Redwood Community Health Coalition (RCHC) is pursuing triple aim objectives of improving the health of populations, improving the experience of care, and reducing per capita cost of health care.
RCHC’s Population Health Program supports health centers in transforming to new value-based health care models, with a focus on population health management that frequently goes beyond the boundaries of individual health centers and requires a collective approach to implementation and long-term success.
RCHC’s Population Health services:
- Quality improvement: improving clinical outcomes through adoption of standardized evidence based care guidelines supported by clinical decision support, reinforced by training
- Best practice sharing and peer group collaboration
- Data Analytics and Reporting
- Health Information Exchange
- Meaningful Use and Health Information Technology project support
- Care innovation support and Collaboration with Health Systems Partners for Care Coordination
RCHC’s Population Health initiatives:
- HRSA Health Center Controlled Network
- Medicare Accountable Care Organization
- Behavioral Health Integration
- Cardiovascular Health
- Complex Care Management
- Developmental Screening and Referral
- Hypertension Management
- Opioid Safety
- PHASE – Preventing Heart Attack and Stroke Everyday
- Social Determinants of Health
- Specialty Care Access
RCHC’s Evidence Based Care approach to clinical quality improvement:
RCHC utilizes an evidence based care (EBC) program framework for clinical quality improvement. RCHC’s EBC programs seek to improve care and outcomes through:
1) Shared Clinical Guidelines and Protocols – Agreed to by RCHC Medical Directors for each member health center.
2) Clinical Decision Support and Analytics – Recalls, Alerts, Order Sets, Templates, Standard Reports.
3) Shared Best Practices – EBC guidelines/protocols, associated clinical decision support tools and analytics, and documented Promising Practices are implemented through RCHC’s functional peer network meetings: Medical Directors, Dental Directors, COO/Nurse Manager, Data Leads, QI Leads, eCW User Group, CFO.
4) Population Health and QI Support – Provider/Staff Education and Technical Assistance.
RCHC member health care organizations and other qualified parties participate in an Organized Health Care Arrangement (OHCA) as defined by the Health Insurance Portability and Accountability Act (HIPAA) for health information exchange. An OHCA allows participants to share protected health information to treat their patients, coordinate patient care between different health care settings, and to manage their joint operations. Members to the OHCA include:
- Alexander Valley Healthcare
- Coastal Health Alliance
- Marin City Health and Wellness Center
- OLE Health
- Petaluma Health Center
- Ritter Health Center
- Santa Rosa Community Health
- St. Joseph Health System Sonoma County, Mobile Health Clinic
- West County Health Centers