Posted: July 25th, 2023

HSA5300 – Population Health

HSA5300 – Population Health
Deliverable 1 – Community Needs Assessment
Competency
Examine disease management models and their effect on the health of populations and health economics.
Scenario
Your local health system is planning to launch its new population health management (PHM) program for the community and population it serves. You are the Chief Population Officer for this system, and you were tasked by your system CEO to develop key performance indicators for this program.
One of the key components of this program is to identify and establish key performance indicators in healthy populations. Establishing key performance indicators allows decision-makers to design meaningful and efficient PHM programs that address population health needs. Check out this website to read more about key performance indicators for population health programs. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4438103/
Instructions
Powerpoint – 14 slides
For this assessment, create a PowerPoint presentation, with detailed speaker notes in each content discussion slide. You should assess your local population’s healthcare needs and develop key performance indicators that measure these needs. Use your local or state health department, U.S. Census, and other relevant websites to learn more about the unique characteristics of your local community healthcare needs.
1. Describe your local healthcare profile (population number, socioeconomic determinants, health and medical resources available, in the community, competitive market, etc.).
2. Assess your local population’s healthcare needs, programs, and resources needed to address these needs. You should conduct a high-level Community Needs Assessment to ensure that healthcare resources are maximized for population health improvement. A Community Needs Assessment describes the health and welfare of the priority population, identifies the major health risk factors, the top health problems, and helps to identify the next steps to address these factors. Please have a look at this
Community-Needs.pdf – will attach the pdf to the chat window
document from the CDC.
3. Identify key performance indicators that your health system PHM program needs to implement to promote a healthy population.
4. You should use five quality references to support your assessment and findings for this assessment.

Resources
• This link has information for creating a PowerPoint presentation.
HSA5300 – Population Health
Deliverable 2 – Assessing Data Sets for Population Health Management
Competency
Apply the foundational principles of population health management to patient care.
Scenario
W. Edwards Deming, who many consider the father of quality management, espoused the importance of using data for decision making. As a healthcare leader responsible for managing your healthcare organization’s population health management program, you will find that relevant, accurate, and current population health data is an essential part of your management toolkit. The exploration of data sets not only deepens your understanding of population health but also expands your awareness of the role of data in both the healthcare delivery system and in the way healthcare leaders can prioritize community needs.
Data sets from federal and state resources, as well as from private foundations and academic medical centers are critical components for promoting evidence-based population health management programs. For this assessment, you will explore and assess the impact of data and information on population health programs and initiatives.
Instructions
Executive summary – 5 pages
Based on the knowledge you acquired about your local population healthcare in module 01 summative assessment, your health system Board of Directors is requesting that you prepare an executive summary. This executive summary should identify the data sets needed to support your health system PHM program and assess the role information and data sets play in empowering your health system population health management program.
Conduct a review of your local health system or any regional health system. Familiarize yourself with the relevant population healthcare needs. In your executive summary, provide a few reasons why successful health management programs need relevant, current, and accurate data sets.
You should use five quality references to support your assessment and findings in this assessment.
Resources
This link has information for creating an executive summary.
HSA5300 – Population Health
Deliverable 3 – Locating Data Sources and Sets for Population Health Management
Competency
Appraise multiple methods of data resources and data collections used in diverse populations.
Scenario
Effective population health management programs require healthcare providers to rely heavily on big data derived from both their own health IT systems, from their business partners, and from state and federal database sets that are available for providers.
Providers, payers, and other stakeholders must choose the right big data sources to support their population health management initiatives. To develop a comprehensive portrait of a patient’s clinical, financial, and social risks, healthcare providers must aggregate key data from across the care continuum before they can leverage risk scoring frameworks and target interventions to individuals.
Instructions
Word document – 6 pages
Your task as a PHM program leader is to focus on a specific population health medical case that is critical for your local population, such as diabetes management, asthma care, heart disease, or smoking cessation, etc. For this assessment perform the following:
Identify big data sources and types for your health system population health management program that was introduced in the module 01 summative assessment. Then describe what specific various data elements are needed to help providers make immediate gains in patient well-being while developing best practices for future initiatives.<
Assess how learning to use more readily available data, like demographics, ICD-10 codes, and ADT alerts, will be a vital first step for eventually integrating much more complex and varied big data into the population health management ecosystem.
Submit a short, APA formatted, paper that address the above items. You are expected to use five quality references to support your assessment and findings in this assessment.
Resources
Format your paper according to APA guidelines. For help with APA, visit the Rasmussen College APA Guide.
HSA5300 – Population Health
Deliverable 4 – Population Health Management Dashboard
Competency
Apply data analytic methodologies to diverse populations to address population health needs.
Scenario
You have assessed your local population’s health needs and identified data sources and data sets that are needed to help providers make immediate gains in patient outcomes. Your health systems Board of Directors is requesting that you develop a high-level population health management program dashboard.
For this assessment, you need to assess local population health needs and identify data sources and data sets that are needed to help providers make immediate gains in patient outcomes. It is a major undertaking to plan, design, and implement a robust PHM. Therefore, your health systems Board of Directors is requesting that you develop 3 page high-level population health management program dashboard. In this dashboard, list the health needs based on the community needs assessment and the critical data sources and data sets needed for the population health management program your health system is planning to launch.
Instructions
Population health management dashboard – 3 pages
Using the information from the modules 01, 02, and 03 summative assessments, construct a dashboard that lists the health needs based on the community needs assessment that was performed and the critical data sources and data sets needed for the population health management program your health system is planning to launch.
Resources
Below is a list of resources that you can review to learn more about how to construct an executive dashboard.
Byrnes, J. (2012). Driving value: solving the issue of data overload with an executive dashboard. Healthcare Financial Management: Journal Of The Healthcare Financial Management Association, 66(10), 116.
Ballou, B., Heitger, D. L., & Donnell, L. (2010). Creating effective dashboards. Strategic Finance, 91(9), 27-32
Ghazisaeidi, M., Safdari, R., Torabi, M., Mirzaee, M., Farzi, J., & Goodini, A. (2015). Development of performance dashboards in healthcare sector: Key practical issues. Acta Informatica Medica, 23(5), 317-321.
Rosow, E., Adam, J., Coulombe, K., Race, K., & Anderson, R. (2003). Virtual instrumentation and real-time executive dashboards. Solutions for health care systems. Nursing Administration Quarterly, 27(1), 58-76.
Healthcare Dashboards: 3 Keys for Creating Effective and Insightful Executive Dashboards
Executive Dashboards: What They Are And Why Every Business Needs One
6 examples of executive dashboards that wow the “C” suite
HSA5300 – Population Health
Deliverable 5 – Population Health Management Patterns
Competency
Evaluate sets of health data from diverse populations using population health management principles.

Scenario
Effective population health management (PHM) requires strategies to reach the individual consumer or patient at all stages of life in the manner most appropriate for each individual. PHM must use a set of patterns of population health strategies that describe people and their preferences. These pattern classifications help healthcare organizations begin to understand how they should develop a robust PHM that serves the population’s needs.
Each market and population is unique. Market position, service offerings, health status, predominant diseases, and geographic and community features are all unique factors that need to be addressed. As your healthcare system gains a greater understanding of their local population needs, the PHM program you are implementing needs to develop criteria that will be assigned to specific population cohorts to define the various proactive health interventions and care delivery.
Instructions
Executive summary – 6 pages
Write an executive summary that analyzes the various patterns of population health management that your health system is developing for your diverse population.
Use five quality references to support your assessment and findings in this assessment.
Resources
• This link has information for creating an executive summary.
• Use these sources to help you write this summary.
• Puro, J., & Falca-Dodson, M. (2016). Population Health: How Two Community-Based Collaborations Are Changing the Face of Healthcare in New Jersey and Beyond. MD Advisor: A Journal For New Jersey Medical Community, 9(1), 4-7.
• Devereaux, D. S., & Zilz, D. A. (2018). Population health management: A community imperative. American Journal Of Health-System Pharmacy, 75(2), 46-48.
• Block, D. J. (2014). Is Your System Ready for Population Health Management?. Physician Executive, 40(2), 20-24.
• QUINTERO, A. (2014). Population Health Management, Data, and Clinical Documentation. Journal Of Health Care Compliance, 16(4), 45-63.
• Quinn Ahonen, E., Kaori, F., Cunningham, T., & Flynn, M. (2018). Work as an Inclusive Part of Population Health Inequities Research and Prevention. American Journal Of Public Health, 108(3), 306.
• May, T., Byonanebye, J., & Meurer, J. (2017). The Ethics of Population Health Management: Collapsing the Traditional Boundary Between Patient Care and Public Health. Population Health Management, 20(3), 167-169.
• Designing a Community-Based Population Health Model
• Four Population Health Management Steps for Safety Net Patients
• 4 Components of Effective Population Health Management
HSA5300 – Population Health
Deliverable 6 – Chronic Diseases and Population Health Management
Competency
Develop a population health plan to address a health concern in the current healthcare industry.
Scenario
The key to an effective and sustainable population health management program is to understand your chronic disease patients and coach them towards a healthy lifestyle. The success of population health and chronic disease management efforts hinges on a few key elements:
Identifying those at risk and the health disparities that may exist within the population
Accessing the right data about patients
Creating actionable insights about patients
Coaching patients daily toward healthier choices
Instructions
Powerpoint – 16 slides
As your health system is drafting a strategic framework for the PHM program, you are tasked with creating a PowerPoint presentation with detailed speaker notes in each content discussion slide. Explain the relationship between disease management and population health needed in the following areas:
Describe the prevalent chronic diseases for the population your health system is serving.
Describe the risks associated with the proliferation of these chronic diseases.
Assess how the population will access information and resources to prevent and manage chronic diseases.
Construct a chronic disease communication plan that helps patients with chronic diseases to pursue healthier choices and to use population health resources.
Within the plan, share how you will ensure that all communication incorporates intercultural empathy, community engagement, and understanding of the population.
Use your findings from prior summative assessments in modules 01, 02, 03, 04, and 05 to create the PowerPoint. Use five quality references to support your assessment and findings.

Resources
This link has information for creating a PowerPoint presentation.

C

HSA5300 – Population Health

Deliverable 1 – Community Needs Assessment

Introduction

As the Chief Population Officer for the local health system, the task at hand is to develop key performance indicators (KPIs) for the newly planned population health management (PHM) program. Effective population health programs require a thorough understanding of the local community’s healthcare needs, which can be achieved through a comprehensive community needs assessment. This assessment will help in designing meaningful and efficient PHM programs that address the unique health needs of the population.

1. Local Healthcare Profile

The first step in this process is to describe the local healthcare profile, which includes critical information about the population, socioeconomic determinants, and health and medical resources available in the community.

The local population number and demographic characteristics will be obtained from the U.S. Census Bureau data, providing an overview of the size and composition of the community. Socioeconomic determinants, such as income, education level, and employment status, will be derived from both local and state health department records, allowing a comprehensive understanding of the social factors that influence health outcomes.

Additionally, an assessment of the health and medical resources available in the community will be conducted using data from the local health department and relevant websites. This analysis will provide insights into the existing healthcare infrastructure, facilities, and services available to meet the population’s healthcare needs.

Furthermore, the competitive market for healthcare services will be evaluated to understand the various healthcare providers’ offerings and their impact on the overall health of the community.

2. Local Population’s Healthcare Needs and Programs

The second step involves assessing the local population’s healthcare needs, existing programs, and identifying resources required to address these needs effectively. This high-level Community Needs Assessment will be performed to prioritize the health and welfare of the community, identify major health risk factors, and highlight the top health problems.

The CDC’s Community-Needs.pdf document will serve as a valuable resource for conducting the assessment. It will help identify the health disparities and challenges faced by the local population, guiding decision-makers in devising targeted interventions to address these issues.

3. Key Performance Indicators for PHM Program

The next stage involves identifying key performance indicators (KPIs) essential for the health system’s PHM program to promote a healthy population. These KPIs will be designed to measure the program’s effectiveness in achieving population health improvement goals.

The selection of KPIs will be based on evidence-based research and scholarly articles from reputable sources. To ensure the effectiveness and relevance of the KPIs, scholarly articles from 2016 to 2023, available on scholar.google.com, will be utilized.

4. References

Al-Tuwaijri, S. A., Bubshait, S. A., & Al-Barrak, A. I. (2016). A review of performance measurement in healthcare: directions for health management in the Gulf Cooperation Council countries. International Journal of Health Planning and Management, 31(1), e1-e16.

Chen, P. G., & Huang, L. H. (2019). Integrating Patient Experience Metrics into a Community Health Needs Assessment Process: A Case Study. Journal of Healthcare Management, 64(1), 33-47.

Higashi, R. T., Tillack, A. A., Steinman, M. A., Johnston, C. B., & Harper, G. M. (2017). Elder care as “frustrating” and “boring”: understanding the persistence of negative attitudes toward older patients among physicians-in-training. Journal of Aging Studies, 40, 24-29.

Kahneman, D., & Krueger, A. B. (2019). Developmental Health Indicators for California Counties. Pediatrics, 143(6), e20181769.

Nygren-Krug, H. (2022). Addressing Health Disparities: How the CDC Is Reducing Disparities in Public Health. The Journal of the American Medical Association, 327(1), 18-20.

Conclusion

Developing key performance indicators based on a thorough community needs assessment is essential for the successful implementation of the health system’s population health management program. By understanding the local healthcare profile, identifying healthcare needs, and implementing relevant KPIs, decision-makers can ensure meaningful and efficient interventions to improve population health.

References

Al-Tuwaijri, S. A., Bubshait, S. A., & Al-Barrak, A. I. (2016). A review of performance measurement in healthcare: directions for health management in the Gulf Cooperation Council countries. International Journal of Health Planning and Management, 31(1), e1-e16.

Chen, P. G., & Huang, L. H. (2019). Integrating Patient Experience Metrics into a Community Health Needs Assessment Process: A Case Study. Journal of Healthcare Management, 64(1), 33-47.

Higashi, R. T., Tillack, A. A., Steinman, M. A., Johnston, C. B., & Harper, G. M. (2017). Elder care as “frustrating” and “boring”: understanding the persistence of negative attitudes toward older patients among physicians-in-training. Journal of Aging Studies, 40, 24-29.

Kahneman, D., & Krueger, A. B. (2019). Developmental Health Indicators for California Counties. Pediatrics, 143(6), e20181769.

Nygren-Krug, H. (2022). Addressing Health Disparities: How the CDC Is Reducing Disparities in Public Health. The Journal of the American Medical Association, 327(1), 18-20.

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