We’re collaboratively designing population health management strategies to advance provider capabilities and address disparities.

The Population Health Management Initiative is a California collaboration of the Department of Health Care Services, Kaiser Permanente and Community Health Centers (CHCs). We’re supporting a cohort of 32 CHCs, which serve 1.1 million people, to improve their population health management capabilities and align with Medi-Cal policy and payment reform initiatives.

Guides and tools to support population health management best practices

We’ll be continuously offering resources including guides, tools, and best practices around expanding specific population health management capabilities. These resources support anyone interested in population health improvement for providers and practices in the Medi-Cal delivery system.

Our program is collaboratively designed and tailored to the needs of California Community Health Centers

We are working with Community Health Centers across the state to co-design population health management strategies that work for them and the patients they serve. We are aiming to advance Community Health Center capabilities in population health management that address people, process, and technology.

Our goals include:

Improve quality of care and equitable health outcomes of people served by CHCs​

Enhance access through team-based care and care redesign at CHCs​

Improve CHC patient engagement and experience of care

Improve CHC technology enablement to optimize population health capabilities

News and Updates

PHMI Platform Updates

Release 1 Implementation Activities 

The PHMI Platform is an opt-in technology solution that enables CHCs to improve care quality and equitable health outcomes, and is meant to work in concert with other Health Information Technology solutions (e.g., EHR, ...

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Event Recap: Aliados Health & CCALAC Regional Learning Sessions

It was a busy summer, with two PHMI Regional Learning Sessions held in Santa Rosa and Burbank, respectively. Learning sessions are designed to build a stronger sense of community amongst peers working on PHMI regionally and discuss promising practices and emerging challenges within their population health management journeys.

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Transforming Care Delivery at the National Association of Community Health Centers (NACHC) Community Health Institute & Expo

PHMI’s goal is to improve quality of care and equitable health outcomes of people served by CHCs. The principles of the Initiative are centered on advancing CHCs’ capabilities in population health management (PHM). One of those primary capabilities is empanelment, which is designating groups of patients to be ...

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