Deliverable 2 - Assessing Data Sets for Population Health Management
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10-2025-HSA5300DeliverableTwo.pptx
Assessing Data Sets for Population Health Management – Deliverable Two
Dr. M. Point
Rasmussen University
Presentation Goals
To review of Module One Deliverable
To explain requirements for Module Two Deliverable
To describe data sets
To discuss the significance of data sources in population health management
Recap of Module One’s Deliverable
Create a PowerPoint presentation with SPEAKER NOTES on EACH content slide
Assess local population healthcare needs – county, city, etc.
Identify key performance indicators – KPIs
Five quality resources
See the resource listed in the classroom – Sample CHNA
Deliverable One Recap
Identifying a community need (Research using CHNA)
Deciding on ONE program that your company can create to address ONE need based on the CHNA
Determine your KPIs (Or, simply stated, the metrics you will use to determine if the program you are developing is doing what you intended)
Grady Health System
Search Table of Contents
Requirements
Your local health system is planning to launch its new population health management (PHM) program for the community and population it serves.
You are the Chief Population Officer for this system, and you were tasked by your system CEO to develop key performance indicators for this program.
Examples of KPIs
Should reflect the program's goals
Describe factors key to the program’s success
Teen Pregnancy Prevention Program
Must be quantifiable (measurable)
20% reduction in teen pregnancy among teens (ages 15 – 18) enrolled
50% increased use of prophylaxis among teens in the program
10% increase in the number of enrollees who refrain from sexual activity
Goals
Definition: A goal is a broad, strategic objective that defines what you want to accomplish. Example:
Improve the overall management of hypertension among adults in Atlanta, GA to enhance quality of life and reduce preventable hospitalizations
Goals are usually longer-term and qualitative, setting the direction or intention.
Goals
This goal is:
Strategic – it addresses a high-impact issue (chronic disease management)
Broad – it sets a direction without prescribing specific actions or metrics
Aimed at outcomes – focusing on both quality of life and reducing hospital use
Objectives
An objective is a specific, measurable step you take to achieve a broader goal.
Specific – Clearly defines what will be done
Measurable – Includes criteria for tracking progress
Achievable – Realistic given available resources
Relevant – Directly supports the overall goal
Time-bound – Has a clear deadline or timeframe
This is often called a SMART objective (Specific, Measurable, Achievable, Relevant, Time-bound).
Objectives
By the end of 12 months, increase the percentage of patients with controlled hypertension (BP <140/90 mmHg) from 60% to 80% across all primary care clinics.
Enroll 250 patients with uncontrolled hypertension into a home blood pressure monitoring program within 6 months.
Provide hypertension education to 90% of newly diagnosed patients within 30 days of diagnosis.
KPIs
Performance indicators
% of hypertensive patients with BP <140/90
# of patients enrolled in the home BP monitoring program
# and % of newly diagnosed patients receiving education within 30 days
# of enrollees visiting the ED or being admitted per quarter
Questions
Welcome to module two!
For this module, you will gain the competency of applying the foundational principles of population health management to patient care.
Data sets for population health management
Population health management seeks to improve the health of a population by identifying groups of individuals within a population with like or similar characteristics including health related conditions and other factors that may be attributed to health status.
PHM aims to impact the delivery of care to a group of individuals with similar healthcare needs.
The goal of PHM is to implement interventions that are customized to the highlighted characteristics.
Data Sets
A data set is a collection of numbers or values that relate to a particular phenomenon.
For example, the blood pressure readings of each participant in a blood pressure management program is a data set. The number of participants in a disease prevention program is a data set. The number of individuals aged 80+ developing COVID-19 is a data set. The number of individuals enrolled in a specific insurance plan is a data set.
Teen Pregnancy Prevention Program Datasets
20% reduction in teen pregnancy among teens (ages 15 – 18) enrolled
50% increased use of prophylaxis among teens in the program
10% increase in the number of enrollees who refrain from sexual activity
The average age of teens who engage in unprotected or protected sex is a dataset.
The number of teens who engage in sex without protection is a dataset.
The number of teens enrolled who have refrained from sexual activity since program is a dataset.
Module Two Deliverable – (Scenario)
Data sets from federal and state resources, as well as from private foundations and academic medical centers are critical components for promoting evidence-based population health management programs.
Use the CHNA – this is a secondary source that has this information already compiled
For this assessment, you will explore and assess the impact of data and information on population health programs and initiatives.
The Significance of Data
From Data to Knowledge
Data represents raw facts
Unprocessed numbers or observations without context
Example:
Blood pressure readings for all participants
Ages of program participants
What does this tell you?
Information
When data is processed, it shows patterns and that becomes information
60% of hypertensive patients in the programs have uncontrolled blood pressure
Individuals over the age of 60 have higher BP
African Americans in the community have higher BP
Knowledge
Understanding relationships
Analysis to understand the “why” and/or “how”
Example: Patients over 60 with low medication adherence are more likely to have uncontrolled BP
African Americans who consume traditional ”soul” food containing high sodium content are more likely to have uncontrolled BP
Questions
Instructions
Based on the knowledge you acquired about your local population healthcare in the module 01 summative assessment, your health system Board of Directors is requesting that you prepare an executive summary.
What’s Included
Introduction.
Main Idea (Thesis) Any well-written document is about a central idea. Make sure you identify the main idea (in your case, the program).
Definition of the problem.
Identify the problem (using the CHA from previous unit)
Include the data and the rationale
The Executive Summary
What is it?
A summary of a larger document
What components are required?
Introduction
Body
Conclusion
Reference page(s)
What is an executive summary?
An executive summary is a succinct summary of an assignment or report that provides an overview of the assignment’s sections.
Contents of an Executive Summary
When writing an executive summary for an assignment, you generally need to include 3-5 parts:
An analysis
Your recommendations and conclusion
References
The Body
The datasets needed to support your health system PHM
An assessment of the role information and data sets play in empowering your health system population health management program
Reasons why successful health management programs need relevant, current, and accurate data sets.
Grading Rubric
Identifies the data sets needed to support the health system PHM program with specific examples and fully developed reasoning.
Provides a thorough, detailed assessment of the role information and data sets play in empowering the health system population health management program.
Incorporates at least 5 quality resources to support assessment and findings.
All elements of a properly structured executive summary are present. Professional in tone.
Resources
Be sure to use your available resources!
This link has information for creating an executive summary.
Reminders!
Review the grading rubric
Include at least 5 quality sources
Submit as a draft so that you can have a “heads-up” on what is required to maximize your point values
Commit to submitting at least one deliverable most weeks
Final reminder - YOU DESERVE TO SUCCEED!!!
Final Day to Submit Coursework
Please plan accordingly!
What is your strategy?
How will you ensure your submissions and resubmissions meet the deadline? Or, better yet – beat the deadline?
Questions
Please do not hesitate to contact me with any questions…
Most of all – HAVE FUN! Enjoy the learning opportunity!
Motivation for the week:
