Population Care Delivery (PCD) is a new healthcare delivery model taking shape at innovative healthcare organizations. PCD evolved as a response to the ineffectiveness of traditional primary and specialty care delivery models in meeting organizational commitments under Value-Based, Accountable Care, and Risk-Sharing (VBARS) Agreements. In a VBARS environment, healthcare organizations have accountability for population-level clinical and financial outcomes in addition to the patient-level responsibility that they have always had.
Traditional primary and specialty care delivery models relied on individual provider/patient interaction and patient-level clinical decision-making tailored to personal preferences and based on a variety of different health and behavioral variables. Treatment and communication tools and workflows were optimized for achieving health and wellness goals for individuals. For the most part, individual patients had to initiate interactions with the healthcare system to address their healthcare needs. The services they received and the clinical and financial outcomes they experienced greatly varied based on the specific provider they selected even within the same healthcare organization!
Under VBARS Agreements, healthcare organizations are financially and reputationally motivated to manage population-level outcomes. They are also motivated to deliver those services with a high degree of consistency and efficiency. Individual-oriented tools are not optimized for population-level interventions and are occasionally outright hurdles. So PCD tools have been created to meet the need. The majority of PCD tools rely on information and communication technologies, and leverage advanced analytics and increasingly artificial intelligence and machine learning to accomplish their tasks.
An active Population Care Delivery Platform (PCDP) must perform the following functions:
1. Population Analytics
2. Intervention Design:
• User Engagement
• User Experience
• Behavioral Change
• Intervention Type
3. Healthcare System Integration
• Provider Engagement
• Electronic Medical Record Integration