IHI is deeply concerned about recent legislation and practices in many states, including Florida, that jeopardize the health and safety of our patients, families, and communities. We hear your concerns and share your frustration. Others are disappointed that we are continuing to host our conference in Florida amid a political climate that runs counter to our mission to improve health and health care worldwide. Pick a county to explore: Find out how healthy it is, and explore factors that drive health in that area.We have heard from members of the IHI community who are not comfortable traveling to Florida for our annual IHI Forum, which has been held in Orlando regularly over the past 25 years and will be held there again this year.What other health care problems might be improved by addressing factors outside of health care, for example, living conditions?.Do you think it would be hard to convince staff and patients to participate in multidisciplinary rounds after a stillbirth? Why might people resist this, and how might you address their concerns?.What were some of the factors affecting stillbirth rates that you heard in the video? Why couldn't obstetricians solve the problem on their own?.Evaluating costs of care and seeking to improve value.Referring patients to community resources.Considering care for groups of patients.Thinking holistically about patient health needs.Improve workflows of clinical medicine and social services.Consider where people live, work, and play.Systematically understand and address social determinants of health.Shift in focus from care provided and paid for at an individual level to managing and paying for health care for defined groups, i.e., populations.Reducing waste by improving services for groups of patients.If we saved wasted money, we could use it to improve services and health.You can improve value by either increasing quality or decreasing costs.Joint Center for Political and Economic Studies September 2009. The Economic Burden of Health Inequalities in the United States. An estimated 30 percent of direct medical costs for African Americans, Hispanics, and Asian Americans could be attributed to health disparities.The US economy loses an estimated $309 billion annually due to the direct and indirect costs of groups of people not receiving the same treatments or benefiting from the same health outcomes as others.Cambridge, Massachusetts: Institute for Healthcare Improvement 2012. Model of Population Health Stiefel M, Nolan K. A Guide to Measuring the Triple Aim: Population Health, Experience of Care, and Per Capita Cost.
Individual factors: genetics, resilience, spirituality.How much does each factor influence health? Ĭlinical Care is “The Tip of the Iceberg” Access to quality education early in life influences access to higher education, which influences access to jobs, which influences access to quality neighborhoods, which influences access to childhood education….Is it safe to walk around where you live?.Do you have easy access to healthy food?.How does being a member of certain groups influence your health? “The health outcomes of a group of individuals, including the distribution of such outcomes within the group”.Provide examples of population-level interventions designed to improve overall health and reduce costs of care.Discuss the role of safe, high-quality medical care in population health.Explain the responsibilities of clinicians and health care systems in optimizing population-level outcomes with available resources.Describe the three components of the IHI Triple Aim for populations.The Triple Aim Review of TA 101: Introduction to the Triple Aim for Populations
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