Population Health Management (PHM) is a refined care delivery model involving a systematic effort to assess the health needs of a target population and to provide services to maintain and improve the health of that population (Sg2 Health Care Intelligence, 2014, p. 1).As health care systems search for ways to reduce spending, PHM may be considered . However, confusion and skepticism of PHM.are present. The framework for PHM includes a multi-step approach that composed of four steps similar to the public health model. The framework is composed of: 1) population identification; 2) health assessment; 3) risk stratification; and 4) health continuum. The health continuum helps establish whether or not someone within a population is low or no risk, moderate risk, or high risk for the selected health complication being addressed. Depending on where the individual falls on the continuum or how much of a risk is present ultimately determines what kind of health management intervention should be employed. Health management interventions include preventative services, lifestyle coaching, traditional care, complex care management, palliative and end of life care (Sg2 Health Care Intelligence, 2014, p. 2,).
PHM is unlike what most health systems do today. Health care organizations involved in population health must be concerned with all the determinants of health, including environmental, social, economic and individual factors. This type of care falls outside the realm of traditional medicine, and is very hard for health care facilities to implement this strategy alone. PHM is recommended by Sg2 Health Care Intelligence (2014) to occur a Clinical Alignment and Resource Effectiveness (CARE).???????? This is the networking and partnering wit...
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...on rates and costs. Telephone-based education, a core activity of many PHM programs, can promote patient self-care and satisfaction. Remote patient monitoring technology appears to be effective in managing chronic disease and overcome the lack of timely data. These technological devices can monitor glucose and blood pressure, provide real time information or health status and indicate intervention. Also, the use of social networks have been successful. Many organizations like Weight Watchers and Alcoholics Anonymous have shown how peer to peer support groups can shape behavior. These types of accomplishments shed positive reinforcement of the development of PHM (Sg2 Health Care Intelligence, 2014, p. 5). Whether an organization decides to use PHM’s model or not, there are characteristics that an organization must have to make in order for the shift to be successful.
Health Information Management Technology. (3rd Edition). Chicago, IL: AHIMA Press.
Some critics have stated that there is not yet any quantifiable improvement in patient outcomes in comparison to the traditional model. Additionally some critics have voiced that some “practices may receive recognition without making fundamental change”.4 Another prominent flaw is the lack of funding to convert practices into PCMH. The cost to cut down patient flow, reconfiguring medical record systems, and get approval from insurers is more than many sites can handle financially. For the PCMH model to be accessible to some practices with the hopes of implementing such a program, capital funding would need to be made available from federal, state, and local entities. This limits many providers because many practices are not able to provide the necessary capital to start such a program. In addition to medical practices not having the necessary capital, providers must then work with a decreased patient load with the anticipation of possible reimbursement in the future.3 These points make it clear that the transition to a PCMH model would require hard work and commitment from the involved providers to make it
Buchbinder, S.B., & Shanks, N. H. (2007). Introduction to Health Care Management. Sudbury, MA. Jones & Bartlett Publishers. Performance Improvement in Health Care. 5, 81-135.
...e crucial change needed in health services delivery, with the aim of transforming the current deteriorated system into a true “health care” system. (ANA, 2010)
Throughout the semester, the author has seen information about Healthy People 2020 over and over again. She cannot read a single chapter of Public Health Nursing: Population-Centered Health Care in the Community without seeing objectives from Healthy People 2020 that relates directly to that chapter’s subjects. Due to the heavy emphasis on this the author wanted to know more about what Healthy People 2020 was trying to accomplish and what are the specifics that this is trying to focus on. The other thing she wanted to do was go over three of the topics of Healthy People 2020 and come up with each type of prevention for each.
Diagnosing and investigating health problems and health hazards in the community. Informing, educating and empowering the people about health issues. Mobilizing community partnerships to identify and solve health problems. Health assessments also develop policies and plans that support individual and community health efforts. They also enforce laws and regulations that help protect health and ensure safety (Thivierge, 2016). Assessments link people to needed personal health services and assure the provision of health care when otherwise unavailable. Public health assessments can help to assure the public of the competency of the public health and personal health care workforce. These assessments evaluate effectiveness, accessibility and quality of personal and population-based health services (Thivierge,
Healthy People are a nationwide program set by the United States Department of Health and Human Services with the objectives to promote health and prevent disease. The Healthy People program was first initiated in 1979, followed by Healthy People 1990, 2000 and 2010 with the same goals and objectives to promote health and prevent diseases. Due to the accomplishments that has been achieved in the previous years under this program, the Healthy People 2020 expanded or rather broadened their goals and objectives beyond disease prevention, health promotion and reducing health disparities, but to also eliminate healthcare disparities that has plagued this nation by the year 2020. The governing body, the United States Department of Health and Human Services is responsible for coordinating this program; track the progress of these objectives so as to improve the health of the population. Among the various goals set by this body, only three will be discussed in this paper to gain more insight as to what it entails. These include health equity to improve the health of all groups; social and physical environments that promote good health; and to promote quality of life, healthy development and healthy behavior across life stages.
Preventative healthcare is an accessible area that continues to increase in the healthcare segment. Preventative healthcare utilizes various methods to educate and avoid illnesses. Preventative healthcare also strives to improve the overall health wellness of Americans (Benedictine University Online, 2015). The functions of preventative health care inform the population, promote healthy lifestyles and provide early treatments for illnesses. The goal of prevention, also known as intervention is to reduce risks and threats to health (Benedictine University Online, 2015). Therefore, primary, secondary and tertiary are three principal components of the healthcare system.
Given the magnitude of health costs, both financial and in terms of human suffering, it is essential that preventive interventions be developed and/or enhanced. Nurses, physicians, and other helping professionals are in a good position, by virtue of their training, to add to such preventive efforts. Health is defined as a condition of physical, mental, and social well being and the absence of disease or other abnormal condition. It is not a static condition; constant change and adaptation to stress result in homeostasis (Mosby's Medical and Nursing Dictionary, 1994 p. 742). The fact that we can improve our health and extend our lives by changing our behaviors (i.e., eating well, exercising, not smoking, and reducing stress) supports the incorporation of health education, and prevention programs into a broad variety of settings.
Improving health is in the best interest of everyone, including non-health professionals. Health managers need to be constantly looking for ways to improve access to health care, the quality of the care, and cost containment. Often, the biggest barriers to accessing healthcare are cost and location. Lower income individuals just do not have the resources to have optimal healthcare, or cannot take the time away from employment to deal with health issues. One potential solution to help with these problems could be “telehealth.”
Providers are held accountable for improving clinical outcomes and cost saving with the initiatives of Meaningful use, Patient-Centered Medical Homes (PCMH), and Accountable Care Organizations (ACOs) [3]. Population health consists of reaching all patients not just those that have interacted within the healthcare system. Lately there has been a focus around managing disease groups and preventive care. The best approach for engagement efforts is to offer wellness coaching as part of managing a population’s health [5]. Measurement: Surveys can be utilized as a measuring tool to capture how effectively patients are able to navigate and manage their care and the ability to be involved in decision making regarding their treatment options.
The present environments for healthcare organizations contain many forces demanding unprecedented levels of change. These forces include changing demographics, increased customer outlook, increased competition, and strengthen governmental pressure. Meeting these challenges will require healthcare organizations to go through fundamental changes and to continuously inquire about new behavior to produce future value. Healthcare is an information-intensive process. Pressures for management in information technology are increasing as healthcare organizations feature to lower costs, improve quality, and increase access to care. Healthcare organizations have developed better and more complex. Information technology must keep up with the dual effects of organizational complication and continuous progress in medical technology. The literature review will discuss how health care organizations can provide effective care by the intellectual use of information.
Improving population health necessitates a variety of the contributions from health entities. These health entities can be state, local governments, hospitals, health centers, and community organizations. Unfortunately, these contributions and services are not equally distributed throughout the population. Lack of a supermarket in a neighborhood limits residents’ access to healthy food and other resources. Furthermore, ethnic minority and/or low-income communities are burdened with several health disparities such as greater risk for diseases, or limited access to healthcare services (Jackson, 2014). The National Cancer Institute reported that individuals from medically underserved population are more likely to be diagnosed with late-stage diseases because they have inadequate resources to education, or health insurance. When an individual does not have adequate access to healthcare services, healthy disparity grows larger in the overall health of a
My overall vision is to develop and promote information technology solutions to better improve health outcomes, patient safety, and prevention of medical errors in underserved countries. In closing, Health informatics and Health Information Management is an exciting program that is designed to provide me with a suite of resources to help me develop essential leadership, teamwork, and healthcare management skills that will help me to become successful leader in healthcare
Public health can be defined as the approach to medicine that is concerned with the health of the community as a whole. It is about protecting and improving the health of families and communities through promotion of healthy lifestyles, research for disease, injury prevention, detection, and control of infectious diseases. Many factors contribute to a long life, including demographics, socioeconomics, genetics, environment, and behaviors. It is important to assess these factors when attempting to increase life expectancy and improve health status, because positive health practices result in higher life expectancies and better health.