essentials of population health - tmc houston choices (disease, regional focus) • develop list of...

EssentialsofPopulationHealth:Whatisit?

JimLangabeer,EdD,PhDProfessor

EmergencyMedicine, Informatics,andHealthcareManagement

June8,2016

DilbertonPopulationHealth

Source:ScottAdams/Dilbert

SoManyBuzzwords…

PredictiveAnalytics

BigData

Interoperability

mHealth

ValueReimbursement

RiskManagement

Population+Health

Population:agroupofpatientswithsomecommoncharacteristics

Health:completestateofwell-being;notonlytheabsenceofdiseaseorpain

Improvingthehealthneedsofadefinedgroupofpeople

DefiningPopulationHealth

• “thedistributionofhealthoutcomes withinapopulation,thedeterminants that

influencedistribution,andthepolicies/interventions thataffectthem…”

(Nashetal,2016)

DefiningPopulationHealth

• Targetedinterventionsthatimprovethehealthoutcomesandthedeterminantsofthese

outcomes(medical,societal,behavioral,other)foraspecificgroup

(Kindig etal,AJPH,2003)

PopulationHealthHasShifted

• Original:emphasisoneconomic tradeoffsbetween$andOutcomes(PublicHealth)• Now: socialdeterminants,healthdisparitiesandimproving‘cost/health/care’equation(Clinical)• TransitionfrompurepublichealthdefinitiontomoreClinicalPopulations

• “Allpopulationhealthprogramsshouldfostercollaborationbetweenclinicalprovidersand

community/publichealthagencies”(HackerandWalker,AJPH,2013)

ORGANIZEAssemblediverseCommittee

fromallSchools

BASELINEMEASUREMENTIdentifyfacultycapacity

(currentprojectinventory)andDataResources

IMPLEMENTMeasureOutcomes,Finalize

PlansandFunding

ANALYZEGenerateandEvaluate

StrategicChoices(disease,regionalfocus)

• DevelopListoffacultyandclinicianswithPopHealthfocus

• Createaneeds/inventorysurvey

• DevelopListofDataResources• SummarizeProjectInventory• MeetandIdentifyAlternative

PopulationProjects

• ImplementauniqueClinicalprogram• DefinetargetedResearchProjects

• Selectacoresetofpopulationstofocuson• Identifyandpursuefundingopportunities• WorkwithUTSystemforinternalfunding• Structureofongoingprograms

UTHealth– PHPlanningModel

Identify Value Opportunities

UTHealth

• Wediscoveredthattherewereatleast:• 25facultywithactiveprojectsinPopHealth• $60millionofcurrentfunding• InterestfromallschoolsandacrossallUTcomponents• Collaboratorsfromdozensoflocalandstateagencies• Focusonmultiplepopulations,regions,anddiseases

UTHealthProjectsbyConditionFocus

Obesity/Nutrition/PhysActivity

39%

Smoking7%Diabetes

1%Cardiovascular

Disease6%

Homelessness7%

SubstanceAbuse…

Environ.Factors7%

MentalHealth6%

Cancer8%

Womens/ReproductiveHealth

9%

Other8%

PopulationHealthManagement

Adherence;Follow-up

Who?What?Where?When?

MobileApps;Social

networking

Istheinterventionworking?

ClinicalPHM

• Focusonfindingrevenueopportunitiesorvaluefromaccountablecareorganizations(ACO)orpayers• WorkswellinlargerintegratedsystemsorACOswithfinancially-vestedcliniciansandlargepatientpopulations• Ex:targetingcardiovascularpatientsforpost-dischargeprimarycarefollow-upspriortosecondaryarrivalinanED• PayersseevalueinreducingavoidableEDvisitoradmissions

PlethoraofPopulationHealthVendors

Source:KLASRankings,2016;PopulationHealthManagement2015:HowFarCanYourVendorTakeYou?

PharmacistsPlayImportantRole

SummaryPoints

• Medicationsarecriticalcomponentofcareforhighandmediumriskpatientpopulations• Readmissions,medicationerrors,polypharmacyallissuesforpopulation healthinterventions

• Likelydozensofprojectsgoingonaroundyou,althoughlikelywithdifferentnames• Pharmacistsplayakeyroleasmedicationexpert,healthcareprofessional,andcaremanager

Questions?

JamesLangabeer,PhD713-500-3925

James.R.Langabeer@uth.tmc.edu