Population Health Management (PHM) has the potential to drive a fundamental shift from reactive to proactive health and care for our communities, giving ICSs the tools, information and understanding needed to improve the health and wellbeing of their population and reduce inequalities.
However, embedding PHM within health and care systems can be challenging, with integrated infrastructures, data sharing and analytical capability needed to enable this shift to take place.
Arden & GEM has developed Athena, a strategic data and analytics platform which brings together data from disparate systems across multiple teams and organisations to provide a single version of the truth.
Athena Population Health is a dedicated module that articulates a clear story on the health of a population, moving from the highest summarised position, down through population segmentation, risk stratification and health inequality, to individual clinical pathways and finally case-finding for direct patient care.
Athena Population Health:
- Enables ICS stakeholders to identify, analyse and address the healthcare needs of their population
- Is accessible by different professionals including senior leaders, operational managers, analysts and, crucially, clinicians
- Is fully aligned to national priorities such as Core20Plus5
- Provides intelligence on improvement opportunities in outcomes, quality and cost
- Segments populations, including cost and volume variation across segments
- Stratifies risk in the population for case-finding and service development
- Identifies actionable cohorts of patients who would benefit from intervention.
Athena Population Health provides the intelligence you need to diagnose problems and deploy interventions which improve outcomes and reduce inequalities for your population.
Why Arden & GEM?
Our Business Intelligence team has been developing award-winning systems and applications for the health and care system for more than ten years.
We are experienced in working with systems to establish the culture and mindset required for meaningful change.
Our Athena Population Health analytics module can be delivered as part of our wider PHM support offer, tailored to reflect your existing priorities and stage of the PHM journey.
CASE STUDIES
Arden & GEM is already helping healthcare systems with Athena Population Health. Find out more by accessing the resources below.
Developing outcomes and performance dashboards to improve patient care
Arden & GEM worked with MSE services to develop value frameworks and outcomes measures for six key areas of care in which stewardships groups were established.
Maximising the impact of social prescribing through a case-finding tool using machine learning
Arden & GEM’s Advanced Analytics Unit has developed a case-finding tool, based on a machine learning model, to enable social prescribers to proactively target patients in advance of a GP referral.
Supporting patients in BLMK to better manage their diabetes through an early warning system
Arden & GEM’s Advanced Analytics Unit has created a diabetes early warning system that not only provides near real-time population-level data and benchmarking but also identifies patients with unmet needs for proactive interventions.
Developing bespoke population health dashboards for NHS Bedfordshire, Luton and Milton Keynes ICB
When NHS Bedfordshire, Luton and Milton Keynes (BLMK) ICB needed population health comparator and benchmark information at a place, PCN and GP practice level, Arden & GEM’s business intelligence team set about developing a new suite of dashboards.
CONTACT US
If you’d like to find out more about Athena Population Health please contact us here: