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UH Population Health Service Organization

University Hospitals’ Population Health Service Organization (PHSO) seeks to provide the highest value care for the communities we care for. The Institute for Healthcare Improvement defines population medicine as the “design, delivery, coordination, and payment of high-quality health care services to manage the “Triple Aim” for a population using the best resources we have available to us within the health care system.”

At University Hospitals, our PHSO provides a wide range of services to our caregivers and our community as a whole. Some of these services include:

  • Personalized member outreach to address gaps in care
  • High-risk case management services
  • Value-based insurance design analysis and programs
  • Clinical disease management services
  • Care coordination services

UH Post-Acute Quality Network (PAQN)

The University Hospitals Post-Acute Quality Network (PAQN) is an innovative, patient-centered approach to caring for patients who are being discharged from an acute care hospital setting. For patients who may require short-term nursing and rehabilitative care after a hospital stay, the UH PAQN provides numerous options that can be tailored to the unique needs of the individual. Our teams of hospital-based patient care navigators can help to ensure that you are connected to the right kinds of care to meet your needs as you make the journey from hospital back to home.

In most cases, after a hospital stay we are able to meet a patient's nursing and rehabilitation needs in their home with UH Home Care services. UH Home Care will help to reconnect you with your personal physician in the community and can support you during this time of transition with remote monitoring technology and even in-home or virtual visits with advanced practice providers.

There are times when a patient's clinical needs may be best served in a post-acute health care facility, such as an Acute Rehabilitation Unit (ARU), or a Skilled Nursing Facility (SNF). The UH PAQN is comprised of 3 ARUs (with locations in Parma, Avon, and Beachwood) and nearly 60 SNFs spread across Northeast Ohio and surrounding each of our 12 core regional hospitals. We maintain active relationships with each of our PAQN partners and continually monitor their quality ratings from the Centers for Medicare and Medicaid Services (CMS). Additionally, we strive to improve and coordinate care from hospital to home by staffing these facilities with UH physicians and advanced practice providers.

The UH PAQN has been developed to improve a patient's health (reducing the need to return to the hospital); to enhance a patient's healthcare experience; and to get a patient back home as quickly and safely as possible through better coordination and delivery of care and services.

UH Rainbow Advice Line

As an additional resource for parents and guardians, University Hospitals offers a 24/7 Rainbow advice line staffed by pediatric medical professionals. The line also provides crucial support to pediatric practices, allowing their patients to speak to an expert even during off hours.