Welcome to the Community Engagement in Population Health course! As you will learn, the health system is in the midst of a critical transition. The current system is not sustainable with escalating costs, mediocre health outcomes, and unacceptable disparities. This course will first discuss the current system, including definitions of population health and social determinants of health, and how the US compares to other countries on the triple aim –lower cost, better care, and a healthier population. Section 2 will review resources for both population health data and evidence-based public health interventions. Now more than ever, hospitals are addressing community needs through community benefits spending, community health improvement planning, and problem-based research networks. In the final section, the course describes community engagement in practical terms with a discussion of benefits and barriers. Community-based participatory research is presented as an effective way to engage the community in developing solutions to address problems in the health system.
Establishing the Need for a New Paradigm -- The current US health care system is broken. In this introductory section, we will explore how the United States compares to other health systems in the world on both cost and health outcomes. We will discuss what is meant by good health, as well as defining the term “population health”. We will discuss what is meant by the American health paradox and how our country’s values have led to social inequities which contribute to substantial health disparities. The current US health system is not sustainable, and solutions can be discovered when we look outside of the health care delivery system for answers.
Introduction - Establishing the Need for a New Paradigm•1 minute
The American Healthcare Paradox•8 minutes
Health Outcomes: The US vs. the World•8 minutes
Health Disparities and Social Inequities•7 minutes
What's Missing in the US?•5 minutes
Introduction - Exploring Health Systems•1 minute
The Impact of Non-Medical Determinants of Health•13 minutes
Primary Care•13 minutes
Public Health•14 minutes
Current Trends in Population Health•16 minutes
Improving the System - The Triple Aim and the Affordable Care Act•11 minutes
12 readings•Total 175 minutes
Required - Health and social services expenditures: associations with health outcomes•45 minutes
Recommended: American health care paradox—high spending on health care and poor health•0 minutes
Recommended - Measuring Vital Signs:An IOM Report on Core Metrics for Health and Health Care Progress•0 minutes
Recommended - Health disparities and health equity: concepts and measurement•0 minutes
Required - What Are We Talking About When We Talk About Population Health?•45 minutes
Required: Contributions of Health Care to Longevity: A Review of 4 Estimation Methods•45 minutes
Required : Necessary But Not Sufficient: Why Health Care Alone Cannot Improve Population Health and Reduce Health Inequities•20 minutes
Recommended - We Can Do Better — Improving the Health of the American People•0 minutes
Recommended - Health Disparities Beginning in Childhood: A Life-Course Perspective•0 minutes
Recommended: State-level projections of primary care workforce - Robert Graham Center•0 minutes
Required - A Call for Action on Primary Care and Public Health Integration•20 minutes
Recommended: The IHI Triple Aim•0 minutes
2 assignments•Total 46 minutes
Establishing the Need for a New Paradigm•22 minutes
Exploring Health Systems•24 minutes
1 discussion prompt•Total 20 minutes
Establishing the need for a new paradigm•20 minutes
POPULATION HEALTH DATA, EVIDENCE AND RESEARCH
Module 2•5 hours to complete
Module details
Creating change requires an understanding of population health data. We will begin this section by reviewing data resources, including resources for mapping data to create a visual representation of population health outcomes. We will also discuss some of the ways this data is collected by reviewing public health surveys and common data collection tools. Improving the health system often involves implementing interventions, and just like in medicine, public health interventions should be evidence-based. We will review some resources for evidence-based community health interventions and discuss ways to evaluated and disseminate results that are useful to community members.
Introduction - Assessing a Population's Health•1 minute
Public Health Measures and Surveys•6 minutes
Information Resources for Data Mapping•10 minutes
Evidence-Based Public Health Interventions•6 minutes
Evidence-Based Public Health Resources•4 minutes
Evaluation and Reporting in Population Health•4 minutes
Practice-Based Research Networks (PBRNs) Part I•5 minutes
Practice-Based Research Networks (PBRNs) Part II•4 minutes
10 readings•Total 200 minutes
Recommended - Comparisons of Estimates From the Behavioral Risk Factor Surveillance System and Other National Health Surveys, 2011−2016•0 minutes
Required: Visit the following data websites•20 minutes
Required - Please explore the following websites•20 minutes
Required - Tools for Implementing an Evidence-Based Approach in Public Health Practice•45 minutes
Recommended: Toward a transdisciplinary model of evidence-based practice•0 minutes
Required - Will COVID-19 be evidence-based medicine’s nemesis?•20 minutes
Required - A glossary for evidence based public health•30 minutes
Required - Practice-based Research Networks (PBRNs) Bridging the Gaps between Communities, Funders, and Policymakers•45 minutes
Recommended: Residency scholarship within practice-based research networks•0 minutes
Required - Agency for Healthcare Research and Quality's (AHRQ) Website•20 minutes
3 assignments•Total 31 minutes
Public Health Measures and Surveys - Informational Resources for Data Mapping•10 minutes
Evidence Based Public Health (EBPH) Interventions, Resources, and Evaluation•16 minutes
Practice Based Research Networks•5 minutes
2 discussion prompts•Total 20 minutes
Assessing Population’s Health: Using data and contributing to the evidence•10 minutes
Evidence-based interventions•10 minutes
COMMUNITY ENGAGED HEALTH SYSTEMS
Module 3•4 hours to complete
Module details
Engaging the community is important in changing the paradigm and working to improve the US health system as a whole. In this section, we will explore ways in which health care delivery systems are engaging community and addressing community health. This community engagement is federally mandated for non-profit hospitals and health systems through community benefit reporting and community health needs assessments and improvement plans. In addition, the movement towards value based medicine has really motivated health systems to think beyond the walls of the hospital to explore the population’s health.
What's included
4 videos7 readings1 assignment1 discussion prompt
Show info about module content
4 videos•Total 22 minutes
Introduction - Health System Level Community Engagement•1 minute
The Hospital's Role in Community Health•10 minutes
Community Health Needs Assessment and Improvement Planning•7 minutes
Value Based Medicine and Quality•4 minutes
7 readings•Total 180 minutes
Required - Community Benefit Spending By Tax-Exempt Hospitals Changed Little After ACA•45 minutes
Recommended: Analysis of Hospital Community Benefit Expenditures’ Alignment With Community Health Needs: Evidence From a National Investigation of Tax-Exempt Hospitals•0 minutes
Required Reading : Principles of Community Engagement, from the CDC•45 minutes
Required - Beyond CHNAS: Performance Measurement for Community Health Improvement•45 minutes
Recommended - What Is a Community Health Assessment?•0 minutes
Recommended: Association of State and Territorial Health Officials (ASTHO), 2019.•0 minutes
Required - Addressing Social Determinants of Health (SDOH): Beyond the Clinic Walls. Improve health outcomes by addressing social determinants of health.•45 minutes
1 assignment•Total 10 minutes
Health System Level Community Engagement •10 minutes
1 discussion prompt•Total 10 minutes
Health System Level Community Engagement•10 minutes
EFFECTIVE COMMUNITY ENGAGEMENT
Module 4•6 hours to complete
Module details
In this section, we will define community-engaged research and apply the principles of effective community engagement to research as well as interventions. Community Engagement takes many forms, some much more reciprocal and collaborative than others. In this interactive discussion, our speakers will discuss the benefits of effective community engagement as well as barriers that are common, and suggestions for alleviating those challenges.
Introduction - Effective Community Engagement •1 minute
Effective Community Engagement - Part I•11 minutes
Effective Community Engagement - Part II•13 minutes
Introduction - Community Based Participatory Research•1 minute
Community Based Participatory Research - Part I •9 minutes
Community Based Participatory Research - Part II•5 minutes
Community Based Participatory Research - Part III•13 minutes
Example of Sustainable Community Based Participatory Research (CBPR)•17 minutes
Communicating Results•10 minutes
7 readings•Total 168 minutes
Required Viewing- Haas Institute, University of California—Berkeley, California Community Partnerships. Haas Institute Approach to Community-Engaged Research - YouTube Video•3 minutes
Required - Engagement Science: An Overview of the Landscape of Engaged Research - Blog•45 minutes
Recommended Reading:Are We Ready? A Toolkit for Academic-Community Partnerships in Preparation for Community-Based Participatory Research•0 minutes
Recommended Resource: Principles of Community Engagement •0 minutes
Required - Community Tool Box - Community-based Participatory Research•45 minutes
Required Reading: Campus Partnerships for Health, University of Washington•30 minutes
Required - Communicating Results of Community-Based Participatory Research•45 minutes
4 assignments•Total 81 minutes
Effective Comunity Engagement•30 minutes
Community Based Participatory Research•16 minutes
Effective Community Engaged Dissemenation•30 minutes
Final Assessment•5 minutes
2 discussion prompts•Total 20 minutes
Effective Community Engagement in Research•10 minutes
Effective Community Engaged Implementation and Dissemination•10 minutes
The University of Rochester is one of the nation's leading private universities. Located in Rochester, N.Y., the University provides exceptional opportunities for interdisciplinary study and close collaboration with faculty through its unique cluster-based curriculum. Its College, School of Arts and Sciences, and Hajim School of Engineering and Applied Sciences are complemented by its Eastman School of Music, Simon School of Business, Warner School of Education, Laboratory for Laser Energetics, School of Medicine and Dentistry, School of Nursing, Eastman Institute for Oral Health, and the Memorial Art Gallery.
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