Population Health Management
What is Population Health Management?
As our health care system continues to strive to foster a society where all individuals can reach their highest potential for health, the AHA is focused on supporting hospitals and health systems as they evolve their capabilities to understand and meet the needs of patients and families.
Population health management refers to the process of improving clinical health outcomes of a defined group of individuals through innovative care delivery redesign supported by appropriate financial models.
Integrating Care Across the Delivery System
The Care Delivery Transformation Framework models how the components of the health care ecosystem support the development and implementation of innovative care delivery models and offers resources to help you develop and implement care models that will take your hospital into the future.
Check out AHA resources on community health workers to learn about the role CHWs play in advancing community health and addressing disparities in health outcomes.
A four-part video webinar series explores how hospitals and health systems and community-based organizations can work together to better assess and coordinate care for individuals with complex medical and social needs. The compendium highlights resources and toolkits on this topic from leading organizations. This content was developed by the AHA with support from the Robert Wood Johnson Foundation and assistance from the National Center for Complex Health and Social Needs, an initiative of the Camden Coalition of Healthcare Providers.
Addressing Chronic and Complex Care Issues
To ensure older adults receive safe, evidence-based care focused on what matters to them, the AHA is working with partners and care teams as part of the Age-Friendly Health Systems movement. Today, more than 4,000 care sites, including hospitals and health systems, ambulatory care, long-term care and post-acute care, have been recognized as Age-Friendly Health Systems.
The AHA is working to help stem the tide of the opioid epidemic by creating resources such as the Opioid Toolkit and maintaining the webpage with up-to-date resources. The Opioid Toolkit is a compilation of resources that provides guidance and information to hospitals and health systems on how they can partner with patients, clinicians and communities to address the opioid epidemic. This resource covers different focus areas to reduce the impact of opioid misuse, including improving prescribing practices, collaborating with communities, and educating patients.
The AHA and the Center to Advance Palliative Care (CAPC) are partnering to grow access to palliative care through a well-coordinated collaboration to develop greater efficiencies, lower costs and higher quality of care. The AHA and CAPC partnership will enable the development and dissemination of tools, training curricula, and support to providers across the country.