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Population Health

Population Health refers to the health outcomes of a group of individuals, including how those health outcomes are distributed throughout each group. In this case, “groups” of people are defined by geography, gender, race/ethnicity, socio-economic status, or health status. Additional groups could include employees, disabled persons, or prisoners, among others. Our work in population health focuses on identifying the specific health needs of the community and addressing social determinants of health to eliminate health inequities.

Our population health work began in 2013, when we were awarded a New York State Department of Health grant to serve our three-county region as a Rural Health Network Development Program. We currently remain one of 30 Rural Health Network Development Programs in NYS.


Our efforts to improve health outcomes were enhanced in 2015 after securing a five-year NYSDOH Population Health Improvement Program (PHIP) grant, making us one of 11 PHIPs in the State from 2015-2020.


Thanks to a third NYSDOH grant, Linking Interventions for Total Population Health (LIFT), we further expanded our efforts in 2017 to include work in addressing obesity and diabetes.


While grant-funded projects come and go, our commitment to the overall health and wellness of the region, through our work in these four key population health strategy areas, remains strong:


  • Data collection & analysis

  • Stakeholder engagement

  • Infrastructure development & support

  • Health messaging & promotion

FDRHPO was one of 11 Population Health Improvement Programs in New York Sate (shown by the grey and red sections) and remains one of 30 rural health networks (indicated by stars). 

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