Spread, Scale, and Sustainability in Population Health Workshop Summary (2015) / Chapter Skim
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6 Accelerating Spread and Scale in Population Health
6 Accelerating Spread and Scale in Population Health
Pages 53-62
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From page 53... ...
First, there must be promising prototypes or a promising evidence base that can be built upon. There are various examples of successful prototypes that offer some confidence that it will be possible to have an impact on population health at scale, he said, and some of them were discussed at this workshop.
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From page 54... ...
Exceptional initiatives stand out and have a very different feel or energy to them, he said. Strategy Development Versus Starting A typical initiative generally involves comprehensive strategy development, McCannon elaborated.
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and colleagues at the Aspen Institute,2 which suggests that the existence of complexity actually means that excessive strategy is wasteful -- perhaps even absurd, McCannon added. Engaging with the world is the only way to know what will work and when for each context, he said.
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From page 56... ...
In the interest of scale and making it simple enough to actually be used, it was reduced to about one-third of that size.4 There are also infrastructure requirements to consider when designing for success and scale. Human resources, financial resources, physical space, equipment and supplies, data collection, technology, logistics, 3 100,000 Lives was the IHI national patient safety campaign to avoid unnecessary deaths in U.S.
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Learning methods essentially democratize the change process, empowering people to make the innovation work for them in their environment or circumstance. There 5 McCannon used the term "stimulant" during the presentation, but likely meant "stimulus."
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. Evaluation In a typical initiative, especially a heavily funded initiative, a summative evaluation is often the priority.
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From page 59... ...
DISCUSSION During the brief discussion that followed, participants reflected on getting started and having time-specific goals and on summative versus formative evaluation. Participants also discussed the concept of exceptional initiatives as a learning system and reiterated the issue of misalignment between the payment system and population health as a barrier to scale and spread.
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He cited the first recommendation in the report For the Public's Health: Investing in a Healthier Future, which recommends that the secretary of health and human services set targets for life expectancy in the United States to be achieved by 2030.6 Paul Jellinek of Isaacs/Jellinek suggested that a rigorous summative evaluation of the prototype can pay huge dividends in terms of the subsequent rollout. Compelling cost–benefit or cost-effectiveness data can help secure financing going forward.
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From page 61... ...
In some states, there is innovative work going on with Medicaid, and there are some private payers that are closely following these models and conducting small tests with their own populations. McCannon suggested that demonstrating the success of these models will lead more private payers to follow.
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