Population Health

1. Population Health Welcome! MilisaRizer, MD, MPH, FAAFP Chief Clinical Information Officer Milisa.Rizer@osumc.edu

2. Population Health: Objectives • Define Population Health • Identify how population health applies to the areas of clinical care, public health, and the community. • Describe the tools that can be used for identification of populations and timely, efficient, evidence-based management of populations across the continuum.

3. What is Population Health? • In 2003, in an article in the American Journal of Public Health, David Kindig and Greg Stoddart defined population health as “the health outcome of a group of individuals, including the distribution of such outcomes within the group.”

4. What is Population Health? Student Health Patients

5. Population Health Schematic

6. Clinical Care • Immunizations & Screening • Bundled Payments • Quality Outcomes • Access to Care • Team Based Care • Patient Empowerment • Expanding Insurance Coverage • Affordable Care

7. Public Health • Public Health is defined as the science of protecting and improving the health of people and their communities. • Healthy lifestyles, sidewalks, bike paths, parks. • Researching Disease: outbreaks and epidemiology tracking. • Injury prevention. • Promoting health care equality, quality, and access. • Food safety, sanitation, water fluoridation, smoking reduction • Developing policy

8. Community/Social Services • Social Determinants of Health • Economic Stability • Neighborhood • Health & Health Care • Social & Community Context • Education • Ethnicity • Geographic Populations • Clean Water/Flint, Michigan • Education • Early childhood education • Diet • Available healthy choices • Smoking Restrictions in Public

9. Social Determinants of Health • Conditions in which people are born, grow, live, work, and age. These, in turn, are shaped by the global distribution of money, power, and resources. • Our health is determined in part by access to social and economic opportunities; the resources and supports available in our homes, neighborhoods, and communities; the quality of our schooling; the safety of our workplaces; the cleanliness of our water, food, and air; and the nature of our social interactions and relationships. • The conditions in which we live explain in part why some Americans are healthier than others and why Americans more generally are not as healthy as they could be.

10. https://images.search.yahoo.com/search/images?p=beijing+pollution&fr=mcafee&imgurl=http%3A%2F%2Fcdn.detechter.com%2Fwp-content%2Fuploads%2F2016%2F01%2Fbeijing-pollution.jpg#id=31&iurl=http%3A%2F%2Fdailysignal.com%2Fwp-content%2Fuploads%2FChina8.jpg&action=clickhttps://images.search.yahoo.com/search/images?p=beijing+pollution&fr=mcafee&imgurl=http%3A%2F%2Fcdn.detechter.com%2Fwp-content%2Fuploads%2F2016%2F01%2Fbeijing-pollution.jpg#id=31&iurl=http%3A%2F%2Fdailysignal.com%2Fwp-content%2Fuploads%2FChina8.jpg&action=click

11. Personal photo Dr. Rizer

13. Tools for population health management • Search • Report • Registry • Dashboard • Outreach • Bulk ordering • Bulk messaging • MyChart

14. Tools for population health management • Search • The ability to mine existing patient records to access a record that matches specific information needed.

15. Tools for population health management • Slicer Dicer • Another tool in the electronic record that facilitates data mining.

16. Tools for population health management • Report • A means of retrieving, organizing and presenting information to meet the needs of an intended audience. • Operational Reporting • Time-sensitive • Small • Accessible • actionable • Analytical Reporting • Comprehensive • Summarized • Standardized

17. Tools for population health management • Registry • Rules and metrics that determine the patients who should be included and the information about each patient that should be collected.

18. Tools for population health management • Dashboard • A home workspace composed of components targeted to a specific user or business need that links to specific reports or activities. • A component is a frame of content that appears in a certain location.

19. Tools for population health management • Outreach • Being able to contact an entire population to meet a specific need. • Bulk ordering • Bulk messaging • MyChart

20. Putting It All Together We have defined population health and looked at the intersection of it with clinical care and public health care. We have explored the importance of Social Determinants of Health. We have looked at multiple ways to evaluate data and manage patients including SlicerDicer, reporting workbench, registries, dashboards, and bulk ordering.

21. Thank you for completing this module! ? Questions? Contact me at: Milisa.Rizer@osumc.edu Please return to Carmen to complete the online survey and module specific questions.

22. Resources • http://hitconsultant.net/2015/06/19/definition-of-population-health-healthcare-execs/ • Slide 1 • https://www.hrsa.gov/advisorycommittees/bhpradvisory/nacnep/Meetings/132-01-12-16/cms-population-health.pdf • Slide 3 • http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.93.3.380 • Slide 3 definition • http://hitconsultant.net/2017/07/11/providers-define-population-health-make-useful/ • Slide 3 define public health • https://wwwn.cdc.gov/CommunityHealth/PDF/Final_CHAforPHI_508.pdf • Slide 7 public health • https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health • Slide 8