Background
The term “population health” has become prominent in health policy since its inclusion in The Triple Aim. Population health management in an essential element in two major, closely related areas of health reform: clinical practice transformation and health system transformation, including payment reform. States and the federal government recognize that primary care is the foundation for transformation of both the care delivery system and supportive payment reforms that generate improved quality of care and control costs. Given the current healthcare landscape and the rapid evolution of health reform at the state and national levels, successful health centers will require capacity for strong population health management that is sustainable and improves over time to keep pace with health reforms and pressures from the marketplace.
Read the White Paper and complete Request for Letters of Interest Frequently Asked Questions – Updated July 7, 2017 Population Health Program Interim Report – August 2017
Read about our completed and ongoing projects.
Read “Community Health Centers Tackle Population Health, Equity and Social Determinants” [May, 2021]
A Look at the Projects
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Mariposa CHC & RCHN CHF staff with FVRx program collaborators from Villas Market (Nogales, AZ)
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Nogales Mercado/Farmer’s Market, community partner of Mariposa CHC’s ‘Comer Bien (Eat Well)’ project (Nogales, AZ)
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Healthy food boxes prepared by Nogales Community Food Bank for ‘Comer Bien (Eat Well)’ participants at Mariposa CHC (Nogales, AZ)
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GPCA and program collaborators outside Chathum County Juvenile Court (Savannah, GA)
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RCHN CHF and GPCA staff alongside program collaborators (Savannah, GA)
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Community Health Workers at St. John’s Well Child and Family Center conduct home visits (Los Angeles, CA)
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Community Health Workers at St. John’s Well Child and Family Center conduct home visits (Los Angeles, CA)
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Community Health Workers at St. John’s Well Child and Family Center conduct home visits (Los Angeles, CA)
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Charles B. Wang CHCs “Community Action on Smoking and Health” initiative (New York, NY)
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Fresh produce from Boise Farmers Mobile Market for Idaho PCA & Terry Reilly Health Services FVRx program (Boise, ID)
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Fresh produce from Boise Farmers Mobile Market for Idaho PCA & Terry Reilly Health Services FVRx program (Boise, ID)
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ACCESS Family Care staff (Neosho, MO)
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Erie County Mobile Health unit, part of their outreach services (Sandusky, OH)
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Project staff at Access Community Health Network (Chicago, IL)