Why is population health so important?
Population health allows physicians to address some of the shortcomings in the U.S. health care system, which spends a higher percentage of its gross domestic product on health care than other nations, yet lags others when it comes to life expectancy and prevention of chronic diseases.
Focusing on the health of entire populations is crucially important to the advancement of both medical care and research. It serves to improve clinical treatment of specific groups by promoting better patient outcomes and lower costs for delivering services.
Population health management (PHM) is a key concept in managed care. Improving population health, enhancing the patient experience, and reducing per capita cost are the primary goals of a philosophy called the Triple Aim.
Population Health Management helps members access resources and preventive services and ensures that Medi-Cal members and communities have longer, healthier, and happier lives with improved health outcomes and a reduction in health disparities.”
Why is this important? Because population health nursing casts a wide net to improve communities, focusing on distribution in ways that can't be taken for granted: accessing rural and at-risk groups, and giving those groups a fighting chance.
Population health is no different. The measures of success typically include reduced emergency-room (ER) visits, fewer readmissions, and better care quality. By 2040, we expect the definition of health will extend beyond physical and behavioral health to include spiritual, emotional, and even financial well-being.
Population health management refers to the process of improving clinical health outcomes of a defined group of individuals through improved care coordination and patient engagement supported by appropriate financial and care models.
Examples of population health programs may include efforts to increase the frequency of child vaccinations, reduce the rate of teen pregnancy, or enhance smoking cessation for adults with chronic obstructive pulmonary disease.
Population health policy prioritizes early detection, treatment, and mitigation of, and rehabilitation following, disease among at-risk and symptomatic individuals.
Life expectancy at birth is often taken as an overall measure of population health, because it aggregates mortality rates for all ages. Life expectancy may also be reported as conditional on achieving a specific age or for subsets of the population.
Which are key elements of population health?
- Care Integration. ...
- Care Coordination. ...
- Teamwork. ...
- Patient Engagement. ...
- Data Analytics and Health Information Technology. ...
- Value-Based Care Measurement.
PHM Goals:
Establish a cohesive, statewide approach to population health management that ensures that all members have access to a comprehensive program that leads to longer, healthier, and happier lives, improved outcomes, and health equity.
Population health rests on four pillars: chronic care management, quality and safety, public health, and health policy. The incorpora- tion of these concepts into education and prac- tice, as well as the interactions between them, lays the foundation for achieving population health goals and strategies. (See Figure 1.)
An approach aimed at improving the health of an entire population. It is about improving the physical and mental health outcomes and wellbeing of people within and across a defined local, regional or national population, while reducing health inequalities.
- Segmenting Patient Populations;
- Identifying Risk Factors;
- Utilizing Primary Medical Care Home Delivery Models;
- Using Evidence-Based Screening and Prevention in Assigned Populations;
- Focusing on Overall Health; and.
- Moving from Volume-Based to Value-Based Care.
- Strategy #1: Data Transformation. ...
- Strategy #2: Analytic Transformation. ...
- Strategy #3: Payment Transformation. ...
- Strategy #4: Care Transformation. ...
- Opportunity Analysis Permits Successful Execution of At-Risk Contracts.
These diseases may be chronic diseases, such as Type 2 diabetes, asthma or heart disease; infectious diseases, such as, COVID-19, measles, tuberculosis or influenza; diseases spread through unsanitary conditions, such as cholera or typhus; or conditions such as cancer or mental health disorders.
Access to accurate, reliable data boosts population health efforts while maintaining cost and improving outcomes. With actionable analytics providing insight and guiding decisions, population health teams can drive real change within their patient populations.
This report discusses strategies to help health care leaders prioritize three foundational elements of population health: 1) information-powered clinical decision-making; 2) primary care-led clinical workforce; and 3) patient engagement and community integration.
High population density appears to be associated with higher mortality rates of a range of cancers, cardiovascular disease and COPD, and a higher incidence of a range of cancers, asthma and club foot. In contrast, diabetes incidence was found to be associated with low population density.
How can population health address healthcare disparities?
Raising awareness through education can help address health equity. Improving resource coordination can also help populations most harmed by health disparities. For example, health care organizations can help reduce ethnic health disparities by offering cultural competency training to health care providers.
Scientists define population health with a focus on the geographic nature of treating patients in groups. Public health refers to the health situation of the public at large and is subject to government regulation to ensure medical professionals do their job properly.
Results: Changing demographics are associated with higher treatment costs. The number of patients with heart failure is expected to increase by 61.8 % overall and as much as 74.6 % among the population aged over 65 years. The number of hospital admissions due to heart failure is forecast to increase to 448,752 in 2025.
Health is influenced by many factors, which may generally be organized into five broad categories known as determinants of health: genetics, behavior, environmental and physical influences, medical care and social factors. These five categories are interconnected.
Population health is the result of economic well-being, the quality of health care and the quality of life of people in a particular country. Problems of quantification of the health status of the population arise because it is a multidimensional problem.
On top of being costly, disparities hinder the nation's overall health, as groups who historically have had access to fewer resources have higher rates of illness and death from a variety of preventable conditions. Working to close gaps in health and health care will take community and legislative efforts.
- Clarifying goals and developing a roadmap. ...
- Infrastructure investments and data analytics. ...
- Engaging your staff members. ...
- Engaging your patients. ...
- Ensuring care coordination and follow-up.
Lack of diversity in the healthcare workforce risks undermining trust and patient health, according to a new report published by the Urban Institute. Past medical mistreatment of people of color such as ignoring patients' health concerns has resulted in mistrust of healthcare providers in these populations.
Benefits of Diversity in Healthcare
Increased provider comfort levels: Studies show that students who have trained at diverse schools are more comfortable treating patients from ethnic backgrounds other than their own. Boosted creativity and innovation: A wide range of perspectives can lead to better solutions.
Numerous studies have shown that increased provider diversity is associated with improved healthcare quality. Concordant care, defined as a patient and provider sharing a common attribute such as race, ethnicity, or gender, has been associated with improved quality of care.
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