Due to freezing temperatures, the Mayor’s Office of Homeless Services has declared a winter shelter warning for Thursday, December 19, 2024 through Tuesday, December 24 at 9 am. Call 211 (available 24/7) or 443-984-9540 to connect with shelter. Get more info here.

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Population Health

Population health means improving the physical, mental and social well-being of our clients with evidence-based, person-centered health solutions and addressing social factors.


What can population health look like?

  • Population identification
  • Registries
  • Risk stratification
  • Person-centered care
  • An identified primary care provider
  • Interdisciplinary health care team for supportive services,
    including shared decision making
  • Knowledge of social determinants of health & their impact
  • Integration with public health and community systems
  • Use of evidence-based guidelines for quality, cost-effective care
  • Providing culturally & linguistically appropriate care and education
  • Evaluation of outcomes with feedback loops (PI)
  • Using health informatics technology

What are our pop health priorities ?

  • Registries
  • The Population Health Framework:
    • Population Identification
    • Risk Stratification
    • Interventions
    • Patient Engagement
  • Cancer Screenings

Latest News...coming soon!

See what population health is up to through their quarterly newsletters.

     


    Our framework

     

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