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Introduction to Population Health

Introduction to Population Health. Clinic-based Resident Education Session January 31, 2013. What is population health?. What is population health? How is it different from community medicine? How is it different from primary care?. What is population health?.

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Introduction to Population Health

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  1. Introduction to Population Health Clinic-based Resident Education Session January 31, 2013

  2. What is population health? • What is population health? • How is it different from community medicine? • How is it different from primary care?

  3. What is population health? • “the health outcomes of a group of individuals, including the distribution of such outcomes within the group.” - Kindig and Stoddart 2003 • “the health of a population as measured by health status indicators and as influenced by social, economic, and physical environments, personal health practices, individual capacity and coping skills, human biology, early childhood development, and health services” - Dunn and Hayes 1999 • “a conceptual framework for thinking about why some populations are healthier than others, as well as the policy development, research agenda, and resource allocation that flow from it” - Young 1998

  4. Kindig model

  5. What determinants of health do you see affecting patients in your practice? • individual behavior • social environment • physical environment

  6. How healthy is our population?

  7. The Eight Americas

  8. Life Expectancy in the Eight Americas

  9. Mortality differences Life expectancy for men in “America 8” is 21 years lower than the life expectancy for women in “America 1” For men, the gap of 16.1 yrs between “America 8” and “America 1” is the same as the gap between men in Bangladesh and Iceland For women, the 12.8 yr gap between “America 7” and “America 1” is the same as the gap between women in Japan and Nicaragua

  10. Leading causes of death in WI

  11. What about Northeast Clinic?

  12. Northeast: Chronic health conditions summary

  13. What about your panel?

  14. What data are we missing?

  15. Online population health resources Websites for finding community data • UW Population Health Institute and Robert Wood Johson Foundation: http://www.countyhealthrankings.org • United Health Foundation: http://www.americashealthrankings.org • Data from the Commonwealth Fund: http://www.commonwealthfund.org/Maps-and-Data/ChartCart.aspx • Annie E. Casey Foundation KidsCount: http://datacenter.kidscount.org/data/bystate/StateLanding.aspx?state=WI • US Census – American Fact Finder(some data available at level of census tract): • http://factfinder2.census.gov/faces/nav/jsf/pages/index.xhtml • US Census American Community Survey: (some data available at level of census tract): http://www.census.gov/acs/www/ • Madison Neighborhood Indicators Project: http://madison.apl.wisc.edu • UW Applied Population Lab: http://www.apl.wisc.edu/data.html • International comparison data from the Commonwealth Fund • http://www.commonwealthfund.org/usr_doc/site_docs/slideshows/MirrorMirror/MirrorMirror.html • CDC’s Behavioral Risk Factor Survey: http://www.cdc.gov/brfss/ • CDC’s Youth Risk Behavior Survey: http://www.cdc.gov/HealthyYouth/yrbs/index.htm • US Census Small Area Health Insurance Estimates: http://www.census.gov/did/www/sahie/data/interactive/ • US Census Small Area Income and Poverty Estimates: http://www.census.gov/did/www/saipe/data/interactive/# • Data from WI Dept of Human Services:http://www.dhs.wisconsin.gov/localdata/index.htm • WI Dept of Public Instruction data sets: http://dpi.wi.gov/data-media • WI County MVA data • http://transportal.cee.wisc.edu/partners/community-maps/crash/search/BasicSearch.do;jsessionid=63DECDE0F8E843F9732477EC56D53B6A

  16. What is our role in population health?

  17. Sample Northeast Topic

  18. Interpreting the data Prevalence Odds Ratio a measure of effect size, describing the strength of association between two binary data values The odds ratio is the ratio of the odds of an event occurring in one group to the odds of it occurring in another group • The proportion of individuals found to have a condition (typically a disease or a risk factor) compared to the total number of people at a point in time.

  19. Evidence-based interventions

  20. Online population health resources • Websites for evidence-based population health interventions • CDC Guide to Community Preventive Services: www.thecommunityproject.org • Robert Wood Johnson Foundation: www.solvingdisparities.org • UW Population Health Institute: www.whatworksforhealth.wisc.edu

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