Population Health Management for Poly Chronic Conditions

This book is dedicated to population health management and how it can be used to improve the health care and outcomes for patients with poly chronic conditions. The book uses an integrated approach guided by a transdisciplinary orientation that incorporates both a macro and a micro-theoretical framework for promoting population health management. Thus, policy decision makers can prioritize how limited resources can be used to optimize health service needs of the chronically ill and disabled in the nation as well as in the globe. The book also identifies appropriate applications of health information technology that can facilitate interoperability, data sharing and effective communication to ensure that applicable knowledge is derived from the available information. Multiple implications of population health management for poly chronic conditions suggest that concerted efforts in promoting preventive strategies can yield numerous benefits. Continuous improvement efforts through impact evaluation and a commitment to the adoption of the health information technology resources needed are also critical aspects of this process. Patients with poly chronic conditions have complex needs and are often high-utilizers of health services. Great potential exists to improve the health and health care of these individuals through improved coordination integrating multiple domains of the population health management approach. Population Health Management is needed now more than ever due to the current challenges facing the health care system that were not present in previous decades. This book points out strategic directions suggested by empirical evidence and experts- opinions on innovative care management solutions observed in many advanced countries.

Thomas T. H. Wan is a professor of public affairs, health management and informatics, and medical education at University of Central Florida. He is an Associate Dean for Research for the College of Health and Public Affairs. He has taught at Cornell, Maryland, and Virginia Commonwealth University. He received his MA in Sociology/Criminology and Ph.D. in Sociology/Demography from the University of Georgia. He completed his post-doctoral fellowship and earned his MHS degree from the Johns Hopkins University School of Public Health. He is conducting a national study on Rural Health Clinics in Accountable Care Organizations (ACOs) funded by NIH. This project enables him to investigate the effects of changing delivery systems or healthcare reforms on efficiency and effectiveness of patient-centric care in the United States. He is an editor of special issues of the International Journal of Public Policy and is an active board member of ten scientific journals. He has published morethan 200 articles and book chapters and 13 books. He has served on a variety of NIH study sections for twenty years (Aging & Human Development, Nursing, and Health Services Organization and Delivery). In addition, he has served on the Scientific Review Panel of the National Health Research Institutes in Taiwan for more than a decade. His engagement in health services management research and consultation has helped the development of formal MHA graduate programs in Kazakhstan, Czech Republic, and Taiwan.

Part 1: Exploring Trends and Strategies in Population Health Management.- Chapter 1: From Population Health to Population Health Management.- Chapter 2: Cost Containment Strategies in Population Health Management.- Chapter 3: Integration of Principles of Population Health Management.- Chapter 4: A Transdisciplinary Approach to Health Care Informatics Practice and Research: Implications for Elder Care with Poly Chronic Conditions.- Part 2: Identifying Evidence-Based Approaches to Chronic Conditions.- Chapter 5: Chronic Disease Epidemiology: Preventive Aspects of Chronic Conditions.- Chapter 6: Strategies to Modify the Risk of Heart Failure Readmission: A Systematic Review and Meta Analysis.- Chapter 7: Contextual, Organizational, and Ecological Factors Influencing the Variations in Heart Failure Hospitalization.- Part 3: Implementing and Optimizing the Use of Health Information Technology in Population Health Management Practice and Research.- Chapter 8: Health Informatics Research andInnovations in Chronic Care Management: An Experimental Prospectus for Adopting Personal Health Records.- Chapter 9: Design of Integrated Care and Expanding Health Insurance for the Underserved and Medically Indigent Population.- Chapter 10: Reduction of Readmissions of Patients with Chronic Conditions: A Clinical Decision Support System Designed for Care Management Interventions.