Population Health Management: Strategies, Tools, Applications, and Outcomes

by Anne Hewitt PhD, MA (Editor), Julie Mascari MHA (Editor), Stephen Wagner PhD, FACHE, LFACMPE (Editor)

Overview

“This is an outstanding book and I would highly recommend it for any professional or faculty in a current public health role, and absolutely for a student in the fields of public health, nursing, health administration, health education, medicine, and information technology (artificial intelligence)… This book provides the resources for professionals to learn and apply theory, analytics, quality, and services to understand populations with the ultimate goal of transforming U.S. health care." —-Doody's Review Service, 5 stars

Population Health Management: Strategies, Tools, Applications, and Outcomes uniquely combines perspectives and concepts from community, public, and global health and aligns them with the essentials of health management. Written by leading experts in academia and industry, this text emphasizes the integration of management skills necessary to deliver quality care while producing successful outcomes sensitive to the needs of diverse populations.

Designed to be both student-friendly and comprehensive, this text utilizes various models, frameworks, case examples, chapter podcasts, and more to illustrate foundational knowledge and impart the skills necessary for health care managers to succeed throughout the health care sector. The book spans core topics such as community needs assessments, social determinants of health, the role of data analytics, managerial epidemiology, value-based care payment models, and new population health delivery models. COVID-19 examples throughout chapters illustrate population health management strategies solving real-world challenges. Practical and outcomes-driven, Population Health Management prepares students in health administration and management, public health, social work, allied health, and other health professions for the challenges of an evolving health care ecosystem and the changing roles in the health management workforce.

Key Features:

• Highlights up-to-date topics focusing on social marketing, design thinking for innovation, adopting virtual care and telehealth strategies, and social marketing ideas
• Introduces new population health management skills and tools such as the Social Vulnerability Index, Policy Map, PRAPARE, the PHM Framework, Design Thinking and Digital Messaging
• Incorporates "Did You Know?" callouts, chapter-based podcasts, and discussion questions to help explain real-world situations and examples that students and health professionals may encounter as administrators and managers
• Includes four full-length case studies focusing on the co-production of health, implementing a population health data analytics platform, health equity, and collaborative leadership
• Connects chapter objectives with the National Center for Healthcare Leadership (NCHL) and the Public Health Foundation (PHF) competencies
• Purchase includes digital access for use on most mobile devices or computers, as well as full suite of instructor resources with Instructor's Manual, PowerPoint slides, test bank, and sample syllabus

Product Details

ISBN-13:	9780826144263
Publisher:	Springer Publishing Company
Publication date:	10/18/2021
Pages:	324
Sales rank:	454,153
Product dimensions:	7.00(w) x 10.00(h) x (d)

About the Author

Anne M. Hewitt, PhD, MA, is Acting Chair for the Department of Interprofessional Health Sciences and Health Administration and Professor at Seton Hall University. She also serves as Director of the Elizabeth A. Seton Institute for Community and Population Health. Dr. Hewitt's academic career began with a doctoral dissertation grant from the American Lung Association and has continued with grants from federal and state agencies, and national non-profit agencies such as RWJ Foundation. She regularly publishes in health-related peer-reviewed journals and is currently on the Journal of Health Administration Education editorial board. Dr. Hewitt also contributes book chapters on diverse topics such online learning, population health management, virtual health care, and the sociology of health. Her service activities include appointments on state nonprofit and public health advisory boards. As part of a multi-year consulting relationship with the New Jersey Department of Health, she completed a sabbatical working with the Division of Community Health and Aging. Dr. Hewitt recently served as faculty for the New Jersey Healthcare Executive Leadership Academy sponsored by the NJ Medical Society, NJ Hospital Association, and NJ Association of Health Plans. Her honors include Distinguished Service Awards from professional health executive organizations such as the American Lung Association, the Healthcare Planning and Marketing Society of NJ, and the Association of Healthcare Executives of New Jersey. Dr. Hewitt founded Mountainside Associates in 2006 and retains an active consulting role with numerous health sector clients.

Julie Mascari, MHA, a healthcare executive with over 20 years of experience, is currently the Regional President of Humana. Julie's responsibilities include managing the overall performance, development, and expansion of Humana's business presence and financial success in the Northeast Region. She is an Adjunct Professor at Seton Hall University's master's in health administration program, Rutgers University School of Pharmacy, and for Hackensack Meridian's School of Medicine.

Stephen L. Wagner, PhD, FACHE, LFACMPE, has been active in the healthcare field for more than 45 years, focusing on the U.S. system and its ongoing transformation. He has extensive experience as textbook author, researcher, and healthcare executive with a long career in medical practice administration. Dr. Wagner served as an executive at the Carolinas Healthcare System (CHS) for 20 years until retiring in 2015.

Table of Contents

Contributors

Preface

Introduction: Framing the Need for Population Health Management Skills and Competencies

• Section I. Population Health Management

Chapter 1. Population Health Management: A Framework for the Health Sector

Chapter 2. Public Health Foundations for Population Health Managers

Chapter 3. Assessing Population Health: Community Health Assessments

Chapter 4. Social Determinants of Health: Health Promotion for Diverse Populations

Appendix A: PRAPARE: Prool for Responding to Assessing Patient Assets, Risks, and Experiences

• Section II. Population Health Management Strategies and Tools

Chapter 5. Health Data Analytics for Population Health Management

Chapter 6. Population Health Decision-Making

Chapter 7. Population Health Models Part I

Section III. Population Health Management Applications

Chapter 8. Alternative Payment Systems Applications: Volume to Value Based Care

Chapter 9. Population Health Models II: Care Coordination Continuum, Behavior Change, Patient Engagement, and Telehealth

Chapter 10. Consumerism: Population Health Marketing Applications

• Section IV. Population Health Management - Outcomes and Accountability

Chapter 11. Population Health Management: Quality Outcomes and Accountability

Chapter 12. Collaborations and Co-Production for Population Health

Chapter 13. Leadership for the Future Health Sector: Transformation, Innovation, and Change for Population Health Managers

• Section V. Population Health Management Cases

Case 1. Co-Production of Health: Baby's First

Case 2. Implementing a Population Health Data Analytics Platform: A Multispecialty Group Case Study

Case 3. Population Health Addressing Health Equity during a Crisis: Flattening the Curve of Hispanics with COVID-19 in Somerset County, New Jersey

Case 4. Co-Production Leadership For the Future Health Sector

Glossary

Editorial Reviews

Reviewer: Ellyn E Cavanagh, PhD, MN,BSN(Tender Care Pediatric Services, Inc.)
Description: This is an encyclopedic compilation of contemporary population health management with extensive support material to appeal to any learner's objectives. The content is clearly broken down into five discrete sections - Population Health Management Fundamentals, Strategies and Tools, Applications, Outcomes and Accountability, and Population Health Management Case Studies - which address community, public, and global health. Each chapter transitions successfully into a seamless compilation of concepts and student-friendly relevant material with 2021 clinical cases. There are two podcasts in each of the chapters, one narrated by the chapter author and a second narrated by a practitioner. All chapters include key terms, learning objectives with aligned student competencies, case studies, tables, figures, discussion questions, and suggested resources. The book has been thoughtfully written around student mastery. The authors have developed tools at each stage to help learners engage in population health through already-learned concepts as well as new skills, such as Social Determinants of Health (SDOH) software data collection tool PRAPARE (pp. 71-72). There is an outstanding chapter on population health models with a comprehensive description of integrated delivery networks, accountable care organizations, and patient-centered medical homes. Technology disruptors, such as videoconferencing, the emergence of more sophisticated information technology platforms, and consumer engagement, are presented in depth as the COVID-19 pandemic resulted in a twofold increase in virtual visits. Chapter 11 is one of the best and can be read standalone, covering quality outcomes and the major tools that form the foundations of quality management. In summary, this book is a primer for all practitioners who are invested in the theory and clinical application of the Population Health Alliance's Population Health Management (PHM) framework.
Purpose: This book is meant to assist educators and researchers design curriculums, introduce new skill-building approaches and tools, and enhance student competencies. These are worthy objectives and the book is needed to help students apply and synthesize Population Health Management (PHM) approaches. The material is well presented with figures, tables, and illustrations, and is built on a conceptual model, the Population Health Alliance Framework. PHM emphasizes the functions and operations of healthcare delivery, a systems approach, and cost-efficient optimal health outcomes. It impacts the management and organization of healthcare delivery, striving for clinically effective, cost-effective, and safer care. This includes the three major health sectors in the United States: public (consumers), private and nonprofit, and government (public health). The authors discuss a range of issues from consumer behaviors to alignment with resources in the community, such as grocery stores and YMCAs, to deliver better healthcare services exacerbated by crisis such as the COVID-19 pandemic. The population health managers are constantly working with a transforming landscape and need to work collaboratively with healthcare administration and public health. The information in this book is vital to understanding epidemiology, social determinants of health, financing, and public policies. The resources are relevant and reflect a clinical, hands-on knowledge of the tools and working problems.
Audience: The book is written for professionals in health management, epidemiology, public health, social work, nursing, and medicine. I would also add graduate students in health information technology. The book meets and exceeds the needs of all these groups. The authors are experts in community, public, and global health and convey their expertise seamlessly in each chapter. The chapters are well edited and flow easily. Some of the chapters, such as chapters 3 and 11, could easily stand alone to be read and re-read. Resources from the Dartmouth Atlas of Health Care and the Quality Improvement Tool overview are outstanding and include Value Stream Mapping; Six-Sigma; 5 Whys; Kaizen; and Lean. The authors are clinicians with experience in statistics, data interpretations, populations, healthcare organizations, and current tools. They have built a text with a compatible instructor manual and PowerPoint bank along with robust case studies.
Features: The title, "Population Health Management, Strategies, Tools, Applications and Outcomes," is exactly what this book covers in a manner that is engaging, using layers of technology such as podcasts to invite the learner to experience the author and a clinician for each of the 13 chapters. There are four case studies at the end in section V; however, throughout the book, each chapter also has a case study specific to an aspect of the chapter with discussion questions. A unique feature is the concise description of acronyms, of which there are many and can be confusing to new practitioners (ACA, CHRR, CHNA, etc.). The most useful table is the 2X2 table on page 33, exhibit 2.1. One of the best resources is Ernesto Sirolli's TEDX, "Want to Help Someone? Shut Up and Listen!" The Characteristics of High Reliability Organization Systems (p. 205), a "Did You Know" table, is informative. There is no glossary, but key terms are defined in each chapter. There are no shortcomings of the book.
Assessment: This is an outstanding book and I would highly recommend it for any professional or faculty in a current public health role, and absolutely for a student in the fields of public health, nursing, health administration, health education, medicine, and information technology (artificial intelligence). The COVID-19 pandemic has revealed deep-seated structural and medical vulnerabilities in the U.S. healthcare system with historically marginalized groups resulting in higher infections, hospitalizations, and death. In addition to the pandemic, research has shown that 75% of healthcare costs are from preventable diseases and 40% of the U.S. population has an incurable, ongoing, chronic disease. These are costly and projected to increase as 10,000 Americans turn 65 each day and the number of older adults will double over the next several decades to top 88 million and represent 20% of the population by 2050 (AARP; arc.aarpinternational.org/countries/united-states). The goal of population health management is to provide elements of management: real-time data involving clinical, financial, and operational to enable community providers and stakeholders to understand risk stratification for sub-populations and develop an intervention. The role of a Population Health Manager (PHM) in a community is to manage data, derive insights ,and empower individuals to a higher level of engagement in their care. With the growing chronic disease burden and aging population, PHMs will be vital to allocation of health resources, development of technology, individual personal investment in wellness, and ultimately produce measurable improvements. The United States is diverse and, as evidenced by the Dartmouth Health Atlas, chronic health conditions vary across regions. This book provides the resources for professionals to learn and apply theory, analytics, quality, and services to understand populations with the ultimate goal of transforming U.S. health care.

Doody's Review Service