Support for PHM
Providers look for help to meet value-based care challenges.
Research highlights keys to population health management .
As value-based care takes hold, healthcare organizations are looking to better manage populations of patients to ensure care is timely and effective. Information systems are crucial in both collecting and analyzing data, and developing actionable results that can impact care.
Population health management applications aim to help providers improve operations. KLAS Research, which studies the use of IT in healthcare organizations, sees six areas of functionality that are essential in population health management solutions. These include:
• Data aggregation, the compilation of data from disparate sources.
• Data analysis, which helps to stratify a population across risk factors and make predictions.
• Care management, which enable managers to track, plan and coordinate care for a population.
• Administration and financial reporting, which use dashboards and reports to analyze financial and clinical results.
• Patient engagement tools, which help to communicate with patients and track outreach.
• Clinician engagement functionality, which enables physicians to use population health management data at the point of care, while also tracking utilization.
In a recent report on population health management, KLAS Research identified 12 vendors that are among those most depended upon by providers to help them direct care of various patient populations. This list summarizes KLAS’ study of the various leading vendors.
Allscripts offers population health management solutions that work in tandem with its electronic health records system. Its platform is a combination of both acquired and native solutions. Some of the tools under the CareInMotion solution are dbMotion, Care Director, Care Management, Care Team Management, Referral Management, CarePort, Chronic Care Management, FollowMyHealth and Population Health Analytics.
Arcadia Healthcare Solutions
Arcadia combines population health management tools with consulting services. The tools were originally built to be used by the company’s consulting clients, though non-clients now use its applications—customers now include clinics, large national acute care organizations and health plans.
The company offers a vendor-agnostic PHM suite that includes tools for claims data and business intelligence functions. The company also engages in risk-based profit sharing with some of its PHM customers.
Cerner’s HealtheIntent platform for PHM is EMR-agnostic, aggregating data on the front end and then serving it up to several different applications, ranging from registry and analytics to care management solutions.
The company’s Care Coordination Medical Record has several different modules for data exchange, analytics, patient engagement and care management, working in a coordinated fashion with eClinicalWorks’ EMR and practice management systems. The application is not sold outside of the vendor’s EMR customer base.
The Epic population health management functionality falls under the umbrella name of Healthy Planet and is part of the Epic EMR. As a result, the company’s customers don’t have to deploy an additional module to get access to Epic’s population health functionality.
Forward Health Group
The company has many ambulatory practice customers, but clients also include medical centers and health systems. Typical population health customers tend to be involved in accountable care organizations, quality initiatives and pay-for-performance programs.
Health Catalyst’s analytics and data visualization capabilities have been used by healthcare organizations for years, and many of the customers for these products are beginning to use the company’s population health management applications to further leverage their data. Even those that don’t are using its enterprise data warehouse for activities related to population health management.
A recent entrant to the PHM field, HealthEC has been processing claims data since the 1990s. Its customer base is mainly composed of midsize acute care organizations—many of its clients are independent, physician-led organizations, and they tend to need to bring together data from a wide variety of sources.
Lightbeam Health Solutions
Lightbeam offers a cloud-based, vendor-agnostic PHM solution that includes analytics, care management, patient engagement, quality reporting and an enterprise data warehouse. Its strengths are providing insightful financial and clinical information for the administrative staff of an organization.
The company offers a vendor-agnostic PHM product with several applications geared toward preparing and analyzing data to make it useful for care coordinators and physicians. The platform was developed by EagleDream Health, which NextGen acquired.
The Wellcentive brand is a longstanding player in the PHM market, offering a variety of functionality important to managing populations of patients. Customers range from midsize ambulatory practices to hospitals, ACOs, integrated delivery networks and large health systems.