Population Health

Striving to help you live healthier

We are working to ensure you have the support you need to be as healthy as possible no matter where you are, whether it’s in our hospitals or clinics or in the community. We recognize the best medical treatment is not needing treatment at all. That's why we are as focused on prevention as we are to life-saving clinical care.

What is Population Health?

Population Health is “the health outcomes of a group of individuals, including the distribution of such outcomes within the group.” The focus of Population Health work is to improve health outcomes for populations and communities as well as individual patients. We believe that if the community around you is healthy, you will be healthier.

What does Population Health at UW Health do?

The Office of Population Health at UW Health partners with our providers and staff to develop programs designed to improve health. These programs may take place in the hospital, clinic, community or in your home.

Population Health works in three main areas: Population Health Care Models, Accountable Care Organization and Community Health Improvement.

Some examples of our work

  • Integrating behavioral health services into primary care to help address issues like depression, anxiety and substance use disorders.

  • Nurse-led care coordination program to specifically support with complex medical conditions through one-on-one education, goal-setting, coaching and support. This support is available in every one of our primary care clinics.

  • We’re working with community and healthcare partners to implement multiple strategies to support healthy birth outcomes in the African American community.

  • Developing a process to screen patients for social needs and ensuring we have the supports in place within UW Health and in our community to address those needs.

  • UW Health developed an Accountable Care Organization (ACO) in 2013 and is recognized among the nation's best for quality and value. Our ACO participation enables us to develop innovative programs and services designed to improve the health of our patients.

Caring for patients with opiod use disorder: Hub and Spoke

Accountable Care Organization

Putting you at the center of care

Image of Doctor and Patient
Image of Doctor and Patient
As an Accountable Care Organization, UW Health and its partners are committed to putting you at the center of care, keeping you informed and honoring your choices, customs and beliefs. We work to better coordinate your care whether you are in the primary care office, seeing a specialist, admitted to the hospital or at home.

Community Health Improvement

Establishing priorities for community health and programming

Image of provider and patient
Image of provider and patient
As part of the Healthy Dane Collaborative, UW Health recently assessed the health of the community through the lens of health inequities that can be linked to social, economic or environmental factors. Through this effort, UW Health heard community members voice a desire for equal opportunity, resources and respect and culturally responsive care, among other themes. We are actively and intentionally working to address longstanding health inequities through internal and external initiatives.

Diversity, Equity and Inclusion

Our commitment to equity

Our vision is to be a leader in dismantling racism in ourselves, in our system and in our community.

We know that systemic racism impacts the health of communities of color and leads to disparities in outcomes. We cannot improve the health of our community without addressing systemic racism and its impact on health. That's why we're continually assessing the needs of our community and forming partnerships to influence the many factors that contribute to health.

We work in partnership with our colleagues in Diversity, Equity and Inclusion and Community Relations on initiatives that promote health equity.

Learn about Diversity, Equity and Inclusion at UW Health

Learn about Community Relations at UW Health




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Perhaps you are grateful for the care you or a loved one received from UW Health. Or, you cherish living so close to a world-class, research-driven health care system that’s always there if you need it. No matter your motivation, every gift of any size means even better care for our patients.