Applied Population Health-Delivering Value-Based Care with Actionable Registries

List of Tables 
List of Figures 
Acknowledgements 
About the Authors 
1 Introduction 
PART 1 FUNDAMENTALS 
2 Policy: Drivers for Value-Based
3 People 
4 Process 
5 Technology of Health Registries
6 Measuring the Quadruple Aims 
PART 2 EFFECTIVE DELIVERY OF APPLIED POPULATION HEALTH 
7 Applied Population Health Technical Foundation 
8 Quality Measure Management Systems 
9 EHR Population Health Projects
10 The Who: Cohort Management with EHR Registries 
11 The What and the When: Building the Feedback Loop 
12 Applying Clinical Decision Support 
13 Calculating Risk 
14 Analytics Dashboards
PART 3 APPLIED POPULATION HEALTH TODAY AND TOMORROW
15 Moving Into the Future With a Learning Health System 
16 We’ve Come So Far . . . Lessons Learned and Call to Action 
17 Visioning Population Health of Tomorrow 
References 
Answer Key 
Appendix A. Implementation of CDC Race and Ethnicity Codes (CDCREC) 
Appendix B. Population Health White Paper 
Appendix C. Job Descriptions for Population Health Team Members 
Appendix D. DIY System for Quality Measure Management 
Appendix E. Ambulatory Care Health Screening Order
Appendix F. Population Health Project Request 
Appendix G. Registry Best Practices 
Appendix H. Resources 
Applied Population Health: Delivering Value-Based Care with Actionable Registries
Index