Draws connections among the new care-delivery models, the components of population health management, and the types of health IT that are required to support those components. The key concept that ties all of this together is that PHM requires a high degree of automation to reach everyone in a population, engage those patients in self-care, and maximize the chance that they will receive the proper preventive, chronic, and acute care.
Section 1: New Delivery Models -- 1 Population Health Management -- 2 Accountable Care Organizations -- 3 Patient-Centered Medical Homes -- Section 2: How to Get There -- 4 Clinically Integrated Networks -- 5 Meaningful Use and Population Health Management -- 6 Data Infrastructure -- 7 Predictive Modeling -- 8 Automation Solutions and the ROI of Change -- Section 3: Implementing Change -- 9 Care Coordination --10 Lean Care Management -- 11 Patient Engagement -- 12 Automated Post-Discharge Care -- 13 Social and Behavioral Determinants of Health -- 14 Cognitive Computing: The Future of Population Health Management