Purpose
The purpose of the Population Health Management project is to develop a systematic approach to population health management in Hounslow.
The approach aims to:
- Use data and engagement to understand the needs of our residents
- Identify and target those who will benefit most from interventions
- Develop evidence-based interventions
- Embed evaluation to understand impact.
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Population Health Management Framework training materials are available via the BBP Resource Centre in the Population Health Management folder:
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- Greater number of staff trained in population health management approach
- Improve data access and capabilities across the BBP
- Linking data sets to build the understanding of our residents and the wider determinants of health
- Using segmentation to identify cohorts of residents who could benefit from targeted interventions
- Support and train BBP staff to use data to inform decision making
- Use research, including evidence and behavioural science approaches, to inform intervention and service design and improvement
- Encourage active engagement with representative groups to improve health outcomes and reduce inequalities
- Embed evaluation in project plans from the beginning ensuring we can measure impact of projects and interventions
- Development of Population Health Management Framework for BBP
- Development of research, behaviour change, engagement, and evaluation guides
- Provide Population Health Management training and joint working with the framework
- Analytics support bringing data capabilities and systems together
More evidence-based decision making and service design leading to reduced health inequalities, reduced cost to NHS, prevention of and better outcomes for those with health conditions.
Next Steps/Forward Plan
Key projects using PHM will be supported including the Pre-Surgery Clinic project which launched in January 2024 and our CORE20PLUS5 projects which aim to use PHM to reduce inequalities.