Training Course on Population Health Management Training: Improving Health Outcomes For Entire Communities

Module 1: Introduction to Population Health Management
Objective: To provide participants with a foundational understanding of population health concepts and approaches.
Topics Covered:
Definition and principles of population health management (PHM)
The role of PHM in improving community health outcomes
Key metrics and indicators for population health
Understanding healthcare disparities and social determinants of health
Case study: Successful population health programs in diverse communities
Practical Activities:
Group discussion: Mapping the health needs of a target population
Exercise: Identifying priority health issues in participants’ communities

Module 2: Data Analytics and Risk Stratification
Objective: To equip participants with skills to use data for informed decision-making.
Topics Covered:
Data sources for population health: EHRs, claims data, public health databases
Health risk stratification and segmentation
Predictive analytics for population health interventions
Tools for data visualization and reporting
Case study: Using analytics to identify high-risk patient groups
Practical Activities:
Workshop: Conducting a basic risk stratification analysis
Exercise: Creating dashboards to monitor population health indicators

Module 3: Care Coordination and Integrated Healthcare Delivery
Objective: To teach participants strategies for improving care delivery across settings.
Topics Covered:
Principles of integrated care and care coordination
Multidisciplinary team approaches for population health
Patient engagement strategies for preventive care
Reducing hospital readmissions and improving chronic disease management
Case study: Coordinated care programs for chronic disease populations
Practical Activities:
Workshop: Designing a care coordination plan for a population segment
Exercise: Identifying gaps in care delivery and proposing solutions

Module 4: Addressing Social Determinants of Health
Objective: To help participants understand and mitigate factors affecting community health.
Topics Covered:
Social determinants of health (SDOH) and their impact on outcomes
Strategies to address barriers such as access, socioeconomic status, and health literacy
Community engagement and partnership building
Policy and program interventions to reduce disparities
Case study: Community-based interventions improving health equity
Practical Activities:
Group discussion: Identifying local SDOH challenges
Exercise: Developing a targeted intervention addressing SDOH

Module 5: Monitoring, Evaluation, and Sustainability of PHM Initiatives
Objective: To ensure participants can evaluate outcomes and sustain population health programs.
Topics Covered:
Key performance indicators and outcome measurement
Evaluating program effectiveness and impact on health outcomes
Continuous improvement and feedback mechanisms
Scaling and sustaining successful population health initiatives
Case study: Long-term evaluation of population health programs
Practical Activities:
Workshop: Designing an evaluation framework for a population health initiative
Exercise: Creating a sustainability plan for ongoing community health program