This document discusses the importance of collaboration between healthcare organizations and other partners to promote population health. It notes that social and environmental factors have a significant influence on health outcomes, beyond what healthcare alone can control. To truly impact population health, strategic partnerships are needed that involve individuals, communities, public health officials, government agencies, and others. The document recommends approaches like policy changes, education initiatives, and a shift toward health promotion activities to engage these broader determinants of health.

1. Health Promotion through Collaboration
Kelly Klarich
St. Mary’s University of Minnesota
HS698 Capstone
Jerry Lovrien, MHA

2. Agenda
• Purpose
• Significance
• Health Indicators
• Social Determinants/Critical Influences of Health
• Partnerships
• Structural Approaches to Health
• Healthcare Organizations
• Policies
• Recommendations

3. Purpose
Healthcare can only go so far in controlling the health of a patient or population
due to social, economic, environmental and behavioral determinants such as
economic stability, education, food sources, environmental impacts and the
individual choices people make with respect to their health. As a result of these
influences not in the control of the healthcare system is it realistic to think that
healthcare organizations can impact the over-all health of a population group on
their own?
Examine the social determinants impacting the health of individuals and develop
recommendations for ways to improve the health of American’s collaboratively
with other partners.

4. Significance
• U. S. Healthcare Spending
• Health and Social Care Comparison
• Healthcare Leaders Role
• Health indicators

6. Heath and Social Care Comparison
Health and Social Care Spending as a Percentage of GDP (Squires and Anderson, 2015). Adapted from “U. S. Health Care from a Global Perspective: Spending, Use of Services,
Prices, and Health in 13 Countries” by Squires, D., Anderson, C. 2015. The Commonwealth Fund. October 2015. Copyright 2015 by The Commonwealth Fund.

7. Social Determinants of Health

8. Statistics
• Higher educational levels
• 2.5 times lower death rates
• Poverty
• 6 % higher mortality rate
• 2-5 times higher obesity rates
• Physical environment/toxic agents
• 27% of all cancer deaths
• 2-5 times higher obesity rates

9. Healthcare Leaders Role
There is mounting evidence that the contribution of medicine
and health care is quite limited, and that spending more on
health care will not result in significant improvements in
population health. On the other hand, there are strong and
growing indications that other factors such as living
conditions,education and diet are crucially important for a
healthy population.
Strategic planning for health leaders must begin with
understanding the all determinants impacting health.

10. Health Indicators
• Definitions:
• Absence of illness or disease
• A state of physical and mental well-being that
facilitates the achievement of individual and societal
goals (SAEM)
• Factors impacting health
• Genetic make-up
• Individual behaviors
• Medical practices
• Social, economic, and environmental determinants

11. Social Determinants/Critical
Influences of Health
Conditions in the environment that impact health,
functioning, and quality of life outcomes and risks
• Social
• Physical
• Environmental
• Behavioral
Public safety

12. Growing Communities: Social Determinants, Behavior, and Health (Ramirez, Baker, Metzler, 2008). Adapted from “Promoting Health Equity” by Ramirez, Baker, Metzler, Atlanta:
U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2008.

13. Creating a healthy population will require
“Super teams.”

14. Partnerships
• Individuals
• Public Health Officials
• Communities
• Health and Human Services
• Local and Federal Government Officials
• Lawmakers
• Schools
• Health Care Organizations

15. Structural Approaches to Health
• Policy changes
• Price modifications
• Redesign of community environments
• Changing social norms

16. Healthcare Organizations
• Shift in paradigm
• Treating sick health promotion
• Increased focus on health-directed structural
initiatives
• Partnerships with community and government
agencies
• Education
• Increasing access to preventative services
• Increased focus on health equity

17. Policies
The following are used to help in the creation
of new policies:
• Data
• EMR
• New tools
• Communities design
• Chronic disease database
• Collaboratives
• Health in All Policies
• Healthy People

18. Policy Examples
• Tobacco free environment
• Regulatory changes for prescriptions and
education
• Obesity

19. Recommendations
• Change social values
• Increased partnerships
• Education
• Shift in spending
• Broaden public health policies

20. Questions