As we lead the way in transforming the health care industry from the traditional hospital environment to a prevention- and wellness-focused system of care, Froedtert & the Medical College of Wisconsin is committed to managing the health of our populations.
Population health management is about coordinating the care we provide across a large number of patients — a “population.” Our aim is to improve their health outcomes through a focus on prevention, care coordination and targeted disease management. In turn, we will help control how much consumers and employers spend on health care, by keeping patients out of the costliest settings such as hospitals and emergency rooms, and catching problems before they require more extensive care.
Defining a Population
Some examples of a population include employees on a given employer’s health plan or patients of a clinic with a certain metric in common, such as high cholesterol, BMI or glucose.
A Data-Driven Goal
Managing the health of a population requires robust data gathering, analyzing and reporting. Froedtert & MCW health network creates registries, or charts of a population’s data, based on information from its electronic medical record system. We look for trends in the aggregate, or overall, patient data set, and link these trends with predictive modeling to show how the health status or health care costs of the population could improve over time.
Population Management Initiatives
- The Medical Home is an innovative model for care that can transform the health of our communities with a more patient-centered, proactive and evidence-based approach proven to help people experience healthier outcomes.
- A group visit among patients with diabetes at Froedtert & the Medical College of Wisconsin’s Westbrook Health Center allows members to learn about keeping their disease in check.
- One company takes a tailored approach to improving the health and well-being of its employees, based on results of health risk assessments.