Population Health Management

ID

C34

Version

1.0.2

Type

Capability

Category

Reporting and data analytics

Status

Effective

Effective Date

Feb 5, 2024

Contracting Vehicle(s)

Description

Supports Health or Care Professionals in accumulating and accessing health or care data from various sources, reporting on and creating Patients/Service User cohorts.

Outcomes

For a Patient/Service User:

Receiving targeted interventions, treatment or care as a result of a health or care need being identified through analysis.

For Health or Care Organisations:

Enables models of care to focus on the local population's health or care needs by identifying and analysing Patient/Service User cohorts.

For the wider NHS and social care system:

Plan interventions, treatments and campaigns across the local population.

MUST Epics - Describes the minimum functionality required to deliver a Capability. Solutions MUST be successfully evaluated against each Epic and Acceptance Criteria via Capability Assessment in order to be associated with this Capability

MUST Epics - Describes the minimum functionality required to deliver a Capability. Solutions MUST be successfully evaluated against each Epic and Acceptance Criteria via Capability Assessment in order to be associated with this Capability

E00618 - report on Population Health Management data

As a Health or Care Professional

I want to report on Population Health Management data

So that I can analyse the data and make informed decisions

Acceptance criterion 1: define Population Health Management report criteria

Given the Health or Care Professional is permitted to manage Population Health Management reports

When the Health or Care Professional selects to define the criteria for the report

Then the criteria for the report is defined

Acceptance criterion 2: view Population Health Management reports

Given the Health or Care Professional is permitted to view Population Health Management reports

When the Health or Care Professional selects to view the report

Then the report results are displayed

E00618 - Supporting Information

  • Data used for the reports can come from a variety of different sources and and is not limited to Buying Catalogue Solutions


E00619 - manage Patient/Service User cohorts

As a Health or Care Professional

I want to manage Patient/Service User cohorts

So that I can identify interventions and strategies to support the population

Acceptance criterion 1: create Patient/Service User cohorts

Given the Health or Care Professional is permitted to manage Patient/Service User cohorts

When the Health or Care Professional selects to create a Patient/Service User cohort

Then a Patient/Service User cohort is created

Acceptance criterion 2: view Patient/Service User cohorts

Given the Health or Care Professional is permitted to manage Patient/Service User cohorts

When the Health or Care Professional selects to view a Patient/Service User cohort

Then the Patient/Service User cohort is displayed

Acceptance criterion 3: amend Patient/Service User cohorts

Given the Health or Care Professional is permitted to manage Patient/Service User cohorts

When the Health or Care Professional selects to amend a Patient/Service User cohort

Then the Patient/Service User cohort is amended

Acceptance criterion 4: delete Patient/Service User cohorts

Given the Health or Care Professional is permitted to manage Patient/Service User cohorts

When the Health or Care Professional selects to delete a Patient/Service User cohort

Then the Patient/Service User cohort is deleted

MAY Epics - Describes additional functionality associated with the Capability. Suppliers should consider all MAY Epics as part of their User Research. Suppliers can choose to map their Solutions to these Epics and they will be evaluated via Capability Assessment. Contracting Authorities or purchasing organisations may require these Epics as product qualification or requirements criteria

MAY Epics - Describes additional functionality associated with the Capability. Suppliers should consider all MAY Epics as part of their User Research. Suppliers can choose to map their Solutions to these Epics and they will be evaluated via Capability Assessment. Contracting Authorities or purchasing organisations may require these Epics as product qualification or requirements criteria

E00620 - manage outcome targets

As a Health or Care Professional

I want to manage outcome targets for Patient/Service User cohorts

So that the outcomes can be used to assess the co-ordination and delivery of healthcare

Acceptance criterion 1: set outcome targets

Given the Health or Care Professional is permitted to manage outcome targets

When the Health or Care Professional selects to set an outcome target for Patient/Service User cohorts

Then the outcome target for the Patient/Service User cohort is set

Acceptance criterion 2: view progress towards outcome targets

Given the Health or Care Professional is permitted to manage outcome targets

When the Health or Care Professional selects to view progress towards an outcome target

Then progress toward the outcome target is displayed


E00621 - manage Population Health Management dashboards

As a Health or Care Professional

I want to manage Population Health Management dashboards

So that I have the relevant information available to make informed decisions

Acceptance criterion 1: configure Population Health Management dashboards

Given the Health or Care Professional is permitted to manage Population Health Management dashboards

When the Health or Care Professional selects to configure a Population Health Management dashboard

Then the dashboard is configured

Acceptance criterion 2: view Population Health Management dashboards

Given the Health or Care Professional is permitted to manage Population Health Management dashboards

When the Health or Care Professional selects to view a Population Health Management dashboard

Then the dashboard is displayed

Items on the Roadmap which impact or relate to this Capability

Items on the Roadmap which impact or relate to this Capability