HIMSS Population Health Management and Capabilities Model

The HIMSS Clinical & Business Intelligence Committee’s Population Health Task Force has created the HIMSS Population Health Management and Capabilities Model that organizes a comprehensive list of over 400 functions and capabilities across ten domains, and maps to Value-Based Care (VBC) payment models to help bring clarity to your population health efforts. Like a Rubik’s cube, the capabilities and payment model grid is manipulable, and can sort and filter across the domains, functions, and payment models to help you (1) know your population, (2) improve your targeted populations’ health status, and (3) protect your patient populations from harm.

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C&BI and Population Health Town Hall Series  

A 5-part series engaging the C&BI, population health, and telehealth communities in interactive, robust, all-party group/community dialogue and idea sharing.  The program addresses issues from pediatric populations in accountable care, population attribution challenges, care coordination and data flow, population health analytics, and telehealth opportunities to support population wellness.  Learn more

Other Population Health Management Resources

Leveraging Analytics to Drive Population Health – HIMSS Media, June 2018

Population health promises to fulfill the goals of the Quadruple Aim, but sustainability has proved difficult. In fact, many population health programs never get beyond the pilot phase. This paper details how to overcome barriers for quick wins.

Personalized Care, Healthy Populations: HIMSS, November 2017

Personalized Care, Healthy Populations presents insights and examples of how information and technology contribute to personalized and quality care for patients. Learn about the four ways health information and technology can help make patients healthier and happier with examples from HIMSS Davies Award and HIMSS Analytics Stage 7 hospital recipients as well as the HIMSS STEPS™ Model.

Population Health – Making It Work – HIMSS C&BI Community, May 2017
This session explores Marshfield Clinic’s approach to implementing system-wide population health initiatives and engagement of physician care teams by using their data to provide insights. It will also examine a practical use case of hypertension management and wellness management.

The evolution of care management: From population to precision – HIMSS, May, 2017

Historically, care management services targeting improved population health have zeroed in on five core diseases: asthma, CAD, CHF, COPD, and diabetes. Under this model, interventions are delivered to patients who share a common condition, regardless of their true need for a given resource or service.

Blog. The Role of Nursing and Nursing Informatics in Population Health – HIMSS, May, 2017

This is the second post in a blog series from nurse informaticists recognizing National Nurses Week.

Blog. Setting a Solid Foundation for Any Nursing Informatics Role – HIMSS, April, 2017

This is the second post in a blog series from nurse informaticists recognizing National Nurses Week.

Webinar. Improving Population Health by Integrating Public Health and the Healthcare Delivery System – HRSA Region IV Public Health Training Center (HTC), March, 2017

Adding to the ongoing national dialogue about the need for improved coordination and integration between public health and the healthcare delivery system, this presentation discusseshow to move from an acute care system into a coordinated seamless healthcare system to a Community Integrated Healthcare System.

Unlocking the data needed to drive population health efforts – HIMSS, March, 2017

EHR Value for Population Health – HIMSS, March, 2017

The EHR is a core part of the infrastructure needed to support the work of provider organizations, clinicians, and caregivers everywhere to achieve their population health goals.

Population Health Data: From Measurement to Action – HIMSS C&BI Community, January 2017
This session illustrates how to bring data to action clinically at the point of care, and demonstrate how Centralized and Federated data connections can be embraced. Learn how to identify interoperability and data quality gaps and how to overcome those issues.

NorthShore University HealthSystem Improves Population Health With Use of Health IT – HIMSS Analytic, January 2017

In honor of its successful use of health IT to improve patient care while reducing costs, NorthShore University HealthSystem (NorthShore) has received Stage 7 revalidation on the acute care EMRAM and outpatient EMRAM for its hospitals and associated clinics. 

Blog.  Marching to the New Drum Beat of Value through Population Health Management – HIMSS, October, 2016

RAC Monitor Podcast:  Money and People -- Revenue Cycle to Population Health | HIMSS16 DAY 2 – RAC Monitor, March 2, 2016
Discussing vital healthcare subjects ranging from regulatory and legislative initiatives to population health and revenue cycle improvement, leading subject matter experts from HIMSS participated in three days of special-edition broadcasts live from HIMSS16 in Las Vegas and produced by RACmonitor. Learn about emerging trends and innovations around population health at HIMSS16 from Shelley Price, Director, HIMSS.

Care Team Transformation for Population Health Management – HIMSS C&BI Community, January 28, 2016
This presentation explains how our country's focus on population health management and value-based care requires care teams in primary care practices to transform dramatically. To succeed, health systems are investing in new models of care delivery, new staff roles and new applications of health information technology beyond the electronic medical record.

Population Health Management – HIMSS Physicians Community, January 25, 2016
This session provides attendees with an overview of practical examples, challenges, and lessons learned from using location-specific data intelligence, supplied by global geo-mapping technologies, that can contribute to a healthy population.

Population health initiatives in healthcare are gaining momentum, but adoption of vendor provided population health solutions are still in early stages – HIMSS Analytics, December 15, 2015
This Essential Brief, offers insight from nearly 200 healthcare executives (C-Suite, administrators, directors & VPs) on their population health initiatives, and their current and future approach to population health IT solutions and consultants.

Cohort Management (Population Management) – HIMSS Value Suite, December 07, 2015
ACO Navigator - Cohort Management (Population Management)

STEPS to Value Podcast Series. Episode #5: Know Your STEPS: Patient Engagement & Population Management – HIMSS, October 08, 2015
In this episode, we continue our exploration of the HIMSS STEPS value framework, looking at the topic of patient engagement & population management. We talk with thought leaders from Hawaii Pacific Health about their Davies award- winning efforts around population management.

Podcast HTT 48 - Meeting the needs of Population Health Management with Health IT – Healthcare Tech Talk, September 30, 2015
Director of Payer and Life Sciences for HIMSS, Shelley Price,  joins us to share her insight into Population Health Management and how healthcare organizations can leverage technology to meet this new paradigm of caring for our communities and the individuals within them.

Top 10 Steps to Take Before Launching a Population Health Management Program – HIMSS, July 06, 2015
Expert advice from Claudia Miller, a healthcare technology consultant from The Chartis Group, and a member of the HIMSS Clinical & Business Intelligence Population Health Task Force.

Ingredients for a Healthier Population – HIMSS Physicians Community, June 17, 2015
This session explores how can we, as care providers, move beyond the office to develop a healthier population.

C&BI and Population Health Town Hall Series – HIMSS C&BI and Population Health Task Forces, May-June, 2015

Use of Patient Portals in ACO and Population Health Management – HIMSS Connected Patient Community, May 19, 2015
This HIMSS Connected Patient Community event features the University of Iowa, a 2014 Davies Award winner as they share how the patient EMR portal plays a key role in their ACO success story.

Consent, Privacy and Security in Population Health Data Management – HIMSS HIE Toolkit Task Force, April 30, 2015
A look at the specific security needs that HIEs must consider in order to support population health data management.

Public & Population Health Informatics Careers – HIMSS Emerging Professionals Community, February 26, 2015
For over 150 years, public health informatics has been utilized effectively in the pursuit of keeping populations healthy. In the era of healthcare reform, there is an increasing demand for individuals with these skillsets.

HIEs and Population Health Management Relating to MEPI – HIMSS MEPI Community, January 13, 2015
January 2015 ME-PI Community presentation with guest speaker Marc Lassaux Chief Technology Officer, Quality Health Network.

The New World of Population Health -- How to Get to Good … and Then Beyond to Great – JHIM, Spring 2014  
A JHIM resource describing the five pillars of PHM, a maturity model that can be used to define the roadmap to population health, and what separates the PHM programs producing results from the others.

Self-Insured Hospital Employee: A Launching Point for Population Health Management – HIMSS C&BI Community, October 23, 2013 
Learn about health management with self-insured hospital employees.