1. HOUSTON METHODIST POPULATION HEALTH MANAGEMENT
A Value-Based Healthcare Delivery Model
Julia Andrieni, MD, FACP
Vice President, Population Health and Primary Care

2. Population Health Management Key Elements
Nursing Care
Management Program
Nursing Care Management Program
Identify Barriers to Achieving Better Health Outcomes
Coordinate Individualized Care Plans
Focus on High Risk and Rising Risk Patients
Primary Care Physician Network
Community-Based Primary Care Physician Network
Engage Physicians
Enhance Patient Access and Patient Convenience
Focus on Prevention and High Risk Conditions
Informatics Infrastructure
Data Driven Clinical Decision Making
Advanced Informatics to Stratify Health Risks
Predictive Analytics to Guide Resource Utilization
Patient Engagement Strategy
Patient Engagement Strategy
Improve and Sustain Health Outcomes at a Lower Cost
Home Health Monitoring Devices Increase Patient Awareness and Education

3. 2015 GROWTH of primary care physician network quality = clinical outcomes + Patient satisfaction

4. POPULATION HEALTH PROGRAM PROVIDED AN OPPORTUNITY TO LINK EMPLOYEES TO OUR PRIMARY CARE PHYSICIAN NETWORK
SOURCE: 2014 and 2015 Biometric Data Houston Methodist San Jacinto Population Health Pilot

5. HOUSTON METHODIST POPULATION HEALTH PROGRAM

6. WITHIN 6 MONTHS OF PARTICIPATING IN PROGRAM
50% OF employees ACHIEVED CONTROL OF DIABETES, HYPERTENSION, AND NICOTINE+
WITHIN 6 MONTHS OF PARTICIPATING IN PROGRAM
July 2014 – December 2014
* Includes Smokers, Uncontrolled Hypertension, and Uncontrolled Diabetes
SOURCE: 2014 Biometric Data Houston Methodist San Jacinto Population Health Pilot

7. POPULATION HEALTH PARTICIPANTS LOWERED THEIR HEALTH RISKS FOR ALL CONDITIONS

8. 82% of Employees enrolled in the Program to improve their health

9. 94% of employees believed the Population health program increased their productivity

10. POPULATION HEALTH MANAGEMENT GOALS AND BENEFITS
Goal 1: Create a Sustainable Healthy Employee Population by Lowering Individual
Health Risks
Benefits: ● Match Employees to Houston Methodist Primary Care Physician Network.
● Improve Clinical Outcomes with Individualized Care Plans based on Health Risks.
● Increase Patient Engagement and Education to Sustain Results.
Goal 2: Increase Primary Care Physician Engagement with a Population Health Partner Strategy
Benefits: ● Create Partnerships with Physicians and Population Health Care Navigators to Coordinate Individualized Patient Care Plans.
● Increase Patient Access and Convenience.
Goal 3: Direct To Employer Strategy Promotes Wellness and Chronic Condition Management for Self-Insured Employers
Benefits: ● Decrease ED and Urgent Care Utilization, by Matching Employees to Primary Care Physicians.
● Decrease Employee Hospitalizations.
● Increase Cancer Screening for Early Detection and Prevention.
● Decrease Employee Per Member Per Month (PMPM) Spend.

11. CORPORATE POPULATION HEALTH: DIRECT TO EMPLOYER STRATEGY