Population Health 101
Team MVPs
Emory & Healthcare
Name That...
Team Chaos
100

This approach focuses on improving the health outcomes of a defined group of people while also considering the cost and quality of care they receive.

What is Population Health?

100

This person always seems to know who needs to be in the room, who has the answer, or who can get something done.

Who is Victoria?

100

This Emory hospital is located in Atlanta's Druid Hills area and serves as a major academic medical center affiliated with Emory University School of Medicine.

What is Emory University Hospital?

100

Six friends. New York City. One very famous orange couch.If you wanna be my lover, you gotta get with my friends…

What is Friends?

100

The meeting is officially over. Someone says these four words, and everyone knows they're not going anywhere for another 20 minutes.

What is “Just one more thing”?

200

This type of care focuses on preventing illness, detecting health problems early, and keeping people healthy rather than waiting until they become sick.

What is Preventive Care?

200

This person could probably win a gold medal for sending the most emails containing the phrase “Just circling back…”

Who is Tiffany?

200

When a patient moves from the hospital to home, skilled nursing, rehabilitation, or another care setting, this process helps ensure their care and medications remain coordinated.

What are Care Transitions?


200

Just a small town girl, living in a lonely world…

What is “Don’t Stop Believin’” — Journey?

200

You join a 30-minute meeting expecting to listen. Twenty minutes later, you've somehow been assigned an action item.

What is “How did I get volunteered?”

300

In this payment model, providers are rewarded based on the quality and outcomes of care rather than simply the volume of services provided.

What is Value-Based Care (or Value-Based Payment)?

300

This person’s “quick question” has historically resulted in a 45-minute conversation, three follow-up meetings, and a new workstream.

Who is Nate?

300

The phrase most commonly heard when a healthcare team is trying to determine why something isn't getting done: “Have we checked the ______?”

What is the data?

300

I wanna rock with you, all night…

What is “Rock with You” — Michael Jackson

300

What starts as one meeting about one issue somehow ends with three follow-up meetings, a workgroup, and a shared Excel spreadsheet.

What is a new workstream?

400

In population health, this process determines which patients are assigned to or considered part of a particular provider’s panel or organization for purposes of care management, quality measurement, and reimbursement.

What is Attribution?

400

If there were an award for always having snacks, knowing where the snacks are, or suggesting food for the team, this person would be a shoo-in.

Who is Dontavious?

400

The goal of this type of management is to coordinate services and support for patients with complex needs across different healthcare settings.

What is Care Management?

400

A teenager accidentally travels back in time in a DeLorean and meets his parents when they're teenagers.

What is Back to the Future?

400

Someone says, “I just have a quick question…” and suddenly everyone is looking at the clock wondering if lunch is still happening.

What is the beginning of a 45-minute conversation?

500

This population health strategy identifies patients with the greatest clinical or social needs so resources like care management can be targeted where they can have the greatest impact.

What is Risk Stratification?

500

Need to know how something works, where to find something, who owns it, or what happened three years ago? This team member probably knows.

Who is Daniel?

500

In healthcare, this acronym represents four key pillars often used to describe evidence-based treatment for patients with heart failure with reduced ejection fraction.

What is GDMT — Guideline-Directed Medical Therapy?

500

A wealthy New York family spends an entire movie trying to convince everyone that they are completely normal while planning the wedding of the year.

What is Coming to America?

500

You open your inbox to find 37 emails on the same subject, 14 people copied, and absolutely no idea what the original question was.

What is an email thread?