Draws connections among the new care-delivery models, the components of population health management, and the types of health IT that are required to support those components. The key concept that ties all of this together is that PHM requires a high degree of automation to reach everyone in a population, engage those patients in self-care, and maximize the chance that they will receive the proper preventive, chronic, and acute care.
Section 1: New Delivery Models -- 1 Population Health Management -- 2 Accountable Care Organizations -- 3 Patient-Centered Medical Homes -- Section 2: How to Get There -- 4 Clinically Integrated Networks -- 5 Meaningful Use and Population Health Management -- 6 Data Infrastructure -- 7 Predictive Modeling -- 8 Automation Solutions and the ROI of Change -- Section 3: Implementing Change -- 9 Care Coordination --10 Lean Care Management -- 11 Patient Engagement -- 12 Automated Post-Discharge Care -- 13 Social and Behavioral Determinants of Health -- 14 Cognitive Computing: The Future of Population Health Management
PART I INTRODUCTION: FRAMEWORKS, PERSPECTIVES, EVIDENCE Chapter 1. Tackling Health Inequities: A Framework for Public Health Practice Chapter 2. Why Health Equity? Chapter 3. Health Equity and Social Justice Chapter 4. United States: Social Inequality and the Burden of Poor Health Chapter 5. A Framework for Measuring Health Inequity Chapter 6. Promoting Social Justice Through Public Health Policies, Programs, and Services PART II: RACISM, CLASS EXPLOITATION, SEXISM AND HEALTH: EXPOSING THE ROOTS Chapter 7. Structural Racism and Community Building Chapter 8. Coronary Heart Disease, Chronic Inflammation, and Pathogenic Social Hierarchy: A Biological Limit to Possible Reductions in Morbidity and Mortality Chapter 9. Social Sources of Racial Disparities in Health Chapter 10. Class Exploitation and Psychiatric Disorders Chapter 11. Beyond the Income Inequality Hypothesis: Class, Neo-liberalism, and Health Inequalities Chapter 12. Gender Inequity in Health: Why It Exists and How We Can Change It PART III: PRACTITIONERS TAKE ACTION: STRATEGIES FOR ORGANIZATIONAL CHANGE AND WORKING WITH COMMUNITIES Chapter 13. Initiating Social Justice Action through Dialogue in a Local Health Department: The Ingham County Experience Chapter 14. The Metro Louisville Center for Health Equity: Expanding the Circle of Engagement Chapter 15. Exploring the Intersection of Public Health and Social Justice: the Bay Area Regional Health Inequities Initiative Chapter 16. Using Our Voice: Forging a Public Health Practice for Social Justice Chapter 17. Estimation of Health Benefits From a Local Living Wage Ordinance Chapter 18. Protecting Health with Environmental Impact Assessment: A Case Study of San Francisco Land Use Decision-Making Chapter 19. The Community Action Model in a Public Health Department Setting Chapter 20. Tackling the Root Causes of Health Disparities through Community Capacity Building Chapter 21. Institutionalizing Health Equity and Social Justice in King County, Washington Chapter 22. Street Science: Local Knowledge and Environmental Justice Chapter 23. Measuring Social Determinants of Health Inequities: the CADH Health Equity Index Chapter 24. Place Matters: Building Partnerships Among Communities and Local Public Health Departments PART IV: SHIFTING CONSCIOUSNESS AND PARADIGMS Chapter 25. Unnatural Causes: Using Media to Build a Constituency for Health Equity Chapter 26. Talking About Public Health Chapter 27. Helping Public Health Matter: Strategies for Building Public Awareness Chapter 28. The Ethics of the Medical Model in Addressing the Root Causes of Health Disparities in Local Health Practice Chapter 29. Teaching Social Inequalities in Health: Barriers and Opportunities
"Social justice has always been a core value driving public health. Today, much of the etiology of avoidable disease is rooted in inequitable social conditions brought on by disparities in wealth and power and reproduced through ongoing forms of oppression, exploitation, and marginalization. Tackling Health Inequities Through Public Practice raises questions and provides a starting point for health practitioners ready to reorient public health practice to address the fundamental causes of health inequities. This reorientation involves restructuring the organization, culture and daily work of public health. Tackling Health Inequities is meant to inspire readers to imagine or envision public health practice and their role in ways that question contemporary thinking and assumptions, as emerging trends, social conditions, and policies generate increasing inequities in health"