Example Of Managerial Epidemiology

Seven in ten deaths in the United States, are attributable to chronic disease (“Leading Causes” 1). These diseases are not on account of bacteria or viruses, which could be treated with an appropriate prescription or vaccine. Chronic conditions are developed through unhealthy lifestyles and behaviors such as a lack of exercise, poor nutrition, poor sleeping habits, and substance use (e.g. tobacco). Consequently, seven in ten of every death can be prevented with changes in lifestyle. The CDC states that these conditions, “are among the most common, costly, and preventable of all health problems” (“Chronic Disease” 1). Although these conditions have clear and definite causes (knowing the exact reason and “cure” for them), they are becoming more prevalent rather than domesticated. According to Wu and Green, “Between 2000 and 2030 the number of Americans with chronic conditions will increase by 37 percent, an increase of 46 million people” (1). This increase comes with an increase in health care costs: the CDC reported that the U.S. spent three trillion dollars on health care in 2014 (“Health Expenditures” 1). 86% of these costs was associated with these conditions (“Prevention” 1). Despite there being a range of causes of why patients make these choices, one issue that may be less familiar to others is the lack of knowledge in preventative medicine among health care professionals. Current training standards are not adequately educating or equipping health care professionals

Not only has the cases of preventable chronic diseases increased over the years affecting half of the U.S population, they account for 86% of the health care costs. Programs and policies that address risk factors and causes of these diseases at their roots would not only promote public health but reduce the cost of health care both in treatment and hospitalization.

“An ounce of prevention is worth a pound of cure.” This saying goes to show that investing in preventative care is the only way to effectively reform health care plans in America. It is no secret that there are many issues facing health care; however, the most important issue seems to be the lack of funding for preventative care. Redistributing health care related funds into areas like public health and preventative medicine can increase the overall quality of life for patients. If health care reform revolves around preventative medicine, then America’s standard of health will rise. A healthier society will lessen the demand for expensive life-saving surgeries, thus decreasing the overall cost of health care. The overall solution for this issue would be to set a realistic health care budget that correlates to the United States’ current standard of health, thus majority of the budget focuses on preventative medicine.

Health care spending grew 3.7 percent in 2012 and the traditional way medicine was practiced had to change (Edlin, Goldman & Leive, 2014). The Affordable Care Act and Population Health was designed based on the concept of “The Triple Aim” to foster change in patient care by providing better care for individuals, better health for populations and decrease the cost of health through improved care (Perez, 2014). As a result, population management has moved to the front by linking services, reducing hospital admission, risk stratification, pursing preventive medicine, ensuring medication review and lowering health care cost. Several organizations have follow in the pursuit of population management by forming Accountable Care Organizations

Centura Health had the opportunity for a workshop presentation by Dominique Morgan-Solomon, a population health expert. Dominique Morgan-Solomon, MPH, works as a consultant in health care delivery, device management, and for health care organizations on population health strategies and program implementation. Prior to consulting, Dominique was the Chief Operating Officer of Steward Medical Group and Vice President of Population Health for Steward Health Care from February 2012 until October of 2015. She was responsible for the strategic planning and execution of its quality performance, clinical integration care management, and population health programs. Last year she was awarded “Young Healthcare Executive of the Year” for her leadership in this promising field by the National Association of Health Service Executives (NAHSE). She has exceeded in her career after receiving a Bachelor of Arts from Cornell University in Biology and Political Science and a Master of Public Health in Health Policy from the University of Michigan.

Health and human services policymakers expressed the need to move from single –disease solutions to population health interventions. The need is due to a growing public health concern- almost 1 in 3 Americans is diagnosed with multiple chronic conditions and more than 65% of health care spending is for care given to this group. (Kangovi peer research October 2017).

The researchers remained objective by basing their research on a template of sub elements that have high and low indicators that would lead to a successful implementation of evidence into practice. The study targets specific patients who have been exposed to risk factors, as well as addresses health equity, staff resources, and diagnostic services. The researchers used great discretion in the collection of data. The topics presented were referred to with code names in order to prevent the incitation of any biased reactions.

The Center for Disease Control and Prevention, CDC, coordinate efforts in conjunction with states and other partnersto offer a system of health surveillance, which would monitor and prevent disease outbreaks, which includes bioterrorism. The goal of the agency is to implement strategies to prevent diseases as well as maintain national health statistics. Another role of the CDC is to safeguard against international disease transmission, this is vital as the agency has personnel located several countries outside the United States. Looking at the agency’s core functions, examining influences in the workplace, and identifying roles of the agency personnel is vital to

The barriers to receiving effective public health treatment are nothing short of intimidating. Many people in the United States could die if they do not receive adequate public health that take care of their diseases. The government need to create available programs to deal with the increase of diseases and with the aging U.S. population. Invasive and debatable actions sometimes are needed it to find the causes of some diseases.

Lack of doctors is only one facet to this multifaceted problem. Accessibility in terms of having the financial resources to obtain care is another. “Individuals in lower social status groups have the highest rates

The population health factors is a subject of extensive discussion within American health care system, nonetheless, few comprehend the bearing to modern health care environment.

With seven billion people in the world, healthcare and healthcare infrastructure are increasingly important. Public health professionals are currently focusing on the following five topic areas to improve global health. By ensuring that everyone can have access to adequate care, the healthcare community can reduce premature mortality rates and the severity of epidemics.

There are many issues that are causing changings in the healthcare system. Population aging, rapidly increasing costs of healthcare and the growing burden of chronic disease are challenges to health systems worldwide. To meet these challenges will require new approaches to healthcare delivery and comprehensive population health management. Many states are not prepared to tackle this issue yet. The US has the most expensive healthcare system in the world with health status indicators that are only average in comparison

The 21st Century has seen the healthcare system struggle with challenges such as an increase in chronic conditions, an increase in government spending on public health, and emerging threats such as global health security and antibiotic resistance. On the positive side, more people have gained access to care. To deal with these emerging issues as well as existing challenges, we need an effective public health workforce. The public health has the role of protecting the health of citizens. This could be through health promotion and lobbying for increased access to care. To address the problem of the rise in chronic ailments, public health has a role of creating awareness on chronic conditions, their symptoms and management. This is because these conditions are expensive to treat and drain the resources of patients and their families. Public health should therefore educate the public on the importance of screening and conduct these screening services for early diagnosis and prevention of chronic diseases. Another role of public health in the 21st Century is to provide and use evidence based practice in providing clinical services. This would help in addressing some of the emerging challenges such as antibiotic resistance.

This paper defines and explains the six core functions of epidemiology: Public health surveillance, field investigation, analytic studies, evaluations, linkages, and policy development. The core functions of epidemiology lay down a foundation on which epidemiologists can begin to work from. This paper will look at the benefits of incorporating all six of these functions into a working plan when health officials, medical personnel, first responders, etc., encounter a disease or illness that needs to be identified, treated and contained.