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Triggs-2014
This document outlines a framework for population health management. It discusses fundamentals of population health including individual behavior, community health outcomes, and managing population health. It describes benefits of population health management like prevention and chronic disease management. Critical access hospitals can play a role as conveners by collaborating with local health departments and EMS providers. They can assist with developing population health plans and focus community engagement on key local health issues. The document provides templates for community engagement plans and implementation timelines.
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Triggs-2014
- 1. 1 Designing a Frameworkfor Population Health Management Susan L. Triggs, PhD, MPH, RN VRHA Annual Conference December 11, 2014
- 2. 2 OVERVIEW •Fundamentals of PopulationHealth •Individual Behavior •Community Health Outcomes •Managing the Population’s Health •Pros and Cons •Moving the Status Quo Needle •Sharing Ideas – Marketing •Engaging People •State Rural Health Plan
- 3. 3 Fundamentals of PopulationHealth What is it? Relevance to Relationships Engagement Empowerment
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- 5. 5 COMMUNITY HEALTH OUTCOMES •Determinants of Health • Sick Care • Preventive Care • Resource Availability
- 6. 6 POPULATION HEALTH MANAGEMENT (PHM) Populationhealth: “The health outcomes of a group of individuals, including the distribution of such outcomes within the group.” (Institute of Health Technology Transformation)
- 7. 7 POPULATION HEALTH MANAGEMENT (PHM) •Success Factors – Collaboration – Planning – Community Engagement • Workforce/Culture • Economic Development – Data Collection, Management, and Analysis • Resources available • External partners with needed resources – Outcomes and Impact (Institute of Health Technology Transformation)
- 8. 8 PHM BENEFITS • Preventionand chronic disease management • Health outcomes problems resolved by pooling resources • Sharing the weight of PHM among all stakeholder sectors • Proactive vs reactive engagement
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- 12. 12 MOVING THE NEEDLE •Self Interest to Shared Agenda – Community Needs Assessments and Health Needs Assessments – Strategic Plans – Community Action Plans – Coalitions/Tasks Forces/Consortiums, etc. – Community Advisory Boards • Community-Based Participatory Approaches
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- 14. 14 SHARING IDEAS -MARKETING • Speaking stakeholder language – Business Systems Thinking – Youth relevance: How I am affected now – Seniors: Relevance to aging – Mid-Lifers: Juggling multiple priorities – Community at Large: Easy, popular, and fun
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- 16. 16 ENGAGING PEOPLE TO GETTHE JOB DONE COMMUNITY Experience Problem Solution Resources Health Outcomes
- 17. 17 Some Community Involvement Communication flows fromone to the other, to inform Provides community with information. Entities coexist. Outcomes: Optimally, establishes communication channels and channels for outreach. Outreach More Community Involvement Communication flows to the community and then back, answer seeking Gets information or feed- back from the community. Entities share information. Outcomes: Develops connections. Better Community Involvement Communication flows both ways, participatory form of communication Involves more participa- tion with community on issues. Entities cooperate with each other. Outcomes: Visibility of partnership established with increased coopera- tion. Community Involvement Communication flow is bidirectional Forms partnerships with community on each aspect of project from development to solution. Entities form bidirectional communication channels. Outcomes: Partnership building, trust building. Strong Bidirectional Relationship Final decision making is at community level. Entities have formed strong partnership structures. Outcomes: Broader health outcomes affecting broader community. Strong bidirectional trust built. Consult Involve Collaborate Shared Leadership NIH Publication No. 11-7782 (2011), Principles of Community Engagement Principles of Community Engagement
- 18. 18 VIRGINIA’S STATE RURALHEALTH PLAN Supporting Rural Health through Community Engagement and Action
- 19. 19 Virginia’s State RuralHealth Plan Obesity and associated behaviors and diseases Mental and behavioral health Oral healthCancer Perinatal issues Lung disease Key Health Issues:
- 20. 20 Virginia’s State RuralHealth Plan Health Outcomes Healthy Communities Access to Health Care Individual Empowerment Workforce Development Advocacy Objectives
- 21. 21 Goals for Rural PopulationHealth Management 1) Bring widespread attention to current and anticipated rural health issues and needs 2) Capture the ideas, commitment, and energy of rural health stakeholders around the Commonwealth 3) Motivate participation in enacting the state rural health plan actions among a wide range of stakeholders 4) Facilitate community engagement
- 22. 22 Critical Access Hospitalsas Conveners Mini-Grants Scope of Work – Services • Services the Hospital shall perform: – Function as a core leader of the Virginia State Rural Health Plan community engagement – Collaborate with the Department (VDH), the local health department, and local EMS providers as the core leadership group in this effort – Assist with developing population health management work using the systems-based approach outlined in “Improving Population Health: A Guide for Critical Access Hospitals” – Focus community engagement around key health issues identified in the Hospital’s Community Health Needs Assessment
- 23. 23 23 Key Health Issue(s)Health Outcomes Strategy(ies) Healthy Communities Strategy(ies) Access to Health Care Strategy(ies) IndividualEmpowerment Strategy(ies) Workforce Development Strategy(ies) Advocacy Strategy(ies) Hospital Mission/Vision Strategic Planning Population Health Approaches Partners/Stakeholders Activity(ies) Activity Description ServiceArea Demographic Data COMMUNITY ENGAGEMENT PLAN (Template)
- 24. 24 Critical Access Hospitalsas Conveners Mini-Grants Scope of Work – Deliverables: • Community Engagement Plan: Draft Outline • Projected Start Date • Draft Implementation Plan and timeline estimation
- 25. 25 Critical Access Hospitalsas Conveners • Virginia Rural Health Advisory Board (VRHAB) – Mission: • To promote and support the health of Virginia’s rural communities by advising in the implementation of Virginia’s State Rural Health Plan. – Vision: • Healthy people in healthy rural communities
- 26. 26 Critical Access Hospitalsas Conveners • Community Engagement Plans -- 5 of 7 CAHs signed a Memorandum of Agreement -- Going forward VRHAB will review, evaluate, provide recommendations CAHs will receive input from VRHAB Yearly progress reporting
- 27. 27 CONTACT INFORMATION Susan L.Triggs, PhD, MPH, RN Rural Health Program Specialist [email protected] 804-864-7429
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