Population Health: An Implementation Guide to Improve Outcomes and Lower Costs / Edition 1

by George Mayzell, MD, MBA

Overview

As healthcare moves from volume to value, payment models and delivery systems will need to change their focus from the individual patient to a population orientation. This will move our economic model from that of a "sick system" to a system of care focused on prevention, boosting patient engagement, and reducing medical expenditures. This new focus will shift traditional financial accountability from the payer model to provider directed models.

Population Health: An Implementation Guide to Improve Outcomes and Lower Costs covers not only the rationale for this transition, but also outlines successful practice models that are built to thrive in these new market dynamics. Besides the philosophical and the cultural aspects of these new models, it details the implementation and strategic initiatives required to succeed in today's value- and population-oriented healthcare environment.

Describing what population health is, the book explains why it represents an opportunity for healthcare delivery systems, public health agencies, community-based organizations, and other entities to work together to improve health outcomes in the communities they serve.

The book clarifies how the new models will impact healthcare providers, how to manage populations, and how to handle the risk factors involved. It details new delivery models, such as primary care and medical neighborhoods, and outlines the value proposition of screening and prevention in assigned populations.

Product Details

ISBN-13:	9781498705554
Publisher:	Taylor & Francis
Publication date:	11/18/2015
Edition description:	New Edition
Pages:	296
Product dimensions:	7.20(w) x 10.10(h) x 0.90(d)

About the Author

Dr. George Mayzell is the senior chief medical officer and chief clinical integration officer for Adventist Midwest Health. He joined the organization in January 2013, after serving as CEO of Health Choice and Senior Vice President of Methodist Le Bonheur Healthcare in Memphis, Tennessee.

Dr. Mayzell has more than 30 years of experience in medicine and is a board certified internist and geriatrician. He received his medical degree from the University of Medicine and Dentistry of New Jersey and his MBA from Jacksonville University.

He previously served as senior medical director of managed care for the University of Florida and Shands Hospital. He spent more than 10 years with Blue Cross Blue Shield of Florida, working as regional medical director for care and quality and corporate managing medical director for pharmacy and care. Additionally, he has more than 10 years of practice experience.

Mayzell has co-authored two books, Leveraging Lean in Healthcare and Physician Alignment: Constructing Viable Roadmaps for the Future.

Table of Contents

What is Population Health?
George Mayzell

Why Population Health Now?
George Mayzell

The Care Continuum
Kathleen Ferket

Managing Population
Bryan Becker

Patient Centered Medical Home and Its Brethren: New Care Delivery Models
Kathleen M. Ferket

THE VALUE PROPOSITION FOR PREVENTION AND SCREENING
David J. Ballard, MD, MPSH, PhD, Briget da Graca, JD, MS, Neil Fleming, PhD, and Cliff Fullerton, MD, MSc

Big Data Enables Population Health
Kevin Attride

Managed Care and Payer Models
George Mayzell

Physician Compensation Models
Pam Williams

Technology and Decision Support
Katie Carow

Patient Engagement
George Mayzell

Population Health, Healthcare Disparities & Policy
Edward M. Rafalski

CASE STUDIES:

Adventist Health Network Begins Transition from Volume to Value
Kevin Attride

One ACO's Journey to Comprehensive - Connected - Continuous Care
Cliff Fullerton, MD, MS; Jean Sullivan, MBA; Briget da Graca, JD, MS

Launching Population Health Program in 12 Months
Marty Manning and Dr. Gary Wainer

An Interprofessional Approach to Improving Care Coordination: The Transition Clinic at Rush University Medical Center
Vidya Chakravarthy, M.S. , Regina McClenton, RN, Christopher M. Nolan, MPA, Robyn L. Golden, LCSW, Anthony J. Perry, MD

Cigna Collaborative Care
Peter W. McCauley Sr., MD, CPE , Richard D. Salmon, MD, PhD., Harriet Wallsh, RN

Patient-Centered Medical Home (PCMH)
Catherine Dimou

The Future of Healthcare Delivery
George Mayzell