BACKGROUND 

As the District continues to expand its data-driven approach to healthcare, actionable insights are critical for guiding care coordination, addressing chronic conditions, and improving population health outcomes. CRISP DC developed the PopHealth Analytics suite to meet this need by equipping providers and care teams with a centralized, easy-to-use tool for population-level reporting. This capability was designed with diverse users in mind—including hospitals, primary care providers, payers, and community-based organizations—and supports efforts to monitor care quality, understand risk, and drive health equity interventions. 

WHAT IS POPHEALTH? 

PopHealth Analytics is a suite of interactive reports available through the CRISP DC HIE Portal that leverages Medicaid claims data to enable users to explore demographic and health utilization information across their attributed or panel-based patient populations. It provides a streamlined way to: 

  • Analyze trends across chronic diseases, social determinants of health (SDOH), and high-risk beneficiary groups. 
  • Track progress on nationally recognized quality measures. 
  • Visualize key population health indicators to support interventions, performance tracking, and communications across clinical and non-clinical settings. 
  • Stratify patient panels by condition, health utilization history, and risk level to inform care management strategies. 

Access to PopHealth Analytics is available to CRISP DC HIE Portal users. New users seeking credentialing or access support can reach out to Corrine Jimenez, CRISP DC Project Manager, at Corrine.Jimenez@crisphealth.org or contact the DC Outreach team at dcoutreach@crisphealth.org. 

BEST PRACTICES 
  1. Use filters and timeframes strategically to isolate trends or identify gaps in care within your specific population. 
  2. Pair PopHealth insights with direct clinical data (such as care plans or EHR notes) for a fuller picture of patient needs. 
  3. Incorporate the data into routine care team huddles or performance improvement meetings to align interventions with emerging patterns. 
  4. Focus on high-priority populations, such as those with uncontrolled chronic conditions or those impacted by SDOH, to maximize care coordination impact. 
  5. Reach out to CRISP DC for training or tailored support—the CRISP DC team can walk you through the reports and help you integrate the tool into your existing workflows.