population health leadership skills: a new paradigm for ......erik l. carlton, drph . university of...
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Erik L. Carlton, DrPH University of Memphis
POPULATION HEALTH LEADERSHIP SKILLS:
A NEW PARADIGM FOR PUBLIC HEALTH
LEADERS
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WHAT IS POPULATION
HEALTH?
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“A cohesive, integrated, and comprehensive approach to health and healthcare that considers the distribution of health outcomes within a population, the health determinants that influence the distribution, and the policies and interventions that affect determinants.”1-3
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COHESIVE, INTEGRATED, COMPREHENSIVE
Population Health
Health Promotion
Prevention
Screening
Behavior Change
Self-Care
ACOs & PCMHs Disease
Mgmt.
Chronic Care Mgmt.
Health Disparity
Reduction
Cultural Competence
National & State
Initiatives
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Population Health
Multi-Agency Multi-Disciplinary &
Multi-Sector Broad Community
Engagement Health Improvement
Public Health
Single, Gov’t Agency Core Functions &
Essential Services Focused Community
Involvement Health Assurance
POPULATION HEALTH V. PUBLIC HEALTH
“The principal factor that differentiates population health from public health is its focus on a broad set of concerns rather
than on specific activities.” 1
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BRIDGING THE GAP: WHY NOW?
Integrated Healthcare & Public Health
Delivery Payment Reforms
Hosp. Comm. Benefit
PCMHs
Hx Ins. Expansion
ACOs Employer Incented Wellness
Hx Info Exchanges
PH Accred.
Funding
Note: This slide adapted from Glen Mays, University of Kentucky
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“The linkage of programs and activities to promote overall efficiency and effectiveness and achieve gains in population health.”4
DEFINING “INTEGRATION”
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EXAMPLES FROM YOUR EXPERIENCES?
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Healthcare
Fragmentation Duplication Practice variabil i ty Limited access Episodic & reactive care Insensit ivity to consumer
values & preferences Limited investment in
community needs
Public Health
Fragmentation Constrained resources Practice variabil i ty Limited reach Insuff icient scale Limited public visibi l i ty &
understanding Limited evidence base Slow to innovate & adapt
FAILING TO CONNECT
Inefficient Delivery Inequitable Outcomes
Limited Population Health Impact Note: This slide adapted from Glen Mays, University of Kentucky
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MANAGEMENT V.
LEADERSHIP
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Pop. Hx Management
Target Populations Services &
Interventions Triple Aim Data & Analysis
“Doing Things Right.”
Pop. Hx Leadership
Target Communities Engagement &
Collaboration Transformative Vision Aligning Leaders
“Doing the Right
Things”
POPULATION HEALTH: MANAGEMENT V. LEADERSHIP
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1. Explicit Health Goal(s)
2. Engaged Community
3. Aligned Leadership 4. Sustainability 5. Data Collaboration
PRINCIPLES OF INTEGRATION 4
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POPULATION HEALTH LEADERSHIP STRATEGIES5-6
1. Shared-Issue Driven
2. Leverage Successes
3. Engaging Extended Partners
4. Workforce Training 5. Harness Market
Forces 6. Convening Agency
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CASE STUDY
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Understand how prevention and population healthcare fit with and enhance hospital/healthcare corporate strategy Understand incentives/disincentives to
encourage hospital/healthcare participation in population health issues Leverage community benefit activities to
truly benefit the community Collaborate where there is no competitive
advantage
IMPLICATIONS FOR PUBLIC Hx LEADERS
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Enhance workforce training & development activities to target population health Leverage existing and past successes Target issues with shared potential to gain
small wins Shared goal of population health starts with a
shared goal for one health outcome
IMPLICATIONS FOR PUBLIC Hx LEADERS
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“At some level, we have both a moral and an economic imperative to change how the system works: An to save money, reduce costs and waste.; and a to both save lives and improve health… “Those with a
for a given population must own it.”5-6
IMPER
ATIVE
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A NEW PARADIGM…
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Erik L. Carlton, DrPH, MS Asst. Prof. of Health Systems Management & Policy The University of Memphis School of Public Health
128 Robison Hall Memphis, TN 38152
P: 901.678.1491 E: [email protected]
CONTACT INFORMATION
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RE
FER
EN
CE
S
1. Fabius RJ, Pracil io VP, Nash DB, Clarke JL. The population health promise. In DB Nash, RJ Fabius, A Skoufalos, JL Clarke, MR Horowitz (Eds.), Population health: Creative a culture of wellness (2nd ed.) . 2016;Burl ington MA: Jones & Bart lett.
2. Kindig D, Stoddart G. What is population health? Am J Public Health. 2003;93:380-83.
3. Kindig DA. Understanding population health terminology. Milbank Q. 2007;85:139-61.
4. National Academy of Sciences. Primary Care and Public Health: Exploring Integration to Improve Population Health. 2012;Washington, DC: NAP.
5. Carlton EL, Erwin, PC. Answering the Call to Integrate: Simple Strategies from Public Health and Healthcare Executives in One Urban County. Frontiers in PHSSR. 2015;4:7-13.
6. Carlton, E.L. (2014). Answering the call for integrating population health: Insights from health system executives. Adv Health Care Mgmt. 2014;16:115-138.