Population Health Discussion
Description
Behavioral Change and Patient Engagement
Health behaviors are activities and preferences that consumers engage in that either create a risk to health status or promote well-being. Smoking, for example, is a behavior that creates health risk, while exercise promotes health. A key to population health management (PHM) is engaging consumers in eliminating harmful behaviors and adding healthy behaviors.
Assignment: Social Determinants Population health leaders know that health care delivery is incomplete without addressing the social determinants of health. But effective patient management cannot be limited to asking care teams without addressing patients social needs on top of their complex clinical needs.
Instead, providers should also partner with community-based organizations already providing quality non-clinical support for a range of needs, from healthy food access to stable housing, to scale patient management beyond traditional care settings. More specifically, non-clinical social determinants can be categorized under housing need, food insecurity, economic position, interpersonal communication, and education level.
For this assignment:
Click on the links listed under each organization and review the population health initiative as they pertain to addressing social determinants. After conducting your research, address the prompts listed above the initiatives for all 10 population health initiatives. At the conclusion of this assignment you will have twenty answers in total. Answer the first prompt with one word. The second will require further explanation (e.g., two to five sentences).
Prompts:
For each population health initiative, choose which social determinant is being addressed (i.e., housing, food, economics, interpersonal, or education). You only need to choose one of these categories.
In your own words, state who each organization partnered with and what need they sought to meet with their population health initiative. If available, highlight some descriptive statistics on the outcome of each population health intuitive.
Initatives:
Opportunity #1: Meet fundamental needs critical to clinical success
University of Vermont Medical Center
UVMC Study
FEMA Housing is healthcare
Promedica
Come to the table
A case to end all hunger
Hunger summit
Phipps Neighborhood
Phipps Neighborhoods Career Network: Healthcare Program
Phipps NY
Hostos Community College, Phipps Neighborhoods, and Montefiore Health System Announce $1MM Grant from JPMorgan Chase
Opportunity #2: Remove barriers to access based on severity of need
Cambridge Health Alliance
CHA delivers culturally competent care
Culturally Competent Care
Diversity at CHA
MedStar
Medstar collaborates with Uber to provide a new option for accessing care
Ride with Uber
Uber Health
Parkland Health
Parklands HOMES program reaches the most vulnerable
Homeless outreach
Mobile Health Clinics: Improving Access to Care for the Underserved
Opportunity #3: Engage disconnected patients at-risk of clinical escalation
University of New Mexico Health System
Community Health Workers and Medicaid Managed Care in New Mexico
Columbia University Medical Center
Health Education & Adult Literacy (HEAL) Program
MedStar
Major Grant to Support and Expand Hair, Heart and Health Community Program
MedStar Washington Hospital Center Hair, Heart and Health
Maryland Faith Health Network
MARYLAND FAITH HEALTH NETWORK
LifeBridge hospitals partner with faith leaders to improve patient health
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