This document discusses social determinants of health and their impact on community wellness. It explains that social factors like income level, neighborhood environment, and access to resources have a significant influence on health outcomes. Only 10-15% of health is due to medical care factors, while 40% is due to individual behaviors and 30% to social and economic conditions. The document advocates for a holistic, systematic approach that addresses social determinants to improve community health and achieve the goals of better care, lower costs, and healthier populations.
This document provides a literature review and environmental scan on population-based health communication and social determinants of health. It discusses research showing that targeting specific audiences, framing messages based on political ideology, and increasing public support for policies addressing social and environmental factors can help reduce health disparities. The review examines topics like equity, investing in prevention outside of medical care, communicating about shifting investments, and how social circumstances impact behaviors and health outcomes. It provides examples of communication strategies and considerations for population health advocates in messaging around social determinants.
This is the ongoing project discussion portion of this class. My pop.docxglennf2
This is the ongoing project discussion portion of this class. My population is geriatric/elderly. The problem is BP...
I will attach previous discussions because it all needs to tie in together
350 words
at least 3 references cited in the discussion.
must be last 5 years
Overview: Dr. Marcia Stanhope (2020) explained that evidence-based public health practice refers to those decisions made by using the best available evidence, data and information systems and program frameworks; engaging community stakeholders in the decision-making process; evaluating the results; and then disseminating that information to those who can use the information.
Practicum Discussion: This week, your assignment will be to incorporate all of the information you have gathered from the community—including the population itself, health data, interviews/conversations with interested community members, and your community assessment, including your Windshield Survey—as well as what you have gathered from scholarly literature to propose measureable interventions. Measureable interventions mean that the results can be measured through some data that could be collected (Stanhope, 2020). This requires thinking in terms of actions and then measuring results. An evaluation of interventions is important to see whether or not they are effective in solving a health care problem. Remember, you will need to use the data you gathered to determine whether or not a problem exists in your community and to then determine whether your interventions might be effective.
Please discuss the following points in your Practicum Discussion:
Identify one evidence-based behavior change that would promote health in your selected population.
Suggest one specific culturally sensitive, evidence-based, measureable intervention to address the health problem for your selected population.
Think in terms of measuring outcomes. What outcomes would you expect to see once the intervention(s) are in place? Be specific.
By Day 4
Post
your response to this Discussion.
Support your response with references from the professional nursing literature.
GOAL of PRACTICUM PROJECT
Overall Purpose for Practicum:
Develop a potential project to improve the health of a specific population of interest or a population at risk.
This practicum is designed to help you develop as a scholar practitioner and health leader to promote positive social change in your own community. In this practicum experience you will focus on
primary prevention
of a health problem in your community (see text for definition.) You already possess the knowledge and skills to help those who are acutely ill. This experience will help learn how to prevent a health problem in a specific population at risk at the
community and system level of care
(see text for definition). Consequently, because you are well aware of how to care for individuals you will now develop leadership and advocacy skills to improve the health of the communi.
Module 1- History of the U.S. Healthcare System (1).pptxDavidOsunde
This document provides an overview of the US healthcare system and key statistics. It discusses the history and development of healthcare delivery, including milestones in medicine, hospitals, public health and health insurance. It also outlines stakeholders in the current system like employers, insurers, and government. Statistics like life expectancy, infant mortality, GDP spent on healthcare are presented, showing the US lags peers on some health indicators. Tobacco rates are lower in the US while obesity rates are higher versus other OECD nations.
This document discusses chronic disease prevention and health promotion. It notes that chronic diseases are the leading causes of death globally and are influenced by modifiable risk factors like diet, physical activity, tobacco and alcohol use. While individual behavior plays a role, the document argues that a person's environment and circumstances also greatly influence their health choices and outcomes. It states that the concepts of "lifestyle" and "personal responsibility" must be considered in light of the constraints people face. A balanced approach is needed that also addresses the responsibilities of governments, organizations and other entities that shape people's health environments and opportunities.
Essay on Definitions of Health
Healthcare in the United States Essay
Why Is Healthcare Important? Healthcare?
Essay On Healthcare System
Essay On Impact On Health Care
Essay On Home Health Care
Essay On Affordable Health Care
Health Care Persuasive Essay
Essay on Careers in Healthcare
Essay On Health Care
Persuasive Essay On Health Care
Essay On Healthcare In The United States
Inequality in Healthcare Essay examples
Health Care Trends Essay examples
Social Media And Health Care Essay
Essay on Quality Health Care
Essay on Health Care
The Health Of A Health Care System
Essay On Health Care
Persuasive Essay On Health Care
Chronic illness poses a significant threat to health and the economy. It affects 80% of adults in industrial societies and accounts for 80% of healthcare spending. By 2017, spending on chronic illnesses in the U.S. is projected to reach $4.3 trillion. Lifestyle factors are the primary cause of chronic diseases, and lifestyle changes are more effective and less expensive than medical treatment in addressing chronic illnesses. However, lifestyle intervention is not adequately taught in healthcare educational programs. The document advocates for training healthcare providers to help patients adopt healthy lifestyle changes to better treat and prevent chronic diseases.
This document summarizes key points from a community health nursing assignment submitted by a student. It discusses two main topics:
1. Healthy People 2020 goals and objectives for older adults, including increasing physical activity, improving nutrition, and promoting socialization.
2. Nursing actions that address the needs of older adults, such as encouraging health screenings and exams, promoting fitness, monitoring chronic conditions, ensuring safety of medications, and addressing spiritual and end-of-life needs.
This document provides a literature review and environmental scan on population-based health communication and social determinants of health. It discusses research showing that targeting specific audiences, framing messages based on political ideology, and increasing public support for policies addressing social and environmental factors can help reduce health disparities. The review examines topics like equity, investing in prevention outside of medical care, communicating about shifting investments, and how social circumstances impact behaviors and health outcomes. It provides examples of communication strategies and considerations for population health advocates in messaging around social determinants.
This is the ongoing project discussion portion of this class. My pop.docxglennf2
This is the ongoing project discussion portion of this class. My population is geriatric/elderly. The problem is BP...
I will attach previous discussions because it all needs to tie in together
350 words
at least 3 references cited in the discussion.
must be last 5 years
Overview: Dr. Marcia Stanhope (2020) explained that evidence-based public health practice refers to those decisions made by using the best available evidence, data and information systems and program frameworks; engaging community stakeholders in the decision-making process; evaluating the results; and then disseminating that information to those who can use the information.
Practicum Discussion: This week, your assignment will be to incorporate all of the information you have gathered from the community—including the population itself, health data, interviews/conversations with interested community members, and your community assessment, including your Windshield Survey—as well as what you have gathered from scholarly literature to propose measureable interventions. Measureable interventions mean that the results can be measured through some data that could be collected (Stanhope, 2020). This requires thinking in terms of actions and then measuring results. An evaluation of interventions is important to see whether or not they are effective in solving a health care problem. Remember, you will need to use the data you gathered to determine whether or not a problem exists in your community and to then determine whether your interventions might be effective.
Please discuss the following points in your Practicum Discussion:
Identify one evidence-based behavior change that would promote health in your selected population.
Suggest one specific culturally sensitive, evidence-based, measureable intervention to address the health problem for your selected population.
Think in terms of measuring outcomes. What outcomes would you expect to see once the intervention(s) are in place? Be specific.
By Day 4
Post
your response to this Discussion.
Support your response with references from the professional nursing literature.
GOAL of PRACTICUM PROJECT
Overall Purpose for Practicum:
Develop a potential project to improve the health of a specific population of interest or a population at risk.
This practicum is designed to help you develop as a scholar practitioner and health leader to promote positive social change in your own community. In this practicum experience you will focus on
primary prevention
of a health problem in your community (see text for definition.) You already possess the knowledge and skills to help those who are acutely ill. This experience will help learn how to prevent a health problem in a specific population at risk at the
community and system level of care
(see text for definition). Consequently, because you are well aware of how to care for individuals you will now develop leadership and advocacy skills to improve the health of the communi.
Module 1- History of the U.S. Healthcare System (1).pptxDavidOsunde
This document provides an overview of the US healthcare system and key statistics. It discusses the history and development of healthcare delivery, including milestones in medicine, hospitals, public health and health insurance. It also outlines stakeholders in the current system like employers, insurers, and government. Statistics like life expectancy, infant mortality, GDP spent on healthcare are presented, showing the US lags peers on some health indicators. Tobacco rates are lower in the US while obesity rates are higher versus other OECD nations.
This document discusses chronic disease prevention and health promotion. It notes that chronic diseases are the leading causes of death globally and are influenced by modifiable risk factors like diet, physical activity, tobacco and alcohol use. While individual behavior plays a role, the document argues that a person's environment and circumstances also greatly influence their health choices and outcomes. It states that the concepts of "lifestyle" and "personal responsibility" must be considered in light of the constraints people face. A balanced approach is needed that also addresses the responsibilities of governments, organizations and other entities that shape people's health environments and opportunities.
Essay on Definitions of Health
Healthcare in the United States Essay
Why Is Healthcare Important? Healthcare?
Essay On Healthcare System
Essay On Impact On Health Care
Essay On Home Health Care
Essay On Affordable Health Care
Health Care Persuasive Essay
Essay on Careers in Healthcare
Essay On Health Care
Persuasive Essay On Health Care
Essay On Healthcare In The United States
Inequality in Healthcare Essay examples
Health Care Trends Essay examples
Social Media And Health Care Essay
Essay on Quality Health Care
Essay on Health Care
The Health Of A Health Care System
Essay On Health Care
Persuasive Essay On Health Care
Chronic illness poses a significant threat to health and the economy. It affects 80% of adults in industrial societies and accounts for 80% of healthcare spending. By 2017, spending on chronic illnesses in the U.S. is projected to reach $4.3 trillion. Lifestyle factors are the primary cause of chronic diseases, and lifestyle changes are more effective and less expensive than medical treatment in addressing chronic illnesses. However, lifestyle intervention is not adequately taught in healthcare educational programs. The document advocates for training healthcare providers to help patients adopt healthy lifestyle changes to better treat and prevent chronic diseases.
This document summarizes key points from a community health nursing assignment submitted by a student. It discusses two main topics:
1. Healthy People 2020 goals and objectives for older adults, including increasing physical activity, improving nutrition, and promoting socialization.
2. Nursing actions that address the needs of older adults, such as encouraging health screenings and exams, promoting fitness, monitoring chronic conditions, ensuring safety of medications, and addressing spiritual and end-of-life needs.
This document provides an introduction to a report on health disparities in Mississippi. It defines health disparities as differences in health outcomes or access to care among specific populations. The major sources of health disparities are identified as socioeconomic status, race/ethnicity, and geography. Mississippi is highlighted as a state with significant health disparities, both historically and currently. The goal of the report is to examine what would be required for Mississippi to achieve national health norms by measuring disparities in various health issues.
Running Head APPROPRIATE INTERVENTIONS FOR HEALTHY PEOPLE 20202MalikPinckney86
Running Head: APPROPRIATE INTERVENTIONS FOR HEALTHY PEOPLE 2020
2
APPROPRIATE INTERVENTIONS FOR HEALTHY PEOPLE 2020
Appropriate Interventions for Healthy People 2020
Norys Gil
South University
List of Support Needs for the Participant
1. Assisting the patients to change the lifestyle is one of the primary support needs. According to the participant response, quitting smoking and maintaining a healthy weight are some of the significant challenges. Educating the patient about healthy dietary and the need for vigorous physical exercise will help the patient in maintaining the right body weight. Smoking habits are highly addictive, and quitting becomes challenging and requires significant effort from both the patient and the caregiver.
2. Psychological counseling. The patient has a great concern of wondering if she would leave long to see grandchildren. She also takes medication such as propranolol and diazepam for managing the stress. Counseling will help the patient mitigate the effects of anxiety and possible depression. It will also change the mindset of imminent death as a result of chronic kidney complications. Physical exercise is essential for mental health and manages stress levels.
3. Accurate tests and prescriptions of the medical plan to the patient are essential in chronic disease management. According to the participant, she would like to follow the prescribed medical plan to manage this complication.
4. They are assisting the patient in understanding the various prescribed medical plan. There is a need to educate the patient about how to administer medicines such as insulin.
Objectives Implementation of Healthy People 2020
Healthy people in 2020 policies and laws examined the various opportunities and approaches to achieve their primary goals. Different governments are using different strategies to promote the health wellness of society and public health. These initiatives serve as roadmaps for different countries and their objectives to health promotion (Pykett, 2019). They provide a way for the government and the community in general to understand the current and future health situation for effective planning and policymaking. For effective interventions for healthy nations, the government needs to engage public health stakeholders such as the healthcare providers, practitioners, and the community. This will helps in the identification of effective strategies for interventions and making healthy people 2020 ideas actionable.
Good health begins in our homes, workplaces, schools, and community in general. Social determinants of health directly impact all individuals. The healthy people 2020 determinants are divided into various categories, namely economic stability, education, healthcare, and the neighborhood, built environments as well as the community context (Pykett, 2019). The first step of implementing objectives of Health People 2020 is the identification of the national-wide health improvement priorities ...
Justicia social, epidemiologya e inequidad en la salud02678923
This document summarizes Michael Marmot's perspectives on social justice, epidemiology, and health inequalities based on decades of research. The key points are:
1) Marmot argues that social stratification is an appropriate topic for epidemiologists to study, as it is a major source of health variation in societies. Ignoring its effects would be ignoring a key factor.
2) While postmodern critical theory questions the social construction of science, Marmot asserts that epidemiology and public health have an important role in providing evidence to improve population health and reduce inequalities.
3) Marmot has focused on understanding the social determinants of health and how action on these determinants can reduce health inequalities. While the
This document discusses different types of health, including physical, mental, spiritual, emotional, and financial health. It explains that overall health is influenced by genetic, environmental, social, and behavioral factors. Maintaining wellness involves eating nutritious foods, exercising regularly, getting preventive health screenings, managing stress, social connection, and having a positive outlook. The best way to preserve health is through an ongoing healthy lifestyle rather than only addressing health issues once sickness occurs.
Review the World Health Organization’s (WHO) definition of healt.docxashane2
Review the World Health Organization’s (WHO) definition of health in Chapter 7 of your textbook. Then, write a research paper fulfilling the following requirements.
Why is the definition of health important to health policy?
Define the term “target population” as it relates to health policy.
How do societal influences impact the identification and definition process of policy?
Research a healthcare organization and highlight how their policies align or misalign with the WHO’s definition of health.
The paper
Must be four to six double-spaced pages in length (not including title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center.
Must include a separate title page with the following:
Title of paper
Student’s name
Course name and number
Instructor’s name
Date submitted
Must use at least four scholarly sources in addition to the course text.
Must document all sources in APA style as outlined in the Ashford Writing Center.
Must include a separate reference page that is formatted according to APA style as outlined in the Ashford Writing Center.
Defining
Health
Table
7-1
presents the view of health and health care espoused in the constitution of the World Health Organization. Although the UnitedStates is a U.N. member state, one would be hard put to find consensus in the United States on a number of the points that it cites as basicprinciples.
Asking people in the United States if health is more than the absence of illness or infirmity could produce a host of different responses. Somerespondents might come down on the side of physical and mental well-being but have a problem with trying to address social well-beingunder the heading of health. Indeed, the fact that we have millions of uninsured and do not provide mental health care to a large proportion ofthe population would seem to indicate a lack of commitment to physical and mental well-being.
Those analyzing or deciding on a policy need to understand the differences in the operational definitions of health that are representedaround the table. In the best of all possible worlds, those seated at the table would agree on thatdefinition and move on, but sometimes theart of politics depends, in part, on knowing when to try to agree on principles, or on actions, or on both, and whether to use limited politicalcapital to try to bring them into alignment publicly.
Table
7-1
Excerpts from the Preamble of the Constitution of the World Health Organization
…
the
following
principles
are
basic
…
• Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.
• The enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being without distinction ofrace, religion, political belief, or economic or social condition.
• The health of all peoples is fundamental to the attainment of peace and security and is dep.
The candidates will develop a substantive understanding of six components.docxwrite31
The candidates will develop a substantive understanding of the six components of reading by creating a 7-10 page paper. The paper must define and explain each of the six components of reading: comprehension, oral language, phonological awareness, phonics, fluency, and vocabulary. It must also include evidence-based practices that promote development in each reading area and have at least five references from journals or textbooks.
Women in The Testament of the Bible shows.docxwrite31
The document discusses several powerful and influential women in the Old Testament of the Bible, including Miriyam who helped lead the Israelites out of Egypt, Devorah who led the Israelites in battle as a judge, Yael who killed an enemy general, Yudit who saved her people by killing an invading general, Huldah who was a prophetess that King Josiah consulted, and Hadassah (Esther) who saved the Jewish people from annihilation.
Genesis chapters 1-11 are meant to be taken literally as historical accounts based on how other biblical authors reference and treat the people and events described in Genesis. The Bible outside of Genesis, such as references in the New Testament or other books, corroborate the literal and historical nature of Genesis chapters 1-11 by directly citing or building their own doctrines upon the characters and events described.
Write a memo to the CIO that describes how to.docxwrite31
The memo outlines an implementation plan for a new information system, addressing available resources, change management strategy, necessary equipment and software, training needs, workflow during transition, and potential resistance. It acknowledges limitations and provides evidence the assessment is accurate and complete, with the goal of gaining approval from a skeptical CIO for the proposed 3-5 page implementation plan.
The topic is In the Western Catholic The.docxwrite31
The document discusses the differences and similarities between lay persons and clergy in the Western Catholic Church. Both lay persons and clergy are baptized and committed to baptismal promises. However, lay persons cannot perform sacraments like confession, celebrate mass, or perform confirmation like clergy. Another difference is that lay persons can be married while clergy cannot. Ultimately, both aim to please God, though lay persons must also please their spouse.
The document discusses a YouTube video of a speech given by Steve Jobs where he knows he is dying. It asks 6 questions about the speech: 1) What makes it compelling beyond the emotional appeal? 2) Why did Jobs eliminate certain topics? 3) Why did he choose the topics he did? 4) How does he support his ideas? 5) What did we learn about speech making from this speech? 6) What is the most valuable thing we learned in the communication course?
The document discusses the importance of developing a global mindset for HR leaders. It recommends watching two videos on the evolving role of HR and profiles of global HR leaders. Developing a global mindset requires understanding how to work across cultures, which is an intellectual and emotional learning process. Readers are asked to respond to questions from a case study that describes management training challenges in Malawi, explaining how a global mindset could help address the HR issues and applying effective training methods in their analysis.
There is a relationship between an emotionality and their.docxwrite31
Individual decisions are influenced by both emotion and reason. When calm, rational thinking guides decisions, but strong emotions constrain clear thinking and increase impulsivity. Emotions can influence decisions and judgments in several ways. They can create tunnel vision or a narrow mindset, lead to jumping to conclusions, cause attention and memory biases that filter information processing, and distort time perception. Emotions are also catchy and can be transferred from others or triggered by unrelated background events.
What is required to petition is a formal letter the.docxwrite31
To petition for readmission after dismissal from Maryville University, a formal letter is required that describes the circumstances that impacted the student's success, what the student would do differently to be successful if readmitted, and the student's current academic goals at Maryville and why consideration should be granted based on those goals and circumstances.
what is mental illness as an officially recognized.docxwrite31
Mental illness is officially recognized as a category of deviance in society. It downplays the social foundations of conditions seen as deviant. The most commonly identified mental illness today in the US is depression. The perspective of "Pharmacracy" views mental illness as primarily a biological condition to be treated with medication. Goffman's book Asylums was important for policy as it shed light on the social environment of institutions and how that impacted patients. Stress from social inequality and lack of social support is most likely to lead to mental illness. The mentally ill employ "stigma management strategies" like passing or covering to avoid discrimination.
With you have learned about the cell DNA.docxwrite31
Cancer is caused by mutations in DNA that cause cells to multiply uncontrollably. While scientists have made progress in understanding cancer and developing treatments, curing cancer is challenging because of the complexity of the human body and diversity of cancer types. With continued research into genetics, cell biology, and new therapies, scientists hope to find cures for more cancer types in the future.
The document discusses several models of radicalization and analyzes the USS Cole terrorist attack. It addresses the following key points:
1) The USS Cole attack in 2000 was clearly an act of terrorism carried out by al-Qaeda operatives in Yemen with the goal of forcing US withdrawal from the Middle East.
2) The attack served as al-Qaeda in Yemen's major initiation and revealed capabilities prior to the 9/11 attacks. Both US and Yemeni responses to the attack were inadequate and allowed al-Qaeda to strengthen.
3) Radicalization is generally a complex process involving multiple behavioral, psychological, social, and political factors that can lead one to extremist views over time rather than suddenly. The
This document discusses two pathways to terrorism - top-down and bottom-up - as explained by Professor Mohammed Hafez. The top-down process involves centralized organizations that promote radical ideology through social services, while the bottom-up process occurs when individuals have personal grievances and seek out radical groups. The document also examines case studies of Ted Kaczynski and Timothy McVeigh, analyzing which radicalization models best describe their paths to committing acts of terrorism.
Take a look back at your DPP and the Belmont.docxwrite31
The document advises to review the Detailed Project Plan (DPP) and Belmont Report to ensure clarity on the purpose of the research and adherence to ethical principles of protecting participants, as outlined in the Belmont Report, rather than having a good or bad hypothesis.
Stakeholder support is necessary for successful project Consider your.docxwrite31
Stakeholder support is crucial for successful project implementation. Both internal stakeholders within the healthcare setting considering a change proposal, as well as external stakeholders outside the setting, require support. Their backing is necessary for success, so determining why it is needed and how to obtain it is important.
The OSI data link layer is responsible for physical.docxwrite31
The OSI data link layer is responsible for physical addressing, network topology, error notification, sequencing of frames and flow control. IEEE has defined numerous protocols used with TCP/IP at the OSI data link layer, including various IEEE 802 standards. These standards require certain network devices, media, and topologies to implement them in a network.
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This document provides an introduction to a report on health disparities in Mississippi. It defines health disparities as differences in health outcomes or access to care among specific populations. The major sources of health disparities are identified as socioeconomic status, race/ethnicity, and geography. Mississippi is highlighted as a state with significant health disparities, both historically and currently. The goal of the report is to examine what would be required for Mississippi to achieve national health norms by measuring disparities in various health issues.
Running Head APPROPRIATE INTERVENTIONS FOR HEALTHY PEOPLE 20202MalikPinckney86
Running Head: APPROPRIATE INTERVENTIONS FOR HEALTHY PEOPLE 2020
2
APPROPRIATE INTERVENTIONS FOR HEALTHY PEOPLE 2020
Appropriate Interventions for Healthy People 2020
Norys Gil
South University
List of Support Needs for the Participant
1. Assisting the patients to change the lifestyle is one of the primary support needs. According to the participant response, quitting smoking and maintaining a healthy weight are some of the significant challenges. Educating the patient about healthy dietary and the need for vigorous physical exercise will help the patient in maintaining the right body weight. Smoking habits are highly addictive, and quitting becomes challenging and requires significant effort from both the patient and the caregiver.
2. Psychological counseling. The patient has a great concern of wondering if she would leave long to see grandchildren. She also takes medication such as propranolol and diazepam for managing the stress. Counseling will help the patient mitigate the effects of anxiety and possible depression. It will also change the mindset of imminent death as a result of chronic kidney complications. Physical exercise is essential for mental health and manages stress levels.
3. Accurate tests and prescriptions of the medical plan to the patient are essential in chronic disease management. According to the participant, she would like to follow the prescribed medical plan to manage this complication.
4. They are assisting the patient in understanding the various prescribed medical plan. There is a need to educate the patient about how to administer medicines such as insulin.
Objectives Implementation of Healthy People 2020
Healthy people in 2020 policies and laws examined the various opportunities and approaches to achieve their primary goals. Different governments are using different strategies to promote the health wellness of society and public health. These initiatives serve as roadmaps for different countries and their objectives to health promotion (Pykett, 2019). They provide a way for the government and the community in general to understand the current and future health situation for effective planning and policymaking. For effective interventions for healthy nations, the government needs to engage public health stakeholders such as the healthcare providers, practitioners, and the community. This will helps in the identification of effective strategies for interventions and making healthy people 2020 ideas actionable.
Good health begins in our homes, workplaces, schools, and community in general. Social determinants of health directly impact all individuals. The healthy people 2020 determinants are divided into various categories, namely economic stability, education, healthcare, and the neighborhood, built environments as well as the community context (Pykett, 2019). The first step of implementing objectives of Health People 2020 is the identification of the national-wide health improvement priorities ...
Justicia social, epidemiologya e inequidad en la salud02678923
This document summarizes Michael Marmot's perspectives on social justice, epidemiology, and health inequalities based on decades of research. The key points are:
1) Marmot argues that social stratification is an appropriate topic for epidemiologists to study, as it is a major source of health variation in societies. Ignoring its effects would be ignoring a key factor.
2) While postmodern critical theory questions the social construction of science, Marmot asserts that epidemiology and public health have an important role in providing evidence to improve population health and reduce inequalities.
3) Marmot has focused on understanding the social determinants of health and how action on these determinants can reduce health inequalities. While the
This document discusses different types of health, including physical, mental, spiritual, emotional, and financial health. It explains that overall health is influenced by genetic, environmental, social, and behavioral factors. Maintaining wellness involves eating nutritious foods, exercising regularly, getting preventive health screenings, managing stress, social connection, and having a positive outlook. The best way to preserve health is through an ongoing healthy lifestyle rather than only addressing health issues once sickness occurs.
Review the World Health Organization’s (WHO) definition of healt.docxashane2
Review the World Health Organization’s (WHO) definition of health in Chapter 7 of your textbook. Then, write a research paper fulfilling the following requirements.
Why is the definition of health important to health policy?
Define the term “target population” as it relates to health policy.
How do societal influences impact the identification and definition process of policy?
Research a healthcare organization and highlight how their policies align or misalign with the WHO’s definition of health.
The paper
Must be four to six double-spaced pages in length (not including title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center.
Must include a separate title page with the following:
Title of paper
Student’s name
Course name and number
Instructor’s name
Date submitted
Must use at least four scholarly sources in addition to the course text.
Must document all sources in APA style as outlined in the Ashford Writing Center.
Must include a separate reference page that is formatted according to APA style as outlined in the Ashford Writing Center.
Defining
Health
Table
7-1
presents the view of health and health care espoused in the constitution of the World Health Organization. Although the UnitedStates is a U.N. member state, one would be hard put to find consensus in the United States on a number of the points that it cites as basicprinciples.
Asking people in the United States if health is more than the absence of illness or infirmity could produce a host of different responses. Somerespondents might come down on the side of physical and mental well-being but have a problem with trying to address social well-beingunder the heading of health. Indeed, the fact that we have millions of uninsured and do not provide mental health care to a large proportion ofthe population would seem to indicate a lack of commitment to physical and mental well-being.
Those analyzing or deciding on a policy need to understand the differences in the operational definitions of health that are representedaround the table. In the best of all possible worlds, those seated at the table would agree on thatdefinition and move on, but sometimes theart of politics depends, in part, on knowing when to try to agree on principles, or on actions, or on both, and whether to use limited politicalcapital to try to bring them into alignment publicly.
Table
7-1
Excerpts from the Preamble of the Constitution of the World Health Organization
…
the
following
principles
are
basic
…
• Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.
• The enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being without distinction ofrace, religion, political belief, or economic or social condition.
• The health of all peoples is fundamental to the attainment of peace and security and is dep.
The candidates will develop a substantive understanding of six components.docxwrite31
The candidates will develop a substantive understanding of the six components of reading by creating a 7-10 page paper. The paper must define and explain each of the six components of reading: comprehension, oral language, phonological awareness, phonics, fluency, and vocabulary. It must also include evidence-based practices that promote development in each reading area and have at least five references from journals or textbooks.
Women in The Testament of the Bible shows.docxwrite31
The document discusses several powerful and influential women in the Old Testament of the Bible, including Miriyam who helped lead the Israelites out of Egypt, Devorah who led the Israelites in battle as a judge, Yael who killed an enemy general, Yudit who saved her people by killing an invading general, Huldah who was a prophetess that King Josiah consulted, and Hadassah (Esther) who saved the Jewish people from annihilation.
Genesis chapters 1-11 are meant to be taken literally as historical accounts based on how other biblical authors reference and treat the people and events described in Genesis. The Bible outside of Genesis, such as references in the New Testament or other books, corroborate the literal and historical nature of Genesis chapters 1-11 by directly citing or building their own doctrines upon the characters and events described.
Write a memo to the CIO that describes how to.docxwrite31
The memo outlines an implementation plan for a new information system, addressing available resources, change management strategy, necessary equipment and software, training needs, workflow during transition, and potential resistance. It acknowledges limitations and provides evidence the assessment is accurate and complete, with the goal of gaining approval from a skeptical CIO for the proposed 3-5 page implementation plan.
The topic is In the Western Catholic The.docxwrite31
The document discusses the differences and similarities between lay persons and clergy in the Western Catholic Church. Both lay persons and clergy are baptized and committed to baptismal promises. However, lay persons cannot perform sacraments like confession, celebrate mass, or perform confirmation like clergy. Another difference is that lay persons can be married while clergy cannot. Ultimately, both aim to please God, though lay persons must also please their spouse.
The document discusses a YouTube video of a speech given by Steve Jobs where he knows he is dying. It asks 6 questions about the speech: 1) What makes it compelling beyond the emotional appeal? 2) Why did Jobs eliminate certain topics? 3) Why did he choose the topics he did? 4) How does he support his ideas? 5) What did we learn about speech making from this speech? 6) What is the most valuable thing we learned in the communication course?
The document discusses the importance of developing a global mindset for HR leaders. It recommends watching two videos on the evolving role of HR and profiles of global HR leaders. Developing a global mindset requires understanding how to work across cultures, which is an intellectual and emotional learning process. Readers are asked to respond to questions from a case study that describes management training challenges in Malawi, explaining how a global mindset could help address the HR issues and applying effective training methods in their analysis.
There is a relationship between an emotionality and their.docxwrite31
Individual decisions are influenced by both emotion and reason. When calm, rational thinking guides decisions, but strong emotions constrain clear thinking and increase impulsivity. Emotions can influence decisions and judgments in several ways. They can create tunnel vision or a narrow mindset, lead to jumping to conclusions, cause attention and memory biases that filter information processing, and distort time perception. Emotions are also catchy and can be transferred from others or triggered by unrelated background events.
What is required to petition is a formal letter the.docxwrite31
To petition for readmission after dismissal from Maryville University, a formal letter is required that describes the circumstances that impacted the student's success, what the student would do differently to be successful if readmitted, and the student's current academic goals at Maryville and why consideration should be granted based on those goals and circumstances.
what is mental illness as an officially recognized.docxwrite31
Mental illness is officially recognized as a category of deviance in society. It downplays the social foundations of conditions seen as deviant. The most commonly identified mental illness today in the US is depression. The perspective of "Pharmacracy" views mental illness as primarily a biological condition to be treated with medication. Goffman's book Asylums was important for policy as it shed light on the social environment of institutions and how that impacted patients. Stress from social inequality and lack of social support is most likely to lead to mental illness. The mentally ill employ "stigma management strategies" like passing or covering to avoid discrimination.
With you have learned about the cell DNA.docxwrite31
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The document discusses several models of radicalization and analyzes the USS Cole terrorist attack. It addresses the following key points:
1) The USS Cole attack in 2000 was clearly an act of terrorism carried out by al-Qaeda operatives in Yemen with the goal of forcing US withdrawal from the Middle East.
2) The attack served as al-Qaeda in Yemen's major initiation and revealed capabilities prior to the 9/11 attacks. Both US and Yemeni responses to the attack were inadequate and allowed al-Qaeda to strengthen.
3) Radicalization is generally a complex process involving multiple behavioral, psychological, social, and political factors that can lead one to extremist views over time rather than suddenly. The
This document discusses two pathways to terrorism - top-down and bottom-up - as explained by Professor Mohammed Hafez. The top-down process involves centralized organizations that promote radical ideology through social services, while the bottom-up process occurs when individuals have personal grievances and seek out radical groups. The document also examines case studies of Ted Kaczynski and Timothy McVeigh, analyzing which radicalization models best describe their paths to committing acts of terrorism.
Take a look back at your DPP and the Belmont.docxwrite31
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Stakeholder support is necessary for successful project Consider your.docxwrite31
Stakeholder support is crucial for successful project implementation. Both internal stakeholders within the healthcare setting considering a change proposal, as well as external stakeholders outside the setting, require support. Their backing is necessary for success, so determining why it is needed and how to obtain it is important.
The OSI data link layer is responsible for physical.docxwrite31
The OSI data link layer is responsible for physical addressing, network topology, error notification, sequencing of frames and flow control. IEEE has defined numerous protocols used with TCP/IP at the OSI data link layer, including various IEEE 802 standards. These standards require certain network devices, media, and topologies to implement them in a network.
This assignment is intended to help you use leadership skills.docxwrite31
This assignment aims to help students practice leadership skills by gathering a cross-functional mock project team and guiding them using project management tools. Students must create a 10-12 slide PowerPoint presentation with speaker notes that outlines the project description, management charts, improved process flowchart, meeting schedule, metrics, financial considerations, and reporting structure while citing references and using APA format.
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Thinking of getting a dog? Be aware that breeds like Pit Bulls, Rottweilers, and German Shepherds can be loyal and dangerous. Proper training and socialization are crucial to preventing aggressive behaviors. Ensure safety by understanding their needs and always supervising interactions. Stay safe, and enjoy your furry friends!
A Strategic Approach: GenAI in EducationPeter Windle
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This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
How to Manage Your Lost Opportunities in Odoo 17 CRMCeline George
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Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...Dr. Vinod Kumar Kanvaria
Exploiting Artificial Intelligence for Empowering Researchers and Faculty,
International FDP on Fundamentals of Research in Social Sciences
at Integral University, Lucknow, 06.06.2024
By Dr. Vinod Kumar Kanvaria
Strategies for Effective Upskilling is a presentation by Chinwendu Peace in a Your Skill Boost Masterclass organisation by the Excellence Foundation for South Sudan on 08th and 09th June 2024 from 1 PM to 3 PM on each day.
The simplified electron and muon model, Oscillating Spacetime: The Foundation...RitikBhardwaj56
Discover the Simplified Electron and Muon Model: A New Wave-Based Approach to Understanding Particles delves into a groundbreaking theory that presents electrons and muons as rotating soliton waves within oscillating spacetime. Geared towards students, researchers, and science buffs, this book breaks down complex ideas into simple explanations. It covers topics such as electron waves, temporal dynamics, and the implications of this model on particle physics. With clear illustrations and easy-to-follow explanations, readers will gain a new outlook on the universe's fundamental nature.
This slide is special for master students (MIBS & MIFB) in UUM. Also useful for readers who are interested in the topic of contemporary Islamic banking.
This presentation was provided by Steph Pollock of The American Psychological Association’s Journals Program, and Damita Snow, of The American Society of Civil Engineers (ASCE), for the initial session of NISO's 2024 Training Series "DEIA in the Scholarly Landscape." Session One: 'Setting Expectations: a DEIA Primer,' was held June 6, 2024.
Main Java[All of the Base Concepts}.docxadhitya5119
This is part 1 of my Java Learning Journey. This Contains Custom methods, classes, constructors, packages, multithreading , try- catch block, finally block and more.
1. Community Wellness Health & Medical Essay
A publication made possible by How understanding social determinants can deliver
community wellness A system approach to community health August 2019 In This Issue In
2017, former-U.S. Surgeon General Vivek H. Murthy wrote in the Harvard Business Review
that loneliness is becoming a serious healthcare problem. Then, in early 2018, the U.K.
appointed a Minister of Loneliness to address an epidemic that some say is worse for your
health than smoking 15 cigarettes a day. And loneliness, some research found, is more
accurate in predicting early death than obesity. What has all of this got to do with the
treatment of conditions such as diabetes? Well, quite a lot as you’ll see in this issue of Next
Now, an electronic magazine made possible by Allscripts. According to the Robert Wood
Johnson Foundation, “80 percent of clinical outcomes are attributable to the social
determinants of health.” And, according to a July 2017 JAMA article, the average life
expectancy is 15 to 20 years shorter in low-income communities than in more affluent
communities. In this issue of Next Now, we explore factors that contribute to a person’s
health, do a deep dive into the social determinants of health, then look at policy implications
affecting a comprehensive approach to improve community health and well-being. 2
Tomorrow’s ideas, today. 4 What determines health and why should we care? The United
States consistently ranks poorly on measures of health status. Why is that? What can we do
to improve? Goeff Caplea, MD, MBA 6 8 When would a 50-year-old woman with diabetes
most likely have a poor health outcome? As explained in the Social Determinants report
issued by HHS last year, the dearth of standards to address the capture and exchange of
social determinant data is a significant issue for the industry and is one that is limiting
research and analytics opportunities. What does a patient’s neighborhood have to do with
her diabetes? Geoff Caplea, MD, MBA A look at the policy side of social determinants of
health Leigh Burchell, Vice President, Allscripts Government Affairs 10 5 considerations for
overcoming obstacles in the shift to value Here are the 5 considerations (and the Allscripts
contributions) for overcoming the 15 impediments to taking on risk. Catherine Costa, RN,
MTM Next Now | August 2019 3 5% Environmental exposures 40% Individual behaviors
10% Medical care 15% Social circumstances 30% Genetics What determines health and
why should we care? Geoff Caplea, MD, MBA 4 The United States consistently ranks poorly
on measures of health status. Why is that? What can we do to improve? As we continue our
quest to achieve healthcare’s Triple Aim, it is essential we take a systematic look at the
factors that impact health and the best solutions to achieve our goals. The determinants of
health As outlined in the New England Journal of Medicine (NEJM) by Dr. Steven Schroeder
2. in “We Can Do Better— Improving the Health of the American People,” there are 5
determinants that contribute to an individual’s overall health—genetics, social
circumstances, individual behaviors, environmental exposures and medical care.
Importantly, the determinants of health do not contribute equally to a person’s overall
health and better health is not merely achieved with better medical care. In fact, medical
care plays only a small role in what makes a person—and a population—healthy. While
medical care is the determinant that receives the greatest share of resources and attention,
it contributes to only 10% of the factors that make a person healthy. The most influential
determinant to improve health and reduce premature deaths lies in changing unhealthy
individual behaviors (e.g., smoking, alcohol abuse). The chart on the previous page
illustrates the contribution of each determinant to overall health status. Individual
behaviors account for 40% of premature deaths in the U.S. influenced by factors such as
obesity, physical inactivity and smoking. Genetics, or the traits we inherit from our parents,
is another determinant with significant impact on a person’s overall health and well-being.
While historically less modifiable than other determinants, there is now great potential to
use genomics to better understand ourselves and for doctors to utilize this information to
tailor preventative and treatment therapies. The environment refers to the neighborhood or
built environment in which we live. Not only does this include environmental conditions
such as allergens, air quality and water quality, but also factors like access to healthy foods,
places to exercise, adequate public transportation, educational and job opportunity, and
safety from crime and violence. Although a smaller contributing factor to health overall, the
environment plays a critical role in the health (or sickness) of people with highly sensitive
chronic conditions like asthma. Poor social circumstances have significant impact on people
and negatively impact the health and wellbeing of both individuals and communities. The
final determinant of health, social circumstances, represents the social conditions in which
we live and develop. These factors include support networks, education, job opportunity,
income and social status. Poor social circumstances have significant impact on people and
negatively impact the health and well-being of both individuals and communities. To learn
more about the 5 determinants of health, read “We Can Do Better— Improving the Health of
the American People” (New England Journal of Medicine) by Dr. Steven Schroeder.
REFERENCES: Schroeder, S. A. (2007). “We Can Do Better — Improving the Health of the
American People.” New England Journal of Medicine, vol. 357, no. 12, 2007, pp. 1221–1228.
“Goinvo Determinants of Health.” (n.d.). Retrieved May 1, 2019: https://www.goinvo.
com/vision/determinants-of-health “NCHHSTP Social Determinants of Health.” (2014).
Retrieved May 1, 2019: http://www.cdc. gov/nchhstp/socialdeterminants/definitions. html
“The determinants of health.” (n.d.). Retrieved March 14, 2016: http://www.who.int/hia/
evidence/doh/en/ “Social Determinants of Health.” (n.d.). Retrieved May 1, 2019:
https://www. healthypeople.gov/2020/topics-objectives/ topic/social-determinants-of-
health “Beyond Health Care: The Role of Social Determinants in Promoting Health and
Health Equity.” (n.d.). Retrieved May 1, 2019: http:// kff.org/disparities-policy/issue-
brief/beyondhealth-care-the-role-of-social-determinants-inpromoting-health-and-health-
equity/ To learn more about the 5 determinants of health, read We Can Do Better—
Improving the Health of the American People (New England Journal of Medicine) by Dr.
3. Steven Schroeder. In my next article, I will discuss the social determinants of health in depth
and why a holistic approach by doctors, hospitals and communities is necessary to elevate
health and quality-of-life. Next Now | August 2019 5 What does a patient’s neighborhood
have to do with her diabetes? Geoff Caplea, MD, MBA W hen would a 50-year-old woman
with diabetes most likely have a poor health outcome? When she lives in an area (urban,
suburban or rural) that lacks access to healthy food, a safe place to exercise, or convenient
access to medical care. organizations seek innovative, holistic solutions to costeffectively
deliver care and provide better health outcomes, they must identify and address health
literacy, financial instability, food insecurity and other social circumstances to meet the
demands of our U.S. value-based care transformation. What do these things have to do with
diabetes? A lot, as research has shown that these and other factors, known as the social
determinants of health, play a significant role in the health (or sickness) of people and
communities. The example on the next page illustrates how social and economic factors can
significantly impact a patient’s needs and alter what interventions are required in her care.
What are Social Determinants of Health? According to the World Health Organization
(WHO), social determinants of health are “the conditions in which people are born, grow,
work, live and age, and the wider set of forces and systems shaping the conditions of daily
life. These forces and systems include economic policies and systems, development agendas,
social norms, social policies and political systems.” …social and economic factors are far
stronger determinants of health outcomes than medical care. As indicated by Dr. Steven
Schroeder and others, social and economic factors are far stronger determinants of health
outcomes than medical care. The contribution of social, economic and environmental
circumstances is so strong in determining health that the WHO states “blaming individuals
for having poor health or crediting them for good health is inappropriate. Individuals are
unlikely to be able to directly control many of the determinants of health.” With this
understanding that the context of people’s lives is what most significantly determines their
health, we must take a comprehensive and systematic approach to address social
determinants to improve individual and community health. Addressing Social Determinants
of Health to achieve the Triple Aim As we continue in pursuit of healthcare’s Triple Aim—
better care, smarter spending and healthier people—the social determinants of health take
on even greater importance. As healthcare 6 Although the social determinants are clear in
this illustration, they may not be as apparent in practice and steps must be taken to ensure
clinicians and healthcare organizations assess patients for these factors as part of routine
care. Even more important than identification, however, clinicians must be supported with
appropriate resources to effectively adjust the care plan to address socioeconomic factors
which may limit or prevent Nicole from achieving her health goals. To this end, stakeholders
across the country are evaluating new and innovative approaches to identify and address
the healthrelated social and economic needs of patients and communities. Some examples
include: • Early childhood education and development programs • Safe access to green
space for physical activity • Healthy grocery options • Nutrition services • Transportation •
Workforce development • Medical neighborhoods So far, we have discussed the wide range
of factors that contribute to health and have taken a deeper dive into the social
determinants. Next, we’ll examine the policy implications. Diabetes High Blood Pressure
4. Diabetes Working Poor High Blood Pressure Food Desert High-Crime Neighborhood R I S K
S T R AT I F I C AT I O N R I S K S T R AT I F I C AT I O N Medium Priority High Priority Next
Now | August 2019 7 A look at the policy side of social determinants of health Leigh
Burchell, Vice President, Allscripts Government Affairs 8 I t is generally accepted that there
is a correlation between social determinants of health and patient outcomes. As far back as
2003, the National Academies of Medicine (NAM) studied and reported on the relationship
between the rates of medical procedures and the race of the patient. In the last several
years, as EHRs and other health information technologies— such as population health
solutions— gained wider use, data related to the social determinants of health (SDoH) have
been increasingly captured and available to clinicians. In particular, the Meaningful Use
incentives, the MACRAresponsive requirements and the CPC programs have—as a
byproduct—helped expand the volume and types of nonmedical determinative information
on file about patients. Beginnings of policy I recently met with representatives from across
CMS for a discussion on SDoH. I was heartened to learn about the breadth of the agency’s
focus on this topic, spanning the Center for Medicare to the Office of Minority Health; Center
for Clinical Standards and Quality (CCSQ) to the CMMI. However, while a few CMS programs
have started piloting work in this area, such as the Accountable Health Communities model,
it is clear that HHS is nowhere near a comprehensive strategy, with the health IT
intersection one area in need of real focus. Capturing social determinant data As explained
in the Social Determinants report issued by HHS last year, the dearth of standards to
address the capture and exchange of social determinant data is a significant issue for the
industry and is one that is limiting research and analytics opportunities. Policy makers are
also weighing the inadvertent consequences that could negatively affect the groups most in
need of assistance if social determinant data were to be misused. The challenge is described
in a recent eHealth Initiative report. “Organizations must consider the potential impact of
the use of SDoH data on vulnerable populations and ensure the data is collected and used in
a fair, unbiased and scientific manner… It is also important that choices made about
modeling and analyzing data elements are free from bias. Standardization may be a means
to help eliminate potential bias and discrimination.” Additional standards complexity The
issue of standards is even more complex than the norm when addressing social determinant
information because the sources of data that would be useful are so variant. Everyone from
housing programs to transit authorities to Meals on Wheels have information on patients
that could be clinically relevant. Unfortunately, there is currently no widely-available
mechanism to convert the information they have on their clients into discrete forms that
can be absorbed by an EHR. Further, there is still no industry agreement addressing where
such data should be stored…should healthcare providers be responsible for asking about
and digitally capturing that information? If so, where would it be saved? Or does it make
more sense for the health plans and payers to gather and store this intelligence, making it
available via application programming interfaces (APIs) to the whole team of clinicians who
see that member? Clinician drivers to act on SDoH The industry will need to come to
agreement on performance metrics associated with SDoH and map those measures to
claims codes. It will also be imperative that payment models rolled If a physician has no way
to help a patient who lives in a food desert zip code, or doesn’t have an air conditioner as a
5. congestive heart failure (CHF) patient, there are questions whether it is a good use of their
time to have that conversation. out from the CMMI start to financially incite consideration of
SDoH factors in the care process. Additionally, we cannot overlook that providers are
concerned about being asked to spend valuable time during a patient encounter gathering
and documenting non-medical data without any real ability to act on what they learn. If a
physician has no way to help a patient who lives in a food desert zip code, or doesn’t have
an air conditioner as a congestive heart failure (CHF) patient, there are questions whether it
is a good use of their time to have that conversation. Given the ongoing focus on reducing
clinician frustration throughout their work day, this is an important question to answer. My
final thoughts There is much more to be done to bring comprehensive social determinant
data into the provider’s EHR workflow in a userfriendly, trusted and actionable fashion. And
it is clear that it may be some time until policies from regulators and payers settle into any
type of consistent framework. Allscripts is pleased to be taking a leadership role in the
conversation and is excited that the health IT industry has yet another way to contribute to
the betterment of patient care. Read more on determinants of health here. Next Now |
August 2019 9 T he journey to a value-based healthcare payment model is further away
than we think. The AMGA’s recently released Fourth Annual Survey, Taking Risk, 4.0:
Clearing a Pathway to Value-Based Care, lists many obstacles. 5 considerations for
overcoming obstacles in the shift to value Catherine Costa, RN, MTM 10 Even after a decade
of programs, incentives and infrastructure investments, the federal payment plans are
tipping the scales with 56% of healthcare revenue aligned with care delivered via fee-
forvalue programs. The commercial plans are woefully behind that, with a whopping 72%
of revenue still based on fee-for-service programs. Similar to results from the past three
years’ surveys, AMGA members noted ongoing obstacles in moving to value. Here are the 5
considerations (and the Allscripts contributions) for overcoming the 15 impediments to
taking on risk. 1. Attribution methodology Providers are paid based on the list of patients
that are attributed to them by the healthcare plan. Healthcare plans “attribute” their
members (the patients) to specific providers. When these lists don’t align, providers don’t
get credit for the care (and reporting) they delivered to the patient (i.e. member) and
therefore will score lower in value-based care models. An exception to the attribution
problem is the Medicare Advantage participants. Because members (patients) enroll in an
MA plan, attribution to the provider is clear. This is perhaps one reason why MA is the most
prevalent risk-payment model for federal plans. Allscripts helps with payer systems
partnership and integration to create custom attribution reconciliation reports and
recommended data governance needed to manage these lists. 2. Access to full claims
information As a provider, you are constantly solving a puzzle. Information from various
sources is pulled together to give the full picture of health or risk. The single source of truth
for all this information lives within the claims data. Without full access to claims data,
providers can be left with blind spots that impact diagnoses, treatment and even care
management. Ultimately, patients don’t receive the care they deserve and providers are left
“under delivering” within the metrics of the value-based care program. Providers are left to
send and receive data to different payers in different formats, causing large data integration
needs. Pulse8, part of the Allscripts Veradigm™ business unit, provides granular analytics
6. (output files, chase lists, dashboards and reports) at both the member-centric and provider-
centric levels. Member-centric analytics are available within Qualit8 and Calcul8, whereas
provider-centric analytics are also contained within Collabor8. Together, Pulse8 pairs the
most piercingly accurate Risk Adjustment and Quality Management analytics with the most
pragmatic interventions and provider-engagement approach available on the market. 3.
Standardize data submission We all know the importance of interoperability. There are
degrees of interoperability. Simply providing access to a consolidated clinical document
architecture (CCDA) is hardly the level of interoperability needed to support the shift to
value. True value from the healthcare data (clinical and claims) comes when a clean, nimble,
unified patient record is made available at point of care and within managed population
reporting. The Allscripts CareInMotion™ suite can submit data across fragmented sites and
integrate discrete patient data from diverse care settings, regardless of IT supplier, into a
single patient record. dbMotion provides a longitudinal patient record with semantically
normalized data, point-of-care tools and an analytics gateway. 4. Lack of commercial “risk
arrangements” and cost/quality feedback In what industry besides healthcare are
commercial plans far behind federal plans? There are little to no incentives for the
commercial plans to provide risk-based payment models. Providers spend thousands of
dollars on IT investments and care management teams not knowing the full potential or
return of the risk-based models. Allscripts partners with Quality and Analytics teams to de-
code what plans are available to you in your region and that best align with your
capabilities. Together we will create a plan in alignment with your values and strategic
goals that will maximize the plan’s performance. 5. Problems with the data (Medicare and
health plans) Not all data are created equal, clean or good. The best technology will not
work on bad data. CareInMotion employs semantic grouping technology, making dbMotion
the leader in complex medical ontologies. We also leverage a data source analysis tool to
determine source data deficits and identify gaps in data integrity. On the topic of data, the
report correctly calls out the point that we are, at times, spending tremendous resources
collecting quality measures that have little impact on improving quality. Models that focus
on prevention, appropriate utilization, patient experience and meaningful outcomes are in
line with a move toward value. Value lies with the patient, especially because caring for the
patients was the reason respondents entered the healthcare field. Risk-based payment
models should allow providers the flexibility to participate in programs that matter to their
local population. As plans evolve and non-clinical factors needs are considered (such as
social determinants of health), program and IT flexibility will be even more critical. Risk-
based or not, the three categories of investment highlighted in this report resonate: care
process redesign, IT solutions and care management personnel. These are all pillars for
better care and better collaboration between providers and payers. To read the full report,
click here. Thank you to the AMGA for conducting this survey for the fourth consecutive
year. I leave you with this final question and truly would like to hear your thoughts: Are
risk-based payment models really the pathway to value-based healthcare? Next Now |
August 2019 11 The story of possible. When you’re dealing with people on the best or worst
days of their lives, you can’t overprepare. You are tasked with offsetting the needs of a
business full of financial and competitive pressures, without compromising the care of a
7. human life. That’s why we offer flexible solutions rather than abiding by the oh-so-common
“one-size-fits-all” mentality—not just for patients and families but for the doctors and staff
taking care of them. With abundant humility, we offer that our role is a noble one. We use
technology to help you provide care, and we believe the hardest part of healthcare shouldn’t
be gathering the information to provide it properly. We enable amazing teams that beat
cancer, deliver babies, and make people walk again. We are the support system with lifelong
consequences. It’s a massive balancing act: between integration, privacy, and practicality.
And it all needs to be handled with grace and understanding, and be permeated with hope.
When you change what is possible, you change everything. 12