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What is the Population Builder: Stratification Module?

Identifying the right patients for population health interventions is critical to any population health initiative. Without an accurate and precise patient stratification model, organizations struggle to maximize the impact their population health team has on the overall population they manage.

The Population Builder™: Stratification Module allows anyone within an organization to efficiently and accurately identify patient groups based on pre-defined, yet easy to customize, populations and risk algorithms. It also provides the architecture and toolkit to integrate the stratified populations into the population health workflow.

Population Builder: Stratification Module Benefits and Features

Increase efficiency, transparency, and flexibility.

Gain easy access for non-SQL experts to customize and generate stratified patient lists, reducing the IT reporting burden, increasing care coordination, and providing clinicians with direct access to data.

Save time.

Leverage a growing list of pre-defined content—including more than 6,000 value sets, 21 predefined chronic condition registries, ED utilization, transitions of care, and predictive risk models—to identify populations ready for population health interventions.

Build trust.

Transparent logic allows care teams to easily change algorithms and change prepare identified populations for population health interventions.

Avoid data silos and ineffective decision making.

Data-informed decision making goes well beyond the capabilities of any single EMR—including comprehensive patient data from more than 300 sources in DOS and integrated claims and clinical data.

Grow your ecosystem.

Seamless integration with the Health Catalyst ecosystem of workflow and analytic tools drives a complete care management program.

Population Builder: Stratification Module Use Cases

  1. A Chief Population Health Officer reviews value-based contract performance and finds that a large percentage of the cost and utilization is due to comorbid patients, primarily from seven complex chronic conditions. After implementing the Population Builder: Stratification Module, he can quickly identify and target the specific population based on predefined chronic condition populations for the care management team to enroll patients in a chronic care management program.
  2. A Care Management Director needs to improve the problem areas identified in the contract performance report: high ED utilization and high readmission rate. After an initial review, he identifies that many patients have ED visits out of the network. Using the integrated claims and clinical data in the Population Builder: Stratification Module, he can quickly identify the right population and publish it for care managers to begin outreach.