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 collaboratively 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
With PHMI’s goal to improve quality of care and equitable health outcomes of people served by CHCs, and with the principles of the Initiative centered on advancing CHCs’ capabilities in population health management, empanelment continues to be an important topic of focus.
PHMI had the privilege ...
Petaluma Health Center is a large community health center serving over 40,000 patients across two counties in California. It operates five main sites, including two rural West Marin locations and a shelter-based clinic alongside multiple mobile sites, with plans to open a large acute ...