1. Report Back Track 6: Population Health Track
Key Points from Discussion
Key Actions for this Stakeholder Group to Take
Key Actions Needed from Other Stakeholders
Connecting Communities for Better Health
May 25-26, 2005

2. Report Back Track 6: Population Health Track
Key Points from Discussion
So what does public health and population health science bring to the Health Information party? We hope to convince you today that it is something very much more than witty banter about multivariable Poisson regression, model parameter estimates, and confidence intervals. This may be hard to read – but here a woman is saying to the hostess of an upscale party - “And it was so typically brilliant of you to have invited an epidemiologist”.
12/2/2018
Connecting Communities for Better Health
May 25-26, 2005

3. Connecting Communities for Better Health
Public Health Mission
Institute of Medicine – “what we, as a society, do collectively to assure the conditions in which people may be healthy.”
Public health must be a partner to fulfill its mission”
Mandated to protect and improve the health of all people within a legal jurisdiction
Public health informs, coordinates care and resources, and regulates
Effective public health requires an understanding of the interdependent nature of its functions with those of the health care system
12/2/2018
Connecting Communities for Better Health
May 25-26, 2005

4. Public Health Integration is Essential
Mandate for population health
Speak to Public/Consumers
Trusted by community
Bi-directional communications
12/2/2018
Connecting Communities for Better Health
May 25-26, 2005

5. Connecting Communities for Better Health
Influenza ELR Surveillance Provides Clinical Care Decision Support (Diagnosis and Treatment)
Decision Support
Slide 9
Public Health’s current way of thinking and operation is largely as a receiver of clinical health information. The example here is electronic laboratory reporting of influenza test results to public health for real time influenza surveillance. But with an integrated health information network that fully supports the population health domain, a real-time feedback loop is possible. A public health view can be displayed back to clinicians to assist in diagnosis and treatment decision support.
Public Health
Clinical Care
Surveillance ELR
12/2/2018
Connecting Communities for Better Health
May 25-26, 2005

6. Using Population Data in Healthcare
Direct Care
Benchmarking outcomes
Research
Prevention/Intervention
Resource Allocation & Strategic Planning
Disaster Planning, Preparedness, Response
Direct Care:
Data on cases and patients (as numerators) and population data ( as denominators) used to calculate disease
incidence/prevalence rates
Assess risk of disease in the community as a whole and in various geographic locations or population subgroups
This is linked to diagnosis and treatment of disease
Also helps Identify disparities in treatment access and outcomes – so can modify the way we treat patients and improve
system-wide access
Benchmarking
Use public data to benchmark outcomes - data on safety, outcomes (patient mortality/ morbidity/ complications) and cost to compare ourselves to other hospitals for performance improvement
Research
Identify risk factors in disease
assess treatment efficacy
results of research applied to design of (CLICK) prevention/intervention programs
Prevention/Intervention
target high risk populations
helps in design of intervention and prevention programs
Resource allocation
Locate and quantify high-risk populations
locate and quantify resources (equipment, personnel, etc)
decision analysis for facilities planning
surge capacity (daily fluctuations)
census of healthcare workers to assess resources
Disaster Planning and Preparedness,Response – hospitals are first responders
locate affected populations to deploy resources to
surge capacity for area hospitals – beds and personnel
location of special needs populations (elderly, linguistically isolated, handicapped)
census of healthcare workers for emergency/disaster planning to assess resources
Will give examples
12/2/2018
Connecting Communities for Better Health
May 25-26, 2005

7. Connecting Communities for Better Health
Direct Patient Care
Known methicillin resistant Staphylococcus aureus (MRSA) risk factors such as prolonged hospitalization and extended exposure to antibiotics do not apply to community-acquired cases.
One of our Resident MDs wanted to determine if geography was a risk factor for community acquired MRSA soft tissue infections.
Geography proved to be a significant risk factor for presenting with MRSA abscesses. Colonization of the community with MRSA is likely to be a predictor of methicillin resistant infections.
Geographic mapping of antibiotic resistant organisms can guide physician antibiotic selection before culture results are available
Source: Baystate Medical Center Health Geographics Program
12/2/2018
Connecting Communities for Better Health
May 25-26, 2005

8. Connecting Communities for Better Health
How Do We Move Forward?
In the Public Health Community
Involve core constituents and visionaries
Shuttle diplomacy
Energize and engage senior officials
In the CCBH community
Take population health seriously
Define information needs for population health goals
Demonstrate improvement in PH outcome
12/2/2018
Connecting Communities for Better Health
May 25-26, 2005