Wk1 &2

Question 1

What is public health

Answer 1

core element of population health.
Focuses on health determinants, prevention, and public health policy,
Interventions

Question 2

Population health

Answer 2

Incorporates health delivery, health coverage, health access, prevention, screening, health promotion, chronic care management

Question 3

What is compression of morbidity

Answer 3

The longer one lives healthy and well, the shorter they experience illness, pain and suffering

Question 4

Foundations of Pop Health

Answer 4

Focus on personal behaviors & health promotion; coordinated care across providers with collective health population in mind; enhanced meaningful use of EMR; identifying & reducing health risks & unhealthy lifestyle behaviors

Question 5

Pop Health Frameworks

Answer 5

Healthy People 2020; National priorities & goals; Triple aim; CDC 6/18 initiative

Question 6

Goals for Healthy People 2020

Answer 6

High quality longevity; eliminate disparity; create healthy social & physical environments; promote healthy behaviors

Question 7

Goals for Triple Aim

Answer 7

Population health
Experience of Care
Per Capita Cost

Question 8

Goals for CDC’s 6/18 initiative

Answer 8

Reduce tobacco use
control bp
improve abx use
control asthma
prevent unintended pregnancy
Prevent DM 2

Question 9

NQS priorities

Answer 9

Patient Safety
Person- and Family-Centered Care
Care coordination
Effective Prevention and Treatment
Healthy Living
Care affordability

Question 10

What is Primordial prevention

Answer 10

Creating a healthy environment and culture.

Health promotion & wellness activities

Question 11

Primary prevention

Answer 11

Life style modifications:

• reduce smoking
• eat healthy diet with portion control
• exercise regularly

Question 12

Secondary prevention

Answer 12

Screening to catch problems early

• cancer
• bp
• cholesterol
• wellness exams

Question 13

Tertiary prevention

Answer 13

Disease management to manage chronic conditions.

Use chronic care model to achieve this

Question 14

What does chronic care model involve?

Answer 14

Community, Health Systems, Individual patients, healthcare team

Question 15

What are the four pillars of Population Health

Answer 15

• Chronic Care Management
• Quality and safety
• Public Health
• Health Policy

Question 16

Epidemic

Answer 16

cases occurring at a higher rate than expected within a population and derived from a common source

Question 17

Outbreak

Answer 17

epidemic localized to a small geographic area, neighborhood, city, or region

Question 18

Endemic

Answer 18

constant presence of dz in a population

Question 19

Pandemic

Answer 19

epidemic affecting populations of an extensive region, country or continent

Question 20

Prevalence

Answer 20

Number of existing cases

Question 21

Incidence

Answer 21

Number of new cases over a certain period of time

Question 22

Spectrum of dz severity

Answer 22

Asymptomatic, mild, mod, severe, fatal

Question 23

What do epidemiologists do?

Answer 23

Explore the distribution and causes of dz among groups of people
=population medicine

Question 24

What are the objectives of epidemiology

Answer 24

determine causes of etiology of disease;
burden of disease among population; study natural history and progression of dz; evaluate health care services and interventions; provide knowledge base

Question 25

Sources of epidemiologic data

Answer 25

Vital registry system; EMR; Pop-based surveys; U.S. Census

Question 26

Rate formula

Answer 26

(number of cases/pop. at risk)x 100

Question 27

Descriptive epidemiology

Answer 27

Describes distribution When was the pop affected? Where was the pop affected? Who was affected?

Question 28

Analytic epidemiology

Answer 28

Test hypotheses about possible associations btwn exposures and outcomes. How was the pop. affected? Why was the pop. affected?

Question 29

How do you quantify descriptive epidemiology?

Answer 29

``` Mortality rates Incidence Prevalence Epidemic Surveillance ```

Question 30

Analytic epidemiology terms

Answer 30

Exposure: possible determinant of a health-related state or event. aka risk factor/ protective factor Outcome:health-related state or event that is affected by the exposure

Question 31

What the the two major categories of analytic study designs?

Answer 31

Experimental: researchers control subject exposure. Observational: don't intervene or impose an exposure

Question 32

Case control studies

Answer 32

retrospective cases compared with control Start with outcome of interest-->comparison for the occurrence of the exposure of interest. Evaluated using odds ratio (odds of exposure among cases)/(odds of exposure among controls). Outcome assessed first

Question 33

Cohort studies

Answer 33

Prospective or Retrospective Subjects are assessed either for their exposure/outcome status. Follows cohort over time or look back to their history to ID if and when they developed a particular health outcome. Exposure assessed first.