Introduction

Population Health Management (PHM) focuses on improving the health outcomes of a defined group of individuals through a combination of data analytics, preventive care, and effective management of health interventions. In today’s healthcare landscape, understanding and managing the health of entire populations is essential for achieving better health outcomes, reducing disparities, and controlling healthcare costs. PHM is critical in improving care delivery, especially in the context of chronic diseases, mental health, and aging populations.

This 5-day Population Health Management Training Course will provide healthcare professionals with the tools and strategies to manage population health effectively. Participants will learn how to leverage data, implement preventive care models, engage with patients, and use integrated care delivery systems to improve overall health outcomes across a population.

Objectives

By the end of this course, participants will be able to:

1. Understand the Principles of Population Health Management – Gain a comprehensive understanding of population health management concepts, goals, and approaches.
2. Leverage Data for Health Insights – Use data analytics to assess and improve the health of populations, including risk stratification, predictive modeling, and outcomes measurement.
3. Design and Implement Preventive Health Programs – Develop and implement prevention-focused programs to address prevalent health conditions and reduce health disparities.
4. Integrate Healthcare Services – Understand how to coordinate and integrate care across different levels of the healthcare system to provide comprehensive, patient-centered care.
5. Engage Patients in Their Own Health – Implement strategies for patient engagement and empowerment to improve self-management of chronic conditions.
6. Apply Value-Based Care Models – Understand the principles of value-based care and how to implement them to improve care quality while reducing costs.
7. Evaluate Population Health Outcomes – Use metrics and evaluation tools to measure the success of population health initiatives and make data-driven decisions.
8. Address Social Determinants of Health (SDOH) – Understand the role of social, economic, and environmental factors in population health and develop strategies to address them.

Who Should Attend?

This course is designed for healthcare professionals involved in the management and delivery of care across populations, including:

• Healthcare Administrators and Managers
• Population Health Managers
• Public Health Professionals
• Care Coordinators and Case Managers
• Primary Care Providers (Physicians, Nurses, Nurse Practitioners)
• Health Policy Makers
• Data Analysts and Health Informatics Professionals
• Insurance Providers and Payers
• Chronic Disease Management Coordinators
• Community Health Workers

Course Outline

Day 1: Introduction to Population Health Management

Morning Session

• Overview of Population Health Management
  • Defining Population Health and its importance in modern healthcare
  • The goals and benefits of PHM: improving outcomes, reducing disparities, and controlling costs
  • Key principles: prevention, care coordination, patient engagement, and social determinants of health (SDOH)

Afternoon Session

• The Role of Data in Population Health

  • Data Analytics: How to use data to assess population health needs
  • Key data sources: EHRs, claims data, public health data, and patient surveys
  • Risk Stratification: Categorizing populations based on health risks
  • Introduction to predictive modeling and how it guides decision-making in PHM

• Exercise: Analyzing Population Health Data

  • Group activity: Analyze a set of population health data to identify key health trends and risks

Day 2: Designing and Implementing Preventive Health Programs

Morning Session

• Prevention in Population Health Management
  • The importance of primary, secondary, and tertiary prevention in population health
  • Identifying preventable health conditions: chronic diseases, mental health conditions, substance abuse
  • Designing programs to address top health issues in populations (e.g., obesity, diabetes, cardiovascular diseases)

Afternoon Session

• Engaging Communities and Populations in Preventive Care

  • Developing community-based prevention programs that address specific population needs
  • Leveraging partnerships with local organizations and public health agencies
  • Integrating behavioral health and mental health support into prevention strategies

• Exercise: Designing a Preventive Health Program

  • Group project: Develop a preventive health program targeting a specific health issue (e.g., diabetes management, smoking cessation)

Day 3: Coordinating and Integrating Care Across Systems

Morning Session

• Coordinating Care in Population Health
  • The importance of care coordination in managing complex health conditions
  • The role of care teams in improving health outcomes: Physicians, nurses, case managers, social workers, and community health workers
  • Tools and technology for care coordination: Electronic Health Records (EHRs), care management software, and patient portals

Afternoon Session

• Integrated Care Delivery Systems

  • The value of integrated care for improving population health: Primary care, specialty care, behavioral health, and social services
  • Models of integrated care: Patient-Centered Medical Homes (PCMH), Accountable Care Organizations (ACOs)
  • Achieving collaboration between different sectors of healthcare

• Exercise: Mapping an Integrated Care System

  • Group activity: Create a care coordination map for a patient with multiple chronic conditions, ensuring integration across healthcare providers

Day 4: Engaging Patients and Empowering Self-Management

Morning Session

• Patient Engagement in Population Health
  • The importance of patient engagement and empowerment in improving health outcomes
  • Strategies for improving health literacy and patient education
  • Techniques for motivating patients to actively participate in their care (e.g., shared decision-making, motivational interviewing)

Afternoon Session

• Supporting Self-Management of Chronic Conditions

  • Empowering patients to manage their own health through education, tools, and support
  • Utilizing technology and telemedicine for patient self-management (e.g., apps, wearables, remote monitoring)
  • Addressing barriers to patient engagement: health literacy, access to care, cultural competence

• Exercise: Developing an Engagement Strategy

  • Group work: Create a patient engagement strategy for managing a chronic condition (e.g., asthma, hypertension)

Day 5: Evaluating Population Health and Addressing Social Determinants of Health

Morning Session

• Evaluating the Impact of Population Health Programs
  • Key performance indicators (KPIs) for measuring the success of PHM initiatives: clinical outcomes, cost savings, patient satisfaction
  • Methods for evaluating and refining population health programs using data and feedback
  • The importance of continuous improvement and data-driven decision-making in PHM

Afternoon Session

• Addressing Social Determinants of Health (SDOH)

  • Understanding how social, economic, and environmental factors influence health outcomes
  • Developing strategies to address health equity, access to care, education, housing, and nutrition
  • Collaborating with community organizations to address SDOH

• Exercise: Creating a Strategy to Address SDOH

  • Final project: Develop a strategy to address social determinants of health within a population (e.g., improving access to healthcare, reducing food insecurity)

Conclusion and Certification

• Course Recap and Key Takeaways
  • Final Q&A session
• Certification Ceremony – Participants will receive a Certificate of Completion for the course