In order to address their future sustainability, care systems – that are currently focused on improving the patient experience of care – need to also focus on improving the health of populations and being a good steward of the per capita cost of care – this is the IHI Triple Aim for healthcare. With the eHealth Ireland strategy, the country has a significant opportunity to lead the world in establishing place-based care.
Population health management is about taking responsibility for managing the overall health and wellbeing of a defined population and being accountable for the health outcomes of that community. The goal of population health is to improve the quality of care and outcomes whilst managing costs for a defined group of people. Population health should be viewed as part of a wider health and wellbeing strategy that includes wider determinants of health, such as housing, the environment and employment.
Health and care systems around the world are moving away from traditional, disparate, models of care, and - with the aid of intelligent digital solutions - moving from volume- to value-based reimbursement models of care. Systems, organisations, and even whole countries are learning from others on the same journey, like the move to accountable care in the USA.
Informatics has a fundamental role to play. Cerner is leading the world in its vision and execution through our investments in developing a new population health management platform, called HealtheIntent®. Layered over any existing information systems in a care network, in near real-time it normalises data into single source of truth population records for a patient, and provides the new tools that are required to manage the health and wellbeing of the population. Care gaps, surveillance alerts or actions to drive evidence-based programmes of care are provided directly back into clinicians’ own information systems.
Wirral Health Partners, an integrated primary and acute care system in the United Kingdom, has adopted Cerner's HealtheIntent population health management platform to advance the Healthy Wirral programme, an initiative focused on establishing new models of care for disease management and prevention.
“… When we looked at how we might change models of care… the adoption of HealtheIntent as an extension out into the community allowing collaboration between all the different services was a very attractive proposition.”
— Paul Charnley, director of IT and information, Wirral University Teaching Hospital NHS Trust
Wirral Health Partners is the first customers outside the US to use Cerner’s population health management platform.
Whilst HealtheIntent is new to the European market, Cerner is already well known in the country for supporting health and care integration and has for many years provided Health Information Exchange to enable interoperability of EHRs and ensure the right information is available to the right care professionals. HealtheIntent is leading the industry in enabling proactive health.
Our value-driven, community-wide population health management approach supports clinical, financial and operational needs for healthcare providers, health organisations, local authorities and social care, communities, employers, and other venues of health.
Ireland is on a journey towards establishing integrated care arrangements to take on accountability for populations, with various organisational forms and partnership approaches. Cerner is working with Global Digital Exemplars in England and other organisations across Europe that are tasked with population health readiness, emergent accountable care systems, and health and care provider networks to establish population health management approaches. We are also engaging with smaller clinical hubs to integrate primary care and GP groups or integrated practice units.
Cerner’s population health clients in the USA are performing well against cost and quality in accountable care organisations. Memorial Hermann is the top MSSP in terms of total saved at $89m, while Advocate Physician Partners is number one in terms of size, with savings of $77m. On the clinical side, Advocate has seen a reduction in oncology testing, a 39 percent decrease in serious safety events and 45 percent fall in the need for high-risk medication. Read more in Advocate’s value report.
In general, clients are quickly identifying unmet needs through surfacing more complete joined up records, and improving standardisation on population quality metrics through proactively driving out gaps in care. Clients make good sustained progress on their approaches, including how care model redesign, citizen engagement and iterative focus on the things that matter are impacting on reducing inappropriate utilisation of services and optimising appropriate use of services, with overall financial savings.
The foundation of Cerner’s population health management approach is the HealtheIntent platform. HealtheIntent is a multi-purpose, programmable platform designed to scale at a population level while facilitating health and care at a person and provider level. Solutions built on the platform can be securely accessed anywhere, anytime. The platform:
No, organisations do not have to be using Cerner’s EHR to benefit from our suite of population health management solutions and services – our platform normalises and aggregates data from any known source. We realise that organisations need a system-agnostic platform that establishes a longitudinal record across multiple disparate systems, while leveraging your existing infrastructure, and the ability to get new insights at population level back into the workflow of care professionals in the EHRs they use every day.
Yes, HealtheIntent enables the development of applications and extensions that work seamlessly with other solutions and outside vendors. The platform promotes the extension and integration of HealtheIntent solution capabilities into existing, day-to-day applications, regardless of the transactional system being used. Discover more in our Open and interoperable section.
Read how we are forming partnerships with academic institutions and supporting clinical research.
Aggregate and normalise data across the health and care economy to improve performance and outcomes.
We help you to proactively support and manage the health of your citizens.
Find out more about how citizen engagement through our Patient Portal can make you an active member of your care team.
Witness the benefits of securely sharing patient data across organisational boundaries.
Take a high-level view of your populations to help you proactively focus on particular areas.