About the service
Population Health is an umbrella term for the application of strategies and interventions to defined groups of individuals in order to maintain or improve the health outcomes at the lowest necessary cost.
Population health analytics is the enabler and key driver of PHM. Analytics helps users to understand a population’s priority needs, identify effective and efficient solutions, target individuals who will benefit and monitor the impact.
PHM enables a shift in focus from organisations that either buy or deliver care, to the population as the organising principle of the health and care system. PHM provides a new perspective, where the unit of analysis is no longer activity, but people:
PHM is a set of practices that deliver a response to unsustainable health and care systems, where demand isn’t effectively managed and health inequalities are entrenched. With rising demand, complexity, widening inequalities with finite resources, the approach taken to manage the health of the population needs to change fundamentally.
To improve the health outcomes of the population and reduce variation, the organisation and management of the healthcare delivery system is required to change in a manner that makes it more clinically effective, more cost effective, safer and ultimately sustainable.
Who for? Everyone.
Citizens who fund, observe and experience the health and care system will be the primary focus of, and beneficiaries from, a PHM approach. Through the effective integration of care that is focused on the needs of the individual, within any defined population, care will be more tailored, well-coordinated and personal.
The primary users of analytical outputs within a PHM approach will include commissioners at a strategic level, service providers at an operational level, and patients to support self-care.
Who benefits? Everyone.
Patients, recipients, payers and providers will all benefit from an improved ability of the care system to deliver necessary care within available resources.
Patients benefit through the ability of the system to identify and prevent ‘triple fail’ events – occurences of poor experiences, that provide poor outcomes and cost a lot.
All care providers, across social, primary, community and secondary care will benefit through improved coordination and reduction in avoidable contacts. As the marshals of an integrated health and care team, GP practices will have the ability to manage patients across a wider set of integrated services which will release their time and make better use of resources.
Commissioners will have the opportunity to fund health and care delivery differently, replacing a model that is based on payment for providing activity to the sick with one that pays for improvements in achievable patient outcomes and maintaining health. This will release money in the system by reducing the rate of high cost preventable events.