A California based not for profit enterprise Dignity Health works with physician facilities and care offices in three states and is partitioned into eight local clinically coordinated systems. It is building up a methodology to change more like a care consortium organization and clinically determined venture from a conventional hospital. At present Dignity-Health has thirty nine clinics which comprise 1400 associated physicians and 6000 independence physicians who are associated with the framework. So in order to bring care models over it’s clinically incorporated systems, it made vast scale population health management a reality by working together with Aetna-Health.
For this to happen it accumulated information about physician care plans, patient records and furthermore dealt with taking care of out-of-network systems. It worked with state Health Information exchange(HIE) associations and competing association’s health systems to incorporate ADT (Admission, Discharge, and Transfers) information. The data driven population health strategy focuses mainly on data collection from hospitals, payer claims, lab results, prescriptions and implementation of a platform to capture this data. To distinguish the patients who are utilizing more health resources it utilized Milliman Advanced Risk Adjusters(MARA) to stratify the population and enlisted them in a patient care program accordingly. Doctors will then make a care plan recognizing particular patients actions, which will enhance the management of the disease.With the introduction of data driven population health strategy physicians and care managers could address the issue of managing the care plans, using an evidence based library. This strategy also helps patients to manage their disease on their own without readmitting into the hospital. Incorporating each of the 150 Electronic Health Records(EHR’s) information is troublesome, as each office is giving information on EHR’s in an unexpected way. Dignity Health addressed this issue by integrating fully with HIE’s so that HIE’s will capture entire data from EHR’s. Dignity health resolved the issue of the poor health system and facility levels by aligning and coordinating, population health and community health. This article addresses the social issue of patient healthcare improvement, with the implementation of population health strategy the readmission rate for Congestive Health Failure(CHF) has declined, and Chronic Obstructive Pulmonary Disease(COPD) readmission rate has dropped down to one percent. Primary care physician group itself has seen an advantage of reducing out of network migration from 55 percent to 15 percent by implementing this strategy. Dignity Health can now recognize the normal illnesses according to the geographic area by utilizing its population health management strategy.Developing a health management system requires a lot of data management. A platform is required to extract, manage, export and store the physician’s care plans from paper format to a database in order implement the care plan for patients. I agree with the Data Driven strategy that has been taken up by Dignity Health system, as it has worked with many HIEs and EHAs to gather the data and helped patients to manage their disease with the help of population health management system and also has collaborated with Aetnahealth to implement the required information system. Dignity Health identified that engaging all kinds of people to take part in the activities of implementing an information system that requires data plays a crucial role. It engaged physicians, patients and HIE’s to successfully operate the Data driven strategy.