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Population Health

Population Health. Engaging Consumers, Providers, and Community in Population Health Programs. Lecture a.

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Population Health

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  1. Population Health Engaging Consumers, Providers, and Community in Population Health Programs Lecture a This material (Comp 21 Unit 8) was developed by Johns Hopkins University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number 90WT0005. This work is licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/4.0/.

  2. Engaging Consumers, Providers, and Community in Population Health ProgramsLearning Objectives — Lecture a • Identify population health programs’ key constituents. • Describe and relate various constituencies’ needs and goals. • Analyze constituents’ competing objectives to predict factors facilitating and inhibiting change.

  3. PRECEDE-PROCEED Model — 1 • PRECEDE: Predisposing, Reinforcing, and Enabling Constructs in Educational/Ecological Diagnosis and Evaluation. • PROCEED: Policy, Regulatory, and Organizational Constructs in Educational and Environmental Development. • (Green & Kreuter, 2005.)

  4. PRECEDE-PROCEED Model — 2 Source: Green, L. W., & Kreuter, M. W. (2005). Health program planning: An educational and ecological approach. (4th ed.). New York: McGraw-Hill. 8.01 Figure: Adapted by Eric W. Ford, PhD, Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University (2016).

  5. Phase 1: Social Assessment • Identify the constituencies that have a stake in the issue. • Define the quality of life (problems and priorities) of the target population within those groups. • Involve members of population in a self-study of their needs. • Social indicators: absenteeism, alienation, crime, discrimination, happiness, riots, self-esteem, welfare, unemployment.

  6. Phase 2: Epidemiology Assessment • Use data to identify and rank health goals or problems identified in Phase 1. • Data: disabilities, fertility, fitness, morbidity/mortality, physiological risk factors (incidence, prevalence, etc.). • Sub-group identification: within populations, some constituents will be more at risk or amenable to change than others.

  7. Phase 3: Behavioral and Environmental Assessment • Determining and prioritizing behavioral and environmental risk factors linked to Phase 2 health problems. • Behavioral: compliance, coping, prevention activities, self-care. • Environmental: economic, services, society (access, affordability).

  8. Prioritization Matrix

  9. Phase 4: Educational and Ecological Assessment • Identifies and classifies factors that have the potential to influence a behavior. • Predisposing: knowledge and traits. • Reinforcing: rewarding/feedback. • Enabling: barriers created by societal forces.

  10. Phase 5: Administrative and Policy Assessment • Determine if the resources are available to develop and implement the program. • Establish goals and objectives. • PRECEDE ends.

  11. Phase 6: Implementation • Select models and strategies of the intervention. • Implementation begins. • PROCEED begins.

  12. Phase 7: Process Evaluation • Based on goals and objectives of Phase 5. • Measurements gathered during implementation. • To control, assure, or improve program quality.

  13. Phase 8: Impact Evaluation • The immediate observable effects of a program. • Leads to the intended outcomes of a program. • Intermediate outcomes.

  14. Phase 9: Outcome Evaluation • An ultimate goal or product of a program. • Generally measured by morbidity or mortality, vital measures, symptoms, signs.

  15. Engaging Consumers, Providers, and Community in Population Health ProgramsSummary — Lecture a • Population health requires community engagement from the outset. • The process is iterative.

  16. Engaging Consumers, Providers, and Community in Population Health ProgramsReferences — Lecture a — 1 References Glanz, K., & Rimer, B. K. (1997). Theory at a glance: A guide for health promotion practice. U.S. Department of Health and Human Services, Public Health Service, National Institutes of Health, National Cancer Institute. Green, L. W., & Kreuter, M. W. (2005). Health program planning: An educational and ecological approach. (4th ed.). New York: McGraw-Hill. Charts, Tables, Figures 8.01 Figure: Eric W. Ford, PhD, Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University (2016). The Precede-Proceed Model. Adapted from Green, L. W., & Kreuter, M. W. (2005). Health program planning: An educational and ecological approach. (4th ed.). New York: McGraw-Hill.

  17. Population HealthEngaging Consumers, Providers, and Community in Population Health ProgramsLecture a This material (Comp 21 Unit 8) was developed by Johns Hopkins University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number 90WT0005.

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