viduals, it can be expanded quickly to include
a larger group, or even a country’s population. As individuals make changes to become
healthier, so do those closest to them.
the health of programme participants and
their families. These programmes are carefully
monitored and have a positive impact on the
Johns Hopkins HealthCare LLC has been
working in the field of population health for
more than 18 years and currently provides
health services for three health insurance plans
that together serve more than 350,000 members in the United States. It has established
best practices in population health management that are rooted in scientific evidence and
are proven to deliver positive results.
The goal is to improve the health of the
population through care management for
people with high health risks (typically due to
complex health conditions), and preventative
In the earliest stages, programmes will
concentrate on high-risk patients—those with
chronic disease who depend on the health
care system to care for them on a regular basis.
Patients with chronic health needs can help
themselves with information on prevention,
a focus on healthy lifestyle, positive thinking and other strategies that improve health.
The ultimate goal is to get these people out of
treatment and enjoying life.
On average, around 10
per cent of any given
with more serious or
approximately 70 per cent
of health care services
regularly; a larger group (who
do not suffer from serious or
chronic medical conditions)
use the remainder.
What does this mean for Bermuda?
“Johns Hopkins Medicine has a long history of collaborating in Bermuda and sharing
what we know about medicine and health
care, whether it’s through clinician training
programmes or administrative projects,” says
Steven J. Thompson, CEO of JHMI. “Our
work with Argus promises even greater opportunity to have a positive effect on the lives
of many Bermudians.”
It means that we can take control of our
health. Using a better understanding of the
health of populations within Bermuda, and new
tools that go beyond those used in traditional
health care, Johns Hopkins Medicine’s population health strategy will take a holistic approach
to improving individual health results.
Inequities in Health Care
Through partnerships with patients, community organisations, public health agencies,
social services and health care teams, the programmes will make it easier to access services
and to maximise the effects on people’s health.
The differences in health care usage are
a significant consideration in population
health. On average, around 10 per cent of any
given population—those with more serious
or chronic conditions—use approximately
70 per cent of health care services regularly;
a larger group (who do not suffer from serious or chronic medical conditions) use the
Dr. Linda Dunbar, Ph.D., R.N., vice president of Population Health for Johns Hopkins
HealthCare LLC supports these statistics: “A
large percentage of the population is in good
health, so they will only use limited medical
resources on a regular basis, while at the other
end of the spectrum, you have a small percentage of people who have significant health care
needs.” One of the objectives of population
health management is to better balance utilisation of medical resources.
health management for those at lower levels
of risk. “We’re excited about the future,” says
Jackson. “We’re redefining how we deliver
wellness and how we can improve and enhance the programmes that we offer.”
Argus remains committed to finding
sustainable solutions to Bermuda’s health care
challenges and, through its wholly owned
subsidiary Bermuda Life Insurance Company
Limited, Argus has recently developed a
strategic collaboration with JHMI to launch
an innovative programme aimed at improving
the health of Bermuda’s workforce.
The journey to population health management begins with a focus on a particular
population, assessing their health care needs,
planning and developing effective programmes
designed to address required changes or areas
for improvement, and tracking and measuring
the programme’s outcome and overall effect
on that population.
“With this collaboration, our aim is to learn
from what Johns Hopkins has accomplished
in the field of population health management
and to bring those measures to Bermuda,” says
Alison Hill, CEO of the Argus Group. “The
programmes that we implement as a result will
improve the health of the people in Bermuda
and better manage chronic diseases.”
How does it work?
Population health management programmes are designed to improve the overall
health and satisfaction of a collective population, while managing costs and utilisation of
health care services in ways proven to improve
Initially, Johns Hopkins will conduct assessments, including the gathering and analysis
of health-related data. This will serve as the
basis for developing health programmes that
are customised for the unique medical needs
of different health groups in Bermuda. These
will include efforts that promote actions to
positively affect health and discourage actions
that have a negative effect.
This is a complex community issue. With a
greater understanding of prevention and coping strategies, the overall health of the population will improve. With improved health in a
population comes increased productivity and
greater financial security; so improving health
will benefit the economy.
Wouldn’t we all feel stronger and happier
with improved health and greater financial
security? Complex or not, the potential outcome is exciting for everyone in Bermuda.
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