- the epidemiology of specific populations and how that epidemiology interacts with know best clinical practices to affect outcomes;
- total cost of care management; managing total costs of care, overtime, for specific clinical populations;
- creating and managing effective health behavior intervention programs for specific populations, including primary and secondary prevention programming;
- health risk surveillance, assessment and cost and resource consumption forecasting;
- use of social media to affect health services use rates;
- financial risk modeling for specific populations attributed to community health systems;
- effective use of interprofessional teams; and
- health behaviors pattern recognition; the ability to use electronic health record information to recognize: health risks, patterns of use (or non-use) and failed or inefficient clinical strategies within populations.
If the argument for 1-8 above holds water, how do community health systems acquire and apply there competencies affordably?