Population Health
Monitor a patient’s care and take action with precise engagement to keep patients healthy or improve chronic conditions – no matter where the patient receives care
Sharing & Aggregating Data Across Your Network
Close care gaps and eliminate duplicate testing with a wide spectrum of data from labs, risk scores, paid claims, and external systems at your fingertips.
Sharing & Aggregating Data Across Your Network
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Understanding Contract Performance and Improvement Opportunities
How can I get patients in the right door? Is the risk and complexity of my patient population property represented? Use analytics to track and intervene on target metrics for your contracts.
Understanding Contract Performance and Improvement Opportunities
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Care Management Across the Continuum
Promote patient wellness with integrated health and social care tools. Assess patient needs, connect them to resources, and track their outcomes.
Care Management Across the Continuum
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Team-Based Care
Guide roles across your team to efficiently and appropriately identify, address, and monitor patients’ clinical care gaps.
Team-Based Care
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Social Drivers of Health & Whole Person Care
Help lower or remove barriers to health by addressing social drivers. Suggest programs and services provided by your organization or use a community resource directory to connect patients directly with community-based organizations.
Social Drivers of Health & Whole Person Care
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A critical success factor in improving the health of our patients is to identify those who need care the most. This is done by integrating claims data from payers with Epic. This approach allows us to risk-stratify populations and focus on high-needs patients, rising-risk patients, and patients who need basic wellness and prevention care (e.g., annual visits), or preventive care measures such as health screenings and flu shots. In addition, any care provided by Essentia is captured nightly to inform outreach through our care coordination platform, Healthy Planet.
—Debbie Welle-Powell, Chief Population Health Officer, Essentia Health
Cutting Burnout in Half and Increasing Revenue by Millions: Team-Based Care Is Making It Possible
Deaconess Health System adopted an efficient team-based care model, reducing provider burnout by 50%, decreasing “pajama time” by 36%, and increasing annual revenue by $5.6 million.
Read the full article on EpicShare →
Helping People Stay Healthy and Housed with Whole-Person Care
The San Francisco Department of Public Health improved care coordination to provide a stronger safety net for people experiencing homelessness.
Read the full article on EpicShare →
Food as Medicine: Addressing Hunger in the Community
Boston Medical Center, Geisinger, and ProMedica each have unique and effective food insecurity programs that address the needs of their patient populations.
Read the full article on EpicShare →Learn more about successes in population health – and how you can do it too – on EpicShare
Roadmaps
See a high-level view of what Epic can do now, which new features are coming soon, and what the future holds.
Resources
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