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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
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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
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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
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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
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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
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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
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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
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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
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