The Health Systems Administration program at Georgetown has its students complete case projects for a fictional community, Middleboro. Throughout the program we created several deliverables: Community Profile, Community Health Assessment, Strategic Plan, Marketing Plan, and Business Plan.
The Health Systems Administration program at Georgetown has its students complete case projects for a fictional community, Middleboro. Throughout the program we created several deliverables: Community Profile, Community Health Assessment, Strategic Plan, Marketing Plan, and Business Plan.
The Health Systems Administration program at Georgetown has its students complete case projects for a fictional community, Middleboro. Throughout the program we created several deliverables: Community Profile, Community Health Assessment, Strategic Plan, Marketing Plan, and Business Plan.
A summary of recent innovations in radiation oncology focussing on the priniciples of different techniques and their application. An overview of clinical results has also been given
This presentation is intended to refer while doing planning of SBRT Prostate for all practical aspects from Simulation - contouring - planning - treatment. I am sure it will be very useful presentation for any radiation oncologist who are willing to start workflow of SBRT Prostate in the department of radiation oncology
Learn about the process of radiation therapy to treat soft tissue sarcoma, and how new radiation technology has improved treatment of the disease.
This presentation was given by Elizabeth H. Baldini, MD, MPH, radiation oncology director for the Center for Sarcoma and Bone Oncology at Dana-Farber Cancer Institute. It was originally presented as part of the "15 Years of GIST/Soft Tissue Sarcoma Symposium," held on Sept. 12, 2015 at Dana-Farber in Boston, Mass.
This slide includes physical, biological properties of proton and its advantage over the photon. It also provides information from beam production to treatment planning system of proton therapy, its potential applications, cost effectiveness and demerits.
The Health Systems Administration program at Georgetown has its students complete case projects for a fictional community, Middleboro. Throughout the program we created several deliverables: Community Profile, Community Health Assessment, Strategic Plan, Marketing Plan, and Business Plan.
The Health Systems Administration program at Georgetown has its students complete case projects for a fictional community, Middleboro. Throughout the program we created several deliverables: Community Profile, Community Health Assessment, Strategic Plan, Marketing Plan, and Business Plan.
A summary of recent innovations in radiation oncology focussing on the priniciples of different techniques and their application. An overview of clinical results has also been given
This presentation is intended to refer while doing planning of SBRT Prostate for all practical aspects from Simulation - contouring - planning - treatment. I am sure it will be very useful presentation for any radiation oncologist who are willing to start workflow of SBRT Prostate in the department of radiation oncology
Learn about the process of radiation therapy to treat soft tissue sarcoma, and how new radiation technology has improved treatment of the disease.
This presentation was given by Elizabeth H. Baldini, MD, MPH, radiation oncology director for the Center for Sarcoma and Bone Oncology at Dana-Farber Cancer Institute. It was originally presented as part of the "15 Years of GIST/Soft Tissue Sarcoma Symposium," held on Sept. 12, 2015 at Dana-Farber in Boston, Mass.
This slide includes physical, biological properties of proton and its advantage over the photon. It also provides information from beam production to treatment planning system of proton therapy, its potential applications, cost effectiveness and demerits.
The Health Systems Administration program at Georgetown has its students complete case projects for a fictional community, Middleboro. Throughout the program we created several deliverables: Community Profile, Community Health Assessment, Strategic Plan, Marketing Plan, and Business Plan.
The Health Systems Administration program at Georgetown has its students complete case projects for a fictional community, Middleboro. Throughout the program we created several deliverables: Community Profile, Community Health Assessment, Strategic Plan, Marketing Plan, and Business Plan.
The Health Systems Administration program at Georgetown has its students complete case projects for a fictional community, Middleboro. Throughout the program we created several deliverables: Community Profile, Community Health Assessment, Strategic Plan, Marketing Plan, and Business Plan.
The Key to Transitioning from Fee-for-Service to Value-Based ReimbursementsHealth Catalyst
The shift from fee-for-service to value-based reimbursements has good and bad consequences for healthcare. While the shift will ultimately help health systems provide higher quality lower cost care, the transition may be financially disastrous for some. In addition, the shifting revenue mix from commercial payers to Medicare and Medicaid is creating its own set of challenges. There are, however, three keys to surviving the transition: 1) Effectively manage shared savings programs to maximize reimbursement. 2) Improve operating costs. 3) Increase patient volumes. With an analytics foundation, health systems will be able to meet and survive today’s healthcare challenges.
In Spring of 2010 I was on a Georgetown student consulting team that worked on figuring out if it was possible to detect Medicaid fraud from #opendata in small, medium, and large states. This is the database work behind that project.
Surviving Value-Based Purchasing in Healthcare: Connecting Your Clinical and ...Health Catalyst
Reducing healthcare costs is a major driving force in bundled payments, home-centered medical care, and accountable care organizations. But each new delivery model is built on the premise of reducing revenue per patient. So how can a health system win? Find out what you can do financially survive in today’s environment.
Rising Healthcare Costs: Why We Have to ChangeHealth Catalyst
With rising healthcare costs, we hear so often about rate pressures on hospitals and the risk these pressures pose for their future. With healthcare reform, the burden of rising healthcare costs is shifting from payers to providers. Hospitals need to move toward value-based reimbursement models or they will face a -15.8 operating margin by 2021.Over the last 15 years premiums and employee contributions for an average family with health insurance sponsored by an employer have risen 167%. Along with these facts, government payers are reimbursing at lower levels becoming a negative margin for hospitals. These changes are not necessarily easy and can seem overwhelming. The question is whether your hospital will be a pioneer on the trail or will delay until it’s too late. The best way to get started is to understand exactly where you are today—your current cost structure and how each area of your organization is performing in terms of quality and cost, using an EDW.
City of Austin - Volunteerism Benchmarking StudyDavid J. Neff
I'm serving on the City of Austin Volunteerism Strategy committee. This enviromental benchmarking study was one of the first project we reviewed to help shape the future landscape of volunteering in Austin, TX.
Regional Snapshot: Exploration of Key Trends in the 65+ Age CohortARCResearch
This month's regional snapshot explores key trends among the 65+ age cohort in the 10-county Atlanta region. This snapshot is a compressed version of a longer product giving an overview of Aging demographics, as well as of issues impacting seniors in our region. This forthcoming product will also highlight activities and programs of the Atlanta Regional Commission's Aging & Health Resources group that address the aging population’s needs and challenges.
Professor Steve Schifferes presented a summary of his research into public trust in business journalism at a BBC Trust seminar on impartiality and economic reporting in November 2012.
Professor Schifferes' research shows that the public does not trust journalists to give a fair and balanced picture of the economic crisis, and thinks there is not enough information on how the crisis will affect the jobs and incomes of ordinary people.
The research was based on a poll conducted by ICM in November 2011 with a sample size of 2,000 adults.
Similar to Middleboro Community Needs Assessment (10)
Startup weekend presentation. The team won "best use of government data" for creating a business called "Pineapple Food." This is the presentation from the July 10, 2012 presentation to the Worldbank on the topic (given by Marvin Ammori).
March 19, 2011 presentation at the Annual conference for the Association for Prevention Teaching and Research on opportunities for students to be engaged with mHealth.
Overview of Meaningful Use, Stage One. Presented to Georgetown's Health Information System's class on 4/14//11. Only difference from previous lectures is the addition of slides on adoption sentiment.
Meaningful Use Stage One, with CertificationJess Jacobs
Overview of Meaningful Use, Stage One. Presented to Georgetown's Undergraduate Health Information System's class on 12/8/10. Only difference from 1/8/10 lecture is the addition of slides on certification.
In Spring of 2010 I was on a Georgetown student consulting team that worked on figuring out if it was possible to detect Medicaid fraud from #opendata in small, medium, and large states.
My very first PowerPoint presentation. Ever. This reported on The school didn't do PPT so my dad borrowed a projector from his office. Then I was told I relied on the ppt too much. Whoops!
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
2. POPULATION HEALTH
Concerns the health outcomes of a group of
individuals including the distribution of such
outcomes within the group (Kindig and Stoddart)
Objective: to describe, explain, predict, control
3. HEALTH INDICATORS
A limited yet comprehensive set of coherent and
significant indicators that can be monitored over
time and disaggregated to relevant social units
(Stoto)
Intended to help everyone more easily
understand the importance of health promotion
and disease prevention and to encourage wide
participation in improving health in the next
decade (Healthy People 2010)
4. SUSA HEALTH INDICATORS FRAMEWORK
Social and Physical
Environment
Health-Related Health
Behaviors Outcomes
Health Systems
5. HILLSBORO’S HEALTH STATUS
Comparatively similar health status as other
communities
Within the community, chronic disease
prevalence is an issue:
Cardiovascular health
Malignant neoplasm
6. HILLSBORO MORTALITY RATES
Comparative Mortality Rates
30
Rate per 10,000 People
20
10
0
Hillsboro County Capital City USA
7. HILLSBORO COUNTY
Hillsboro County Cause Adjusted Mortality
40
Cause of Death Rate per 100 Deaths
35
30
25
20
15
10
5
0
8. SUSA HEALTH INDICATORS FRAMEWORK
Social and Physical
Social and Physical
Environment
Environment
Health-Related Health
Behaviors Outcomes
Health Systems
9. SOCIAL AND PHYSICAL ENVIRONMENT
Key indicators as they relate to chronic disease
Demographics
Age
Population
Employment market
10. AGE ADJUSTED MORTALITY
RATE
Age Adjusted Mortality Rate
40
Rate per 1,000 People (65+ years)
30
20
10
0
Hillsboro County Capital City
11. POPULATION TRENDS
Hillsboro County Population Comparison
Population Trends 200000
50000
180000
40000
30000 160000
People
People
20000
140000
10000
120000
0
CY-25 CY-20 CY-15 CY-10 CY-5 CY
100000
Middleboro Jasper Harris City
CY-25 CY-20 CY-15 CY-10 CY-5 CY
Statesville Mifflenville Carterville
Minortown Boalsburg Hillsboro County Population Capital City
12. EMPLOYMENT TRENDS
Employment Trends
60
45
Percentage of Population
30
15
0
Hillsboro County Capital City State Wide
13. SUSA HEALTH INDICATORS FRAMEWORK
Social and Physical
Environment
Health-Related Health
Behaviors Outcomes
Health Systems
Health Systems
14. HEALTH SYSTEMS
Access and coverage as they relate to chronic
disease
Health Insurance
Readmission Rates
15. INSURANCE PROVIDER TRENDS
Insurance Provider 25 Year Trend
60
50
Percentage of Population
40
30
20
10
0
CY-25 Cy-20 CY-15 CY-10 CY-5 CY
No Insurance Medicare Medicaid Blue Cross/Blue Shield Commercial Other- VA, etc
16. READMISSION RATES
Readmissions
20
15
Percentage of Discharges
10
5
0
Within 7 Days Within 15 Days Within 30 Days
Hillsboro Capital City
17. INFANT MORTALITY
Infant Mortality
8
6
Rate Per 1,000
4
2
0
Hillsboro County Capital City United States
18. SUSA HEALTH INDICATORS FRAMEWORK
Social and Physical
Environment
Health-Related
Health Related Health
Behaviors
Behaviors Outcomes
Health Systems
20. CARDIOVASCULAR HEALTH
Comparative Mortality
Internal Death Rate
Heart Related Mortality Heart Related
35
Death Rates Heart
30 Related
35%
25
Rate per 10,000
20
15
Other
10
Causes
65%
5
0
Hillsboro County Capital City USA
21. CHOLESTEROL AWARENESS
Cholesterol Awareness
80
70
60
Percent of Adult Population
50
40
30
20
10
0
Cholesterol Checked (Within Last 5 Years) High Cholesterol (Ever)
Hillsboro County Capital City State Wide
22. HYPERTENSION AWARENESS
Hypertension Prevalence
40
30
Percentage of Adult Population
20
10
0
Hillsboro County Capital City State Wide
23. BMI DEMOGRAPHICS
BMI Demographics
60
Percentage of Adult Population
40
20
0
Neither Overweight or Obese Overweight (BMI 25.0-29.9) Obese (BMI 30.0-99.8)
(BMI < 24.8)
Hillsboro County Capital City State Wide
24. MALIGNANT NEOPLASMS
Comparative Mortality
Internal Death Rate
Malignant Neoplasms Proportion of
Mortality Rate Malignant Neoplasms
20 Deaths
Malignant
Neoplasms
15 20%
Rate Per 10,000
10
Other
Causes
80%
5
0
Hillsboro County Capital City USA
25. SUBSTANCE ABUSE - TOBACCO
Smoking Status
30
Percent of Adult Population
25
20
15
10
5
0
Everyday Some Days Former Smoker
Hillsboro County Capital City State
26. EMPLOYMENT RELATED FACTORS
Middleboro Employment Sectors
Manufacturing Agriculture Other Industries
30%
51%
19%
27. POSITIVE HEALTH FACTORS
Hillsboro appears to be succeeding in some areas as
related to chronic diseases:
Exercise
Fruits and vegetables
Managed care penetration
28. EXERCISE
Exercise
80
Percentage of Adult Population
60
40
20
0
Any Physical Activity (Within Last Month) Cardiovascular Exercise
Hillsboro County Capital City State Wide
29. FRUITS AND VEGETABLES
Fruit and Vegetable Consumption
40
30
Percentage of Adult Population
20
10
0
Consume 5+ Servings per Day
Hillsboro County Capital City State Wide
30. MANAGED CARE PENETRATION
25-Year Trend Insurance Types
100
90
80
Percentage of Insured Population
70
60
50
40
30
20
10
0
CY-25 CY-20 CY-15 CY-10 CY-5 CY
FFS Managed Care
31. CONCLUSION
Overall, similar health outcomes as other
communities
But, chronic disease is an issue
Cholesterol, Hypertension, Tobacco usage
Access to care: declining health insurance coverage
Moving forward,
Continue positive trends: exercise, healthy
foods, managed care penetration
Implement prevention & health promotion
programs, improved coordination of care, expand
insurance coverage
Editor's Notes
Defining population health: concerns the health outcomes of a group of individuals, including the distribution of such outcomes within the groupObjectives of population health studies: describe, explain, predict, control.Describe the state of health of the population and identify prevalent health problemsExplain why the state of health is the way it is and why certain health problems occurPredict health effects and strategies for risk avoidancePrevent disease and promote healthWhen we can describe, explain, predict, and control the health of a population, we can answer why why some people are healthier than others
Conceptual framework to think about why some people are healthier than others
For HC, comparable to other places (Capital City and the US).
Comparatively across HC, CC, USA (HC is healthy)Objective: show that HC is relatively the same- no major outliers, Overall HC is comparatively healthy compared to Capital City and the USA, mortality rates are similarBut within population when comparing mortality rates in total, more people are dying from chronic diseases such as heart disease, followed by cancer and then stroke
HC internally (HC is doing poorly in chronic diseases)Within HC internally, clear distinction that chronic diseases are a major problem. The 3 leading causes of death (other than other) are related to chronic disease. as you can see heart disease, and MN (eg cancer), and stroke are the primary causes of death. In this community health profile we are going to be discussing heart disease and cancer in further detail.If you want to talk about “other causes” just mention that while they do make up a significant portion of the death rate as we don’t know what they specifically are we can’t make any community health related conclusions regarding them.The health indicator framework will be applied as applicable to chronic diseases to describe, explain, predict, control
Conceptual framework to think about why some people are healthier than others
Relatively speaking, HC has a similar mortality rate to nearby CC . This suggests that the overall health of the population is comparable to other populations. Age does not appear to be a contributing factor to the chronic disease issue.
As you can see the populations of the towns in Hillsboro County are relatively stagnant. The exception is Jasper which has had a population which is steadily growing.Population is not increasing in HC, so is not significant factor contributing to chronic disease issuePopulation trend doesn’t relate to chronic diseaseThis is a point to keep in mind for when we discuss health systems
While there are relatively the same amount of people employed in HC as CC/State
Conceptual framework to think about why some people are healthier than others
-no insurance coverage is high (spiked 5 years ago) in the community (as seen in the red line) -no health insurance – no access to needed health coverage, which has negative impact on chronic disease in the community
-for those with health insurance, the health system appears to be serving them relatively well (people not coming back as much – hospitals achieving the right outcomes)-also, the observed slightly higher readmission rate within 30 days may suggest that the population is experiencing problems with chronic disease
-for those with health insurance, the health system appears to be serving them relatively well-health insurance coverage is low, but for those with, the health delivery system seem to be fine
Conceptual framework to think about why some people are healthier than others
Compared to Capital City and the US, HC has the worst mortality rates in cardiovascular health and cancer (leading causes of death for HC)
HC has higher heart disease mortality rate than both Capital City and the U.S.Currently within HC, 35% of population is dying from diseases of the heart
First behavior under cardiovascular health – cholesterol awarenessMeasured people who’ve had their cholesterol checked within the last five years (not so many people), cholesterol checked, and those who do have high cholesterol (we have most ppl who have cholesterol compared to CC and state wise)
Hypertension can lead to cardiovascular diseaseHC has the highest hypertension prevalence compared to CC and StateGraph: people who know they have high blood pressure (prevelance)
-so, obesity may not be significant contributing factor to chronic diseases… but further research needed (for example age-adjusted)-for those that have high BMI, may be factor in prevalence/incidence of chronic disease
HC has comparatively similar mortality rates to CC and USA. However, internally shows that cancer is the second leading cause of death20% of population with HC has died from cancer
- HCis the worst in smoking compared to CC and the State, higher proportion of smokers everyday in HC = correlates to less former smokers in HC-smoking contributes to high rate of chronic disease, specifically cancer
-because sizable percentage of population is employed in blue-collar sectors (agriculture and manufacturing) there may be a higher chance of exposure to factors that contribute to chronic disease conditions such as poor cardiovascular health and cancer. In manufacturing this might be: in agriculture this might be: pollutants – factors in cancer, according to a Johns Hopkins study from 1994 published by the American Journal of Epidemiology. http://aje.oxfordjournals.org/cgi/content/abstract/139/11/1055
Positive parts of health
-indicates type of health insurance has changed – fee for service to managed care-this is a positive trend because managed care seeks to better manage chronic disease-as trend continues, we expect improved outcomes with respect to chronic disease