubicon
06.4.14
Where have all the hospitals gone?
05.6.14
A promise to keep
04.7.14
Spring of hope
11.14.13
The uncharted waters ahead: navigating the ACA
08.8.13
Fiscal year 2014 will be a tough one
07.5.13
Facing the dawn of a new era
02.13.13
The year 2012
01.6.13
The Patient Experience
10.1.12
The incoming tide
09.6.12
The new frontier - a clarion call to act
08.25.12
Building trust during difficult times
08.20.12
Letter from the 2012 Annual Report