Health Promotion through Collaboration

Kelly KlarichSt. Mary’s University of Minnesota

HS698 CapstoneJerry Lovrien, MHA

Agenda

• Purpose• Significance• Health Indicators• Social Determinants/Critical Influences of Health• Partnerships• Structural Approaches to Health• Healthcare Organizations• Policies• Recommendations

Purpose

Healthcare can only go so far in controlling the health of a patient or population due to social, economic, environmental and behavioral determinants such as economic stability, education, food sources, environmental impacts and the individual choices people make with respect to their health. As a result of these influences not in the control of the healthcare system is it realistic to think that healthcare organizations can impact the over-all health of a population group on their own?

Examine the social determinants impacting the health of individuals and develop recommendations for ways to improve the health of American’s collaboratively with other partners.

Significance

• U. S. Healthcare Spending • Health and Social Care Comparison• Healthcare Leaders Role• Health indicators

Heath and Social Care Comparison

Health and Social Care Spending as a Percentage of GDP (Squires and Anderson, 2015). Adapted from “U. S. Health Care from a Global Perspective: Spending, Use of Services, Prices, and Health in 13 Countries” by Squires, D., Anderson, C. 2015. The Commonwealth Fund. October 2015. Copyright 2015 by The Commonwealth Fund.

Social Determinants of Health

Statistics

• Higher educational levels • 2.5 times lower death rates

• Poverty • 6 % higher mortality rate• 2-5 times higher obesity rates

• Physical environment/toxic agents • 27% of all cancer deaths• 2-5 times higher obesity rates

Healthcare Leaders Role

There is mounting evidence that the contribution of medicine and health care is quite limited, and that spending more on health care will not result in significant improvements in population health. On the other hand, there are strong and growing indications that other factors such as living conditions,education and diet are crucially important for a healthy population.

Strategic planning for health leaders must begin with understanding the all determinants impacting health.

Health Indicators

• Definitions:• Absence of illness or disease • A state of physical and mental well-being that

facilitates the achievement of individual and societal goals (SAEM)

• Factors impacting health• Genetic make-up• Individual behaviors• Medical practices• Social, economic, and environmental determinants

Social Determinants/Critical Influences of Health

Conditions in the environment that impact health, functioning, and quality of life outcomes and risks • Social • Physical • Environmental• Behavioral

Safe & affordable housing

Access to education

Public safetyHealthy food

Emergency & health services

Toxin-free environments Education

Race, ethnicity, gender

Income

Growing Communities: Social Determinants, Behavior, and Health (Ramirez, Baker, Metzler, 2008). Adapted from “Promoting Health Equity” by Ramirez, Baker, Metzler, Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2008.

Creating a healthy population will require “Super teams.”

Partnerships

• Individuals• Public Health Officials• Communities• Health and Human Services• Local and Federal Government Officials• Lawmakers• Schools• Health Care Organizations

Structural Approaches to Health

• Policy changes• Price modifications• Redesign of community environments• Changing social norms

Healthcare Organizations

• Shift in paradigm • Treating sick health promotion

• Increased focus on health-directed structural initiatives

• Partnerships with community and government agencies

• Education• Increasing access to preventative services• Increased focus on health equity

Policies

The following are used to help in the creation of new policies:

• Data • EMR

• New tools • Communities design• Chronic disease database

• Collaboratives• Health in All Policies• Healthy People

Policy Examples

• Tobacco free environment• Regulatory changes for prescriptions and

education• Obesity

Recommendations

• Change social values• Increased partnerships• Education • Shift in spending • Broaden public health policies

Questions