1. Curriculum Update Community Medicine and Population Health Core Faculty Retreat September 20, 2013

2. WHY?

3. Prevalent disease at Wingra Chronic condition% affected# affected #1Obesity29.1%2,055 #2Depression19.3%1,476 #3Smoking18.0%1,328 #4Hypertension16.5%1,261 #5Chronic back pain14.1%1,079 #6Anxiety disorder13.5%1,033 #7Hyperlipidemia12.8%974 #8Prescription opioids12.2%933 #9Asthma9.2%702 #10Diabetes7.4%566 #11Substance use disorder5.2%395 #12Alcohol disorder4.3%327

4. Prevalent disease at Northeast Chronic condition% affected# affected #1Obesity29.4%2,628 #2Depression18.1%2,180 #3Smoking17.5%1,831 #4Hyperlipidemia16.5%1,995 #5Hypertension15.9%1,918 #6Chronic back pain12.4%1,501 #7Anxiety disorder12.1%1,456 #8Prescription opioids10.5%1,268 #9Asthma9.3%1,122 #10Diabetes5.5%661 #11Osteoarthritis5.2%623 #12Alcohol disorder4.3%520

5. Prevalent disease at Verona Chronic condition% affected# affected #1Obesity26.4%3,074 #2Hyperlipidemia16.1%2,323 #3Hypertension14.9%2,149 #4Depression14.5%2,095 #5Smoking11.3%1,557 #6Anxiety disorder10.5%1,520 #7Chronic back pain9.8%1,415 #8Prescription opioids8.9%1,287 #9Asthma5.8%836 #10Osteoarthritis4.7%673 #11Diabetes4.1%595 #12Arrhythmias2.9%417

6. Prevalent disease at Belleville Chronic condition% affected# affected #1Obesity30.7%1,512 #2Hyperlipidemia19.5%1,214 #3Hypertension18.3%1,141 #4Smoking14.2%842 #5Depression13.7%851 #6Prescription opioids11.1%691 #7Anxiety9.4%584 #8Chronic back pain8.9%551 #9Asthma6.5%403 #10Osteoarthritis5.9%366 #11Diabetes5.6%349 #12Arrhythmias4.3%267

7. CURRICULUM GOALS

8. knowledge, part one understand basic principles of community and population health understand root causes of disease in US and their clinic population understand social determinants of health in US and their clinic population understand patterns of health disparities in US and their clinic population

9. knowledge, part two understand the prevalence of health risk factors & diseases in their clinic population, how it is similar to/different from DFM, WI, US populations understand the utilization of preventive services within their clinic population, how it is similar to/different from DFM, WI, US populations

10. knowledge, part three be familiar with high utilization patients in their practice population and the possible explanations for their needs understand the range of partnerships & possible collaborations in the community that might be brought to bear on the problems of their clinic populations

11. attitude value the context of care including relevant community and public health assets and challenges value collaboration with a broad definition of team members both within and outside the clinic value clinical information systems as assets for improving care

12. skills demonstrate understanding of cultural humility demonstrate skills necessary to lead and work with teams demonstrate success in creating an alliance with patients, community agencies, and/or public health to address population specific health problems

13. HOW?

14. curriculum structure R1 community medicine block rotation R1 lecture – “Introduction to Population Health” R2 group session with Nancy Pandhi R2/3 longitudinal project time R2/3 lecture – “Community Medicine and Population Health” Clinic-based ed afternoon – “State of the Clinic” Pop health modules during other education afternoons

15. knowledge understand basic principles of community and population health ◦ R1 block rotation, R1 lecture, education afternoons understand root causes of disease in US and their clinic population ◦ R1 block rotation, R1 lecture, education afternoons understand social determinants of health in US and their clinic population ◦ R1 block rotation, R1 lecture, education afternoons

16. knowledge understand patterns of health disparities in US and their clinic population ◦ R1 block rotation, R1 lecture, education afternoons, R2/3 lecture understand the prevalence of health risk factors & diseases in their clinic population, how it is similar to/different from DFM, WI, US populations ◦ R1 block rotation, R1 lecture, education afternoons, R2/3 lecture

17. knowledge understand the utilization of preventive services within their clinic population, how it is similar to/different from DFM, WI, US populations ◦ R1 block rotation, R1 lecture, education afternoons, R2/3 lecture be familiar with high utilization patients in their practice population and the possible explanations for their needs ◦ R1 block rotation, R1 lecture, education afternoons, R2/3 lecture

18. knowledge understand the range of partnerships & possible collaborations in the community that might be brought to bear on the problems of their clinic populations ◦ R1 block rotation, R2 group session, education afternoons, longitudinal project

19. attitude value the context of care including relevant community and public health assets and challenges ◦ all curricular components value collaboration with a broad definition of team members both within and outside the clinic ◦ R1 block rotation, R2 group session, longitudinal project, education afternoons value clinical information systems as assets for improving care ◦ all curricular components

20. skills demonstrate understanding of cultural humility ◦ R1 block rotation, R2 group session, education afternoons demonstrate skills necessary to lead and work with teams ◦ ??? – education afternoons, Management of Health Systems, Primary Care Redesign - ??? demonstrate success in creating an alliance with patients, community agencies, and/or public health to address population specific health problems ◦ ??? - R2 group session, longitudinal project - ???