Population health can be defined as, health outcomes of a group of individuals, including the distribution of such outcomes within the group. Under the topic of population health, interventions can be examined. Population-level health interventions are policies or programs that shift the distribution of health risk by addressing the underlying social, economic and environmental conditions (Hawe &Potvin, 2009). Care management is a patient centered approach that is designed to assist patients and their support systems managing their medical conditions but can be very expensive for a hospital to provide. Hospital administrators need to prioritize and know where to provide their resources for the best results in their organization. Health intervention …show more content…
Ever since these injuries received an increase in media attention about the possible complications, more and more families have gone to seek help for these injuries. A concussion is an injury that can be treated by a physical therapist. Physical therapists have all the skills and education that is needed to treat this injury. Their role in health care is becoming a vital part of the team for helping the management of patients who have suffered and are struggling to recover from these traumatic injuries. Hugentobler et. al (2015) wrote, “Appropriate interventions are derived from focused assessment strategies in physical therapy. Assessment and management of patients following mTBI can be challenging due to the elusive and unique presentation of symptoms associated with the diagnosis and a lack of standardized tools to assess impairments. Common examples of clinical post-mTBI assessment tools include symptoms scales, neuropsychological tools, oculomotor function screens and balance assessments. A number of other types of assessments have also been suggested for evaluation of patients with mTBIs including: headache assessments, cervical strength and motion assessments, vestibular assessments, and cardiovascular and respiratory …show more content…
There are three data sets that are the minimal amount to support this system. These data sets include: 1) patient-reported outcomes data, 2) social determinants of health data, and 3) activity-based costing data that will allow accurate management of financial margins in per-capita reimbursement contracts (“Population Health Management”). These data sets are the minimal requirements and without them, the organization will never achieve value-based care. If an organization does have these data sets, they are able to provide better patient outcomes for an efficient cost. Before a healthcare organization can apply care management applications, it always needs to consider the cost of care that will result to the
While the data was collected by identifying patients with the highest medical costs, lowering medical costs was never Brenner’s goal; “he was more interested in helping people who received bad health care” (Gawande, 2011). Although a clearly defined list of action steps is not outlined in the literature (Gawande, 2011; “Jeffrey C. Brenner,” 2013; Robert Wood Johnson Foundation, 2014) Brenner clearly began by using his funds to hire a staff and increase his pool of data, identified the most vulnerable patients by health care cost and emergency room and hospital visit frequency, met with the most vulnerable patients, acquired information about all of the factors affecting the patient’s health through forming relationships, and then based on the client’s needs, utilized a custom case plan to improve the delivery of health care services to the patient (Gawande, 2011; “Jeffrey C. Brenner,” 2013; Robert Wood Johnson Foundation,
...lthcare system is slowly shifting from volume to value based care for quality purposes. By allowing physicians to receive payments on value over volume, patients receive quality of care and overall healthcare costs are lowered. The patients’ healthcare experience will be measured in terms of quality instead of how many appointments a physician has. Also, Medicare and Medicaid reimbursements are prompting hospitals, physicians and other healthcare organizations to make the value shifts. In response to the evolving healthcare cost, ways to reduce health care cost will be examined. When we lead towards a patient centered system organized around what patients need, everyone has better outcomes. The patient is involved in their healthcare choices and more driven in the health care arena. A value based approach can help significantly in achieving patient-centered care.
Researchers and doctors had little information on the proper management and care of someone who sustained a concussion. There were 2,350 participants in this study, with each player being enrolled in any one of the Ivy League schools, University of Virginia, or University of Pittsburgh. Players who experienced a mild head injury during practice or a game were removed from the field to be examined and assessed for “cognitive and psychosocial dysfunction through the use of neuropsychological techniques and self-reported questionnaires up to four times after injury” (Barth, et al., 1989). In order for a player to be diagnosed with a mild head injury, he must have had either a head contact injury or a complete loss of consciousness that lasted under two minutes and displayed some sort of memory and/or attention deficient. The results of Barth’s study showed that there were 195 documented mild head injuries.
Through sports or through everyday life, concussions tend to happen. An estimated 300 000 sport-related traumatic brain injuries, predominantly concussions, occur annually in the United States. Sports are second only to motor vehicle crashes as the leading cause of traumatic brain injury among people aged 15 to 24 years. (U.S National Library of Medicine). Coaches and parents often do not go through the right procedures or protocols when dealing with a teenager who has received a blow to the head. The usual questions that are asked when there is a head injury are, “what day is it, what’s the score, and how many fingers am I holding up?” Now these are not poor questions, but these questions alone cannot determine if a person has suffered a concussion. The correct method, which they are now implementing in most professional sports leagues, is for anyone with a head injury to take a legitimate concussion test performed by the team doctor. (WebbMD) At present the symptoms can be hit or miss. After receiving a concussion, research shows that an “estimated 80 to 90% of concussions heal spontaneously in the first 7 to 10 days”. (Barton Straus) But, it is important to remember not to return until all symptoms are
Did you know, that someone suffers from a brain injury every 21 seconds (Haas)? Children get concussions all the time, and most of the time they go unnoticed. The majority of concussions happen when one is playing a sport such as football, hockey, or lacrosse. Many famous athletes have had their careers, even their lives cut short due to concussions. Brain damage and death can result from serial concussions (Schafer). When one suffers from a concussion, one’s brain needs time to recover physically and mentally. Between 2002 and 2006, statistics showed that 52,000 people died from concussions and about 275,000 were hospitalized (Fundukian). Everyone’s recovery process is different (“Injury and Pain Care”). Although concussions seem minor, they are very serious brain injuries that may result in severe damage to one’s brain.
He says “Management of sport-related concussions has been an area of growing concern for school athletic programs.” Athletic Trainers are usually the ones responsible for dealing with an athlete that has a concussion. McGraths idea is to make sure athletes, social workers, nurses, teachers, and coaches receive education throughout the school year so they are prepared when supporting kids with injuries like this. When having a concussion the student must do limited school work until they start to feel better, therefore teachers must make reasonable accommodations for the student during the recovery process. Students should always be reminded that gaining full recovery is crucial before returning back to a sport. Most of these concussions that athletic trainers see take only just a few day or even weeks of recovery. McGrath is a nationally recognized neuropsychologist in the area of sports concussion, therefore he is an extremely reliable resource in this field. This article provides an overview of key information on concussions, it is very beneficial for athletic trainers or anyone who wants to know more information about
Thesis: Concussions affect children and adults of all ages causing physical, emotional and metal trauma to a person and their brain.
The current health care reimbursement system in the United State is not cost effective, and politicians, along with insurance companies, are searching for a new reimbursement model. A new health care arrangement, value based health care, seems to be gaining momentum with help from the biggest piece of health care legislation within the last decade; the Affordable Care Act is pushing the health care system to adopt this arrangement. However, the community of health care providers is attempting to slow the momentum of the value based health care, because they wish to maintain their autonomy under the current fee-for-service reimbursement system (FFS).
State and local public health departments throughout the country have the responsibility for improving health in workplaces, schools, and communities through identifying top health problems within society and developing a plan to improve. Barriers the public health system has encountered over the years include: changes in the overall health system that support cost containment and improved health, and an increase in the number of individuals with insurance coverage for direct preventive services; reduction of qualified public health professional and funding at all levels of government; increasing focus on accountability, with higher expectations for demonstrating a return on investment in terms of cost and health improvement (Trust, 2013). In the near future, health departments ...
As a result of many deaths of professional athletes through suicide as well as general concern for health, concussion awareness and testing is as high as it’s ever been. Precautions and tests are currently being set up in almost sports in the attempt to diminish the long term effects. Although the symptoms and exact recovery time are still unknown, doctors and researchers are sure that concussions and other forms of head impacts can have long term effects that can present serious issues throughout the rest of these individual’s lives. The risk of potential damage to the brain increases as the number of concussions increase. In the athletics, players deliver and absorb many hits to the head which a primary reason why rules and regulations at a levels of football, for example, are changing to try and decrease the number of concussions received by players and to make the game safer to those who play it. However these head injuries are not just restricted to athletics, roughly three million Americans have brain injuries every year, half of which are considered serious (Dekosky 2010). Also, many of our nation’s brave men and women suffer traumatic head injuries that take months, even years to fully recover from. Though the exact number of concussions in soldiers can be completely accurate, many army officials believe it to be around eighteen percent (Charles 2008).
The most common and well known TBI is a concussion, which is usually an outcome of a direct hit to the cranial exterior resulting in short term headaches, memory loss, and basic motor function. Micah Issitt states in his article Responsible Solutions to Concussion-Related Injuries that “Some sports-medicine experts estimate that more than 85 percent of mild concussions are undiagnosed.”. This statement goes to show how concussions in sports are overlooked in the majority of cases. Without being diagnosed the athletes with these concussions have a higher chance to attain more in the future, leading to long term brain trauma and illnesses. Issitt also mentions how twenty percent of athletes who previously had a concussion are more likely to have injury repeated, and how each recurring concussion has “an increased risk of suffering additional complications after their first concussion.” The severity of this problem can be illustrated the four thousand athletes that took legal suits against the National Football League (NFL), and the $870 million settlement they received for letting the players continue to play after experiencing a con...
From the year 2001 to 1005 children aged 5-18 accounted for 2.4 million emergency room visits due to sports related injuries. Of these visits around 6 percent involved a concussion(The Centers for Disease Control and Prevention). Every athlete that receives a concussion does not necessarily go to the emergency room. Athletic trainers, when available and certified, can oversee the recovery of an athlete without a trip to the emergency room. Some concussions go untreated altogether. While the percentage may seem low, looki...
Edwards, N. C., Etowa, J., Peterson, W. E., & Kennedy, M. A. (2012). Community health
According to Novick & Morrow’s Public Health Administration, population health is defined as the overall health outcomes and the disparities in health between population groups. The concept consists of three main components: health outcomes, patterns of health determinants,
The second possible public health intervention identified would be the creation of a mobile healthcare clinic to help the homeless population in Kaka'ako. According to State of Hawaii Department of Human Services' State of Hawaii Homeless Point-in-Time Count of 2015, there were about 7,620 homeless people in Hawaii. This was an increase of a little over 10% from the previous year. With the increase in the homeless population, hospitals around the state are also reporting an increase in the number of homeless patients they attend to. According to Hawaii Health Information Corp. (HHIC), as reported by Consillio (2016), "hospital treated homeless patients 15,900 times in 2015." Of the 15,900 treatments, The Queen's Medical Center provided 10,126