Stage 1- Setting up the PHM Infrastructure

The infrastructure is the set of basic building blocks that are core for a system to manage the health and wellbeing of a population This includes having shared and effective leadership, defining the population in question, having an agreed information governance and basic elements of digital and data infrastructure This section provides an overview of each of these elements and a starting point, although it can be developed much further

Leadership

Set up a leadership team driving PHM representative of all areas of the system (Social, community services, primary care and acutes; clinicians, patients, managers, public health experts)

Develop a shared vision and collective understanding of the purpose of understanding population need

Population Definitions

Have shared definitions of population geographies / levels (system, place and neighbourhood) across the system – What is my population and what is it’s profile- Population segmentation and Risk Stratification- What are Cluster priorities?

Data Infrastructure

Look at what population-specific data is available in the system for analysis, including both healthcare data and non-healthcare data

Think about how data can be bought together into records for each individual in the population for screening, case detection and disease management

Information Governance

Consider IG requirements as soon as possible to ensure compliance – involve internal IG teams to assist

Key elements of IG in PHM to consider include transparency, adequacy of what data is shared and having a data sharing agreement in place

Digital Maturity

Understand the potential digital requirements around PHM as it grows and develops (e.g. bespoke systems to integrate the data)

Capacity and Capability

Understand the analytical capacity and capability already within the system and develop a plan on how to shape that to meet the future analytical capabilities required in order to conduct PHM analytics, etc.