Introduction The concept of population health management refers to understanding and managing health outcomes at the population, rather than the individual level. Cousins et al (2002) highlight that risk levels for different ailments and conditions can vary by populations, so breaking down a population demographically can help to understand how risk varies. Their study showed that predictive modeling can be used to identify risk levels for different conditions among different populations. This underlying logic is the basis for the concept of population health management. If risk levels vary by population, then it can be easier to understand underlying causal or contributing factors. From there, tactics can be developed to help deal with those risk factors, addressing them and therefore reducing the risk of that condition among that particular population. Population health management is, therefore, a powerful tool to improve health outcomes, because it leads to more preventative approaches, rather than treating…...
Title: Achieving the Triple Aim Through Population Health
Introduction
In recent years, the healthcare industry has increasingly focused on the concept of the Triple Aim, which aims to improve the patient experience, improve the health of populations, and reduce the per capita cost of healthcare. Achieving these goals requires a shift towards a more proactive and holistic approach to healthcare, which is where population health comes into play.
Population Health Approach
Population health focuses on the health outcomes of a group of individuals, including the distribution of outcomes within the group.
By addressing the health needs of entire populations, rather than just individual patients, healthcare providers can better understand and manage the factors that influence health outcomes.
This approach helps to identify and address health disparities, improve health outcomes, and reduce healthcare costs.
The Nexus of Triple Aim and Population Health
The origins of the triple aim framework lie in the recognition…...
mlaReferences1. Bisognano M, Boutwell A. \"Improving Quality and Lowering the Cost of Health Care Delivery.\" The Commonwealth Fund, 2011.
2. Berry LL, Beckham D, Sherry E, Danese MA. \"The Patient Experience and Health Outcomes.\" The New England Journal of Medicine, 2013.3. Kvedar J, Coye MJ, Everett W. \"Connected Health: A Review of Technologies and Strategies to Improve Patient Care with Telemedicine and Telehealth.\" Health Affairs, 2014.4. Koh HK, Parekh AK, Park JJ. \"The Health of Populations: Beyond Medicine.\" Journal of the American Medical Association, 2015.5. Porter ME, Lee TH. \"The Strategy that Will Fix Health Care.\" Harvard Business Review, 2013.6. McWilliams JM, Hatfield LA, Chernew ME, Landon BE, Schwartz AL. \"Changes in Health Care Spending and Quality for Medicare Beneficiaries Associated with a Commercial ACO Contract.\" The Journal of the American Medical Association, 2013.
Self-AssessmentSelf-assessment is an important tool for healthcare professionals, including those pursuing a Doctor of Nursing Practice (DNP) degree, to evaluate their own knowledge, skills, and abilities in relation to their profession\\\'s competencies (Mantzourani et al., 2019). The purpose of self-assessment in relation to DNP competencies and population-based health and healthcare disparities is to identify areas for improvement and to develop strategies to address them (Kulhanek, 2022). This paper will provide a self-assessment regarding learning throughout this course.eflection on the Course AchievementIn terms of primary, secondary, and tertiary levels of prevention, I have asked myself if I have a good understanding of what each level of prevention entails and how to implement them in practice. I believe that I do, based on feedback I have received throughout the course and on my own positive personal experience. I have also reflected on readings and discussions that focused on prevention strategies, and have…...
mlaReferencesFigueroa, J. F., Frakt, A. B., & Jha, A. K. (2020). Addressing social determinants of health: time for a polysocial risk score. Jama, 323(16), 1553-1554.Kulhanek, B. J. (2022). A Self-Guided Educational Program Based on Informatics Competency Self-Assessment (Doctoral dissertation, Walden University).Kuruba, M., & Kuruba, M. (2019). The Role Competency Matrix. Role Competency Matrix: A Step-By-Step Guide to an Objective Competency Management System, 49-75.Mantzourani, E., Desselle, S., Le, J., Lonie, J. M., & Lucas, C. (2019). The role of reflective practice in healthcare professions: Next steps for pharmacy education and practice. Research in Social and Administrative Pharmacy, 15(12), 1476-1479.Menges, D., Ballouz, T., Anagnostopoulos, A., Aschmann, H. E., Domenghino, A., Fehr, J. S., & Puhan, M. A. (2021). Burden of post-COVID-19 syndrome and implications for healthcare service planning: A population-based cohort study. PloS one, 16(7), e0254523.Monteiro, M. C. D., Martins, M. M. F. P. D. S., & Schoeller, S. D. (2021). Evaluation of the health level of the elderly: patient care team considerations. Revista Brasileira de Enfermagem, 75.
ESPONSE esponse: Discussion TopicAddisalem T.My colleague indicates that the older population faces a wide range of challenges that are often not well addressed. These are inclusive of, but they are not limited to marginalization from their families and battle with various chronic illnesses. For this reason, there is need to ensure that various stakeholders are involved in efforts to promote older persons quality of life. Key stakeholders on this front could be inclusive of the government, community healthcare providers/workers, family members, religious organizations, etc. (Sharma and Branscum, 2020). It is important to note that as my colleague indicates, in some cases, policies and other interventions deployed to promote the wellbeing of the older population tend to be poorly designed thus failing to address the unique needs of this population. The relevance of nursing cannot be overstated in efforts to secure the health and wellbeing of this particular vulnerable population.…...
mlaReferencesKalinowski, J., Taylor, J.Y. & Spruill, T.M. (2019). Why Are Young Black Women at High Risk for Cardiovascular Disease? Circulation, 139(8), 1003-1004. McKenzie, J.F. & Pinger, R.R. (2015). An Introduction to Community and Public Health. Jones & Bartlett Learning. Mager, D.R. & Conelius, J. (2019). Population Health for Nurses: Improving Community Outcomes. Springer Publishing Company. Sharma, M. & Branscum, P.W. (2020). Introduction to Community and Public Health. John Wiley & Sons.
POPULATION HEALTH AND EPIDEMIOLOGY THEN AND NOWPopulation Health and EpidemiologyIn the past, health of the nation has been focused on traditional population health - which was grounded on biomedical research and personal health services that benefited the individual (Institute of Medicine, 2002). In this case, the health of high risk groups was improved through clinical interventions which use an individual-based approach. It is important to note that using the said approach in high risk groups faced a wide range of challenges which are inclusive of, but they are not limited to; societal influences and norms, systemic problems, and dramatic changes. For this reason, the perspective of health care has recently changed to a population-based approach which helps assure national health.According to the Institute of Medicine (2002), a population based approach helps a nation understand and act on a wide range of factors affecting health. This is more so the case…...
mlaReferencesInstitute of Medicine (US) Committee on Assuring the Health of the Public in the 21st Century (2002). Understanding Population Health and Its Determinants. The Future of the Public\\\\\\\\\\\\\\\'s Health in the 21st Century (2). Washington (DC): National Academies Press (US). Institute of Medicine (US) Committee for the Study of the Future of Public Health (1988) A History of the Public Health System. The Future of Public Health (3). Washington (DC): National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK218224/ National Academies of Sciences, Engineering, and Medicine; National Academy of Medicine; Committee on the Future of Nursing 2020–2030; Flaubert JL, Le Menestrel S, Williams DR, et al. (Eds.).(2021). The Role of Nurses in Improving Health Equity. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity (5). Washington (DC): National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK573898/https://www.ncbi.nlm.nih.gov/books/NBK221225/
Healthcare Case Study Schuylkill County, PA
County Overview - Schuylkill County, Pennsylvania is located in the heart of the anthracite Coal region of Pennsylvania where the Schuylkill iver originates. Pottsville is the county seat, and the county showed a population of just under 150,000 as of 2010 with a density of 190 persons per square mile. The total area of the county is 782 square miles, almost all land, less than 1/2 a per cent water. The county's history, likely due to large coal deposits, focused on the railroad and industrialization (Schuylkill Chamber of Commerce, 2011).
The county experienced the high point of its population during the 1920s and 1930s, and has been losing people ever since, most between 1950 and 1970, with about a 1-2% population loss since the turn of the century. This is likely due to the lack of appropriate jobs and opportunities within the county. Schuylkill County is…...
mlaREFERENCES
County Health Statistics - Healthcare 2010. (2009, March). Retrieved from Pennsylvania Department of Health: http://www.portal.state.pa.us/portal/server.pt-in_hi_groupoperator_1=or&in_hi_req_objtype=18&in_hi_req_objtype=17&in_hi_req_objtype=512&in_hi_req_objtype=514&in_hi_req_objtype=43&in_hi_req_objtype=1&in_hi_req_apps=7&in_hi_req_page=10&in_ra_topoperator=or&
Comprehensive Plan. (2010, March). Retrieved from City of Pottsville, PA: http://www.city.pottsville.pa.us/html/cp1.htm
Election Statistics. (2010, June). Retrieved from Pennsylvania Department of State: http://www.dos.state.pa.us/portal/server.pt/community/running_for_office/12704
Schuylkill County. (2010, June). Retrieved from Sperling's Best Places USA: http://www.bestplaces.net/economy/county/pennsylvania/schuylkill
(Menzel, 1990, p. 3) Fisher, Berwick, & Davis alude to the idea of integration in health care, with providers linking as well as creating networks of electronic medical records and other cost improvement tactics.
The United States and other nations over the last twenty or so years, have begun a sweeping change in health care delivery, regarding the manner in which health information is input, stored and accessed. Computer use in the medical industry has greatly increased over the last thirty years the culmination of this is fully networked electronic medical record keeping. (Berner, Detmer, & Simborg, 2005, p. 3) the electronic medical record trend began in the largest institutions first, as hospitals and large care organizations attempted to reduce waste and improve patient care, while the adoption has been much slower among physician's practices and smaller medical institutions. (Hillestad, et al., 2005, pp. 1103-1104) Prior to this time medical…...
mlaResources, and Utilization
Health Care oles in Communication
Communication is a fundamental piece of health care education and has been shown to improve health outcomes, patient compliance, and patient satisfaction. Quality health care emphasizes knowledge and utilization of communication skills. Health care professionals often express anxiety and lack of confidence and are deficient in a creating a situations that are conducive to open and candid communication with patients (Kameg et. al., 2009).
Effective communication involves gathering information, establishing a relationship or connection with a patient, and supporting the person through words and other non-verbal forms of interactions. Effective communication involves not only the interactions between the staff and the patient but also the interactions between staff and the interactions between the staff in front of the patient. Many times the high demand for services in a health care facility cause the staff to overlook the importance of good communication skills and enables situations to arise…...
mlaReferences
Beer, J.E. (2003). Nonverbal Communication: Communicating across cultures. Cultures at work. Retrieved May 29, 2011 from http://www.culture-at-work.com/nonverbal.html
Coiera, E. (2006, May). Communication systems in healthcarre. Clinical Biochemist Reviews. nursing.Vol. 27, Issue 2, 89-98. Retrieved May 28, 2011 from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1579411/
Gamble, T.K. & Gamble, M. (2006). Communication works. Burr Ridge, IL: McGraw-Hill.
Health Communication. (2010). Health communication. Healthy people 2010: Objectives for improving reproductive health. Office of Disease Prevention and Health Promotion. Retrieved May 29, 2011 from http://www.hhs.gov/opa/pubs/hp2010/hp2010rh_sec2_healthcomm.pdf
Health Care Rationing
How Health Care Rationing Could Improve the Health of the U.S. Population
Health care rationing has often been viewed as something horrific and voiced in the American media as a scare tactic by politicians. For instance, in September 2009 former U.S. vice presidential candidate Sarah Palin claimed that reforms proposed by the Obama administration would bring "rationing" into the American medical system (Hoffman, 2013). However, Palin's claims are rather short sited. In fact, every medical system in the world is rationed or limited in one way or another by its capabilities. For example, Harvard Medical School researchers released a study concluding that 45,000 Americans die every year because they lack health insurance and access to health care (Hoffman, 2013). The medical system does not provide services for many individuals and this could be considered a rationing of health care services.
Cardiovascular disease, cancer, and diabetes now cause 70% of U.S.…...
mlaWorks Cited
Hoffman, B. (2013, January 18). Health Care Rationing Is Nothing New [Excerpt]. Retrieved from Scientific American: http://www.scientificamerican.com/article/health-care-rationing-is/
Marvasti, F., & Stafford, R. (2012). From Sick Care to Health Care -- Reengineering Prevention into the U.S. System. New England Journal of Medicine, 889-891.
Access and Availability
The biggest problem in terms of access to healthcare is in rural areas. Our investigation found that there are very few if any rural clinics or healthcare facilities.
Access to healthcare is also limited to those that can afford insurance or qualify for Medicare or Medicaid. The unemployed and the poor are at a major disadvantage when it comes to gaining access to healthcare. The location of healthcare facilities is limited to the larger municipalities.
Accountability
The entity that is responsible for the healthcare system is the United States Government. In addition, Puerto ico has a governor and a cabinet in place to ensure that the appropriate laws are carried out. The entity that makes laws concerning healthcare is outside of the country but the entity that enforces these laws is inside the country. Services are evaluated by state run entities and agencies of the United States government such as that…...
mlaReferences
The World Factbook -- Puerto Rico. Retrieved November 8, 2004 from; http://www.cia.gov/cia/publications/factbook/geos/rq.html#People
Puerto Rico: Estimated Number of Persons Living with AIDS at the End of 2002. Retrieved November 8, 2004 from; http://www.statehealthfacts.kff.org/cgi-bin/healthfacts.cgi?action=profile&area=Puerto+Rico&category=HIV%2fAIDS&subcategory=Persons+Living+with+AIDS&topic=All+Ages
HIV / AIDS Among Hispanics. Retrieved November 8, 2004 from; http://www.cdc.gov/hiv/PUBS/Facts/hispanic.pdf
Puerto Rico: Total Number of Adults with Diagnosed Diabetes, 2002. Retrieved November 8, 2004 from;
Health and Social Sciences
Grade Course
Health, Well Being and Social Care in UK
Sociological Perspective of Health and Well Being in UK
Psychological Perspective of Health and Well Being in UK
Psycho-Social Needs of Service Users in UK
Health and Social Sciences
This report casts light upon the various aspects of physical and mental health of people living in United Kingdom. The selected sample chosen for this study belongs to the settings of people who do not belong to UK from their old generations and they are spending the lives of homelessness there. In other words, the paper is about physical and mental health of people who belong to other areas of the world but are settled in UK for education of job purpose. Since they are outsiders, they do not have permanent place to live in, they make temporal arrangements depending upon their requirements. Their priorities are different from the people who are enjoying lives…...
mlaReferences
BBC News, 2011. Archbishop calls for NHS bill to cover spiritual health. [Online] Available at: < > [Accessed 07 Oct 2012]http://www.bbc.co.uk/news/uk-politics-15570290
Department of Health, 2012. Public Health, adult social care and the NHS. [online] Available at: < > [Accessed 07 Oct 2012]http://www.dh.gov.uk/en/index.htm
International Health Insurance, 2012. 3 Easy Steps to Health Insurance. [Online] Available at: < / > [Accessed 07 Oct 2012]http://www.international-health-insurance.com
Men's Health News, 2012. The Hardest Workout You're not Doing. [online] Available at: < / > [Accessed 07 Oct 2012]http://news.menshealth.com/the-hardest-workout-youre-not-doing/2012/02/10
This is related to the fact that the use of pesticides is very poorly regulated. (Protect Farm orker's Health) the use of pesticides has become an area of research and concern by the health authorities. This aspect has been well documented but experts are of the opinion that there are "...insufficient studies examining the effects of multiple pesticide exposure." (Rosenbaum and Shin, 2005)
2.2.3. Access to health benefits and care
The general consensus from the literature on the subject is that migrant and seasonal farm workers and their families are "…overwhelmingly uninsured." (Rosenbaum and Shin, 2005) the 2005 study of the health of migrant farm works by Rosenbaum and Shin indicates that in 2000, "…85% of migrant and seasonal farm workers were uninsured, compared to 37% of low-income adults nationally." (Rosenbaum and Shin, 2005) the study also found that both migrant and seasonal farm workers had less access to health care…...
mlaWorks cited
Health Problems among Migrant Farmworkers' Children in the U.S. ERIC Digest.
September 27, 2008.
ILO warns on farm safety Agriculture mortality rates remain high Pesticides pose major health risks to global workforce. September 27, 2008.
Overview of America's Farmworkers. September 27, 2008.
A good example of this can be seen with popular Chinese talk show host Yang Lang donating $72 million, to start his own foundation to: help support and develop the health care system. This is important, because it shows how both international and domestic-based non-profits are addressing these underlying problems facing the health care sector. (Dobryzski, 2010)
Clearly, the biggest challenges facing the health care systems in the United States and China are vastly different. Yet, they are also wrestling with similar problems, as they face the issue of increasing numbers in the elderly population. In the case of the United States, this is challenging because there are a variety of disadvantages that must be addressed to include: they have access to some of the most cutting edge procedures, there is large number of choices about health care providers and the elderly can be able to receive effective treatment for…...
mlaBibliography
Advanced Practice Nurses. (2010). Bukisa. Retrieved from: http://www.bukisa.com/articles/352958_advanced-practice-nurses-a-global-role
Health Systems. (n.d.). WHO. Retrieved from: gis.emro.who.int/HealthSystemObservatory/.../Conceptual%20frameworks. Ppt Health Care in China. (2006). IBM. Retrieved from: http://www-05.ibm.com/de/healthcare/downloads/healthcare_china.pdf
More About RN's. (2011). ANA. Retrieved from: http://www.nursingworld.org/especiallyforyou/studentnurses/rnsapns.aspx
Opportunities in the Health Care Sector. (2006). Grail Research. Retrieved from: http://www.grailresearch.com/pdf/ContenPodsPdf/Opportunities_in_the_China_Healthcare_Sector.pdf
There are no deductibles and no user fees nor limits to contributions on the plan. There are also no restrictions on services to be used and no premiums to pay for basic care coverage other than taxes, a far cry from the high deductibles, co-pays and other fees associated with health care in the United States.
Key to this point is the idea that Canadian health care costs less because a large portion of it is publicly financed. The author's note that since Canada adopted their universal healthcare system the Canadian Health Act has implemented a policy of public administration which keeps the cost of health care spending lower and maintains the government's ability to provide health care services to the entire population. The authors argue that public administration is a more optimal choice for keeping health care expenditures down because administration is inexpensive.
U.S. hospitals keep more details of everything…...
mlaReferences
Armstrong, Hugh; Armstrong, Pat; Fegan, P. (1998). "The Best Solution: Questions and Answers on the Canadian Health Care System." Washington Monthly, Vol. 30, Issue 6, p. 8
Clark, Cal & Mceldowney, Rene. (2000). "The Performance of National Health Care Systems: A "Good News, Bad News" Finding for Reform Possibilities." Policy Studies Review, Vol. 17, Issue 4, p. 133
Grubaugh, S.G. & Santerre, R.E. (1994). "Comparing the Performance of Health Care Systems: An Alternative Approach." Southern Economic Journal, Vol. 60, Issue 4, p. 1030
Martens, Pim. (200). "Health Transitions in a Globalising World: Towards More Disease or Sustained Health?" Futures, Vol. 34, Issue 7, p. 635+
Message for Target Population: Health Education and Diet
1
The message for my target population—adults at a behavioral health clinic—is the following statement: It is important to maintain a healthy diet, low in sugar—especially high fructose corn syrup (HFCS), as the latter has been linked with the onset of heart disease, liver disease, obesity and diabetes (Bocarsely, Powell, Avena & Hoebel, 2010; Malik et al., 2010; Stanhope et al., 2015). This means, primarily, adults should take efforts to eliminate soft drinks and soda pop from their diets—as these are among the primary beverages high in HFCS.
The four domains of health literacy are: (1) Fundamental literacy, (2) Scientific literacy, (3) Civic literacy, (4) Cultural literacy (Zarcadoolas, Pleasant & Greer, 2005). In order for the health education message described above to have an effect on the target population, the target population has to possess knowledge in the four domains of health literacy. In other…...
Bloom’s taxonomy is a way of using three hierarchical models to classify learning objectives. Bloom’s taxonomy breaks learning down into three broad models based on learning styles: cognitive, affective, and sensory. It then further divides each of these three larger categories into smaller areas. The cognitive domain is divided into knowledge, comprehension, application, analysis, synthesis, and evaluation. The affective domain is divided into receiving, responding, valuing, organizing, and characterizing. The sensory domain is divided into perception, set, guided response, mechanism, complex overt response, adaptation, and origination. It can be helpful to keep these various....
1. The benefits and challenges of switching to Electronic Medical Records in healthcare settings.
2. The impact of Electronic Medical Records on patient care and outcomes.
3. The role of Electronic Medical Records in improving healthcare efficiency and reducing costs.
4. The importance of data security and privacy in Electronic Medical Records systems.
5. The potential for interoperability and data exchange between different Electronic Medical Records systems.
6. The future of Electronic Medical Records and the potential for advanced technologies like artificial intelligence and machine learning.
7. The ethical considerations and implications of Electronic Medical Records, particularly in regards to patient consent and data sharing.
8. The....
Impact of Electronic Medical Records on Patient Care
The benefits and challenges of using electronic medical records (EMRs) in healthcare delivery
How EMRs have improved the accuracy, efficiency, and accessibility of patient information
The role of EMRs in reducing medical errors and improving patient safety
The potential risks to patient privacy and security associated with EMRs
The impact of EMRs on the patient-physician relationship and trust
Technological Considerations for EMR Implementation
The key technological requirements and challenges for successful EMR implementation
The different types of EMR systems available and their respective strengths and weaknesses
The importance of data interoperability and standards....
1. The Role of Technology in Transforming Health Care Delivery
Discuss the latest technological advancements in health care, such as telemedicine, AI-powered diagnostics, and wearable health trackers.
Explore how technology can improve access to care, reduce costs, and personalize treatments.
Analyze the ethical implications of using technology in health care and the potential for data privacy and algorithmic bias.
2. Addressing Health Disparities through Policy Interventions
Identify the root causes of health disparities based on race, ethnicity, socioeconomic status, and geographic location.
Evaluate the effectiveness of existing policy interventions aimed at reducing disparities, such as Medicaid expansion and community health centers.
....
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