We describe the rapid rollout of a population health clinical and organizational response in preparedness and capabilities to support the ﬁrst wave of the COVID-19 pandemic in the Italian province of Modena. Population-level data and care management facilitated identification of demographic-based disparities and community outreach. Telemedicine and integrated behavioral health have ensured critical primary care and specialty access, and mobile health and postacute interventions shifted site of care and optimized hospital utilization. Beyond the pandemic, population health can lead as a cornerstone of a resilient health system, better prepared to improve public health and mitigate risk in a value-based paradigm.
• ICU bed occupancy increased by 114%, avoiding saturation of the Modena Healthcare Agency system.
• The Emilia-Romagna region achieved a higher rate of ICU bed availability at 2.15 ICU beds per 10,000 inhabitants as compared with community 1 ICU bed availability prior to the pandemic.
• Rapid and radical local reorganization of regional efforts helped inform the successful development and implementation of strategic choices within the hospital and the community to prevent the saturation of key facilities.
• The automated, centralized data dashboard for monitoring patient flow enabled the correct real-time management of patient admissions and ICU bed optimization in the Modena Province.