POPULATION HEALTH
WHAT IS POPULATION HEALTH?
The national institute of health defines it as “health outcomes for a group of individuals and the distribution of the health outcomes among the individuals in the group”. This is a broad definition. Reliance Community Care Partners focus is on identification of individuals, development of an individualized plan with the individual and partnering together using interventions to remove barriers to health.
Social determinants play a significant role in the health of the population. Our program success comes from the behavioral and physical health integration. We can all make healthy choices when the barriers and obstacles have been removed.
Our model is flexible and scalable to any setting or mode of communication. We have experience working with health plans, hospitals, physician offices, wellness centers and State programs to deliver population health. We have expanded our case management programs to include population health and work one on one with our clients and their support system to provide education and assistance with removing barriers to health, welfare and safety.
For more information, send us an email at: Info@relianceccp.org.
WHAT WE DO
We work collaboratively with health care providers, government agencies, Insurance providers, legal representatives, and family members to make sure those we serve receive the attention and care they need to live healthy, meaningful, and productive lives.
WHAT IS DISEASE MANAGEMENT?
This unique physician office partnership is designed to assist the practice with providing the highest level of care possible while maximizing the patient’s optimal health outcomes.
This collaborative approach allows the physician to focus on diagnosing and treating the patient’s disease while we provide the necessary education and follow-up to help patient and family members better understand the disease process and treatment plan.
HOW WE HELP PHYSICIAN PRACTICES
In addition to patient specific reports, we provide clinical outcome data for each disease condition being managed for the physician’s practice. These reports are be used to validate practice patterns and to help maximize potential reimbursements. This reporting in conjunction with HEDIS data can assist the practice in providing a continued level of optimal care. Our highly qualified nurses quickly become an extension of the physician’s practice, providing the additional staff resources necessary to manage chronic disease conditions in a responsive and timely manner.
HOW WE HELP
Reliance provides follow-up education and support to helpthe patient and family members successfully manage the treatment of the disease.
We provide each patient with an individualized care plan that is tailored to meet the specific needs of the patient and their family. The plan and progress updates are shared with the physician following each consultation.