Erik L. Carlton, DrPH University of Memphis

POPULATION HEALTH LEADERSHIP SKILLS:

A NEW PARADIGM FOR PUBLIC HEALTH

LEADERS

WHAT IS POPULATION

HEALTH?

“A cohesive, integrated, and comprehensive approach to health and healthcare that considers the distribution of health outcomes within a population, the health determinants that influence the distribution, and the policies and interventions that affect determinants.”1-3

COHESIVE, INTEGRATED, COMPREHENSIVE

Population Health

Health Promotion

Prevention

Screening

Behavior Change

Self-Care

ACOs & PCMHs Disease

Mgmt.

Chronic Care Mgmt.

Health Disparity

Reduction

Cultural Competence

National & State

Initiatives

Population Health

Multi-Agency Multi-Disciplinary &

Multi-Sector Broad Community

Engagement Health Improvement

Public Health

Single, Gov’t Agency Core Functions &

Essential Services Focused Community

Involvement Health Assurance

POPULATION HEALTH V. PUBLIC HEALTH

“The principal factor that differentiates population health from public health is its focus on a broad set of concerns rather

than on specific activities.” 1

BRIDGING THE GAP: WHY NOW?

Integrated Healthcare & Public Health

Delivery Payment Reforms

Hosp. Comm. Benefit

PCMHs

Hx Ins. Expansion

ACOs Employer Incented Wellness

Hx Info Exchanges

PH Accred.

Funding

Note: This slide adapted from Glen Mays, University of Kentucky

“The linkage of programs and activities to promote overall efficiency and effectiveness and achieve gains in population health.”4

DEFINING “INTEGRATION”

EXAMPLES FROM YOUR EXPERIENCES?

Healthcare

Fragmentation Duplication Practice variabil i ty Limited access Episodic & reactive care Insensit ivity to consumer

values & preferences Limited investment in

community needs

Public Health

Fragmentation Constrained resources Practice variabil i ty Limited reach Insuff icient scale Limited public visibi l i ty &

understanding Limited evidence base Slow to innovate & adapt

FAILING TO CONNECT

Inefficient Delivery Inequitable Outcomes

Limited Population Health Impact Note: This slide adapted from Glen Mays, University of Kentucky

MANAGEMENT V.

LEADERSHIP

Pop. Hx Management

Target Populations Services &

Interventions Triple Aim Data & Analysis

“Doing Things Right.”

Pop. Hx Leadership

Target Communities Engagement &

Collaboration Transformative Vision Aligning Leaders

“Doing the Right

Things”

POPULATION HEALTH: MANAGEMENT V. LEADERSHIP

1. Explicit Health Goal(s)

2. Engaged Community

3. Aligned Leadership 4. Sustainability 5. Data Collaboration

PRINCIPLES OF INTEGRATION 4

POPULATION HEALTH LEADERSHIP STRATEGIES5-6

1. Shared-Issue Driven

2. Leverage Successes

3. Engaging Extended Partners

4. Workforce Training 5. Harness Market

Forces 6. Convening Agency

CASE STUDY

Understand how prevention and population healthcare fit with and enhance hospital/healthcare corporate strategy Understand incentives/disincentives to

encourage hospital/healthcare participation in population health issues Leverage community benefit activities to

truly benefit the community Collaborate where there is no competitive

advantage

IMPLICATIONS FOR PUBLIC Hx LEADERS

Enhance workforce training & development activities to target population health Leverage existing and past successes Target issues with shared potential to gain

small wins Shared goal of population health starts with a

shared goal for one health outcome

IMPLICATIONS FOR PUBLIC Hx LEADERS

“At some level, we have both a moral and an economic imperative to change how the system works: An to save money, reduce costs and waste.; and a to both save lives and improve health… “Those with a

for a given population must own it.”5-6

IMPER

ATIVE

A NEW PARADIGM…

Erik L. Carlton, DrPH, MS Asst. Prof. of Health Systems Management & Policy The University of Memphis School of Public Health

128 Robison Hall Memphis, TN 38152

P: 901.678.1491 E: erik.carlton@memphis.edu

CONTACT INFORMATION

RE

FER

EN

CE

S

1. Fabius RJ, Pracil io VP, Nash DB, Clarke JL. The population health promise. In DB Nash, RJ Fabius, A Skoufalos, JL Clarke, MR Horowitz (Eds.), Population health: Creative a culture of wellness (2nd ed.) . 2016;Burl ington MA: Jones & Bart lett.

2. Kindig D, Stoddart G. What is population health? Am J Public Health. 2003;93:380-83.

3. Kindig DA. Understanding population health terminology. Milbank Q. 2007;85:139-61.

4. National Academy of Sciences. Primary Care and Public Health: Exploring Integration to Improve Population Health. 2012;Washington, DC: NAP.

5. Carlton EL, Erwin, PC. Answering the Call to Integrate: Simple Strategies from Public Health and Healthcare Executives in One Urban County. Frontiers in PHSSR. 2015;4:7-13.

6. Carlton, E.L. (2014). Answering the call for integrating population health: Insights from health system executives. Adv Health Care Mgmt. 2014;16:115-138.