The PCPCC released "Core value, community connections:
Jaan Sidorov, MD, MHSA, FACP, principal, Sidorov Health Solutions, and long-time member leader for the Care Continuum Alliance, authored a paper on key population health management tools to support the PCMH, including health risk assessments, risk stratification, patient engagement, care management, telemonitoring, data analysis and outcomes measurement.
"PCMHs will need to be able to proactively identify patients at special risk, recruit and enter them into care coordination programs that emphasize shared decision-making and self-care," Dr. Sidorov wrote. "Data management and analytics will likewise be critically important to shape local care programming and document the follow-on successes. Fortunately, the components that comprise [population health management] are readily available to accomplish these goals."
Also contributing to the publication's development, as a member of the PCPCC paper planning committee, was Care Continuum Alliance Research Director Karen Moseley. The Care Continuum Alliance, a population health management trade association with more than 200 corporate and individual members, sits on the PCPCC Executive Committee. The publication released today was developed with financial support from Phytel and Merck and is available as a free download at:
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About the Care Continuum Alliance
The Care Continuum Alliance represents more than 200 organizations and individuals and aligns all stakeholders in the care continuum toward improving population health. Through advocacy, research and education, the Care Continuum Alliance advances strategies to improve care quality and outcomes and reduce preventable costs for the well and those with and at risk of chronic conditions. Learn more at http://www.carecontinuum.org/