Assigment 6 modules reflexion 2-3 pages.Apa seven . All instructions attached.

Module

2

Case Report #1: Module 2. Population Health Assessment

2A) Background

A healthcare system in City C has been concerned about the availability and quality of care for those who identify as LGBTQI, especially with respect to mental health care. The healthcare system

recently revised their intake forms to more broadly inquire about gender and sexual identities. While 3% of their total patient population identified as

Foundations of Population Health

Module 2: Case Report | 1

LGBTQI, only 5% of their patients who identify as LGBTQI accessed mental or behavioral health services via the healthcare system, which is much lower than expected based on national data. They would like to conduct a population health assessment to better understand how they can serve their LGBTQI patients.

2B) Reflection Question

Imagine you are leading the population health assessment for the healthcare system described above. What should you include as a part of the population health assessment to ensure you understand the needs of your patients who identify as LGBTQI regarding healthcare? Consider what steps you would take to conduct a thorough population health assessment, and who you would want to include in the assessment process. Focus on three areas in your response: community engagement, diverse data collection sources and identifying priorities.

2C) Considerations

Leaders from the healthcare system created a Task Force to further investigate the care they were providing to their members who identify as LGBTQI. Since the healthcare system had not conducted a population health assessment specific to the needs of the LGBTQI community, the Task Force reached out to local and national experts for guidance on how to proceed. They also used a previous community assessment the healthcare system conducted as an initial framework for building their population health assessment. Once the Task Force had adequately articulated the initial goals of their population health assessment and developed a tentative plan for achieving their goals, they engaged key stakeholders to guide the completion of the population health assessment.

Community Engagement

· The Task Force formed a stakeholder advisory board consisting of current patients, community members, healthcare system clinicians, local public health workers, and leaders from local nonprofits who work with members of the LGBTQI community and those who provide mental health care in the community. All members of the stakeholder advisory board identified as a member of the LGBTQI community, and/or worked with patients from the LGBTQI community, and they all had an equal say in determining the board’s direction and action.

· The Task Force was thoughtful about ensuring that community members who identified as LGBTQI and were not current healthcare system patients were included on the stakeholder advisory board since they may have a unique perspective about how the healthcare system provides care to those in the LGBTQI community.

Diverse Sources of Data Collection

· Since the healthcare system only recently began collecting comprehensive information on gender and sexual identity, a historical examination of how the healthcare system provided care to their members who identify as LGBTQI was not possible. Current electronic health record data was used to compare patients who identify LGBTQI and those who do not on pertinent variables such as: patient satisfaction, use of different types of care (e.g., emergency department, behavioral health, primary care), and number of total patient visits.

· Given the limited existing data, the stakeholder advisory board sought to conduct interviews and surveys with members of the LGBTQI community, to understand their needs and identify opportunities for how the healthcare system could improve the care they provide, particularly with respect to mental health care. All survey and interview questions were reviewed by the stakeholder advisory board; they also provided guidance on how to sample diverse and hard to reach residents.

· The stakeholder advisory board conducted an environmental scan to examine the extent to which healthcare system hospitals and clinics provide LGBTQI affirming care.

· The stakeholder advisory board identified other relevant sources of existing data that they could examine as part of their population health assessment. The public health department provided data they were collecting on the community’s mental health; some of that data could be used to compare those who identify LGBTQI and those who do not.

Identifying Priorities

· The stakeholder advisory board took an informal approach to identifying priorities based on the results of the population health assessment. They prioritized issues for which available and cost-effective solutions could be identified (e.g., improved training for all clinicians and staff in LGBTQI affirming care, hiring providers with expertise in treating members of the LGBTQI community). They also prioritized problems that were most directly connected to suicide attempts (e.g., enhanced mental health screening, referral and treatment protocols), given the severity of the problem.

· Assets connected to the identified priorities included a local nonprofit organization that has experience training clinicians in LGBTQI affirming care, solid support from the healthcare system leadership, and high clinician support for improving their ability to address mental health concerns in those who identify as LGBTQI.