This department provides multiple continuity of care programs for multiple patient populations with differing needs. We have resources specific to each patient population in order to best provide for the well-being and care of patients transitioning out of the hospital to home, SNF, LTACH or IRF to home and other programs geared to support and improve the overall care and well-being of our aging population.
Effectively addressing an increase in the prevalence of chronic disease, constant and fluid needs around health care disparities and access issues, as well as an aging population require change in order to create opportunities to improve health, drive better patient experiences, and decrease costs. The Population Health Department focuses in these areas through data-driven, evidence-based workflows and standardization to provide advocacy, resources, cutting-edge technology, clinical support and escalation, a dedicated pharmacy team, and a behavioral health program free to those enrolled in one of our programs.
UVA Health, through the Population Health Department, is also rising to meet the needs and recognize the potential of a multidisciplinary approach to health care redesign focused on value-based payment models and driving opportunities for our health care providers to give increased attention to population health.