Toward a population health delivery system: first steps in performance measurement

Health Care Manage Rev. Winter 2002;27(1):76-95. doi: 10.1097/00004010-200201000-00007.


In spite of the technological sophistication and clinical excellence of the U.S. health care industry and annual health expenditures in excess of a trillion dollars, the overall health status of the American population is comparatively poor. The BCHS in west central Florida sought to improve the health status of the communities that it serves. Known by the acronym CHAPIR, an information-driven health status decision support system was developed, pilot tested, and is now fully implemented throughout the BCHS. The methodological approach, quantitative indicators, report format components, and management implications of the system are described.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Catchment Area, Health
  • Child
  • Child Welfare
  • Community Health Planning / organization & administration*
  • Female
  • Florida / epidemiology
  • Health Promotion / organization & administration*
  • Health Status Indicators*
  • Hospitals, Community / organization & administration*
  • Humans
  • Maternal Welfare
  • Morbidity
  • Mortality
  • Multi-Institutional Systems / organization & administration*
  • Organizational Case Studies