Practice Resources

Understanding Population Health

man and woman discussing healthcare

As the U.S. healthcare system continues to undergo transformation, population health provides a mechanism to improve the health outcomes of a group of individuals while providing high-quality, efficient and cost-effective care. Diabetes care and education specialists are perfectly positioned to manage population health services, offering a broad spectrum of services which have the potential to reduce the overall economic burden of diabetes to both the individual and healthcare system.


Population Health: The Diabetes Care and Education Specialist’s Evolving Role

Published in The Science of Diabetes Self-Management and Care, August 2019: By using the population health approach, tapping into the quality improvement infrastructure at their respective organizations, and becoming aware of their organizations’ performance of the population level diabetes measures, diabetes care and education specialists can identify and position themselves as the experts who can help improve the system’s diabetes quality measures.

Key points addressed in this paper:

1) Diabetes care and education specialists are essential clinical diabetes specialists and they must be active policy-makers and providers in order to support the population health model.

2) The focus on the Quadruple Aim and the shift away from fee-for-service to value-based care is intended to have a positive impact on a person’s quality of care and satisfaction. It is also creating an opportunity for diabetes care and education specialists to re-evaluate and expand their services to demonstrate their value. 

3) Diabetes care and education specialists must stay informed. By using the population health approach, tapping into the quality improvement infrastructure at their respective organizations, and becoming aware of their organizations’ performance relating to population-level diabetes measures, they can identify and position themselves as the experts who can help improve the system’s diabetes quality measures.

4) Diabetes care and education specialists are at a turning point. They have an opportunity to position themselves as diabetes specialists for diabetes management, education, and care delivery.

5) While the term population health may be new to many diabetes care and education specialists, it is something that many are already immersed in and using to show their value to employers and health systems.


Karen Kemmis headshot

Population Health: What, Why and How? 

What can you do to integrate population health into the future of your practice? 2019 ADCES President Karen Kemmis looks at each vision pillar through a population health lens.


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