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Defining your Patient Population

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Knowing who your patients are and what their needs are in your geography.

What it means for OHTs?

Ontario Health Teams will need to be able to define the patient population within their defined geographic area. This will include understanding the local context, such as common conditions and patient patterns for types and access to care. By accounting for the unique regional variations of the patient population the team will be able to tailor care delivery accordingly.

Resources

Here are some sample resources available from IHPME and the Dalla Lana School of Public Health

Understanding Patient Needs:

  • BeACCoN’s database can provide information Patient-level demographics, clinical characteristics, processes of care, outcomes, cost, and utilization data that is linkable across the entire continuum of care.
  • Segmentation Playbook. BeACCoN has developed a guide on how to segment patient population and identify high needs, high cost patients. This can be used to support planning for in priority areas such as diabetes, dementia, and mental health and addictions.

 

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