PhmCAT is a multi-domain assessment used to understand current population health management capabilities. This self-administered tool can help organizations identify strengths and opportunities for improving population health management.
Population Health Management Resources
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.
Assessment
PHMI Implementation Guides
Whether you are a Community Health Center (CHC) or another type of primary care practice, this series of tools and materials is designed to support you in building a foundation for strong population-based care. In this introduction, you will learn about PHMI and its many partners across California who are working together to support improved care for Medi-Cal members.
Building the Foundation
Data Quality and Reporting Guide
This guide will help enhance your capacity to monitor PHMI/HEDIS quality measures using standardized measurement specifications and a data mapping assessment, and to improve quality of care.
Empanelment Guide
This guide will help your practice select and implement a methodology to create patient panels and develop continuity reports.
Care Teams and Workforce Guide
This guide will help your practice assess current care team roles and functions, identify gaps, and develop and execute a workforce plan.
Business Case Guide
This guide will help your practice to develop your financial model for population health management sustainability. This tool is designed for Community Health Centers, but can be adapted by other practices.
Populations of Focus
Children Guide
This guide provides practices with detailed guidance, examples, resources and tools to develop, test, refine, bring to scale, and continually improve protocols around children’s immunization and well-child visits.
Pregnant People Guide
This guide provides step-by-step guidance for improving population-based care for pregnant people with the goal of supporting substantive cultural, technological, and process changes.
Adults with Preventive Care Needs Guide
This guide provides step-by-step guidance for improving population-based care for adults with preventive care needs with the goal of supporting substantive cultural, technological and process changes.
Adults Living With Chronic Conditions Guide
This guide provides step-by-step guidance for improving population-based care for adults living with chronic conditions with the goal of supporting substantive cultural, technological and process changes.
People with Behavioral Health Conditions Guide
This guide provides step-by-step guidance for improving population-based care for people with behavioral health conditions with the goal of supporting substantive cultural, technological and process changes.