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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.
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