A exchange(HIE) organizations and competing organization’s health system to

A California-based public-benefit corporation Dignity Health operates hospitals and care facilities in three states and is divided into eight regional clinically integrated networks. It is developing a strategy to transform more like a care consortium company and clinically driven enterprise from a traditional hospital. At present Dignity Health is operating 39 hospitals which comprise of 1400 employed physicians and 6000 independent physicians who are aligned with the system. In order to bring care models across it’s clinically integrated networks, it made large-scale population health management a reality by collaborating with Aetna health.

For this to happen it gathered data about care plans, did analytics on patient records and also worked on handling out of network systems.It worked with state health Information exchange(HIE) organizations and competing organization’s health system to integrate ADT(Admission, Discharge, and Transfers) data. The data-driven population health strategy mainly focused on network development, implementation of payer risk contracts, alignment of clinical solutions and analytics and technology to support integrated solution.To identify the patients who are using more health resources it used Milliman Advanced Risk Adjusters(MARA) to stratify the population and accordingly enrolled them in care coordination program. Physicians will then create a care plan identifying specific patients symptoms, which will improve the management of the disease.

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Part 2 – A clear explanation of the management, ethical, legal, or social issues this article addresses:


With the introduction of data-driven population health strategy physicians and care, managers could address the issue related to managing the care plans using an evidence-based library.This strategy also helps patients to manage their disease on their own without readmitting into the hospital. Integrating all 150 Electronic Health Records(EHR’s) data is difficult, as every office is giving data on EHR’s differently. Dignity Health addressed this issue by integrating fully with HIE’s so that HIE’s will capture entire data from EHR’s. Dignity health addressed the issue of improving health system and facility levels by aligning and coordinating, population health and community health. This article addresses the social issue of patient healthcare improvement, with the implementation of population health strategy the readmission rate for Congestive Health Failure has declined, and Chronic Obstructive Pulmonary Disease(COPD) readmission rate has dropped down to one percent. Primary care physician group itself has seen an advantage of reducing out -of -network migration from 55 percent to 15 percent by implementing this strategy.Dignity Health can identify the common diseases based on the geographic location by using its population health management platform.


Part 3 – My opinion on this issue based on this article:


Developing a health management system requires a lot of data management. A platform is required to extract, manage, export and store the physician’s care plans from paper format to a database in order implement the care plan for patients. I agree with the Data Driven strategy that has been taken up by Dignity Health system,  as it has worked with many HIE’s and EHA’s to gather the data and helped patients to manage their disease with the help of population health management system and also has collaborated with Aetna health to implement the required information system. Dignity Health identified that engaging all kinds of people to take part in the activities of implementing an information system that requires data plays a crucial role. It engaged physicians, patients and HIE’s to implement the Data-driven strategy.