Integrating Population Health in Vermont’s Health System Reforms

Integrating Population Health in Vermont’s Health System Reforms

The Vermont Public Health Institute is building a portfolio of projects to ensure that Vermont’s health reforms are developed in light of the social determinants of health and reforms systematically connect integrated care management efforts with community-wide prevention strategies to improve population health outcomes.

Accountable Communities for Health Peer Learning Laboratory

VtPHI is providing facilitative support to ten (10) regional partnerships in a year-long peer-learning project to create Accountable Communities for Health. This project will bring together leaders from health care, public health, and community organizations partnering in emerging Accountable Communities for Health within Vermont to learn with and from one another and from national innovators about strategies to address the non-clinical social, economic and behavioral determinants of health and incorporate primary prevention efforts that address the health of the whole population.

VtPHI support includes identifying the practical steps in creating structures and sustainable funding to integrate clinical care and community wide prevention strategies. Support will include pulling together local leadership; identifying potential governance; reviewing existing data and systems; and determining opportunities for creating permanent structural changes.

The Plan for Integrating Population Health and Prevention in Health System Innovation

VtPHI has been hired to write for The Plan for Integrating Population Health and Prevention in Health Care Innovation in Vermont for the Vermont Health Care Innovation Project (VHCIP) – Vermont’s SIM Grant with the Centers for Medicare and Medicaid (CMMI). This plan will recommend a strategic pathway forward to integrate population health and prevention in future reforms aimed at saving money, ensuring health care quality and improving health. Specifically, the Plan will:

  • provide analysis of opportunities through the payment and care models being tested in Vermont’s health system reforms being tested through VHCIP
  • outline population health measures to be used in tracking the outcomes of VHCIP and to be incorporated in the new payment models;
  • recommend payment reform mechanisms, and promising new financing vehicles that promote financial investment in population health interventions; and
  • describe a pathway and alternate structures to improve population health through better integration of clinical services, public health programs and community based services at both the practice and the community levels.