Deliverable 5 - Population Health Management Patterns

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2-26D5HSA5300.pptx

Module 5

Dr. M. Point

HSA5300CBE

Population Health

Inspirational Quote

This week’s inspirational message – The Takeaway

Trust and Believe in YOURSELF!

Final Day to Submit

Please keep in mind that the FINAL day to submit coursework is – Friday, March 20th.

Questions

Presentation Objectives

Review and discuss previous deliverables

Explain the linkage between each deliverable

Discuss current deliverable

Outline Success strategy for remaining weeks

Connecting the Dots

Deliverable One

You are compiling information (demographics, KPIs, etc) for a PHM program

Deliverable Two

Which datasets are important for your PHM program?

Deliverable Three

Where will you obtain the data?

Deliverable Four

Dashboard to offer visualization

Deliverable One – HIV/AIDS Prevention Program

Number of HIV Tests Conducted

What it measures: Reach and uptake of HIV testing services.

Why it matters: Regular testing is critical for early detection and linkage to care, which helps reduce transmission.

Example KPI: Percentage of target population tested for HIV in the last 12 months.

KPI – HIV/AIDS Prevention Program

Condom Distribution and Usage Rates

What it measures: Access to and use of condoms.

Why it matters: Condoms are a frontline prevention tool.

Example KPI: Number of condoms distributed and self-reported condom use at last high-risk sexual encounter.

Data Sets Needed

Number of HIV Tests Conducted

Condom Distribution and Usage Rates

Data Sources

CHNA for XYZ Health System

U.S. Census Bureau

American Community Survey

National Center for Health Statistics

Dashboard

Questions

Tutoring Services

Library Assistance

The Writing Center

Welcome to Module Five

For this competency, you will evaluate sets of health data from diverse populations using population health management principles.

Scenario

Effective population health management (PHM) requires strategies to reach the individual consumer or patient at all stages of life in the manner most appropriate for each individual. PHM must use a set of patterns of population health strategies that describe people and their preferences.

These pattern classifications help healthcare organizations begin to understand how they should develop a robust PHM that serves the population needs.

Patterns of Populations

These pattern classifications help healthcare organizations begin to understand...”

By grouping people into patterns or segments, healthcare organizations can analyze and predict needs more effectively.

"...how they should develop a robust PHM that serves the population needs.”

Understanding these patterns allows organizations to build a strong, targeted, and effective PHM program that meets the actual needs of the people they serve.

Examples of PHM Strategies

Examples include:

Individual behavior strategies

Clinical Population Medicine Strategies

Health Equity Strategies

Continuous Patient and Provider Engagement

Patterns of Population Health Management Strategies

Scenario (Part II)

Each market and population is unique. Market position, service offerings, health status, predominant diseases, and geographic and community features are all unique factors that need to be addressed.

Scenario (Part III)

As your healthcare system gains a greater understanding of their local population needs, the PHM program you are implementing needs to develop criteria that will be assigned to specific population cohorts to define the various proactive health interventions and care delivery.

Instructions

Write an executive summary that analyzes the various patterns of population health management that your health system is developing for your diverse population.

Use five (quality) references to support your assessment and findings in this assessment.

The Importance of PHM

Population health management (PHM) is a systematic approach to addressing the preventive, high-risk and chronic care needs of patients, with a goal of minimizing costly interventions like emergency room visits, hospitalizations and readmissions (Briggs, 2012).

Introduction

Introduction should include specific information (including statistics) about the cohort and specific disorder.

Obesity is a complex phenomenon that has a wide-ranging effect on the everyday life of all populations. According to the South Carolina Department of Health and Environmental Control (2018), 33.7% of children in the state of South Carolina is considered overweight.

Breaking it Down!

Effective population health management (PHM) requires strategies (or plan of action) to reach the individual consumer or patient at all stages of life in the manner most appropriate for a defined group of individuals.

Its about a defined group of INDIVIDUALS

Targeted

Focused

Forward thinking

Breaking it Down!

PHM must use a set of patterns of population health strategies that describe people and their preferences. These pattern classifications help healthcare organizations begin to understand how they should develop a robust PHM that serves the population needs.

The takeaway – Its about the individual and what works for the individual (ordinary people)

Preferences matter; people matter

Example

The prevalence of Type II diabetes in children and adolescents is high in comparison in Charleston, SC to other comparable cities in the US.

A strategy may include more clinical trials, added endocrinology service offerings, nutrition education, exercise/get moving campaigns, telehealth, etc. using the Continuous Patient and Provider Engagement strategy.

Patterns may include increased challenges with maintaining blood glucose levels - acute admissions due to a lack of understanding of factors that contribute to spikes in blood glucose levels; uncontrollable blood glucose levels due to lack of access to primary care (transportation and mobility); etc.

SMART Goals

SMART GOALS

Specific

Measurable

Achievable

Relevant

SMART Goals

Childhood Obesity – Impacting children between the ages of 10 and 17

SMART Goals

Reduce obesity rates for children and adolescents

By December 31, 2025, reduce the percentage of obese 4th graders from 6% to 4%.

Increase participation in nutrition and exercise program among senior citizens.

By December 31, 2025, increase the percentage of seniors participating in the Get Moving campaign from 14% to 16%.

How Will I Be Assessed? Rubric

Analyzes the various patterns of population health management that the health system is developing based on specific examples and fully developed reasoning.

Incorporates at least 5 quality resources to support assessment and findings.

Executive summary

Purpose

What is the point of the document?  Are you trying to influence management?  

Problem

What issue needs addressing?  Why is it an issue?   

Problem Analysis 

What can be changed or improved?

Results of analysis

What did you find while researching the issue?  

Recommendations

What can you do to address this issue?

Questions Regarding Prior topics

Do you have any questions?

Countdown

Please be sure to keep an eye on the countdown clock in the classroom….

Last assignment due

Submit, Submit, Submit

Did you know?

You can make a 20-minute online Research Appointment with a Rasmussen College Librarian if you need help with:

Research within a database

Using the Online Library

Librarians will not review papers

please see the  directions for submitting your paper to the Writing Lab if you want your paper reviewed.

Did you know?

Research Appointments are held online can aid you in improving your research techniques.

When you complete the scheduling information, you will receive information about the meeting location address/url. You will also receive a confirmation email to your Rasmussen student email (smail) account, which will also provide access info for meeting.

Schedule a Research Appointment today!

Success Strategy

Stay Engaged!

Ask questions!

Read course announcements!

Submit often and early!

Integrate feedback into resubmissions!

Don’t take it personally…..

Real growth is only achieved when you are challenged. The assignments are meant to challenge you…embrace the challenge and you will achieve growth!

Questions

How comfortable are you with your deliverable instructions?

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