Fluent Essays

Prior to beginning work on this assignment, read the following articles: A Profile in Population Health Management: The Sandra Eskenazi Center for Brain Care Innovation: This Care Model Emphasizes Social, Behavioral, and Environmental Determinants of Health When Treating Dementia Accounting for Accountable Care: Value-Based Population Health Management How Executives’ Expectations and Experiences Shape Population Health Management Strategies Watch the following video: What Is Population Health? (Links to an external site.) After the passage of the Patient Protection and Affordable Care Act of 2010, health care organizations have been faced with significant challenges in providing quality care to all Americans. HealthyPeople.gov (Links to an external site.) also encourages health care organizations to focus on the relevance of social determinants and health status.                                                                                                                                                 Take on the role of the administrator of a community hospital in your area. You would like to implement a strategic plan to improve the health status of your community. Select a vulnerable population in your area affected by a disease or condition. Examples include aging, COVID-19, diabetes, Ebola, heart disease, opioid epidemics, Zikavirus, and so on. Write a three- to five-page paper that details your strategic plan. In your paper, Describe the population, including demographics and risk factors that determine health in this population. Explain the disease or condition prevalent in this population. Identify access and barriers to health care and treatment options for this population, including local, state, and federal policies regulating control and prevention of your selected disease or condition in this population. Propose at least three strategies to improve the health of the selected population. Develop at least three key indicators to measure the success of your proposed population health management. Support your response with a minimum of three scholarly sources that were published in the last 5 years. The Population Health Management assignment Must be three to five double-spaced pages in length (not including title and references pages and formatted according to APA Style (Links to an external site.) as outlined in the Writing Center’s APA Formatting for Microsoft Word (Links to an external site.) resource. Must include a separate title page with the following: Title of paper Student’s name Ashford University Course name and number Instructor’s name Date submitted Must utilize academic voice. See the Academic Voice (Links to an external site.) resource for additional guidance. Must include an introduction and conclusion paragraph. Your introduction paragraph needs to end with a clear thesis statement that indicates the purpose of your paper. For assistance on writing Introductions & Conclusions (Links to an external site.) as well as Writing a Thesis Statement (Links to an external site.), refer to the Writing Center resources. Must use at least three scholarly or peer-reviewed sources published in the past 5 years. The Scholarly, Peer-Reviewed, and Other Credible Sources (Links to an external site.) table offers additional guidance on appropriate source types. If you have questions about whether a specific source is appropriate for this assignment, please contact your instructor. Your instructor has the final say about the appropriateness of a specific source for this assignment. To assist you in completing the research required for this assignment, view this Ashford University Library Quick ‘n’ Dirty (Links to an external site.) tutorial, which introduces the Ashford University Library and the research process, and provides some library search tips. Must document any information used from sources in APA Style as outlined in the Writing Center’s APA: Citing Within Your Paper (Links to an external site.) guide. Must include a separate references page that is formatted according to APA Style as outlined in the Writing Center. See the APA: Formatting Your References List (Links to an external site.) resource in the Writing Center for specifications.RESEARCH ARTICLE Open Access How executives’ expectations and experiences shape population health management strategies Betty M. Steenkamer1* , Hanneke W. Drewes2, Natascha van Vooren2, Caroline A. Baan1,2, Hans van Oers1,2 and Kim Putters3,4 Abstract Background: Within Population Health Management (PHM) initiatives, stakeholders from various sectors apply PHM strategies, via which services are reorganised and integrated in order to improve population health and quality of care while reducing cost growth. This study unravelled how stakeholders’ expectations and prior experiences influenced stakeholders intended PHM strategies. Methods: This study used realist principles. Nine Dutch PHM initiatives participated. Seventy stakeholders (mainly executive level) from seven different stakeholder groups (healthcare insurers, hospitals, primary care groups, municipalities, patient representative organisations, regional businesses and program managers of the PHM initiatives) were interviewed. Associations between expectations, prior experiences and intended strategies of the various stakeholder groups were identified through analyses of the interviews. Results: Stakeholders’ expectations, their underlying explanations and intended strategies could be categorized into four themes: 1. Regional collaboration; 2. Governance structures and stakeholder roles; 3. Regional learning environments, and 4. Financial and regulative conditions. Stakeholders agreed on the long-term expectations of PHM development. Differences in short- and middle-term expectations, and prior experiences were identified between stakeholder groups and within the stakeholder group healthcare insurers. These differences influenced stakeholders’ intended strategies. For instance, healthcare insurers that intended to stay close to the business of care had encountered barriers in pushing PHM e.g. lack of data insight, and expected that staying in control of the purchasing process was the best way to achieve value for money. Healthcare insurers that were more keen to invest in experiments with data-technology, new forms of payment and accountability had encountered positive experiences in establishing regional responsibility and expected this to be a strong driver for establishing improvements in regional health and a vital and economic competitive region. Conclusion: This is the first study that revealed insight into the differences and similarities between stakeholder groups’ expectations, experiences and intended strategies. These insights can be used to improve the pivotal cooperation within and between stakeholder groups for PHM. Keywords: Population health management strategies, Realist method, Executives’ expectations © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, prG E N E R AT IO N S – Journal of the American Society on Aging 68 | Spring 2019 A Profile in Population Health Management: The Sandra Eskenazi Center for Brain Care Innovation By Malaz Boustani, Lindsey Yourman, Richard J. Holden, Peter S. Pang, and Craig A. Solid This care model emphasizes social, behavioral, and environmental determinants of health when treating dementia. abstract This article describes how key aspects of the Sandra Eskenazi Center for Brain Care Innovation’s (SECBCI) care model can inform other entities on the development of new models of population health management, through a framework that emphasizes social, behavioral, and envi- ronmental determinants of health, as well as biomedical aspects. The SECBCI is a collaboration with Eskenazi Health and community-based organizations such as the Central Indiana Council on Aging Area Agency on Aging and the Greater Indianapolis Chapter of the Alzheimer’s Association in Central Indiana. | key words: Sandra Eskenazi Center for Brain Care Innovation, Alzheimer’s, dementia, social determinants of health Alzheimer’s disease and related dementias (ADRD) impose significant challenges upon older adults and their caregivers (Friedman et al. 2015; Alzheimer’s Association, 2017), who often provide unpaid care. Most physicians providing treatment know that effective care for ADRD and supporting unpaid caregivers requires a more sophisticated framework than is offered by the traditional primary care model. Such a frame- work values biomedical aspects of health, but places as much emphasis on social, behavioral, and environmental determinants of health, recog- nizing them as major players in the health of indi- viduals and the population as a whole (Taylor et al., 2016). Social, behavioral, and environmental deter- minants influence health directly and indirectly, manifesting as individual behaviors and habits, but also as disparities in access to care (Galea et al., 2011). Through targeted efforts, beginning in 2007, to improve ADRD care for underserved populations in central Indiana, we established the Sandra Eskenazi Center for Brain Care Inno- vation (SECBCI)—which is affiliated with Indiana University in Indianapolis—in collaboration with Eskenazi Health and community-based organi- zations such as the Central Indiana Council on Aging Area Agency on Aging and the Greater Indianapolis Chapter of the Alzheimer’s Associa- tion. This article describes how key aspects of our care model can inform the development of new models of population health management. Creating a Successful Population Health Management Model The Eskenazi Health System is a safety-net healthcare system serving a diverse, low-income population in Marion County, Indianapolis. In 2007, SECBCI used strategies that would ulti- mately become the Agile Implementation model A Primer on Managed Care: Multiple Chronic Conditions supplement 3 | 69 (Boustani, Alder, and Solidhttps://doi.org/10.1177/0306312719840429 Social Studies of Science 2019, Vol. 49(4) 556 –582 © The Author(s) 2019 Article reuse guidelines: sagepub.com/journals-permissions DOI: 10.1177/0306312719840429 journals.sagepub.com/home/sss Accounting for accountable care: Value-based population health management Linda F Hogle Department of Medical History & Bioethics, University of Wisconsin-Madison, Madison, WI, USA Abstract Accountable Care Organizations (ACOs) are exemplars of so-called value-based care in the US. In this model, healthcare providers bear the financial risk of their patients’ health outcomes: ACOs are rewarded for meeting specific quality and cost-efficiency benchmarks, or penalized if improvements are not demonstrated. While the aim is to make providers more accountable to payers and patients, this is a sea-change in payment and delivery systems, requiring new infrastructures and practices. To manage risk, ACOs employ data-intensive sourcing and big data analytics to identify individuals within their populations and sort them using novel categories, which are then utilized to tailor interventions. The article uses an STS lens to analyze the assemblage involved in the enactment of population health management through practices of data collection, the creation of new metrics and tools for analysis, and novel ways of sorting individuals within populations. The processes and practices of implementing accountability technologies thus produce particular kinds of knowledge and reshape concepts of accountability and care. In the process, account-giving becomes as much a procedural ritual of verification as an accounting for health outcomes. Keywords Affordable Care Act, big data, dataveillance, population health, risk, US healthcare This article concerns the way populations are constructed through the processes of dataveillance and within the set of institutional relations designed to produce value and accountability. Value-based care (VBC), defined as health outcomes achieved per dol- lar spent, is becoming a widely embraced policy strategy to contain healthcare costs while improving patients’ care experience (Porter, 2010; Porter and Teisberg, 2006). Correspondence to: Linda F Hogle, Department of Medical History & Bioethics, University of Wisconsin-Madison, 1135 Medical Sciences Building, 1300 University Avenue, Madison, WI 53706, USA. Email: [email protected] 840429 SSS0010.1177/0306312719840429Social Studies of ScienceHogle research-article2019 Article https://uk.sagepub.com/en-gb/journals-permissions https://journals.sagepub.com/home/sss mailto:[email protected] http://crossmark.crossref.org/dialog/?doi=10.1177\%2F0306312719840429&domain=pdf&date_stamp=2019-05-23 Hogle 557 As one physician remarked: ‘For healthcare providers, value-based care isn’t just an operational incentive anymore, it’s an imperative for basic survival. [It is] vitally important to redesign health system services