Population health management is critical to health equity.

Population health, as defined by the IHI's Triple Aim, is a crucial part of improving the US healthcare system. Despite the importance, it can be difficult to achieve in practice. Population health requires a means to evaluate several patient attributes, such as social determinants, clinical records, and demographics to create defined populations. Then, those defined populations need to be engaged – a tasks many EHRs struggle with.

Challenge

Improving health outcomes by segmenting and engaging defined populations

Solution

A platform that triggers population engagement based on clinical data

Results

Improved population health, equitable care, and engaged populations


Solving the Use Case

Overview

With the right configuration, Salesforce Health Cloud is an ideal portal platform for engaging defined populations. Whether its segmenting patients based on social determinants, medical records, or demographics, Health Cloud has has the ability to segment based on any data in your tech stack.

Solving this use case begins with defining personas, permissions, and roles in Health Cloud. For the most part, these roles are created to fulfill the requirements of a clinical team members across multiple providers. These include:

Platform Integration

Data is a huge challenge in population health. The typical healthcare provider has multiple systems that contain data useful for developing defined populations. As a result, these systems are incredibly effective when integrated with a system of engagement like Health Cloud.

Typically, we implement connectors like Mulesoft to integrate disconnected platforms, like EHRs, ERPs, and external databases. Here are the data points we aggregate into unified patient profiles in Health Cloud:

Segmentation

Once integration is complete and unified patient profiles are generated, reports can be created for a variety of defined populations. Reports are retroactive and proactive, meaning they'll find current matches, find matches in the future, and remove patients that no longer fit the criteria. Some common defined populations include:

Engagement

Engagement Types
While engagement can be handled with Health Cloud, we recommend Marketing Cloud to create more robust patient journeys.

Engagement is influenced by the patient's defined population, behavior, and communication preferences. Health Cloud and Marketing Cloud are omni-channel platforms, so engagement can occur via:

We craft relevant messaging in every channel, for each defined population. For instance, patients who turn 45 could get engagement related to scheduling a colonoscopy, overweight patients could receive communications about nutrition, or patients with specific allergies could receive tips when pollen is high.

By leveraging the unified patient profile to segment people into groups, providers can engage more effectively and improve outcomes for specific health populations.

Improved population health

More equitable care

More Engaged Populations

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