Executive Summary
Population health is defined as the health outcomes of a group of individuals, including
the distribution of such outcomes within the group. These groups are often geographic
populations such as nations or communities, but can also be other groups such as
employees, ethnic groups, disabled persons, prisoners, or any other defined group. (1)
The rapid changes of the last five to seven years in policy-level decision making,
payment structures, and provider alignment have shifted the focus from care provided
and paid for at an individual level, to managing and paying for health care services for a
discrete or defined population – an approach known as population health
(management). (2)
Health systems have taken the lead in offering a number of population health initiatives,
including Accountable Care Organizations (ACOs) and Patient Centered Medical
Homes, among others. As part of this effort, health systems have developed new
strategies, developed new partnerships, redesigned IT systems, in addition to a number
of new initiatives.
Access Market Intelligence’s new report, Health Systems Population Health, has
identified more than 40 leading health systems and their population health strategies
and activities.
In addition the report includes the health system’s background, CEO, population health
contact, address, phone and website.
(1) David Kindig, Am J Public Health. 2003 March; 93(3): 380–383
(2) Niñon Lewis, MS, Institute for Healthcare Improvement, Mar 19, 2014
Confidential. All Rights Reserved AMI. March 2015 Health Systems
Adventist Health
Adventist Health System
Advocate Health Care
Ascension Health
Aurora Health Care
Avera Health
Banner Health
Bassett Healthcare Network
BayCare Health System
Baylor Scott & White
Bon Secours Health System
Carilion Clinic
Catholic Health Initiatives
Christus Health
Cleveland Clinic
Dignity Health
Fairview Health Services
Geisinger Health System
Genesis Health System
Gundersen Health System
Henry Ford Health System
Inova Health System
Intermountain Healthcare
Mayo Clinic
Memorial Hermann Health System
MemorialCare Health System
Mercy Health
MultiCare Health System
NewYork-Presbyterian Healthcare
Novant Health
Ochsner Health System
OSF HealthCare
Partners HealthCare
ProMedica Health System
Sentara Healthcare
Steward Health Care System
Sutter Health
Trinity Health
UC Davis Health System
University of Michigan Health System
WellSpan Health
Confidential. All Rights Reserved AMI. March 2015 Partners HealthCare
Prudential Center, 800 Boylston Street, 11th Floor
Boston, MA 02199
617-278-1000
https://www.partners.org
Gary L. Gottlieb, M.D., M.B.A. - President and Chief Executive Officer
Timothy Ferris, MD, MPH, Medical Director and VP for Population Health Management
Background
Partners HealthCare is a not-for-profit, integrated health care system in Boston,
Massachusetts. Founded by Brigham and Women’s Hospital and Massachusetts
General Hospital – two of the nation’s leading academic medical centers – Partners
HealthCare includes community and specialty hospitals, a managed care organization,
a physician network, community health centers, home care and other health related
services.
Partners is committed to the community, and dedicated to enhancing patient care,
teaching, and research in service to its patients and their families. Partners is the largest
private employer in Massachusetts, with approximately 60,000 employees, including
physicians, nurses, scientists, and caregivers. Partners’ institutions maintain a
total research budget of more than $1.4 billion, and Massachusetts General Hospital
(MGH) and Brigham and Women’s Hospital (BWH) are the largest private hospital
recipients of National Institutes of Health funding in the nation.
Population Health
Partners HealthCare is committed to providing the highest quality, coordinated health
care that is affordable and accessible. Population Health Management (PHM)
represents Partners latest and most far-reaching strategy for fulfilling its commitment. It
comes at the right time, too.
Partners defines population health management as a collection of best practices for
improving health care delivery. These best practices touch all phases of care and focus
on improving the efficiency and effectiveness of each episode of care as well as care
delivery over the long term.
From the patient’s perspective, the nucleus of care is the primary care office where care
is coordinated throughout the Partners system. Behind that patient experience are
large-scale improvements in processes and technology to ensure efficient coordination
so that patients can stay healthy. Currently, Partners is caring for approximately
500,000 patients through its PHM program.
Partners is rolling out PHM in three phases. The first focuses on primary care delivery,
Confidential. All Rights Reserved AMI. March 2015 the second on specialty care delivery and engaging patients in their own health care,
and the third on programs that promote wellness.
Phase One best practices include:
- Patient-Centered Medical Home (PCMH) - Partners HealthCare’s primary care
practices are undergoing a transformation to a more advanced model of
care, the patient-centered medical home, aimed at coordinating care and
proactively keeping patients healthy.
- Integrated Care Management Program (iCMP) - The Integrated Care
Management Program matches high-risk patients with a nurse care manager
who works closely with them and their loved ones to develop a customized health
care plan to address their specific health care needs.
Recent Activities
Partners HealthCare was selected to participate in the Pioneer Accountable Care
Organization (ACO) model in December of 2011. The initiative, sponsored by the
Centers for Medicare & Medicaid Services (CMS) Innovation Center, aims to transform
the way that health care is delivered by providing Medicare patients with higher quality,
while slowing cost growth through enhanced care coordination. The Pioneer ACO
Model is designed to encourage the development of accountable care organizations,
which are groups of doctors and other health care providers who work together to
provide high quality care for their patients. Partners was chosen specifically as one in a
diverse group of leading-edge health care organizations from around the country to test
the effectiveness of several new models of payment.
Confidential. All Rights Reserved AMI. March 2015