Population Health Management Concepts
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Questions and Answers

Which of the following is NOT one of the four recommendations by the NCQA for the application of PHM?

  • Practitioner leadership
  • Patient-centered communication (correct)
  • Improve leadership buy in
  • Create and communicate the PHM strategies

    • Which statement best describes the focus of value-based healthcare?

  • Targets individual patient transactions exclusively
  • Emphasizes quantity of services provided
  • Encourages risk avoidance for providers
  • Prioritizes high-quality and efficient healthcare services (correct)

    • Which component is NOT associated with the continuity of population health management?

  • Regulatory compliance (correct)
  • Care coordination
  • Leadership role
  • Patient involvement

    • What is a key principle of value-based reimbursement?

    <p>Rewarding providers based on the quality of care delivered</p> Signup and view all the answers

    Which aspect is NOT part of the pathway of population health?

    <p>Reduction in healthcare access</p> Signup and view all the answers

    What is the final aim in the quadrable aim model in healthcare?

    <p>Improve service affordability</p> Signup and view all the answers

    Which of the following does NOT describe a characteristic of value-based healthcare?

    <p>Payment based solely on procedures performed</p> Signup and view all the answers

    Which of these factors is considered to have a significant impact on health and wellbeing?

    <p>Personal lifestyle choices</p> Signup and view all the answers

    Which aim is considered in the population health management approach?

    <p>Improved health equity</p> Signup and view all the answers

    Which is NOT a factor in achieving effective partnership within healthcare according to population health principles?

    <p>Minimization of data sharing</p> Signup and view all the answers

    What is the primary focus of population health management?

    <p>Community-based prevention efforts</p> Signup and view all the answers

    Which of the following is NOT one of the three Ps associated with individual health services?

    <p>Pollution</p> Signup and view all the answers

    What is one of the significant challenges of social determinants affecting population health?

    <p>Lack of assessment models</p> Signup and view all the answers

    Which requirement of comprehensive population health management focuses on understanding patient dynamics?

    <p>Patient risk stratification</p> Signup and view all the answers

    How did the total income impact of chronic diseases in the USA change in 2016?

    <p>It increased to $4 trillion</p> Signup and view all the answers

    Which part of the population health journey is crucial for effective system design?

    <p>Engaging the right partners</p> Signup and view all the answers

    Which element is NOT included in IHI's asset-based approach to data review?

    <p>Analyzing financial reports</p> Signup and view all the answers

    Which aspect of population health examines environmental factors influencing community health?

    <p>Addressing social determinants of health</p> Signup and view all the answers

    What does health equity in population health management aim to achieve?

    <p>Improved outcomes for all populations regardless of background</p> Signup and view all the answers

    Which of the following structures is included in the 10 requirements for comprehensive population health management?

    <p>Care management</p> Signup and view all the answers

    Which of the following is a component of the population health management strategy?

    <p>Needs assessment covering physical, social, and psychological aspects</p> Signup and view all the answers

    What is primarily emphasized in the coordination of care within value-based healthcare?

    <p>Seamless care across different providers and settings</p> Signup and view all the answers

    Which of the following factors does NOT contribute to the improvement of health equity?

    <p>Promoting individual health achievements</p> Signup and view all the answers

    Which principle of value-based healthcare emphasizes prioritizing outcomes?

    <p>Quality over quantity</p> Signup and view all the answers

    Which recommendation from the NCQA focuses on leadership engagement in population health management?

    <p>Practitioner leadership</p> Signup and view all the answers

    Which aspect is crucial in ensuring patient engagement during care planning in value-based healthcare?

    <p>Involvement of patients in decisions</p> Signup and view all the answers

    What is the primary focus of value-based reimbursement?

    <p>Outcomes achieved and quality of care delivered</p> Signup and view all the answers

    Which of the following is NOT part of the pathway of population health?

    <p>Epidemic response strategies</p> Signup and view all the answers

    In the context of shifting to a quadrable aim, which of the following is emphasized alongside affordable service?

    <p>Quality of care outcomes</p> Signup and view all the answers

    What element is essential for effective partnerships in healthcare according to population health principles?

    <p>Shared financial risks</p> Signup and view all the answers

    What defines population health?

    <p>Health outcomes of a group based on geographic region or shared characteristics</p> Signup and view all the answers

    Which of the following is a challenge associated with social determinants of health?

    <p>Absence of linked screening tools to evidence</p> Signup and view all the answers

    Which requirement in comprehensive population health management emphasizes data management?

    <p>Data infrastructure</p> Signup and view all the answers

    What role does community engagement play in population health management?

    <p>It facilitates a collaborative approach to understand and address health issues</p> Signup and view all the answers

    Which of the following is part of the IHI's asset-based approach to data review?

    <p>Understanding the experiences of the team</p> Signup and view all the answers

    How does population health seek to intervene in health issues?

    <p>Through high-risk group interventions</p> Signup and view all the answers

    What aspect does health equity in population health management prioritize?

    <p>Recognizing and addressing disparities within health access and outcomes</p> Signup and view all the answers

    What does the '3 Ps' in individual health services refer to?

    <p>Patient promotion, prevention, and protection</p> Signup and view all the answers

    What key component do care management and complex care management share in population health?

    <p>They offer targeted approaches for managing health needs</p> Signup and view all the answers

    Which of the following best describes an effective approach to address social determinants of health?

    <p>Using targeted interventions that consider social, cultural, and environmental factors</p> Signup and view all the answers

    Study Notes

    Population Health Management

    • Population health is the health outcome of a group of individuals, often defined by geographic region or shared characteristics.
    • In the USA, 80 million people suffer from chronic diseases, incurring $4 trillion in societal costs in 2016.
    • Individual health services involve one-on-one care.
    • Public health involves community-based prevention, targeting interventions for high-risk groups.
    • Population health involves identifying effective interventions through public health systems and social interventions.
    • Population health focuses on social, cultural, environmental, and physical factors impacting the population.

    Key Challenges of Social Determinants

    • Economic stability (employment, income, expenses, debt, medical bills, support)
    • Neighborhood and physical environment (housing, transportation, parks, playgrounds, walkability, zip code/geography)
    • Education (literacy, language, early childhood education, vocational training, higher education)
    • Food (hunger, access to healthy options)
    • Community and social context (social integration, support systems, community engagement, discrimination)
    • Healthcare system (health coverage, provider availability, provider linguistic and cultural competency, quality of care)
    • Identified challenges in social determinants include: Lack of a standard assessment model, absence of evidence-based screening tools, and insufficient resources for data collection.

    Comprehensive Population Health Management (PHM)

    • The Association of American Medical Colleges (AAMC) outlines ten requirements for comprehensive PHM.
    • This includes data infrastructure, community engagement, team-based care, panel management, patient risk stratification, care management, self-management support, complex care management, addressing social determinants of health, and ensuring health equity.

    The Population Health Journey

    • Understanding patient needs, engaging appropriate partners, and developing effective systems are central to the population health journey.
    • A three-part process, including reviewing available data, understanding the experience of the team, and understanding the experience of patients.
    • Implementing population health management (PHM) requires buy-in from leaders and practitioners, clear goals, and effective communication.

    Pathway of Population Health

    • Health and wellbeing evolve over time, influenced by social determinants.
    • Equity in care access and addressing demographic data are critical.
    • Partnerships and collaboration are essential for effective population health management.
    • Improve health wellbeing and equity

    Value-Based Healthcare

    • Transition from reimbursement-based to value-based healthcare prioritizes outcomes over quantity, coordinating care across providers, involving patients in care decisions, and focusing on community health.

    Continuity of PHM

    • Needs assessment (physical, social, psychological) is crucial for PHM.
    • Health promotion (primary prevention, behavior modification) plays an important role.
    • Coordination of care across healthcare settings is essential for effective PHM.

    Quadrable Aim

    • Affordable service, high quality, good outcomes for patients, and supporting staff wellbeing are critical components of a better health system.
    • Promoting these requires identifying the patient population, developing suitable care models, effective partnerships, utilization analysis and continuous improvement.

    Care Transitions

    • Moving a patient from one healthcare provider to another.
    • American Care Management Association (ACMA) standards dictate the procedures for effective transfers.
    • Including identifying patients at risk, comprehensive transition assessments, medication reconciliation, dynamic care plans, and communication to key stake holders are key transition elements.

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    Related Documents

    Population Health PDF

    Description

    Test your knowledge on key concepts of Population Health Management (PHM) and value-based healthcare. This quiz covers recommendations, principles, and key characteristics associated with effective healthcare strategies. Assess your understanding of models and challenges in the healthcare landscape.

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