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.
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.
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.
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
Addressing health-related social needs is a foundational element of population health management that cuts across the Population of Focus (PoF) work being done throughout our cohort of CHCs. Through PHMI, we aim to support CHCs in addressing the health-related social needs ...
PHMI has been working closely with a group of seven CHCs on Release 1 of the PHMI Platform – an opt-in technology solution that enables CHCs to strengthen their ability to provide equitable health care services, as well as drive improvements to produce more ...
A major PHMI milestone was met at the end of June, as the initiative has now reached the midpoint of implementation with our cohort of Community Health Centers (CHCs). There are many accomplishments to celebrate and recognize thus far, including: