Health Promotions Classes 4-6 Flashcards
health disparity
population-specific differences in the presence of disease, health outcomes, quality of health care and access to health care services that exist across racial and ethnic groups
health equity:
attainment of the highest level of health for all people.
Achieving health equity requires valuing everyone equally with focused and ongoing societal efforts to address avoidable inequalities, historical and contemporary injustices, and the elimination of health and health care disparities
Groups at risk for health disparities
Women, racial and ethnic minorities, disabled, nursing home residents, rural populations, LGBT
Healthy People 2020 goal
eliminate health disparities and improve health equity for all people
Ontario’s Family Health Team (FHT) model most closely mirrors…
Principles of the Patient-Centered Medical Home
Problems with fee-for -service payment
aggravates problems by providing perverse incentives which rewarded high-volume practices at the expense of person-centered care
Joint Principles of the Patient-Centered Medical Home
- Physician-Directed Medical Practice
- Whole-Person Orientation
- Trust between patient and physician forms the basis for trust in the team.
- Coordinated or Integrated Care
- Electronic health records (EHRs), corridor consultations, and team meetings help coordinate care among team members.
Family Health Team (FHT) responsibilities outline
Primary care physician more focused on preventative care
- get paid using capitation system
- cheaper for them to keep patients
healthy
- they save money by not having them
make appointments
- tools like nurse phone system help
Most family physicians remain involved in their patients’ care regardless of whether a patient is in the hospital, at home, or in a nursing home
Specialists are available on-site and work with primary care physician
- payed on a “fee per session” basis
Ways FHT has reduced costs and increased efficiency
3-hour evening and weekend clinics for walk-in and scheduled patients
After-hours on-call system
Telephone access to Triage Nursing reduces telephone calls to physicians by 80%.
- FHT physicians provide backup support to the nurses and receive reports on each patient the following morning.
FHT Physician income is derived from:
a blended funding model
- capitation - fees for services - bonuses
Capitation
A payment system for health care service providers.
It pays a physician or group of physicians a set amount for each enrolled person assigned to them, per period of time, whether or not that person seeks care.
The FHT model benefits
Increases access to primary care for Ontarians and addresses physicians’ frustrations with practice.
Teams have potential to provide comprehensive care management for chronically ill patients.
Logic Model
A logic model is a planning tool to clarify and graphically display what your project intends to do and what it hopes to accomplish and impact.
A logic model:
- Summarizes key program elements
- Explains rationale behind program activities
- Clarifies intended outcomes
- Provides a communication tool
Think of a logic model as a map that you develop to clarify and communicate what your project intends to do and its presumed impact.
(also known as a logical framework, theory of change, or program matrix)
Health Promotion is the integration of theory and models in 4 areas:
- Conceptualization
- Development
- Implementation
- Evaluation
- Evaluation is both art and science
- cyclical process
- Evaluation is both art and science
Types of Evaluation
Formative Evaluation
Summative Evaluation
Both are designed to strengthen quality, or implementation, or environmental context of program
