HIT Breakdown 4 - The first step in our population health model: Identification

We’re continuing our discussion on Population Health on our podcast, the HIT Breakdown. In today’s show we’re going to take a deep dive into the first step of our Population Health methodology - Identification.

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We're continuing to leverage the expertise of both Dr. David Levin, who is the Chief Medical Officer at Nordic, and Susan Marks, Director of Population Health at Amati Health. The links to the audio file appear below the show notes.

If you want to talk about population health or other challenges related to getting the most out of your EHR, please contact us. We’d enjoy the conversation.

Download .MP3

Show Notes

[00:14] - Diving into the first step of the five-step model – Identification
[00:40] - Review of the five-step model for evaluating and designing great population health programs
[01:21] - Defining Identification
[04:38] - Example – Identifying diabetics
[07:37] - Criteria other than clinical
[09:05] - Attribution
[11:28] - Registries
[13:33] - Identifying patients outside of your EHR
[15:23] - More complicated example – Rising risk patients
[19:23] - Translate disease-based programs into patient-based

About the HIT Breakdown

In the HIT Breakdown, we interview industry experts on topics related to health information technology. While the topics will often be related to your Epic EHR, we’ll also be talking about broader issues and strategic challenges that impact your ability to improve healthcare.


Topics: methodology, Health IT, population health, Epic

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