What is population health?
"population health." It is a term that is widely used in the world of health care, but not universally understood. Some definitions of population health focus on results. Others focus on the measurement. Still others focus on accountability. So what does the health of the population really mean? Who is responsible? What did he impact on our current health care environment?
In recognition that there is no uniform definition of this important concept and emerge, we sought to create a new dialogue with a variety of opinion leaders in the field. We joined more than 100 health care leaders and asked them to define the term "population health". The following are their answers.
What we have learned
The population health concept got on in 03, when David Kindig and Greg Stoddart defined as "the results of the health of a group of individuals, including the distribution of these results within the group. "Though accurate, some complain of this definition focuses strictly on the measurement of health outcomes, without explaining or recognizing the role that health care providers health must take to influence these results.
Our survey reflects that notion. of the 37 leaders who attended, only two people directly quoted the original definition of Kingdig and Stoddard . Although the interpretation and understanding of the term "population health" differed greatly in the responses we received, many have seen as an opportunity for health care systems, organizations and organizations to work together to improve health outcomes of the communities they serve. Two other key trends and issues that we observed include:
- Questions of responsibility. Does the health outcomes of a specific population rely on the behavior of the population? supplier's actions? Or both?
- A take on Triple Aim. Several participants referred the initiative Triple Aim, an approach developed by the Institute for Healthcare Improvement to optimize the performance of the health system.
And then
We welcome the discussion on the ideas presented here and look forward to creating an open dialogue on the role played by the health of the population in the health care industry to today.
Participants
- Wayne Brackin, Chief Operating Officer and Executive Vice President, Baptist Health South Florida
- Paul Brashnyk, MPH, Acting Director of clinical operations, clinical UW area
- Fred L. Brown, LFACHE, President, Fred L. Brown & Associates, LLC
- Brian Churchill, director of clinical content and decision support, PeaceHealth
- Todd Cohen, director, AtSite Inc.
- Dr. Kenneth Cohn, CEO, Healthcare Collaboration
- Dr. Dennis R. Delisle, Director of operations and support, Thomas Jefferson University Hospitals
- Gigi DESOUKI, MHA, founder / CEO, Wellness on Wheels, Inc.
- Jack Friedman, CEO, the plan Providence health
- Richard J. Gilfillan, MD, President and CEO, Trinity health
- Jim Goes, Managing Partner, Cybernos LLC
- David Harlow, Senior (Attorney & Consultant), The Harlow Group LLC
- Jay Henry, President & CEO, The Marshall Group James
- Dr. Patrick Herson, President, Fairview medical Group
- Jay Higgins, senior director of network strategy and development program surgery, Brigham and Women's Hospital
- Ryan Jensen, CEO, Memorial Hospital of Salem County
- Tammie Jones, head of Senior health policy, Office of the US army Surgeon General of the
- Dr. Christy Harris Lemak, Professor and Chair, Department of Administration of Health Services at the University of Alabama at Birmingham
- Dr. Stephen Martin, Executive Director, Association for improving community health
- Dr. Larry Mullins, president and CEO, Samaritan health Services
- Roy J. Orr, Director of business development and Supply Chain Services, Salem Health
- Joseph Paduda, Senior Health Strategy Associates
- Bonnie Panlasigui, CEO Hospital Alameda
- David C. Pate, MD, JD, President and CEO, health system of St. Luke
- Janet Porter, Director, Stroudwater Associates
- Barry Ronan, president and CEO, Western Maryland system Health
- David Rubenstein, FACHE, clinical Associate Professor, Texas State University
- Kathryn Ruscitto, CEO, Hospital St. Joseph health Center
- Marie Savard, MD, CEO of the practice of health care, Diversified Search
- Dr. Nancy Seifert, Instructor, Oregon State University
- Dr. Peter Slavin , President, Massachusetts General Hospital
- Mari K. Stout, MHSA, quality improvement / supplier Engagement Specialist, ATRIO health plans
- Amy Stowers, CEO, OptimizeIT Consulting
- Quint Studer, Founder, Studer Group
- Bahaa Wanly, director, UW Medicine
- Jennifer Weiss Wilkerson, Vice President, MedStar Health
- Dr. Stephanie Works, Senior medical Director, Providence medical Group
Wayne Brackin
Chief Operating Officer and Executive Vice President, Baptist Health South Florida
"My definition is practical. You must define the population and decide what you will manage and what doctors are needed. To be more specific, let me give you an example. A partnership was established with Florida International University College of Medicine and Baptist Health South Florida / South Miami Hospital to care for 100 underprivileged families in a defined area adjacent to the hospital. It is a defined population, there are identifiable needs that can be measured and a combination of medical school and hospital providers manage families. Here's a working definition of the management of the health of the population. "
Paul Brashnyk, MPH
Interim Director of Clinical Operations, UW Medical Centers Neighborhood
" Population health is responsible for managing the overall health of a defined population and be responsible for the health of this population defined. "
Fred L. Brown, LFACHE
President Fred L. Brown & Associates, LLC
"population health is to improve the health of a defined population."
Brian Churchill
Manager clinical content and decision support, PeaceHealth
"the goal of population health is to improve the quality of care and outcomes while managing costs for a defined group of people . the defined group of people and health management interventions can be identified by demographic differences, the health needs such as chronic diseases or disabilities, or health needs of underserved populations. "
Todd Cohen
Director AtSite Inc.
" population health indicates a change in the way health care is accessed, delivered and used - an abandonment of reactive responses to the health needs of an individual. The concept marks a fundamental shift towards results-based, proactive approaches to a given population with attention directed towards large, needs socially grouped and prevention efforts while reducing disparities and variations in care delivery " .
Dr. Kenneth Cohn
CEO, Healthcare Collaboration
"In my opinion, the health of the population involves the health of the community and involves promoting wellness and the treatment of new and chronic disease across the continuum of care. it also involves improving the health of those already poorly managed, such as the poor in terms of conditions such as diabetes, hypertension and cancer. "
Dr. Dennis R. Delisle
operations manager and support, Thomas Jefferson University Hospitals
" responsibility for health and use of health care services to a defined population of people throughout the continuum of care, from prevention to acute post-acute settings. "
Gigi DESOUKI, MHA
Founder / CEO, Wellness On Wheels, Inc.
"Individual responsibility for the physical, mental, spiritual and social. When each person takes control of his health, he reflects on our families and society as a whole. "
Jack Friedman
CEO, Providence Health Plan
" Population health is the recognition that the objective of all players in the health system is to do the greatest good for most people at least cost. It takes a model centered primary care which encourages all suppliers to measure their clinical performance in terms of population, and it requires interface between public and private institutions and the commitment of the local community. the longevity of the population and great values around quality of life are the ultimate measures of success and performance. "
Richard J. Gilfillan, MD
President and CEO, Trinity Health
" Population health is alluded to health status of a defined population. A population can be defined in different ways, including demographic, clinical diagnostics, geographic location, etc. The management of the health of the population is a clinical discipline that develops, implements and continuously refines operational activities that improve the measures of the health of defined populations. At Trinity Health, we measure the health status of a population using the triple aim of better health, better care and reduce costs. "
Jim Goes
Partner Cybernos LLC [Management
" I think the health of the population as an approach to develop research the needs of the entire population of a state, country or region and the health of important subpopulations that can be differentiated by ethnicity, gender, health status or even the economy. "
David Harlow
main (Attorney & Consultant), The Harlow Group LLC
" 'the health of the population "is both a means and an end. The objective is to improve the collective health status of the population in a given geographical area. This objective can be accomplished by a combination of (1) the change of behavior that should be encouraged in a suitable manner, using a range of appropriate tools - not only through traditional health care channels - to different subsets of the population (chronically- former patients, new moms, engaged patients, millenials, weekend warriors baby boomers, etc.), and (2) the evidence based medicine focused on both prevention and treatment of injury and disease and improving function and happiness for individuals population. "
Jay Henry
CEO, The Marshall Group James
" the overall mental and physical state of health for a group defined people. "
Dr. Patrick Herson
President, Fairview Medical Group
" Population health is an approach to improve the results of a population defined. We defined the results that the three objectives -. Cost, quality and experience "
Jay Higgins
Senior Director of Network Strategy and Development of surgery program, Brigham and Women's Hospital
"population health is to keep people healthy in a coordinated way to achieve better health outcomes at lower costs. It is a "proactive" solution (with personalized care and a focus on well-being) in an industry that has thrived on being "reactive" (delays in processing resulting in sicker patients, order unnecessary tests and sending patients to emergency departments because of primary care access problems). "
Ryan Jensen
CEO, Memorial Hospital of Salem County
" healthy population means movement from a silo concentrate delivery of drugs to a joint effort in order to improve the overall performance of the health of a population. "
Tammie Jones
Senior Policy Officer health, Office of uS army Surgeon General of the
"population health is a visionary statement that gives an idea of what we want for our people. A condition that allows individuals in our communities to serve each other with their greater capacity. "
Dr. Christy Harris Lemak
Professor and Chair, Department of Administration of Health Services at the University of Alabama at Birmingham
"Understanding (measure) the health of a defined population (community, population covered, a set of patients) to include all aspects of health (physical, mental, etc.) and include the determinants sub- this underlying health (eg, poverty, housing, nutrition, exercise, pollution) and, above all, work to improve the health of this population. "
Dr. Stephen Martin
Executive Director, Association for Improving Community Health
" Population health is the state health of a defined group of people, including the distribution of these results within the group (Kindig et al). "
Dr. Larry Mullins
President and CEO, Samaritan Health Services
" Some defined as determining the health of a group or population defined using healthcare modifiers to help make that decision. The easiest answer could simply be taking care of our family, friends and neighbors on a larger scale. "
Roy J. Orr
Business Development and Director Supply Chain Services, Salem health
"population health is the health condition or the result of a group of people. The distribution of various conditions in the group provides a better understanding of the health of a population. "
Joseph Paduda
Principal, Health Associates
Strategy" a measurement and policies affecting the general welfare of the residents of an area defined. "
Bonnie Panlasigui
Chief administrative Officer, Alameda Hospital
" We are entering a population of tsunami. For example, California will be one of the first states "of the majority of the minority" in the country. How can we respond to the diversity of the population is the key ... social inequalities are the social determinants of health as chronic disease management prehospital impact, post-hospital outcomes of surgery and readmissions -. All factors that have an operational impact on a hospital "
David C. Pate, MD, JD
President and CEO, St. Luke Health System
"population health includes programs, services, tactics and initiatives that the manager of the health of the population (for example, a health system or organization responsible care) uses to take responsibility for the outcomes of care and cost of health care for the entire population or subpopulation of people, only some of which can currently be patient. "
Janet Porter
main Stroudwater Associates
" Population health is the analysis and design of interventions and management of large groups of citizens have focused on improving their health. "
Barry Ronan
President and CEO, Health System of Western Maryland
"population health transition involves the provision care to a model that is based on the value which includes an emphasis on better management of cases of patients with multiple co-morbidities, the partnership in the delivery of care with other providers, including competitors previous, better management of global usage and patient care in the most appropriate setting, careful not necessarily acute. "
David Rubenstein, FACHE
Professor clinical Associate, Texas state University
"I'm comfortable with the Institute of Medicine (IOM) definition that describes the health of the population as" the health of a group of individuals, including the distribution of these results within the group (Kindig and Stoddart, 03). "
Kathryn Ruscitto
CEO, Hospital Joseph Health Center
" means the health of the population by taking an analytical approach to understanding the health needs, disparities and the results of the community and to align improvement initiatives. "Marie Savard, MD
Director of practical health care, Diversified Search
"assuming health and health care of the total responsibility of a group of people and give them the means of information on health and tools focusing on personalized prevention and self-management programs. in my experience, he manages care for the right reasons and improving the patient's health in relation to economic reasons, which was the main motivation of past attempts health of the population. "
Dr. Nancy Seifert
Instructor, Oregon State University
"population health is the collaborative efforts of all health professionals within a population which measures patient outcomes, based on best practices and access to monitors. "
Dr. Peter Slavin
President, Massachusetts General Hospital
" Population health is a redesign of management approach to decision in charge of a group of people with the goals of making their care better and more efficient. "
Mari K. Stout, MHSA
improving quality / Specialist supplier engagement, ATRIO Health Plans
" Population Health Management system of activities focused on improving health outcomes for a collection of individuals (population) by identifying care gaps based guidelines based on evidence, to understand the obstacles and the development of systems / teams that can help to do the right thing the easy thing for patients and providers. "
Amy Stowers
CEO OptimizeIT Consulting
" Any definition of health of the population is changing and provoking, in the context the worst possible, because every human as a member of the global population deserves the right to the basic elements necessary for good health. basic elements are both basic and unique for the population; therefore, it is essential that the items to be identified and provided with an implacable manner that mitigates the negative impact on human health. "
Quint Studer
Founder Group Studer
"I prefer to use the term" people's health ", which means that each individual should be as healthy as possible. "
Bahaa Wanly
director, UW Medicine
"effectively take responsibility for health care patient populations to ensure high quality, efficient health care at the lowest possible cost to the population. "
Jennifer Weiss Wilkerson
Vice President, MedStar Health
"Health of the population is an approach to managing the health of a population - a community, a group of employees enrolled in the insurance plan, etc. - To improve the health outcomes of each member of the population. Population health is also to provide value -. the highest possible results at the lowest possible cost "
Dr. Stephanie Works
Senior Medical Director, Providence Medical Group
" The population health is a concept focusing on the treatment of multiple determinants of health for a group of individuals, such as the overall health of the group improves. "
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