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Test Bank for Population Health: Creating a Culture of Wellness 3rd Edition by David B. Nash

By: David B. Nash Alexis Skoufalos Raymond J. Fabius Willie H. Oglesby
ISBN-10: 1284166600
/ ISBN-13: 9781284205367

Resource Type Information

Edition: 3rd Edition
Authors: David B. Nash Alexis Skoufalos Raymond J. Fabius Willie H. Oglesby
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Description

Chapter 1 The Population Health Promise

    • Introduction
    • The Current State of Population Health
    • Population Health Defined
    • Foundations of Population Health
    • The Care Continuum
    • The Science
    • The Effect on and Response by the Marketplace
    • The Politics
    • Frameworks for Innovation
    • Healthy People 2020
    • Triple Aim
    • Practical National Priorities and Goals—The CDC 6/18 Initiative
    • Preventive Strategies and Pillars of Population Health
    • Preventive Strategies
    • The Four Pillars
    • Care Management
    • Quality and Safety
    • Public Health and Health Policy
    • Conclusion

Chapter 2 Epidemiology

    • Introduction
    • Leading Causes of Death in the United States
    • Determinants of Causes of Death and Disease in the United States
    • Distributions and Health Disparities
    • What Is Epidemiology and Why Is It Important?
    • Population Medicine
    • “What Is Upon the People”
    • Objectives of Epidemiology
    • History of Epidemiology
    • John Snow and Cholera in London
    • Epidemiologic Transition
    • Modes of Practice of Epidemiology
    • Quantification
    • Sources of Epidemiologic Data
    • Epidemiology in Practice
    • Descriptive Epidemiology: Quantifying Disease among Populations
    • Rates
    • Epidemic
    • Analytic Epidemiology: Searching for the Causes of Disease among Populations
    • Experimental Studies
    • Observational Studies
    • Epidemiology and Population Health
    • Integrating Social Determinants of Health in EMR
    • The Future of Epidemiology in Population Health

Chapter 3 On the Path to Health Equity

    • Introduction
    • Health Equity
    • Racism, Trust, Stigma, and Bias
    • Cultural Competence
    • It Will Take the Entire Team and Some New Players
    • Conclusion

Chapter 4 Structure, Systems, and Stakeholders

    • Introduction
    • The Preindustrial Era (Mid-18th to Late 19th Century)
    • The Industrial Era (Late 19th to Late 20th Century)
    • The Corporate Era (Late 20th Century to the 21st Century)
    • The Evolution of Health Insurance
    • Commercial and Employer-Sponsored Insurance
    • Medicare
    • Medicaid
    • Veterans Affairs and TRICARE
    • Children’s Health Insurance Program and American Indian and Alaska Native
    • High-Deductible Health Plans (HDHP)
    • Healthcare Delivery Systems
    • Healthcare Providers
    • Physicians
    • Nursing
    • Advanced Practitioners
    • Pharmacists
    • Community Health Workers
    • Types of Delivery Systems
    • Managed Care Organizations
    • Accountable Care Organizations
    • Veterans Administration
    • Federally Qualified Health Centers
    • Telehealth
    • Stakeholders
    • Patients/Consumers
    • Providers
    • Payers
    • Pharmaceutical Industry
    • Conclusion

Chapter 5 Reimbursement Models to Support Value-Based Care

    • Introduction
    • Definition of Value
    • Economic Concepts
    • Health Insurance and the Elements of the Fee-For-Service, Value-Based Care Continuum
    • Evaluating Value-Based Care Reimbursement Models
    • Stakeholder Perspectives on Value-Based Care Models
    • Conclusion

Chapter 6 Population Health Data and Analytics

    • Population Health and the Importance of Data
    • Clinical Data: Electronic Health Records
    • Interoperability: EHRs Exchanging Data
    • System-to-System Interoperability via HL7-Based Interfaces
    • Transitions of Care Among Healthcare Organizations— C-CDA-Based Interoperability
    • Application Interoperability Using FHIR
    • Health Information Exchanges
    • Patient-Generated Data
    • Payment Models and How They Depend on IT Systems
    • Financial and Claims Data
    • Claims
    • Payment and Reimbursement
    • Capitation
    • Attribution
    • Utilization Approximation by Counting Encounters and Length of Stay
    • Social Determinants of Health
    • Data Aggregation
    • Data Quality
    • Data Governance
    • Risk Stratification
    • Analysis and Reporting
    • Artificial Intelligence and Machine Learning in Population Health
    • Conclusion

Chapter 7 Developing the Workforce to Enhance Population Health

    • Introduction
    • A Focus on Population Health
    • Social Determinants Drive Population Health
    • Collaboration Is Required Across the Health Ecosystem
    • Population Health Strategy
    • Developing Workforce Support for Population Health Strategy
    • Creating a Workforce Development Strategy and Plan
    • Defining the Need: Identify Critical Roles
    • Building the Workforce Development Plan: Another Word About Culture
    • Conclusion
    • Workforce Development: An Executive Leadership Example
    • Introducing Beta Health System
    • Supporting the Culture That Supports the Strategy
    • Identifying Critical Executive Roles, Competencies, and Competency Gaps
    • The Executive Development Plan
    • Aligning Culture

Chapter 8 Health Promotion and Health Behavior

    • Introduction
    • The Role of Behavior in Morbidity and Mortality
    • How Theory Informs Health Promotion and Disease Prevention
    • Designing Theoretically Grounded Interventions (PRECEDE-PROCEED Model)
    • Major Theories in Public Health and Interventions in Practice
    • Evaluating Theory-Based Programs in Public Health Practice
    • Conclusion

Chapter 9 Consumer Engagement and Technology

    • Introduction
    • Sphere 1: Personal Technologies
    • Wearables and the Internet of Things (IOT)
    • Nudges and Social Comparisons
    • Sphere 2: Social Media and Trust
    • “Influencers” and the Growing Wellness Industry
    • Sphere 3: Retail and Business
    • The Case of Caregiving
    • Conclusion

Chapter 10 Accountability for Outcomes

    • Purposes of Measurement: The “Why”
    • Measurement for Improvement
    • Measurement for Accountability
    • Measurement for Research
    • Accountability for Outcomes: The “How”
    • Outcomes Measurement: The “What”
    • Triple Aim Measurement Framework
    • Triple Aim Measurement Guide
    • The Quadruple Aim
    • Conclusion

Chapter 11 Changing Organizational Culture

    • Introduction
    • Failure of Ideas
    • Failures of Will
    • Failure of Execution
    • Strategies for Success
    • Framework 1: Switch
    • Switch Framework Case Study 1: Adopting Systemwide Change
    • Switch Framework Case Study 2: Ensuring End-of-Life and Healthcare Proxy Discussions
    • Framework 2: Psychology of Change
    • Framework 3: The Kotter Eight-Step Change Model
    • Eight-Step Framework Case Study 1: System Transformation
    • Eight-Step Framework Case Study 2: 100 Million Healthier Lives
    • Takeaways for Change Leaders

Chapter 12 Coordinated Care Delivery Models

    • Introduction
    • Total Cost of Care APM Example: Accountable Care Organizations
    • Primary Care APM Example: Comprehensive Primary Care (CPC) Program
    • Condition-Specific APM Example: Oncology Care Model and the Patient-Centered Specialty Practice
    • Condition-Specific APM Example: Bundled Payment for Care Improvement
    • Care Coordination Operations in Ambulatory Care
    • Interprofessional Collaboration and Practice Transformation
    • Coordinating Care Transitions
    • How to Manage Change When Providers Are Still Primarily Working on Volume
    • Conclusion

Chapter 13 Policy and Advocacy

    • Introduction
    • The Policymaking Process
    • Considerations in Policymaking
    • Key Players in Federal Policymaking
    • U.S. Congress
    • Legislative Branch Agencies
    • U.S. Department of Health and Human Services
    • Experimentation Before CMMI
    • Paradigm Shift: The ACA
    • Recent Developments
    • Advocacy
    • What Is Lobbying?
    • Who Lobbies?
    • NashvilleHealth: A Vignette on a Coalition
    • Evaluating NashvilleHealth Interventions Utilizing Healthy People 2020 Goals
    • Data
    • Conclusion

Chapter 14 Building Cultures of Health and Wellness Within Organizations

    • Introduction
    • What Is a Culture of Health and Wellness?
    • Communication
    • Encouragement and Engagement
    • Access
    • Evidence-Based Practice
    • Supportive Environment
    • Evaluation and Improvement
    • What Is a Benchmark Organization?
    • How Does an Organization Get Started?
    • Establish a Vision for Health
    • Engage Senior Leadership and Align Management
    • Develop Supporting Workplace Environmental Changes and Implement Workplace Policies
    • Construct a Comprehensive Integrated Data Warehouse
    • Utilize Value-Based Benefit Design and Behavioral Economics
    • Implement Broad Population Health Activities
    • Aligning Key Constituencies
    • Comparison to Benchmarks
    • A Market-Based Solution to the Healthcare Crisis
    • Justification and Business Case: The Connection Between Health and Wealth
    • Conclusion

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