Sup­port for PHM

Providers look for help to meet value-based care chal­lenges.

Health Data Management - - INSIDE FEATURES - By Fred Baz­zoli

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

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.

NextGen Health­care

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.

Philips Well­cen­tive

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.

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