Federally Qualified Health Centers (HCs) play a critical role caring for over 30 million underserved people nationally, including many low-income and racially/ethnically minoritized persons. In 2022, stakeholders including Kaiser Permanente, California Department of Health Care Services, HCs, Primary Care Associations, and the California Health Care Foundation, collaborated and launched the Population Health Management Initiative (PHMI). Within evolving state and national policy contexts, the PHMI aims to advance and sustain PHMI capabilities among California community HCs in order to: 1) improve PHMI clinical process and outcome quality measures, patient experience, and provider/staff experience; 2) reduce disparities in care and outcomes between more and less advantaged populations; and 3) improve specialty access and clinical performance.

1) Was the PHMI intervention effective at improving clinical process and outcomes, patient experience, provider/staff experience, specialty access, and racial/ethnic health equity?

2) Which key factors are associated with improvement in the clinical process and outcome measures of the PHMI?

3) What were the facilitators and barriers to the PHMI?

Mixed quantitative and qualitative methods

Administrative data for clinical and process outcome measures

Provider/staff and patient surveys

Provider, staff, partner, patient interviews

Microsoft Office

General Internal Medicine Research in Progress

Outcomes Research Workshop

Chicago Center for Diabetes Translation Research Workshop