Center for Population Health Stories
The best way to illustrate how population health management (PHM) is changing health care for patients and medical professionals is to hear from them. This section brings to life some of that ways--big and small--that PHM is affecting the daily lives of everyone involved with it.
Home visits from the Partners Mobile Observation Unit (PMOU), are redefining the way we handle care for conditions like heart failure and upper respiratory infections in seniors who may find it difficult to get to their doctor’s office.
Learn about how we’re using a new naviHealth tool to improve the management of care transitions and prepare patients for what to expect during the next steps of their care.
Think you know Population Health? Think again! We offer a simple run down of our top-five goals and just a few of the programs and activities that are helping us achieve them.
Explore our interactive infographic to learn about the social and economic needs of patients in our High Risk Care Management program. This program cares for our most vulnerable patients, including patients with multiple chronic conditions. As we implement the MassHealth ACO, we wanted to know: How do social and economic barriers affect our patient’s lives? This survey helps us to prioritize outreach and resources.
Post-acute care has often been a black box for hospital-based physicians and nurses. Traditionally defined as the place where a patient is cared for after a hospital stay, but before they return home, it has become a significant part of a patient’s experience as pressure has increased to reduce hospital lengths of stay and readmissions.
Partners HealthCare is a national leader in pioneering the collection and use of a patient’s self-reported information about their health status. Called Patient-Reported Outcome Measures, or “PROMs,” the data are collected using clinically-validated questionnaires that ask about symptoms, functional status, and quality of life.
Five percent of patients account for half of health care spending and patients with multiple chronic conditions cost up to seven times more than those with only one.
The programs supported by the Center for Population Health touch many points of care during a patient’s medical experience — whether it’s treating an acute illness, managing a chronic problem, or end-of-life care.