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Chronic disease outcomes from primary care population health program implementation.
Jeffrey M Ashburner, Daniel M Horn, Sandra M O'Keefe
1Massachusetts General Hospital, 50 Staniford St, Boston, MA 02114.
The American Journal of Managed Care
|December 21, 2017
Summary
A central population health coordinator (PHC) improved chronic disease management outcomes in primary care practices. PHC-assigned practices showed greater goal attainment for diabetes, cardiovascular disease, and hypertension compared to those without a PHC.
Area of Science:
- Health Information Technology
- Population Health Management
- Primary Care
Background:
- Chronic diseases require ongoing management within primary care settings.
- Health information technology can support population health management initiatives.
- The role of a dedicated Population Health Coordinator (PHC) in improving chronic disease outcomes is under investigation.
Purpose of the Study:
- To evaluate the impact of a central Population Health Coordinator (PHC) on chronic disease management quality measures.
- To compare quality-of-care outcomes between academic hospital-affiliated primary care practices with and without a PHC.
Main Methods:
- A quasi-experimental design was employed.
- Central PHCs were nonrandomly assigned to 8 of 18 primary care practices.
- Outcomes included goal attainment for diabetes (LDL-C, A1C, BP), cardiovascular disease (LDL-C), and hypertension (BP) over a 6-month follow-up.
Main Results:
- Practices with a PHC demonstrated significantly greater improvements in outcome measures for diabetes, cardiovascular disease, and hypertension.
- Specific percentage point increases in goal attainment were observed for LDL-C, A1C, and BP in PHC-assigned practices.
- Cancer screening completion rates did not differ between practices with and without a PHC, as it was not a focus of PHC efforts.
Conclusions:
- The implementation of central Population Health Coordinators (PHCs) effectively enhanced short-term chronic disease outcome measures.
- PHCs represent a valuable resource for improving the quality of care in primary care settings for patients with chronic conditions.
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