CMSA Today - Issue 3, 2014 - (Page 16)

Population Health The Case Manager's Role in Population Health An Important Message for Our Legislators BY PATRICIA NOONAN RN, MBA, CCM I n the era of reform and a rapidly-changing health care landscape, case managers are at the heart of driving population health strategies to improve outcomes. Improving the health of populations has been identified as a national priority by the Institute for Healthcare Improvement (IHI) and the National Priorities Partnership (NPP). Additionally, professional case managers are leading efforts across the country working as part of multidisciplinary teams in new models of care, such as the Patient Centered Medical Home (PCMH) and Accountable Care Organization (ACO), to better integrate care for targeted "populations." The significance of case management's role in population health management is an important message that needs to be communicated to our legislators because of our knowledge, skills, and contribution to improving the health of all Americans. 16 CMSA TODAY Issue 3 * 2014 * DIGITAL What is population health? Population health is a broad term that is being used more widely in health care. It is defined as "the health outcomes of a group of individuals, including the distribution of such outcomes within the group" (Kindig and Stoddart, 2003). These groups of individuals can be the pediatric asthma population of a primary care practice or community, for example, or - on a larger scale - the diabetes population of an ACO. Case managers are well-positioned to continue to influence positive outcomes among the "populations" served across the country, and to foster health and wellness as well as disease prevention along the continuum - not only at the individual and health system level, but also at the community, state, and national level. Population health management has also been defined as the practice that "strives to address health needs at all points along the continuum of health and well-being, through participation of, engagement with, and targeted interventions for the population. The goal of a population health management program is to maintain and/ or improve the physical and psychosocial well-being of individuals through costeffective and tailored health solutions" (Case Management Model Act, CMSA). The concept of population health management is not new to case managers, since it is an essential function and activity within the scope of the practice. It involves identifying and stratifying "populations" that benefit from quality and cost-effective strategies tailored to meet each population's individual needs. In fact, case managers

Table of Contents for the Digital Edition of CMSA Today - Issue 3, 2014

President's Letter
Association News
CMSA Corporate Partners
Index of Advertisers
The Obesity Pandemic
Review, Recruit and Retain: Succession Planning Steps
The Case Manager's Role in Population Health

CMSA Today - Issue 3, 2014