Quality and Population Health Management (QPH)

 

The Quality and Population Health Management (QPH) program builds on the success of its predecessor function, the UC Center for Health Quality and Innovation (CHQI), which began in 2010.

In 2018, in recognition of the rapid transformation of health care delivery and the emergence of "big data," the Quality and Population Health Management function was established along with a related effort called the Center for Data-driven Insights and Innovation (CDI2).

Each of the five academic medical centers and their respective faculty practices have different approaches and levels of ability to measure and improve quality, take risk and manage their patient populations to achieve positive outcomes while controlling cost. By comparing standards of care, outcomes and other data, our medical centers and health plans will be able to identify best practices within the system to make decisions about care management that will improve patients’ health, prevent disease and injury before it occurs, lead to lower and more appropriate utilization and reduce cost, including by providing patients the right level of care in the most appropriate setting. With increasing pressure on providers’ reimbursements and growth in the number of patients with low paying Medicare and Medi-Cal, these efforts will be critical to the continued financial success of the UC medical centers and UC as an employer taking on risk with its self-funded health plans.

Using the UC Health Data Warehouse, the Quality and Population Health function will integrate and analyze clinical and claims data to unlock the answers to achieving higher quality and lower cost. A key part of this effort will also be to support and ensure appropriate coordination among existing system-wide initiatives (e.g. telemedicine, CT Surgeons, Primary Care Collaborative). In the longer term, a key component of this initiative will be communication and coordination with researchers (e.g. via UC BRAID).