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IMPROVING AND TEACHING population health

IMPROVING AND TEACHING population health. Taking a look at teaching methods and materials July 1 2014 webinar AAMC / CDC / Duke collaboration. Mina Silberberg, Ph.D. Associate Professor Vice-Chief for Research and Evaluation Division of Community Health. J. Lloyd Michener, MD

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IMPROVING AND TEACHING population health

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  1. IMPROVING AND TEACHING population health Taking a look at teaching methods and materials July 1 2014 webinar AAMC / CDC / Duke collaboration

  2. Mina Silberberg, Ph.D.Associate Professor Vice-Chief for Research and Evaluation Division of Community Health J. Lloyd Michener, MD Professor and Chair Department of Community and Family Medicine Director, Duke Center for Community Research Gwen Murphy, RD, MS, PhD Assistant Consulting Professor Division of Community Health Department of Community and Family Medicine

  3. Population Health: the health outcomes of a group of individuals, including the distribution of such outcomes within the group. Source: Kindig D, Stoddart G. What is Population Health? Am J of Public Health. 2003; 93(3): 380-383. The Goal: “from Health Care to Health”

  4. How do we teach clinicians to collaborate in population health improvement? • not training clinicians to be public health professionals, but to collaborate with public health and other sectors from their unique vantage point and strengths • sometimes clinicians will take the lead, but not always

  5. Focus today: Sample training materials and methods • Population Health Competency Map • Practical Playbook • iCollaborative Population Health Collection • Duke Family Medicine PHIT curriculum

  6. The Population Health Competency Map Kaprielian VS et al. A Competency Map Approach to Education for Population Health. Academic Medicine 2013 8(5): 628-637. PMID: 23524919.

  7. The Population Health Competency Map • Training Levels: • 1. Foundational— Basic awareness of the principles and appreciation for their impact and importance in community health. • 2. Applied— An intermediate level of learning, enabling skilled participation in community-engaged population health activities. • 3. Proficient— Advanced learners who achieve competence forindependent practice or leadership of the design and implementation of community-engaged health improvement activities. • Competencies • Public Health • Community Engagement • Critical Thinking • Team Skills

  8. Population Health Curriculum, sample competency: Apply strategies that improve the health of populations

  9. The Practical Playbook for the Integration of Public Health and Primary Care www.practicalplaybook.org

  10. What is integration? • The Institute of Medicine defines integration as ‘the linkage of programs and activities to promote overall efficiency and effectiveness and to achieve gains in population health.’ • Principles of Integration: • Shared goal of population health • Aligned leadership • Community engagement • Sustainability • Collaborative use of data

  11. What is the Practical Playbook? Practical guidance to support the application of integration principles to practice

  12. Practical Playbook Overview

  13. 3. Share

  14. The AAMC MedEdPORTALiCollaborative https://www.mededportal.org/icollaborative/ https://www.mededportal.org/icollaborative/about/initiatives/populationhealth/

  15. Population Health Improvement Teamwork (PHIT) An evolving curriculum of Duke Family Medicine For residents (4/year) And faculty

  16. Resident Population Health Project Requirements During the course of the three years, the resident must: Play a lead role in at least one effort that involves two or more rapid CQI Design an evaluation plan, collect data, analyze data, or write up evaluation results. Collaborate with non-clinical entities on a community health initiative. Additional requirements Document and disseminate Use appropriate tools Formal mentor Approved workplan

  17. Population Health Curriculum evaluation methods • Discussion participation • Project completion • Final assessment – just alpha-tested • Post-graduation activity • Real test – health improvement in home communities

  18. Recent/ongoing developments • PHIT, not PHIL • Inclusion of population health management rotation • Changes to project to enhance community engagement, alignment with ongoing work of clinic • Testing and revising of final assessment • Development of alumnae survey questions’ • Increased integration among PHIT components and between PHIT, larger curriculum, and clinical practice

  19. Milestones webinar schedule June 3rd Tuesday 2:30pm EST repeated June 19th Thursday 3:30pm EST July 1st Tuesday 10am EST repeated July 15th Tuesday 9am EST August 5th Tuesday 9am EST repeated August 12th Tuesday 9am EST September 9th Tuesday 10am EST repeated September 16th Tuesday 3pm EST October 8th Wednesday 3pm EST repeated October 14th Tuesday 9am EST

  20. Next Steps • Anybody willing to volunteer today to make an institutional presentation? • Sharing of alumnae survey questions and other evaluation tools…

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