Total Population Health

The Total Population Health Initiave aims to improve the health and well-being of NH residents by fostering connections between healthcare, public health, and the social determinants of health while advancing health equity.

Our Vision:

Population Health is both a goal and a strategy to foster healthy, equitable populations through linking clinical and community-based approaches supported by delivery system innovations and investments.

  • Population health encompasses population health management and community health improvement.
  • Population health seeks to understand and impact both the clinical and non-clinical determinants of health (i.e., social determinants, individual behavior, physical environment, and policymaking).
  • Populations can be defined in many ways: demographics, health needs, primary/specialty care attribution, insurance membership, service utilization, community/neighborhood, etc.


Our Purpose

Our purpose is to foster collaboration, build partnerships, and identify opportunitite sto leverage skills, resouces and expertise to create systems and environments that support and contribute toe the health and well-being of all NH residetns. Our goals include:

  • Build place based population health awareness and knowledge.
  • Create bridges between healthcare, public health, and community organizations and partnerships.
  • Provide a platform to facilitate dialogue and networking among our partenrs to share expertise, identify collective opportunities and catalyze NH based total population health initiatives.
  • Promote the use of evidenced based and promising practices to advance total population health.
  • Identify and coordinate opportunties to access, share and utilize data.


TPH Framework