Quiz 2 Flashcards
Population Health Goals
- set targets for overall population
- maintain and improve health of entire population
- eliminate or reduce deficiencies and disparities between subgroups
Health Services by Family Income
- the poor and near poor income populations had 0% of their targets that were met or exceeded
- as you increase in income, you increase in the number of targets met/exceeded
- as you increase in income, you increase in number of targets met/exceeded but you also increase number of targets that got worse
Result: our HC system is better or targeted for higher income populations
Healthy People 2030 Objectives
- health conditions
- health behaviors
- populations
- settings and systems
- SDOH
Social Determinants of Health
- economic stability
- education access and quality
- health care access and quality
- neighborhood and built environment
- social and community context
What types of groups care about population health and why?
- health outcomes are of relevance to policy makers and payers in both public and private sectors
Why?
- cost
- productivity
Types of Groups in Healthy People 2030
adolescents/children/infants
older adults
LGBTQ
men/women
partents & caregivers
disabilities
workforce
Lessons learned from COVID-19
- impact on the overall population of a pandemic
- key groups identified that had negative outcomes or were impacted the most
- impact of using resources efficiently during a pandemic
- REVEALED PUBLIC HEALTH DEFICIENCIES
Definition of Health
defined not simply as a state free from disease but as “the capacity of people to adapt to, respond to, or control life’s challenges and changes”
WE HAVE STARTED FOCUSING MORE ON SDOH
Common View of Healthcare
Patient and a Provider
- places patient first
Common View of Population Health
overall population and large sum of people
Potential Conflict of Individual vs Common Good
- the self interest of the individual may be different than that of the common good
- payers denying certain types of therapy for individual patients because they do not align with the overall population –> PAs
Foundations of Population Health
- Descriptive Epidemiology: Health of Populations
- Etiology, Benefits, and Harms: Health Research Evaluation (CER)
- Evidence-based Practice
- Implementation of Health Promotion and Disease Prevention Interventions
- Determinants of Health
- Population Health Informatics
- Evaluation
What makes examining population health possible?
DATA
Types of Healthcare Data Important to Population Health
CLAIMS DATA
- easy to obtain; standardized; diagnosis codes
Electronic Health Record (inpatient and outpatient info)
- clinical clues; ease of grouping patients
Socioeconomic (easier with social media)
- not frequently linked with EHR
Patient-generated
- satisfaction surveys; patient reported outcomes
Prescription and Medication Adherence
- EHR and claims
Examples of Population Health Outcomes
Life Expectancy
Mortality (infant and maternal death rates)
Premature death
cost
access
quality of life indicators
quality of care indicators
unhealthy days
% reporting fair/poor health
% reporting mentally unhealthy