See population health through a clear lens

If there's one thing care teams need when tackling population health, it's clarity. With the integrated solutions of MEDITECH’s Expanse Population Health Management Platform, you’ll have the tools you need to get a clear picture of your patient populations — who they are, where they've been, and where they're going. And you'll have the functionality to support individual patients and help them manage health risks at every stage of life — no matter where their care journey takes them.

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It's all about the patient

Population health is about more than trends and reporting; it's really about meeting patients where they are. Let's take a look at how an effective population health strategy could impact the lives of four very different people.

David, 8 years old

Patient Profile:

  • Has asthma
  • Loves to draw
  • Goes to day care after school
  • Gets frequent colds

Patient Portal Use:

  • His mother uses his Patient Portal to schedule wellness appointments and virtual visits with his pediatrician.
  • She also uses the portal to manage David's immunizations, renew his asthma medications, and email his doctor.

Sarah, 30 years old

Patient Profile:

  • Active
  • Generally healthy
  • Loves the outdoors
  • Celiac disease
  • Only sees physician when feeling sick

Patient Portal Use:

  • Patient Portal reminds her to schedule flu shots and annual wellness visits, and includes convenient access to lab results.
  • Uses Patient Generated Health Data with wearables to monitor gluten-free diet and fitness goals. This data is integrated into her EHR.

Patricia, 58 years old

Patient Profile:

  • High blood pressure
  • Mild arthritis
  • Family history of breast cancer
  • Exercises infrequently
  • Active in the community

Patient Portal Use:

  • Uses the Patient Portal to track her test results, appointments, and provider emails.
  • Protocols and registries help care navigators to track and schedule wellness visits, including annual mammograms.
  • Portal sends her information on yoga classes at the local hospital, to help with arthritis pain.

Richard, 76 years old

Patient Profile:

  • Insulin-dependent diabetic
  • Congestive heart failure
  • Limited mobility
  • Lives alone in rural setting

Patient Portal Use:

  • Richard's daughter accesses his information through the Patient Portal, to help manage his ongoing care.
  • Now using home care services, telehealth devices send vitals to his care team.
  • Virtual visits enable convenient, regular provider communication.

Take action with Patient Registries

Our actionable Patient Registries in Care Compass are bolstered by the supplemental information, including claims and a broad range of disparate EHR data, generated by collaboration with data aggregators. Care teams can examine entire groups of patients, determine who they're accountable for, and decide on the appropriate interventions — all from just one screen. By identifying at-risk patients, gaps in care, and overdue health maintenance, our Patient Registries can help your organization promote wellness and take a more proactive approach to care coordination and disease management.

Patient Registry Screenshot

Close gaps in care

Proactively identify opportunities for care gap closure to maintain wellness and manage chronic conditions. With Expanse, care teams can use customizable chart widgets to flag common care gaps, so physicians have actionable information queued up upon entering the exam room. This functionality eliminates paper processes and the need to navigate multiple screens, giving clinicians a smoother, simpler, and gap-free workflow.


Address Social Determinants of Health

Deliver care that reaches far beyond the hospital and physician's office. Connect patients with social services and community resources, and use Expanse to help them take better control over their own health.

See how MEDITECH customers are addressing social determinants of health in their communities:

Bristol Hospital

Used surveys to identify patients in need of additional resources or support, and deployed local nursing students to follow up with patients in need.

Frisbie Memorial Hospital

Found that food insecurity was the root of their super utilizer problem in the ED, as many patients presented only to receive a hot meal. Frisbie partnered with community organizations to host weekly potluck dinners that kept community members properly fed and out of the hospital.

Kalispell Regional Medical Center

Established a program in which community health workers take Congestive Heart Failure patients on walkthroughs of their local grocery store to combat health illiteracy and help them establish healthy diets.

Southwestern Vermont Medical Center

Designed a transitional care program aimed at addressing the gaps in care that occured due to the social determinants of health affecting their rural community.

Palo Pinto Mobile Health Initiative Video Covershot

Mobile health initiatives go on the road

All aboard Palo Pinto's mobile health clinic! In this video, see how Palo Pinto General Hospital's fully-equipped medical bus gives their community a “bridge to health,” and enables providers to truly meet their patients where they are.

Support your decisions with solid population analytics

Back your population health initiatives with data that gives you a complete view of outcomes and utilization. MEDITECH's Business and Clinical Analytics solution lets strategic teams look for patterns across patient populations, including the prevalence of chronic conditions, risk gaps, and opportunities for care gap closure. Armed with this data, you can target programs that deliver the highest quality care at the lowest cost. With the use of embedded clinical workflows and vendor-supplied data, care teams can fill in the patient story, for an accurate and meaningful patient encounter every time.

population analytics

Interoperable care is connected care

True interoperability connects communities and enables better population health strategies by supporting the sharing of patient information across all systems. This means that no matter where a patient seeks care, their care team will have the information they need to deliver better care and outcomes.

As a Contributor Member of the CommonWell Health Alliance, MEDITECH's interoperability efforts extend beyond local and regional affiliations. The patient's information goes where they go, so clinicians can always treat the person and not just the problem — a crucial component of value-based care.

Revenue Cycle Reimbursement

MEDITECH will also help you navigate the shift to value-based care while keeping your organization financially viable. Unite all care fronts and cover patient access, middle, and back office processes to boost financial performance. A truly centralized business office and consolidated revenue cycle reports allow you to monitor AR days, cash flow, and denials to ensure your organization maintains healthy margins.

population analytics

Learn how Population Health registries and Arcadia risk score algorithms assist with chronic care management, remote monitoring, and hospice programs at Frederick Health and Southern Ohio Medical Center.

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