Community and Population Health Practice

getting health evidence and information out into the public and teaching them how to utilize it (bridging the gap between health evidence and implementation)

What is population health?

warnings in commercials, newspapers, psa’s

• public saw the research at a level they could understand it and were able to be educated

How were warnings about smoking an example of population health?

overall goal for OT, guides our practice to align OT looking forward

What is Vision 2030?

• including every person and population in OT (encompassing)

• using occupations to help them improve their lives

What does Vision 2030 mean?

“Enriching life for all individuals and society through meaningful engagement in everyday activities.”

inclusive and equitable professional community

• create a supportive environment centered around belonging

evidence-based, client-centered and innovative practice

• treat using research and evidence and clinical reasoning, client-centered

universally recognized with valued excellence

• recognize OT’s uniqueness from other professions

occupational justice and advocacy

• for ourselves as OTs and the profession

foundational pillars

occupational justice

the right for ALL people to participate in meaningful occupations (very similar to Vision 2030)

Triple Aim (population health, experience of care, per capita cost)

framework used in community and population health to improve the health care system

safe, effective, patient-centered, timely, efficient, effective

What are the 6 domains of health care quality?

work on the experience of care (therapeutic use of self, explaining things thoroughly, introducing yourself to a client)

and improving population health (running groups to educate the community, sending out info about things that are bad for your health, emails to get your flu shot)

Out of the 3 things in the Triple Aim, what can we do?

• increases awareness of OT in the public

• offers leadership roles for OTs

• builds alliances for OTs between other professionals

• brings OT the opportunity to better understand the needs of society

What does CPHP do for OT?

George Barton

one of the founding fathers of OT, lived with TB

Consolation House (NY, 1914) to teach people (community) who were also debilitated to use occupations so they could feel functional, have purpose, and return to a version of work.

What did George Barton found and what was it?

Eleanor Clarke Slagle

• worked at Hull house (Chicago, 1915)

• provided people with disabilities to be self-sufficient through the use of occupations (basket-weaing, needlework, rugs, etc.)

mother of OT

deinstitutionalization

• expansion of services into the person’s own environments (home, work, school - community)

• community-based care

• helping people reintegrate into society after being in an institution

What happened in the medical world in the 1960s, 70s, and 80s?

• practical constraint (staff, time, funding, resources, etc.)

• historical factors of OT (our aim/goal has changed many many times, hard for us to define our distinct value)

• gaps in theory and knowledge

What are obstacles to CBP?

World Health Organization

• global health and safety, helps to bridge health knowledge gap across countries

• collaborates with every country to promote health, expand universal health coverage, help when disasters occur, etc.

What is WHO?

community

noninstitutional aggregation of people linked together for common goals

health

a state of complete physical, mental, and social wellbeing

focus is on the whole population, goal is to change systems that affect health, OT is expert

What are community-level interventions?

helping people take control of their health, using education and social support (Ex. fall prevention)

What is community health promotion?

using community resources, client and community centered, OT is facilitator/mentor

What are community-centered initiatives?

population

An aggregate of people who may or may not know each other but share at least one common characteristic

population health

Collaborative, interdisciplinary approach to maximize health equity and occupational justice in a population, based on the social and health detriments and priorities of the population