Applying Pop Health to Benefit the Mississippi Delta Region
10:00am - 11:00amWednesday, March 7
Las Vegas - Venetian Convention Center
Sands Show Room
The Mississippi Delta Medicaid Population Health Project was launched to drive targeted community, patient and medical provider interventions using modern Population Health Management solutions. The project has two overarching goals: 1) Reduce the rate of preterm births by 5%; 2) Reduce the progression of prediabetes to diabetes by 5%. Delta Health Alliance (DHA) in coordination with the Mississippi Division of Medicaid has been able to combine its electronic health record system with claims data from the State MMIS system. This data has been organized in dynamic registries that Medicaid providers have access to, at the point of care, to identify, score and predict the risks for diabetes progression or preterm birth. Phase 1 of the project is focused in a 5-county region throughout the Delta including: Coahoma, Holmes, Leflore, Sunflower and Washington counties. The study is expanding to a 10-county region in Phase 2. Prediabetes Phase 1 results will be complete by August 2017.
Evaluate the effect of standard and enhanced prediabetes clinical care in targeted populations
Analyze the approaches used to reduce pre-term births and prediabetes in a targeted population
Recognize the impacts a regional outreach campaign has on clinical outcomes in targeted populations